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Beyond the hype: evaluating e-health standards

A new e-health standard comes along every couple of years. In Gartner hype cycle terms, it starts out on the rise toward the ‘peak of inflated expectations’, then falls into the ‘trough of...

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Evaluating e-health standards II – governance and commercial aspects

Following on from my post yesterday, Grahame Grieve commented that I had not dealt with issues of stability and commercial acceptability. I had not originally intended to do that, but on reflection, he...

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openEHR 2014 Roadmap Meeting, Sep 16/17, Oslo

Last week saw the first major face-to-face international openEHR community meeting, which took place in Lilletstrom, near Oslo, at premises kindly organised by DIPS asa, openEHR Industry Partner and...

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Health interoperability standards are a pre-platform concept. Discuss.

There is a growing recognition that we need an open platform concept to solve e-health interoperability and reuse problems. Some evidence of this I noted in my recent post ‘What is an open platform’,...

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What is a ‘standard': legislation or utilisation?

Bert Verhees, a colleague from the openEHR community made this post recently to the openehr-technical mailing list: OpenEHR is not a standard, it is a formal specification....

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Does anyone actually understand what terminology is for?

I really wonder sometimes. A few months ago, an international organisation that has been looking at how to solve the requirement for scalable, sustainable content modelling (research data sets) did...

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No SQL databases, documents and data – some misunderstandings

A good friend pointed me to this post: why you should never use MongoDB. It’s a very interesting post, about how bad MogoDB turned out to be for dealing with social network data. It’s not that MongoDB...

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Barriers to open source in the NHS

There is a discussion going on on the NHS Technology Community site on what the barriers to open source are in the NHS, and how to address them. The posts are interesting, but one thing is lacking: a...

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Semantic scalability – the core challenge in e-health?

A few months ago I posted on what makes a standard or set of standards in e-health investible. The headline requirements I can summarise as follows: platform-based: the standards must work together in...

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The folly of the obsession with source code

My favourite topic these days is the phenomenon of fundamentalist thinking. You don’t need to go to Iraq to find it, it’s all around us…. Recently I chanced upon a post entitled ‘Coding is not the new...

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openEHR in Brazil – Sirio Libanes

openEHR training session last week at Hospital Sirio Libanes, one of the premiere teaching and research hospitals in Brazil. I delivered the background and theory part, Samuel Frade and Bostjan Lah...

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Goodbye to Adobe FrameMaker, Hello AsciiDoctor

I am probably one of the longest time users of Adobe FrameMaker in the world. I started using it at version 2, sometime around 1990, and finished with it a few months ago. For most of this period it...

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Yet another e-health standards comparison, corrected

Recently HSCIC and NHS England published an Interoperability Handbook, intended to help provider CIOs and others steer the difficult waters of obtaining interoperable health IT solutions. The target...

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New openEHR Whitepaper – for an open platform future

Today saw the release of a new openEHR whitepaper, which provides a nice summary of open platforms thinking for e-health. From the executive summary: The key elements of openEHR’s strategic value to...

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The innovations of openEHR

The European Commission is putting together a position on disruptive innovation in health. Their preliminary opinion paper references Clayton Christensen’s The Innovator’s Prescription a number of...

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Why IT people can’t build information systems

(on their own) Every so often I remember how we were taught to build information systems and software. One of the steps is called ‘requirements capture’. The IT people are supposed to go and...

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Evolution of EHR solutions – from the proprietary to the post-modern

Tomaz Gornik from Marand, an innovation obsessive (and rightly so) provides a nice write-up of the evolution of solutions from: proprietary => best-of-breed integrated mega-suite => agile,...

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Making FHIR work for everybody

FHIR is the HL7’s modern approach to connecting components in the health computing space. Unlike the HL7v2 message approach, FHIR is oriented to enabling applications connect to back-ends. It has been...

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e-Health standards – beyond the message mentality

[a monk’s retreat near Thalori village] I just spent a few days in Crete at an experts workshop of the European e-Standards project that aims to bridge well-known gaps in e-health standards and SDOs....

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openEHR technical basics for HL7 and FHIR users

Recent discussions on the FHIR chat forum with various HL7 people around the topic of how openEHR and other architectural frameworks (e.g. VA FHIM, CDISC) could work with FHIR led to a realisation...

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