Interoperability Badly Needs Defining
13 March, 2018
12 min read
It’s not everyday I leaf through my wife’s post to find something to incite the informatics soapbox. But in the most recent issue of the British Journal of General Practice I found just that. When I usually find myself perusing the BJGP (http://bjgp…
Using OpenEHR as the Basis for a Data Warehouse?!?
05 March, 2018
6 min read
Anyone au fait with openEHR knows the benefits of using its dual-modeling architecture to underpin an electronic health record. It is, after all what it was designed for. But I recently came across a paper which espoused the virtues of using openEHR…
Deriving Allergy Substance Category from Recursive SNOMED Calls
16 February, 2018
5 min read
As part of some work on recording Adverse Reaction Risks, we took the opportunity to look at binding SNOMED CT into the service. We approached the problem is a very linear way: we need a list of "stuff" that could cause a patient to have an allergic…
WAO Is Me...American EHRs Are Not The Answer for NHS Wales
28 January, 2018
7 min read
The recent report by the Welsh Audit Office (WAO), “Informatics Systems in NHS Wales” has some interesting points. Only some which should be taken seriously. It is sometimes easy to become defensive when you work for the institution that is perceived…
Clinicians on FHIR, Pareto and the Clinical Unknown
21 November, 2017
5 min read
I spent an enlightening day at the Clinicans on FHIR event at the King's Fund on November 21. It was good to get a pure FHIR perspective with a group of people who were there to learn about the technology. Although one particularly savvy chap did ask…
Round 1: FHIR vs OpenEHR...FIGHT!
29 September, 2017
5 min read
Following the recent OpenEHR event held at Ziferblat Media City in Manchester by Salford Royal NHS Foundation Trust, the debate on OpenEHR seemed to heat up quite considerably. It led to an interesting bit of tit-for-tat trolling discussion on…
Why did HL7 Version 3 fail?
27 September, 2017
4 min read
With the adoption of HL7 FHIR taking baby steps across the NHS, it is worth pondering why the new standard exists in the first place.Successful interoperability can be defined as knowing what information is to be sent and received by two systems…
Should we trust Google with our data?
10 January, 2017
3 min read
The public furore1 over Google's DeepMind is on one level understandable; patients want to feel like they are in control and have a say in how their data is used. However, the underlying benefits of using technology to improve patient outcomes is an…
