(Mike Jones, Henrik Hallenberg, 7 April 2017)
openEHR standards offer a potential solution to help HDO CIOs retain control of care delivery data in the long term. New capabilities built using these standards can provide a foundation for federated care record services and innovation, but will require investment in clinical informatics skills.
This important report describes how to reduce the risk of vendor lock-in and create the right conditions for innovation by persisting structured clinical content from proprietary care delivery applications outside the EHR.
A link to the full report is available on the Marand website at:
The report gives an overview of:
- the challenges of EHR Interoperability
- the current experience of EHR Capability
- what is openEHR and how can it support Digital Care Delivery
- how to build an enterprise architecture and clinical informatics capability when adopting openEHR for:
- National e-health program
- A federation of HDOs
- A large City or large municipality
Another Gartner report also recognised openEHR as a key element for future sustainable architectures of healthcare IT systems. It points out to the need for having a full content standard across the board, indicating openEHR, to enable digital health, and indicates shortcomings of relying on health information exchange only.
Healthcare Provider CIOs Need to Rally Their Enterprise Architects Around Citizen-Centric Care Delivery
(Mike Jones, 7 February 2017)
Gartner believes that truly effective and sustainable open architectures will need a capability for vendor-neutral data persistence, such as utilizing a common schema or set of openEHR archetypes and rules for managing structured and unstructured data (for example, a VNA, openEHR or IHE XDS repository in combination with services for trust/consent, ecosystem governance and oversight, and reuse of data and processes for secondary purposes, such as research and population health).
Providing open messaging standards (for example, FHIR, HL7) for data exchange in specific use cases will only go so far in meeting the architectural challenges of digital citizen-centric care delivery.
Unfortunately this report is not publicly available 😦