Open Standards and EMRs April 2018 Adrian Byrne

Open Standards and EMRs April 2018 Adrian Byrne CIO at UHS Chair of CIO network INTEROPen board member Occasional sock wearer @adebyrne

Leading technology analysis firm Gartner has said the NHS IT market is too reliant on closed proprietary systems, and must follow other industries and drive to open platforms and surrounding eco-systems

• Open standards based • Shares common information models • Supports application portability • Federatable • Vendor and technology neutrality • Supporting open data • Providing open API • Operability (as in Dev. Ops)

Monolith to Microservices

Open Platforms and VNAs Viewer PACS e. Patient Record VNA Vendor Neutral Archive

Open Platforms and VNAs 3 rd Party EPR Suite Mobile Services EPR data Open EPR Platform

Open Platforms and VNAs Patient Portal Client Portal Lifestyle LTC App Services Cloud based PHR

Newcastle Declaration “We declare that, in order to provide safe and effective health and care for all citizens, health and care professionals require unimpeded access to all relevant information available on those they care for. “Too often, health and care professionals today lack key information available on those they care for, and have to make treatment decisions without access to all of the currently available knowledge, such as previous care and test results. Citizens and patients deserve better. ”

What we’re trying to achieve:

How we’re trying to achieve it (Care. Connect curation): Proposing member e. g. NHS Digital HL 7 UK (Technical) Condition Merge DSTU 2 Condition Resource Condition Reviews Care. Connect Problem FHIR Profile HL 7 Git. Hub & Viewer Merge Condition Proposing member PRSB (Clinical) INTEROPen Community

Digitally Mature Personal Health Records (PHRs) Open Platform PHR Front End Applications Open APIs

Digital Maturity Model for PHRs based on KLAS model Specialised Interactive Broad Basic • View information • Newsletters • General Trust communications • Appointment reminders • Gathering patient input e. g. demographics • General surveys e. g. PREMS • Provide results • Condition specific • Targeted surveys e. g. pre appointment • Educational Videos • Reminders for tests/ medication checks • Protocol driven information push • Wearables • • • Pre op assessment Consent Post discharge follow up Support self management Virtual interactions Customised surveys and feedback loops (red flag questions)