HL7 UK - new landscape, new opportunities
Publication date: Jun 26, 2013
The UK mandate to use Open Standards and the freeing up of HL7s IP will have a major impact on the operations of HL7 UK as well as on the use of health IT in the UK.
Philip Scott, chair of HL7 UK, held a presentation using the above title during the
HL7 UK meeting held on June 18th in London.
was all about the repositioning of the UK affiliate, about its value proposition – influenced in part by decision of
HL7 to give away its standards for free. The other presentations and discussions were related to changes within the
NHS, and the way it will be using (open) standards.
Philip introduced his presentation by stating that: "we’ve seen some of the most far-reaching changes in the NHS for
many years, and significant changes in HL7 International have happened since last year. This has been an especially
busy year for HL7 UK Management Board, and this session will present the fruits of that work as plans and opportunities
for 2013-14 and beyond."
View of the meeting room; Nicholas Oughtibridge presenting
The HL7 UK management board has worked on a value proposition model.
In high-to-low order the following value propositions were identified: support standards implementation, provide strategic advice for HIT purchasers,
provide marketing opportunities for HIT vendors/consultants, provide educational support to new implementers, validate professionals,
validate products, develop UK standards and profiles, provide route into internationalization of UK-initiated standards.
Whereas the latter two value propositions used to be relatively high on the list before they ended up as the bottom two on the current
list (not a real surprise given the changing role of HL7 UK).
The main change is the implementation focus, which is likely to lead to a FHIR hack day and maybe some sort of connectathon.
Changes in the English NHS include the termination of CfH/DHID, and the creation of NHS England and HSCIC
(Health and Social Care Information Centre). There are major changes of (non ICT related) NHS structures, these have led to massive NHS uncertainties.
The Health and Social Care act 2012 provides a new legal framework
for the publication of information standards. Healthcare providers have to "give due regard" to these published standards. A Government ICT
strategy published in 2011 contained the first real commitment to open standards. An Open Data whitepaper was published in 2012. A set of
UK government open standards principles
was published in 2012 – effectively a mandate for all government departments to use open standards.
Nicholas Oughtibridges presentation
Nicholas Oughtibridge (Head of Information Standards Quality, Appraisal and Assurance, HSCIC)
presented some of the criteria
as published in these ‘open standards principles’. Two interesting issues came up:
Kathy Farndon (Head of Information Standards, NHS England) stated that there have been a lot of changes that are quite revolutionary in nature
(both the restructuring of CfH into HSCIC as well as embracing the "open standards" approach), and that she would like HL7 UK’s support for these changes.
- Does HL7 comply with the open standards principles? It probably does, some minor issues around providing access to implementation guides
still has to be sorted out.
- Given that HSCIC publishes ITK, an open standard, does it comply with the open standards principles? Clearly it doesn’t do so (e.g. one
has to have a fully transparent process, and be open to participation by all interested parties). The impact on new developments by HSCIC on
the ITK is as of yet unknown. There is likely to be some form of migration path (which will take quite some time) to move towards a fully open process.
The impact of Being Open
From a long term perspective the decision to embrace open standards principles will have a major impact on interoperability: it will increase
the adoption of open standards, and may force some application vendors to open up their data using open APIs.
HL7 UK, like many other HL7 affiliates, has to reorganize itself to deal with these changes, and with HL7 standards now being freely available.
Their decision to refocus on facilitating the implementation of standards seems like a right leap forward.
PermaLink to this page: http://www.ringholm.com/column/HL7_UK_new_landscape_new_opprtunities.htm
Index of columns:
- Creation and Curation of FHIR Profiles - process and governance (Dec 14, 2017)
- De Algemene Verordening Gegevensbescherming (AVG) in de zorg (Dutch, Sep 19, 2017)
- Impact of the GDPR on the use of interoperability standards (Jun 27, 2017)
- News from the FHIR DevDays in Amsterdam (Dec 15, 2016)
- Next XDS Release (Oct 27, 2016)
- Five years of FHIR (Aug 11, 2016)
- Interoperability projects in Ireland - FHIReland (Mar 14, 2016)
- 2016 FHIR Jedi Calendar (Jan 06, 2016)
- Top 10 HL7 videos watched in 2015 (Dec 24, 2015)
- Update from the trenches on CDA R2.1/R3 and HL7v2. (Oct 15, 2015)
- FHIR DevDays - UK GP System APIs (Sep 16, 2015)
- IHE XDS - testing and implementation tools (Aug 25, 2015)
- Most often implemented IHE Profiles (Jun 08, 2015)
- Why we sponsor the HL7 WGM (May 10, 2015)
- FHIR in Paris (Apr 21, 2015)
- Mapping HL7v2 messages to FHIR. (Apr 13, 2015)
- Analysis of CDA R2 testing tools - most requirements are neither tested nor respected. (Feb 13, 2015)
- HL7 and IHE in Sweden (Feb 08, 2015)
- 2015 FHIR Chiefs Calendar (Jan 07, 2015)
- The Merry FHIR Choir caroling the 12 Days of Christmas (Dec 09, 2014)
- Chicago FHIR Update (Oct 13, 2014)
- Internationalization of HL7 (Sep 25, 2014)
- New XDS Advanced training course on offer by IHE Services and IHE Academy (Jul 14, 2014)
- Recent and Future developments of the DICOM standard (Mar 06, 2014)
- Top 10 HL7 videos watched in 2013 (Jan 02, 2014)
- Report from the HL7 WGM in Cambridge (Oct 16, 2013)
- Documenting the history of HL7 (Sep 03, 2013)
- Histology Lab Device Automation using HL7 version 2 (Jul 23, 2013)
- HL7 FHIR Elevator Pitch (Jul 15, 2013)
- Interoperability Standards - the no-sales pitch (Jul 09, 2013)
- HL7 UK - new landscape, new opportunities (Jun 26, 2013)
- Validation and error correction at the IHE Connectathon (Apr 25, 2013)
- CDA Implementation Guides - (not) invented here (Apr 17, 2013)
- Usage of IHE Profiles (Feb 25, 2013)
- 10 year anniversary - Dutch Ringholm HL7 v2 training courses. (Feb 19, 2013)
- About IHE Academy and new IHE training courses (Jan 12, 2013)
- CDA implementation experiences in the UK (Dec 04, 2012)
- Musings on free HL7 IP (Oct 01, 2012)
- HL7 Connectathons (Sep 09, 2012)
- Renovate HL7 version 3 (Aug 03, 2012)
- Frequency of use of HL7 message types (Jul 24, 2012)
- Lighting the FHIR, HL7s new major interoperability standard (Jun 15, 2012)
- Reflections on the HL7 membership model - the affiliate life cycle (Dec 28, 2011)
- Thinking like an OWL reasoner (Sep 17, 2011)
- RFH (Resources for Health): HL7 version 3 taken to the next step (Aug 18, 2011)
- What's so great about the HL7 organization? (Aug 04, 2011)
- Kerndossier: een Nederlandse versie van CCD (Dutch, May 03, 2011)
- A HL7 RIMBAA update (Apr 21, 2011)
- Timezone Hotel (Mar 29, 2011)
- HL7 and openEHR are cooperating (finally) (Jan 21, 2011)
- Increasing demand for IHE training courses (Dec 18, 2010)
- Context issues with the IHE QED profile (Dec 15, 2010)
- The changing role of HL7 country organizations (Jul 16, 2010)
- Implementing HL7 version 3 - the book (May 06, 2010)
- Adding openness to a closed world (Feb 09, 2010)
- How to lower the hurdle for HL7 v3 implementers (Jan 21, 2010)
- HL7 v3 deployment statistics (Dec 17, 2009)
- There's Trouble in Paradigm (Sep 25, 2009)
- Internationalization of HL7 (Sep 24, 2009)
- HL7 UK signs deal with Ringholm to deliver HL7 v2/v3 training courses in London (Sep 17, 2009)
- The use of HL7 in South Africa (Aug 20, 2009)
- The Next Web Conference in Amsterdam (Apr 17, 2009)
- The HL7 UK AGM and RIMBAA (Apr 16, 2009)
- The HL7 Wiki reaches 2000 pages (Mar 02, 2009)
- The HL7 roadmap for CDA R3 and the CCD (Jan 17, 2009)
- HL7 Affiliates Meeting in Orlando (Jan 11, 2009)
- Swiss and Dutch HL7 News (Dec 31, 2008)
- Devices and Prizes (Nov 22, 2008)
- HL7 in Norway: a situation report (Sep 02, 2008)
- Russian whitepaper (Jul 09, 2008)
- The HL7 Interoperability Conference - IHIC 2008 (May 30, 2008)
- HL7 creates a RIM Based Application Architecture (RIMBAA) group (May 18, 2008)
- Notes from the HL7 WGM in Phoenix (May 08, 2008)
- Germany embraces CDA eReferral document specification (May 02, 2008)
- HL7 v3 RIM based applications: an unintended side effect (Jan 19, 2008)
- Collaborative Tools (Jun 21, 2007)
- HL7 ist Pflicht in der deutschen Telematikinfrastruktur (German, Mar 16, 2007)
- HL7 based Tree inventory system (Jan 30, 2007)
- The link between HL7 and Open Source Software (Jan 06, 2007)
- Workflow Bribery (Sep 15, 2006)
- Timezones in HL7 (Jan 23, 2004)
- Controlled vocabularies: "@*%!!!" ? (Sep 01, 2003)
- Trusting the other Party (Nov 01, 2002)
About Ringholm bv
Ringholm bv is a group of European experts in the field of messaging standards and systems integration in healthcare IT.
We provide the industry's most advanced training courses and consulting on healthcare information exchange standards.
See http://www.ringholm.com or call +31 33 7 630 636 for additional information.
Rene is the Tutor-in-chief of Ringholm.