An introduction to the HANDIhealth Open Platform Demonstrator project givne at Amsterdam HL7 AID meeting 3rd June 2014 SMART on FHIR on openEHR

1. HANDI-HOPD:
Supporting the health ‘apps’ revolution
Software apps to support health and care - Supporting the app paradigm –
Creating a community of interest - That's HANDI
www.handihealth.org
Dr Ian McNicoll
HANDIHealth
openEHR Foundation
freshEHR Clinical Informatics
HL7 AID meeting Amsterdam 3rd June 1014

2. Introduction
2
Ian McNicoll
Former Glasgow GP
Health informatics
Director openEHR Foundation
freshEHR Clinical Informatics
Ocean Informatics UK
HANDIHealth
Commercial software developer
‘GP Accounts’

3. HANDI Health CIC
• UK not-for-profit Community Enterprise
Company
• There to support:
– Developers
– Health and care professionals
– Patients, service users and carers

4. Apps: Lightweight Digital Tools
Not just about mobile
Narrow scope,a “connected thing”
Makes heavy use of pre-existing components
and services
Built using a well defined development and
deployment framework
Order of magnitude(s) faster and cheaper to
develop and deploy
Allows niche solutions and “fail fast”

5. An open standards platform?
Closed OSS ClosedOSS
Vendor DVendor B Vendor CVendor A
API and messaging content based on open
source clinical content definitions
OSS
components
Vendor
solutions
Terminology
Server Pathways KB
ESB/SpineITK Integration component
Commit
Retrieve

6. open, shared data models: Archetypes
• Clinically-led + collaboratively authored
– open-source ‘crowd-sourcing’ methodology
– Shared open repository ‘CC-BY-SA’ licence
• Agility in response to continually changing clinical
demand
– Clear ownership, change request mechanism
– Tight version control
6

7. SMARTPlatforms
Pluggable Webapp
API
HL7
Clinical Content
Exchange NHS API
inVivo
Datastore API
Clinical leadership PRSB
Terminology
Centre
HSCIC
Non
openEHR
systems
Archetype+ SNOMED Clinical
Content definitions
A new mobile app
developer requires
plug in for care
record to test pulse
app functionality.
ITK+N3
Detailed
Clinical Content
Development

8. http://handi-hopd.org/demo
8

9. NHS Hackday - medsrecDIY
• Patient-driven medication reconciliation
9

10. 10

11. 11

12. 12

13. SMARTPlatforms
Pluggable Webapp
API
HL7
Clinical Content
Exchange NHS API
inVivo
Datastore API
Detailed
Clinical Content
Development
Clinical leadership PRSB
Terminology
Centre
HSCIC
Non
openEHR
systems
Archetype+ SNOMED Clinical
Content definitions
A new mobile app
developer requires
plug in for care
record to test pulse
app functionality.
ITK+N3

14. HOPD in think!Med EhrExplorer

15. next tech steps for HANDI-HOPD
SMART and HL7 FHIR support
More openEHR providers
Cross provider querying demos
Cross provider transfers
Focus for openEHR ‘in-vivo’ API alignment
discussions
15

16. Links
• twitter: @ianmcnicoll
• HANDI-HOPD handi-hopd.org/demo
• Ehrscape: dev.ehrscape.com
• Leeds Innovation Lab Health Platform : http://leedslabplatform.com
• openEHR Foundation : www.openehr.org
• International archetype repository: www.openehr.org/ckm
• UK archetype repository: www.clinicalmodels.org.uk