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Are UK Interoperability Standards Possible?

Are UK Interoperability Standards Possible?. HL7 UK Conference, 25 th October 2006 Allan Dickinson Head of Technical Design, Informing Healthcare, NHS Wales. Why shouldn’t they be?. Different healthcare information systems Does this mean incompatible information systems?

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Are UK Interoperability Standards Possible?

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  1. Are UK Interoperability Standards Possible? HL7 UK Conference, 25th October 2006 Allan Dickinson Head of Technical Design, Informing Healthcare, NHS Wales

  2. Why shouldn’t they be? • Different healthcare information systems • Does this mean incompatible information systems? • Differences even with same systems in different places! • Issues: • Can the systems communicate using the same protocols? • Do they share the same formats for the content of communication? • Do they have a common understanding of the meaning of information? ?

  3. Reasons for Interoperability • Cross-border healthcare • Networks of care • Population movement • Patient safety • Requests for service • Emergency / Unscheduled care • Results of service • Transfer of history • Other information sharing • Information for payment • Comparisons

  4. UK? Wales? Europe? World? Welsh patient attending English hospital Cardiff patient attending Newport hospital Wales and Republic of Ireland Scope of Interoperability

  5. Achieving Interoperability • Can’t have same systems everywhere • Need standards for: • Medical Information • Patient Identification • Business Processes • Confidentiality / Authorisation

  6. Current activity • National Programmes • Addressing the issues within UK home countries • Gaining an understanding of what is involved • Help to resolve the issues at a wider scale • Incremental development • Local collaboration • UK IM&T Forum • European Groups

  7. Are Interoperability Standards Possible? • They had better be: • Movement of people • Patient safety • Clinical expectation • They can be: • National Programmes are addressing the issues • Basis for international agreement • But this will need: • Cultural change • Agreement on standards • Adherence to standards

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