SMART

See the following -

A Pilot Site for NHS VistA in the UK

Ewan Davis | Woodcote Consulting | July 14, 2013

Moving the open source agenda require that NHS Trust submit Expressions of Interests (EoI) for open source projects under NHS England’s £260 million Technology Fund  by the deadline on 31th July. Over recent weeks I’ve been persuaded that there would be real value for the patients, the NHS and the UK health informatics industry in the creation of a UK version of an open-source EHR, and VistA would be a good place to start. Read More »

Cerner Clients Test SMART on FHIR Apps Within EHR

Press Release | Cerner | October 8, 2015

Cerner...has unveiled a production version of HL7's FHIR® standard that is being tested in the Cerner Millennium® electronic health record (EHR). "This next-generation standards framework enables health care organizations to utilize Cerner's open platform, which is designed to enable third-party innovators to advance care delivery and improve interoperability capabilities with other FHIR-compliant EHR systems," said Dr. David McCallie, senior vice president, medical informatics at Cerner. "This integrated approach will provide clinicians access to 'pluggable apps' directly within their workflows that are designed to expand and transform the way care is delivered."

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Clinical Decision Support Strategies for Electronic Case Reporting and its Open Source Connection

A key element of public health surveillance is the reporting of infectious and certain non-infectious conditions to state, local, and tribal public health agencies (PHA) around the United States. Historically, there have been a number of key challenges with the process of case reporting that is pervasive in the United States today. To help overcome some of these barriers, an effort has been underway to move the process of case reporting to electronic. A key component of the emerging electronic care reporting (eCR) strategy is the use of clinical decision support (CDS) to help clinical care organizations determine if a reportable condition is present in a patient's record. Multiple approaches have been identified for this CDS service, including a centralized model being implemented today, and several distributed options which will likely become equally viable. Given the size, diversity, and decentralized nature of healthcare enterprises, it is likely that all three approaches for CDS discussed in this article will be deployed simultaneously.

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Clinician, researcher, and patients working together: progress aired at Indivo conference

Andy Oram | O'Reilly Radar | June 21, 2012

I spent Monday in a small library at the Harvard Medical School listening to a discussion of the Indivo patient health record and related open source projects with about 80 intensely committed followers. Lead Indivo architect Daniel Haas, whom I interviewed a year ago, succeeded in getting the historical 2.0 release of Indivo out on the day of the conference. Read More »

CommonWell: Healthcare Interoperability Or Bust

Mark Braunstein | Information Week | January 8, 2015

Peter Bernhardt of CommonWell Health Alliance, a group of clinical and health IT organizations, talks about its goal of better data exchange and application integration...

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Does Government Innovation Need Its Own Department?

Luke Fretwell | GovFresh | September 21, 2011

In an interview with the San Francisco Chronicle, SF city attorney and mayoral candidate Dennis Herrera said, if elected, he would create an innovation department and appoint a Chief Digital Officer to lead the city’s web and social media strategy that embraces open engagement with citizens. Read More »

EHR Interoperability a Source of Pain and Debate in Vermont

Kyle Murphy | EHRIntelligence.com | July 18, 2012

The lack of interoperability stems from innovation outpacing standardization. Because of the lack of proper guidance from the Office of the National Coordinator for Health Information Technology, which is charged with providing specifications for health information technology (IT), and other federal agencies during the earliest phases of EHR implementation, it is likely that Vermont isn’t the only state suffering these growing pains.

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Grahame Grieve's FHIR report from Baltimore HL7 Meeting

Last week, HL7 held it’s annual plenary meeting in Baltimore at the Hyatt Regency...For the FHIR project, our main attention was the ballot. Across the core standard, and multiple implementation guides, we received >800 detailed comments as part of the ballot. This represents a slight increase over the last ballot, but there was a clear change in the focus of the comments – there was a significant drop in the number of comments relating to the infrastructure, and much more focus on the domain content, and it’s applicability to real world problems. This is a clear marker of the growing maturity of the standard. We continue to expect that we’ll publish FHIR release 3 at the end of this year.

Growth Of SMART Health Care Apps May Be Slow, But Inevitable

Andy Oram | O'Reilly Radar | September 13, 2012

This week has been teaming with health care conferences, particularly in Boston, and was declared by President Obama to be National Health IT Week as well. I chose to spend my time at the second ITdotHealth conference, where I enjoyed many intense conversations with some of the leaders in the health care field [...]. Read More »

Health 2.0 and ONC Launch New Challenge Through the Investing in Innovation (I2) Initiative

Press Release | ONC, Health 2.0, Investing in Innovation (i2) Initiative | July 11, 2012

Today, Health 2.0 and the Office of the National Coordinator for HealthInformation Technology (ONC) announced the launch of a new Investing in Innovation (i2) Initiative competition that challenges developer communities to create innovative health information technology (HIT) solutions. Read More »

HL7 Launches Joint Argonaut Project to Advance FHIR

Press Release | Health Level Seven International (HL7) | December 4, 2014

Leading Health IT industry vendors and providers collaborate with HL7 to accelerate development and adoption of FHIR Read More »

Looking Back At A 2014: Thermidor For Health Care Reform?

Andy Oram | EMR & EHR | December 29, 2014

As money drains out of health care reform, there are indications that the impetus for change is receding as well...

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Moving Health IT Innovation Forward: A Vision For Substitutable Components

Tom Krohn | Eli Lilly Clinical Open Innovation | November 4, 2012

In the March 2009 edition of the New England Journal of Medicine, Drs. Kenneth Mandl and Isaac Kohane of Harvard Medical School introduced the idea of a health information technology platform that works more like the iPhone than a traditional system. Read More »

Navigation Between Heavy-weight and Light-weight Standardization (Part 2)

Andy Oram | EMR & HIPPA | August 26, 2016

The previous section of this article laid out the context for HL7 FHIR standard and the Argonaut project; now we can look at the current status.Tripathi portrays the Argonaut process as radically different from HL7 norms. HL7 hasestablished its leading role in health standards by following the rules of the American National Standards Institute (ANSI) in the US, and similar bodies set up in other countries where HL7 operates. These come from the pre-Internet era and emphasize ponderous, procedure-laden formalities. Meetings must be held, drafts circulated, comments explicitly reconciled, ballots taken. Historically this has ensured that large industries play fair and hear through all objections, but the process is slow and frustrates smaller actors who may have good ideas but lack the resources to participate.

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openEHR: A Game Changer Comes of Age

I’ve been watching openEHR over more than fifteen years and have always been impressed by its potential to enable us to do things differently, but it’s been a slow burn, with limited take up, particularly in the United Kingdom (UK) where it was invented. However, recent developments mean that I think this is about to change and that openEHR is going to take off in a big way which is going to revolutionize how we think about and do digital health and increase the speed at which we can do it by at least two orders of magnitude. Why do I say this and what evidence is there to support my assertion?

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