Richard Kavanagh

@jjameswalk @GaryMcAllister For technical standards, if you consider HL7, openEHR, IHE, etc - how many people were/are actively engaged in creating the base standards. In my day it was ~1. Consider the US, Australia, New Zealand, Netherlands, etc - a completely different story.

@GaryMcAllister Standards standards standards, in use across the NHS, then we add another standard, but don't deprecate existing standards. Compliance by suppliers for standards adoption is key to the delivery of a National Patient Record

The most difficult part to creating a National Patient Record will be the use of information standards. If an Apple is not an Apple the patient will end up with a rather unsafe, and risky orange. Conformance is key across care settings.

@jjameswalk @GaryMcAllister If the NHS stopped creating its own standards and perhaps used existing standards then there would be less to deprecate and a greater incentive to follow them.

@GaryMcAllister I fear we will get an iteration on the NRL ... It requires a different mindset.

@ClaroTechUK Australia and France are the leaders in thinking.. Estonia is the lead in IHE(ish) perfection, America is starting to think differently but very IHE (traditional) atm.. The Catalonia model looks to be good... we have a real opportunity...

@GaryMcAllister Thanks @GaryMcAllister just need to choose a model.

@ClaroTechUK If you ask me nicely I'll get you a discount 💙

Time for a new PC. Current, PC will not run Windows 11, does not support Android App emulator and now will not run Docker. Any suggestions for a laptop for software development (must support multiple monitors).

@GaryMcAllister Treat them as technical experts and assess them accordingly - don't try and force a clinical assessment framework on them.

@GaryMcAllister So many different, issues that would need to be addressed

Do you think we have the right incentive structures in the NHS / Public Sector?... do you think teams would perform better if they had incentives?

@GaryMcAllister An environment to work in that was with other skilled resources. Putting skilled people in a pool where 50% are just plainly not performing is beyond demoralising

@GaryMcAllister Assessment by technical peers and not generic managers that 'have no idea'

@GaryMcAllister Access to technical resources and machines that are not locked down to within an inch of their lives

@GaryMcAllister Pay would need to be comparable with the market

Europe’s leading university hospital selects a new core data platform based on openEHR - htworld.co.uk/news/deals/eur…

My son recently made the decision to become a software developer so we started a project together so I could share some knowledge. Decided to make a simple web app for my running club. Scaled out quickly :-) #aws #flutter #serverless #api

@JohnMeredith It's about establishing consistent patterns both from modelling and implementation perspectives. Each has different methods to resolve to actual codes at runtime. If you use a valueset then it allows multiple CodeSystems on the same binding. Maybe not an issue in your use case.

@ClaroTechUK That's an interesting angle. Why not both? They're both mini reference data items but I appreciate designed to do different things (codesystems being more concrete)

Let’s just sign off for the weekend with this shall we? #FHIR value set built into an #openehr template with an #XDS metadata archetype to support a national colposcopy use case in Wales. Don’t worry - there’s plenty of #SNOMED CT elsewhere too. #openplatforms #digitalhealth

If you are considering a #FHIR development using UK Core profiles using .NET - then this may be of interest ukcore-sdk.netlify.app

Everyone needs to peruse @docpaulmiller's latest blog on patient data centricity. Mandatory reading! @paulagmiller/what-does-patient-centred-really-mean-e62f646f1bcc" target="_blank" rel="nofollow noopener">medium.com/@paulagmiller/…

@GaryMcAllister I could not agree more - there sheer quantity of "legacy" standards that have been created and never used is just as disappointing as the new ones being created. As long as standards are built in isolation without the understanding of the existing set, this will continue.

There are some things that would be so much easier if we took a platform approach. The continued development of 'standards' that are not adopted is really concerning. Learning so important.

@ppazos Thanks @ppazos really helpful knowledge

Been reading a lot about ontologies lately, since a better understanding of the organization and classification of concepts allow us to design, for instance, better clinical databases.