Richard Kavanagh

@KevinGMayfield Pretty much describes a slice of our current platform.

This is looking quite complex. Main thing I've done is split what is already around into: - Business view - Technical overview Wanting to shift to business view due to 'big ball of mud' issues around tech.

@KevinGMayfield We also see the kafka-backed event pattern on our FHIR server so that we get complete coverage across the data stores.

@KevinGMayfield There are other APIs for writing data back to the openEHR data store.

Do any openEHR implementations support CQRS? Not seen it in any documentation but assume it must support some sort of event feed to ‘ObservationRepositories’.

@KevinGMayfield Our platform also has event feeds (Kafka) that allow interactions with the data store to be used for multiple other purposes, such as data synchronisation.

@KevinGMayfield I refer to twitter.com/GaryMcAllister…

@RKavanagh :) I'm not revealing the list of 'spreadsheets' until cleared to do so. Few are exempt.

Two practitioners working in different organisations, will communicate with each other by talking, email, sms, phone, etc. I don’t get why developers are told they communicate with other by excel spreadsheets either passing them around or sharing via a central ‘sharepoint’.

@KevinGMayfield We are implementing this pattern at the moment for an NHS customer. It is a shame that we don't have standard IGs for this kind of work in the NHS so there is a library of repeatable patterns. The answer to every document sharing challenge is not NRL.

Most common pattern I’ve been asked to support recently is just this: This is from enterpriseintegrationpatterns.com/index.html In the wider NHS and suppliers…… it’s a mix of ALL the patterns in this book including newer conversation patterns.

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

@KevinGMayfield Yep. PIX PDQ AND ADT will probably always be relevant

@RKavanagh But I expect IHE PIX / HL7 ADT to continue for a significant amount of time (and will probably remain as default option) This could supplemented by IHE PMIR pub/sub profiles.ihe.net/ITI/PMIR/1.5.0/ Hence three FHIR options plus HL7 ADT / IHE PIX.

Nothing for months and then several (common sense) standards pass by in rapid succession....

@KevinGMayfield I really can't see the value in PDQm within England. Think I may write up why when I have some spare time.

@RKavanagh e.g. build.fhir.org/ig/ehealthsuis…

@MattStibbs @DHRewired Well, you didn't pop by our stand did you? We value the presentation layer and believe are products are awesome as a result. blog.better.care/designing-for-… #better @bettercareIT

Walking around @DHRewired after 5 years out of health tech conf circuit, and amazed that I’m seeing thick client products being run over Citrix… and menu icons from the 90s… some of this stuff really is glacial isn’t it

So, it is #Rewired24 next week. Would be great to have the opportunity to chat about how open standards can help with your patient-centric data journey. Read more here better.care/event/rewired2…

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

Thanks to everyone who posted offers of help. I'm in awe of the response the community has given. I really need to find some like-minded collaborators to form a team as a one-man band hobby project is never going to deliver.

So it is with regret that I stopped my long-time #openehr AWS project last night. Days and days of battling with the AWS cloud has revealed what I already knew, I just don't have the necessary skills. The confusion of VPCs, VPC-endpoints, Security Groups etc has defeated me.

@ianmcnicoll @deciNoFrac @docpaulmiller Thanks @ianmcnicoll the project does not include a CDR. I thought I would try something easier....

@deciNoFrac @RKavanagh @docpaulmiller and colleagues in Scotland may be able to give some pointers.

@GaryMcAllister Thanks @GaryMcAllister but I think I need to try and find a partner (or two) to make this viable.

@RKavanagh Can we help?

@deciNoFrac The #openEHR bit is fine. It's the AWS bit that us challenging at the moment. To be honest the goals of the project are beyond one person doing it part time.

@RKavanagh I can sympathize - I fathomed some of this out once on my rockets hobby project without doing any AWS qualifications. Overly complex to do what should be more straightforward from IAAS!