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

HANDIHealthopenEHR Foundation

freshEHR Clinical Informatics

HL7 AID meeting Amsterdam 3rd June 1014

Introduction

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Ian McNicoll

Former Glasgow GP

Health informaticsDirector openEHR FoundationfreshEHR Clinical InformaticsOcean Informatics UKHANDIHealth

Commercial software developer‘GP Accounts’

HANDI Health CIC

• UK not-for-profit Community Enterprise Company

• There to support:– Developers– Health and care professionals– Patients, service users and carers

Apps: Lightweight Digital Tools

Not just about mobileNarrow 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 deployAllows niche solutions and “fail fast”

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

TerminologyServer Pathways KB

ESB/SpineITK Integration component

Commit

Retrieve

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

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SMARTPlatformsPluggable Webapp

API

HL7 Clinical Content

Exchange NHS API

inVivoDatastore

API

Clinical leadership PRSB

Terminology CentreHSCIC

NonopenEHR 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

http://handi-hopd.org/demo

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NHS Hackday - medsrecDIY

• Patient-driven medication reconciliation

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SMARTPlatformsPluggable Webapp

API

HL7 Clinical Content

Exchange NHS API

inVivoDatastore

API

Detailed Clinical Content Development

Clinical leadership PRSB

Terminology CentreHSCIC

NonopenEHR systems

Archetype+ SNOMED Clinical Content definitions

A new mobile app developer requires plug in for care record to test pulse app functionality.

ITK+N3

HOPD in think!Med EhrExplorer

next tech steps for HANDI-HOPD

SMART and HL7 FHIR support

More openEHR providersCross provider querying demosCross provider transfers

Focus for openEHR ‘in-vivo’ API alignment discussions

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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