IHE, HL7 FHIR & openEHR – a smörgåsbord of standards?

When planning information sharing between healthcare systems there is a plethora of published standards from which to choose. The most widely used are published by IHE (e.g. XDS), HL7 (e.g. FHIR) and openEHR. However, it is not always clear how these standards relate to one another – are they mutually exclusive or complementary?

These standards emerged to address different concerns:

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FHIR Engine: Using FHIR to Manage Events in Child Health

Philip Graham, Digital Programme Lead for the Lancashire and South Cumbria Sustainability and Transformation Partnership attended the May 2018 INTEROPen Board to present a paper on a prototype Events Management Service (EMS) which he and his team have been developing. This service allows systems that capture clinical data, such as maternity, GP, health visiting, school nursing, A&E, etc. to publish or send events in real-time to a middleware service, the EMS.

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INTEROPen formalises collaboration with the PRSB and Royal College of Physicians

On 22 May 2018, Luke Readman, Co-Chair of INTEROPen, Lorraine Foley, CEO of The PRSB and Dr Ian Bullock, CEO of The Royal College of Physicians, signed a Memorandum of Understanding (MoU) agreeing to ‘work together to advance interoperability across the NHS and social care through engagement of clinicians and care professionals patient/carer representatives, vendors and informaticians’.

The PRSB, INTEROPen and the RCP have taken this decision to formally recognise the strengths of each party and to foster an open and transparent business relationship, based on trust and mutual respect. The parties will develop collaborative, compelling and value for money responses to work packages, the first of which is detailed in the MoU. It is proposed that the partnership will secure the delivery of an end-to-end model, ensuring that professional standards are embedded into digital solutions using interoperability open standards, such as INTEROPen CareConnect FHIR profiles, and adopted into everyday practice to improve the information-sharing that underpins safe and effective care. With over 140 vendor organisations as members, including techUK, INTEROPen recognises the role of vendors as a crucial partner in this end-to-end model for the delivery of interoperable systems.

This partnership will be underpinned by the following core principles (abridged from MoU):

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