I didn’t participate in this week’s HANDIhealth Tweetchat, but I’m always interested in what they’re saying, particularly since they are going to be running a workshop at the #Digihealthcon

This chat focused on:

Standards- are they a Barrier to Innovation?

Involved

Top resources

http://xkcd.com/927/
http://motorcycleguy.blogspot.co.uk/2012/05/starting-fhir-under-hl7.html
http://www.hl7.org.au/2012-HL7-Future-Seminar.htm
http://www.imedicalapps.com/2012/06/personal-health-record-patient-medical-terms/
http://www.guardian.co.uk/local-government-network/2012/jun/07/designing-digital-public-services-went-wrong?CMP=twt_gu
http://www.guardian.co.uk/healthcare-network/2012/jun/06/nhs-hack-day-apps-patient-hell
http://rallyroundme.com/welcome
http://www.video3uk.com/scotgov

Related tags

#openehr #fhir #nhshd #careapps #digihealthcon

See Twitter for more tweets, people, videos and photos for #handihealth

@ianmcnicoll The Usability Problem Pt 1: What the EMR Market Can Learn From Twitter http://t.co/9TkkYL5u #Handihealth #NHShackday >> in spades(Thu, 07 Jun 2012 16:07:35 +0100)
@HANDIhealth Are standards a barrier to innovation? Join us tonight to discuss. Follow the #handihealth hashtag between 8-9pm(Thu, 07 Jun 2012 18:34:44 +0100)
@HANDIhealth 60 mins until we begin our #handihealth chat tonight. Join us at 8pm to discuss ?Standards are a barrier to innovation?(Thu, 07 Jun 2012 19:03:42 +0100)
@Time4Recovery Personal Health Record app underscores importance of using patient friendly medical terms http://t.co/FDPxeP4a #mapsandapps #handihealth (Thu, 07 Jun 2012 19:18:15 +0100)
@HANDIhealth 10 mins until we start the #handihealth chat. This week?s topic is ?Standards are a barrier to innovation: Discuss? Join us at 8(Thu, 07 Jun 2012 19:51:33 +0100)
@HANDIhealth Evening all and welcome to tonight?s #handihealth chat #handihealth (Thu, 07 Jun 2012 20:01:18 +0100)
@HANDIhealth Tonight’s topic is Standards are a barrier to innovation: Discuss #handihealth (Thu, 07 Jun 2012 20:02:00 +0100)
@hildegardfranke #handihealth Evening all(Thu, 07 Jun 2012 20:02:16 +0100)
@HANDIhealth Hi @hildegardfranke #handihealth (Thu, 07 Jun 2012 20:03:17 +0100)
@robdykedotcom Shared this xkcd cartoon thousands of times http://t.co/XTok7TIF #handihealth (Thu, 07 Jun 2012 20:03:19 +0100)
@mrcthompson @robdykedotcom love it! #handihealth I recall seeing this in one of the presenters slides at the newcastle event. so true(Thu, 07 Jun 2012 20:04:52 +0100)
@HANDIhealth Who else do have tonight? @ianmcnicoll ? #handihealth (Thu, 07 Jun 2012 20:05:50 +0100)
@ianmcnicoll #handihealth Hi all(Thu, 07 Jun 2012 20:06:10 +0100)
@HANDIhealth RT @robdykedotcom : Shared this xkcd cartoon thousands of times http://t.co/de9ayrPq #handihealth (Thu, 07 Jun 2012 20:06:42 +0100)
@wylpf So what exactly do we mean by Standards in this context? #handihealth (Thu, 07 Jun 2012 20:06:46 +0100)
@HANDIhealth Good evening. Shall we start by clarifying what we mean by standards? #handihealth (Thu, 07 Jun 2012 20:07:13 +0100)
@hildegardfranke #handihealth we should probably narrow the statement a bit to say ‘imposed top down standards are a barrier to innovation’?(Thu, 07 Jun 2012 20:07:25 +0100)
@mrcthompson Are we talking about Health Information / Data Standards? #handihealth (Thu, 07 Jun 2012 20:08:57 +0100)
@HANDIhealth @ianmcnicoll mentioned “top down stds can inhibit, emergent standards by consensus should not if done right” can you elaborate? #handihealth (Thu, 07 Jun 2012 20:10:20 +0100)
@wylpf @hildegardfranke wouldn’t always agree with that. Knowing what to aim for by using a standard can be helpful #handihealth (Thu, 07 Jun 2012 20:10:54 +0100)
@mrcthompson RT @robdykedotcom : Shared this xkcd cartoon thousands of times http://t.co/XTok7TIF #handihealth (Thu, 07 Jun 2012 20:12:36 +0100)
@ianmcnicoll #handihealth . If standards dev is agile and responsive + allows extensions, it should be poss to allow innovation. Kinda how web stds work(Thu, 07 Jun 2012 20:12:51 +0100)
@hildegardfranke @wylpf #handihealth I believe there is a difference between knowing what to aim for and having to comply with a standard imposed from above(Thu, 07 Jun 2012 20:13:00 +0100)
@ianmcnicoll #handihealth the challege is on managing innovation and local variation whilst maintaining the best community consensus. Needs communication(Thu, 07 Jun 2012 20:14:33 +0100)
@HANDIhealth are there any models that can be learned from? #handihealth (Thu, 07 Jun 2012 20:15:23 +0100)
@ianmcnicoll #handihealth Managing clinical content stds as small, agile, rapidly iterated components (like apps) is the best approach. ‘Archetypes'(Thu, 07 Jun 2012 20:17:34 +0100)
@HANDIhealth RT @ianmcnicoll : Managing clinical content stds as small, agile, rapidly iterated components (like apps) is the best approach.. #handihealth (Thu, 07 Jun 2012 20:18:59 +0100)
@wylpf @HANDIhealth @ianmcnicoll Are we talking the terminology standards here or messaging / storage standards? #handihealth (Thu, 07 Jun 2012 20:20:36 +0100)
@Time4Recovery RT @robdykedotcom : Shared this xkcd cartoon thousands of times http://t.co/XTok7TIF #handihealth (Thu, 07 Jun 2012 20:21:51 +0100)
@ianmcnicoll #handihealth Terminology + content structure standards e.g. Allergy, Blood pressure. Not persistence though good if they can be(Thu, 07 Jun 2012 20:22:56 +0100)
@ianmcnicoll #handihealth . Messaging std clearly necessary between business prtnrs but not essential to terminology / content stds.(Thu, 07 Jun 2012 20:24:46 +0100)
@ianmcnicoll #handihealth technical interoperability is easy bit, and messaging is not a good way of definig semantics.(Thu, 07 Jun 2012 20:26:01 +0100)
@wylpf @ianmcnicoll hmm, I think a stable terminology standard (if its a good one) is better than an ever changing standard #handihealth (Thu, 07 Jun 2012 20:27:36 +0100)
@hildegardfranke @wylpf #handihealth what do you mean by a ‘stable terminology standard’?(Thu, 07 Jun 2012 20:28:58 +0100)
@robdykedotcom RT @ianmcnicoll : #handihealth technical interoperability is easy bit, and messaging is not a good way of definig semantics.(Thu, 07 Jun 2012 20:30:01 +0100)
@ianmcnicoll #handihealth eHealth stds are never stable, change inevitable. Agree we need as much stability as poss in both terminology/structure but ..(Thu, 07 Jun 2012 20:30:31 +0100)
@wylpf @hildegardfranke one who’s structure (but not necessarily content) is relatively fixed for example #handihealth (Thu, 07 Jun 2012 20:31:04 +0100)
@robdykedotcom stds add value and lower barriers to development and innovation; and I like the way they stack up http://t.co/Mliw0B1o #handihealth (Thu, 07 Jun 2012 20:31:36 +0100)
@ianmcnicoll #handihealth “Innovation eats standards for breakfast” to borrow a phrase.(Thu, 07 Jun 2012 20:31:53 +0100)
@wylpf @ianmcnicoll very true, but innovation can break interoperability #handihealth (Thu, 07 Jun 2012 20:34:22 +0100)
@ianmcnicoll #handihealth OSI model works well for tech stds. Not so well for clinical content stds which r social constructs and need negotiated(Thu, 07 Jun 2012 20:34:26 +0100)
@hildegardfranke @wylpf #handihealth still not sure what you mean – can you give an example?(Thu, 07 Jun 2012 20:34:48 +0100)
@wylpf @ianmcnicoll a lot of recent app innovation is built using existing standards but only interoperable with itself #handihealth (Thu, 07 Jun 2012 20:35:02 +0100)
@HANDIhealth RT @ianmcnicoll : #handihealth technical interoperability is easy bit, and messaging is not a good way of definig semantics. #handihealth (Thu, 07 Jun 2012 20:36:14 +0100)
@ianmcnicoll #handihealth @wylpf Absolutely agree. Apps will create silos but I think the right approach can help devs build shared content models(Thu, 07 Jun 2012 20:37:33 +0100)
@wylpf @hildegardfranke for example the drugs standard dm+d has been stable in terms of model since 2006 #handihealth (Thu, 07 Jun 2012 20:38:04 +0100)
@robdykedotcom @wylpf @ianmcnicoll I’m happy with that; 3rd pty stuff (ESB, ETL, other middleware magic) fixes broken #interoperability #handihealth (Thu, 07 Jun 2012 20:38:55 +0100)
@ianmcnicoll #handihealth We think that #openEHR has cracked this problem of distributed content stds development, using web tools(Thu, 07 Jun 2012 20:39:03 +0100)
@wylpf @ianmcnicoll here’s hoping! Depends whether interoperability is a requirement out of the box, if not, silo apps are worth doinf #handihealth (Thu, 07 Jun 2012 20:39:15 +0100)
@wylpf @hildegardfranke implementers like dm+d as they know the model and that its not likely to change #handihealth (Thu, 07 Jun 2012 20:39:50 +0100)
@ianmcnicoll #handihealth Yup dm+d is a good example of a sensible std to represent meds and allergy agents inside a medication or allergy structure.(Thu, 07 Jun 2012 20:40:12 +0100)
@ianmcnicoll #handihealth was at a meeting in Edinb. yesterday where exactly that was agreed with Allergy structure based on GP2GP archetype + dm+d(Thu, 07 Jun 2012 20:41:18 +0100)
@HANDIhealth RT @ianmcnicoll : We think that #openEHR has cracked this problem of distributed content stds development, using web tools #handihealth (Thu, 07 Jun 2012 20:41:27 +0100)
@ianmcnicoll #handihealth dm+d also adopted as standard medication terminology (UK wide? ) but no common med structures yet.(Thu, 07 Jun 2012 20:43:05 +0100)
@griffglen #handihealth I suggested last week that loads of innovation might also be a barrier to the adoption of standards(Thu, 07 Jun 2012 20:43:34 +0100)
@robdykedotcom Designing digital public services: where we went wrong http://t.co/Tfbck3x4 via @guardian #handihealth great reflective piece(Thu, 07 Jun 2012 20:44:03 +0100)
@hildegardfranke @wylpf #handihealth yes, agree that dm+d is useful to implementers as a terminology standard(Thu, 07 Jun 2012 20:44:27 +0100)
@robdykedotcom #handihealth – last tweet not ‘on topic’, sorry(Thu, 07 Jun 2012 20:44:42 +0100)
@griffglen @HANDIhealth @ianmcnicoll what does open EHR directly compete with in the stds domain? #handihealth (Thu, 07 Jun 2012 20:44:45 +0100)
@HANDIhealth RT @robdykedotcom : Designing digital public services: where we went wrong http://t.co/GRy4ORZy @guardian great reflective piece #handihealth (Thu, 07 Jun 2012 20:46:02 +0100)
@wylpf @ianmcnicoll there are some standards around electronic prescriptions but different in England/Wales/Scotland etc :( #handihealth (Thu, 07 Jun 2012 20:46:21 +0100)
@hildegardfranke @wylpf #handihealth exactly – and that’s the implementers nightmare(Thu, 07 Jun 2012 20:47:09 +0100)
@ianmcnicoll #handihealth Traditionally #openEHR competes w HL7v3 and 13606 but times are changing as v3 not delivering as hoped http://t.co/vf4xBpUd (Thu, 07 Jun 2012 20:48:50 +0100)
@wylpf @hildegardfranke yup, you’re someone like Boots or Lloyds and you want to have one system across all sites…very hard to do! #handihealth (Thu, 07 Jun 2012 20:50:19 +0100)
@griffglen @robdykedotcom #handihealth – good example of where a leader (Robert Metcalfe) encouraged vendors to club together 3Com Xerox and Banyan(Thu, 07 Jun 2012 20:50:38 +0100)
@ianmcnicoll #handihealth yes – at least 8 different ways of expressing GP medication. That was reason for Meds stds workshop http://t.co/FWiSlHgI (Thu, 07 Jun 2012 20:53:13 +0100)
@hildegardfranke @wylpf #handihealth no, not 1 system, but an agreed way of expressing the same thing (e.g. prescribed medication) so it can be shared(Thu, 07 Jun 2012 20:53:26 +0100)
@HANDIhealth RT @ianmcnicoll : Traditionly #openEHR competes w HL7v3 & 13606 but time changing v3 nt delivering as hoped http://t.co/qwrJtHGN #handihealth (Thu, 07 Jun 2012 20:55:07 +0100)
@wylpf @hildegardfranke sorry didn’t mean a single system across all, just say Boots using one system in all Boots stores #handihealth (Thu, 07 Jun 2012 20:56:01 +0100)
@wylpf @hildegardfranke agree with not having a *single* system for everyone to use! #handihealth (Thu, 07 Jun 2012 20:56:29 +0100)
@griffglen @HANDIhealth @ianmcnicoll #handihealth as a subset or superset – which way round? would the HL7 community see it that way too?(Thu, 07 Jun 2012 20:57:11 +0100)
@hildegardfranke @griffglen #handihealth subset or superset of what?(Thu, 07 Jun 2012 20:57:49 +0100)
@ianmcnicoll #handihealth Hl7 community agreed that v3 is complex and not working – latest have thing is #FHIR http://t.co/wgI3dDaP more like archetypes(Thu, 07 Jun 2012 21:01:18 +0100)
@wylpf @ianmcnicoll going for the 80/20 split in terms of coverage. Probably a wise idea #handihealth (Thu, 07 Jun 2012 21:03:02 +0100)
@griffglen @hildegardfranke #handihealth where is the overlap? are stds interchangeable? therefore interoperable(Thu, 07 Jun 2012 21:03:43 +0100)
@mrcthompson it was suggested at last chat that #handihealth provide a resource to educate on stds. I would love to see a concise overview of the stds.(Thu, 07 Jun 2012 21:04:26 +0100)
@HANDIhealth We’ve ran over a little on time tonight..& still lots to talk about. Shall we decide on next weeks topic over the coming week? #handihealth (Thu, 07 Jun 2012 21:05:28 +0100)
@hildegardfranke RT @ianmcnicoll : @griffglen #openEHR archetypes are maiximally modelled so usually a superset of HL7 content and transformable #handihealth (Thu, 07 Jun 2012 21:06:35 +0100)
@griffglen @hildegardfranke @ianmcnicoll #handihealth thks- my last tweet should have said operable rather than interoperable(Thu, 07 Jun 2012 21:08:58 +0100)
@ianmcnicoll @mrcthompson #handihealth ‘concise’ guide to ehelth stds might be tricky!! but I will give it a go. So many to choose from :-)(Thu, 07 Jun 2012 21:09:46 +0100)
@hildegardfranke RT @ianmcnicoll : @HANDIhealth I think leave choice of topic unless anyone has a good suggestion now #handihealth (Thu, 07 Jun 2012 21:11:22 +0100)
@HANDIhealth OK, we can tweet for suggestions during the week… in the meantime, thanks everyone for taking part! #handihealth (Thu, 07 Jun 2012 21:14:16 +0100)
@robdykedotcom @mrcthompson I don’t have a cartoon for ‘a concise view of stds’ #handihealth (Thu, 07 Jun 2012 21:14:23 +0100)
@mrcthompson @robdykedotcom OK that can be my job – I’ll have a think ;) #handihealth (Thu, 07 Jun 2012 21:14:53 +0100)
@ianmcnicoll @robdykedotcom @mrcthompson Sadly I probably do :-( #handihealth (Thu, 07 Jun 2012 21:15:08 +0100)
@hildegardfranke #handihealth ciao everyone(Thu, 07 Jun 2012 21:15:08 +0100)
@ianmcnicoll #handihealth Bye all, Thanks Chris(Thu, 07 Jun 2012 21:15:48 +0100)
@mrcthompson Goodnight all. Thanks. #handihealth (Thu, 07 Jun 2012 21:16:57 +0100)
@HANDIhealth RT @ianmcnicoll : Hl7 community agreed that v3 is complex & nt working latest thing – #FHIR http://t.co/kxqAt7Jw like archetypes #handihealth (Thu, 07 Jun 2012 21:20:27 +0100)
@griffglen @HANDIhealth @ianmcnicoll #handihealth interesting site – an ad hoc harley award sounds like it might be worth having(Thu, 07 Jun 2012 21:29:00 +0100)
@curtomil RT @ianmcnicoll : #handihealth Managing clinical content stds as small, agile, rapidly iterated components (like apps) is the best approach. ‘Archetypes'(Thu, 07 Jun 2012 22:31:36 +0100)
@mrcthompson Looking for geeks who love the NHS http://t.co/QOOYaJjX #nhshd #handihealth (Thu, 07 Jun 2012 23:09:12 +0100)
@ppazos RT @ianmcnicoll : #handihealth Traditionally #openEHR competes w HL7v3 and 13606 but times are changing as v3 not delivering as hoped http://t.co/vf4xBpUd (Fri, 08 Jun 2012 07:27:15 +0100)
@claireOT Next up, the #handihealth guys, Tweetchats thurs 8-9pm, great people doing great stuff @HANDIhealth @WoodcoteEwan @robdykedotcom (Fri, 08 Jun 2012 08:24:13 +0100)
@carlplant RT @HANDIhealth : http://t.co/3aTh0FrP To help someone stay independent longer #rallyroundme looks interesting #handihealth #careapps #digihealthcon #nhshd (Fri, 08 Jun 2012 08:43:44 +0100)
@skoba RT @ianmcnicoll : #handihealth Hl7 community agreed that v3 is complex and not working – latest have thing is #FHIR http://t.co/wgI3dDaP more like archetypes(Fri, 08 Jun 2012 12:41:10 +0100)
@skoba with openness. RT @ianmcnicoll : #handihealth #openEHR has cracked this problem of distributed content stds development, using web tools(Fri, 08 Jun 2012 12:43:05 +0100)
@twhicher RT @ianmcnicoll : #handihealth Managing clinical content stds as small, agile, rapidly iterated components (like apps) is the best approach. ‘Archetypes'(Fri, 08 Jun 2012 15:22:09 +0100)