3 ms·
As with the NPfIT/CFH, the main problem around NHS data is wrestling control of it back from the big players and actually building a standard around the main co
by petepete 6y ago
As with the NPfIT/CFH, the main problem around NHS data is wrestling control of it back from the big players and actually building a standard around the main concepts of what medical data should look like. It goes beyond the medical record (HL7 etc) to stuff like appointments and prescriptions.
TBL making a framework for this kind of thing is all well and good, but when iSOFT, Accenture, Fujitsu and their friends all ignore it or try to shoehorn it into their current systems it all falls down.
- pydry 6y agoWe need a coterie of well paid, humble, independent and responsive architects who can design protocols which will let smaller players build interoperable software for this stuff - prescriptions, appointments, etc. At the moment we have behemoths trying to do the spiderweb vendor lockin thing.
- specialist 6y agoSounds great. However. Us savvy capable earnest architects don't have enough gumption and swarminess to work three years to close the typical sales account. Our sales and marketing people were basically a different breed. Completely disconnected from reality. Utterly oblivious to their own ignorance. But wow they were able to close deals. It was both disgusting and fascinating to witness up close.
- robertlagrant 6y agoThis is what FHIR is meant to be.
- specialist 6y agoMy impression is the NHS had sole custody of their patient's data. I know nothing about UK's system. https://en.wikipedia.org/wiki/NHS_Connecting_for_Health https://en.wikipedia.org/wiki/NHS_Connecting_for_Health From this article, looks like CFH project brought in consultants around the same time (mid-2000s) CSC sold us (a tiny startup team) to MedPlus (owned by Quest Diagnostics). I wouldn't trust CSC any further than I could kick them across a football field. I assume all the big consultants are the same.
- petepete 6y agoI haven't worked in the area for more than a decade, and I was very young when I did. From my experience though, too many parties wanted their own way and weren't really in a compromising mood. Even back then it was clear to me that starting small, evaluating and expanding was the way to go. Get a group of actual medical/tech experts to define a standard, build tools and test them in a single hospital and a few GP surgeries, enhance, repeat, expand. Trying to get it defined, designed and implemented in one go was madness.
- specialist 6y agoAgreed. Our initial team had a former RN who became a geek (sys admin). Huge advantage.