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Next steps for standardization in health information sharing Tools for the formal standards life-cycle HL7 International Foundation April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 1

1st eStandards conference: next steps for standardization in large scale eHealth deployment: Tools for the lifecycle of standards

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Next steps for standardization in health information sharing

Tools for the formal standards life-cycle

HL7 International

Foundation

April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 1

THE ROLE OF THE TOOLS IN STANDARDS-DRIVEN EHEALTH INTEROPERABILITY

Giorgio Cangioli HL7 Int. Foundation

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Premise

• Out of scope – Why standards are needed for assuring “all-level”

interoperability

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[Refined eHealth European Interoperability Framework]

[Australian E-health Interoperability Framework]

The need for standards set (using an architectural approach)

• Standard-based services deployment requires an architectural approach considering several interacting aspects.

• A portfolio of standard artefacts has to be in general used.

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• Effectiveness and efficiency are strongly impacted by solutions (including tools) enabling the adoption of the selected standards and their cooperative usage

The standard and the deployment lifecycles

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Requirements / Vision Design

Development / Procurement

Testing Deployment

Maintenance

Two interplaying lifecycles……

The standard and the deployment lifecycles

Standards Deployment

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….with cooperating actors

• A portfolio of tools for supporting each lifecycle…..

The standard and the deployment lifecycles

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• …. facilitating their interaction …

The standard and the deployment lifecycles

…support the different needs of the actors …and facilitate their communication

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SDOs

SROs

SMEs

…..

CxOs

Architects

Vendors

HCOs

….

Standards has changed (and are changing)

• Model driven approach • From text-based (paper, excel, pdf) to

computable artefacts (e.g. models) • All become computable (HL7 FHIR®)

– Profiles/Templates – Implementation Guides – Test Scripts – ….

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Standards has changed (and are changing)

• User adapted information – Each type of human or non-human user needs

different types of information and artefacts. – The format shall be understandable and shall fit

for each purpose

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Tools may assure the consistency between the published human readable (html, pdf,….) and computable artefacts

with the reference standards and/or profiles.

The combination of tools and standard formats

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Less Costs

Better Management

Less Ambiguities

Improved Access &

Reuse

Easier Validation

Tools Standards

Computable Formats

So that ?

• SDOs / SROs should promote tools that – Are designed to facilitate the adoption of

(portfolios of ) standards by users (not only for standards developers!)

– work seamlessly within and across the different phases of the lifecycles (development, publication, test, implementation & deployment, maintenance…).

– Rely on open and standards formats (hopefully harmonized standards…)

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So that ?

• Potential users should be made aware about the tools capabilities. – HL7 Europe will host a registry of tools for eStandards.

• The effectiveness of tools should be monitored !

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A draft for comments registry is currently available

http://wiki.hl7.eu/index.php?title=Tools

Standards-related tools …

• … are essential for supporting standards-driven eHealth interoperability ..

• … are not just for standards developers… • … should use open (hopefully common) standard

formats, to better support the cooperation between the standard and the deployment lifecycles…

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.. to make the use of standards more cost-effective and enable sustainable investments in eHealth !

Thank you for your attention

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www.estandards-project.eu