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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
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 3
Premise
• Out of scope – Why standards are needed for assuring “all-level”
interoperability
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 4
[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.
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 5
• 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
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 6
Requirements / Vision Design
Development / Procurement
Testing Deployment
Maintenance
Two interplaying lifecycles……
The standard and the deployment lifecycles
Standards Deployment
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 7
….with cooperating actors
• A portfolio of tools for supporting each lifecycle…..
The standard and the deployment lifecycles
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 8
• …. facilitating their interaction …
The standard and the deployment lifecycles
…support the different needs of the actors …and facilitate their communication
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 9
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 – ….
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 10
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
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 11
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
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 12
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…)
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 13
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 !
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 14
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…
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 15
.. to make the use of standards more cost-effective and enable sustainable investments in eHealth !