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The complexity of the Australian healthcare sector means achieving eHealth interoperability is no mean feat. With fragmented funding and governance, diverse platform approaches and a multitude of interconnected patient needs, there are a number of challenges to encounter before eHealth becomes transformative.
Grahame Grieve, Managing Director of Health Intersections sees interoperability as the potential to integrate applications so that data can reliably be exchanged, and so that clinical care can depend on it.
Collaboration and requirements from sectors outside of healthcare may lead to more effective interoperable practices. Grahame agrees that “no single sector reproduces all the challenges that healthcare has”, and sectors worth checking out are IETF/W3C for platform approaches, education and intelligence/defence, as they have the same mix of simple admin and complex slippery content and the insurance industry, as it also deals with collecting and analysing poorly described data.
Grahame adds that “the technology and the culture of eHealth can create possibilities and offer the opportunity to do more than simply exchange data. But it’s going to be up to the clinicians and policy makers to leverage that into clinical interoperability, and that will – if it happens – be transformative. But eHealth is only a tool.”
Grahame has extensive experience in various eHealth interoperability related projects including: vendor development lead with focus on data exchange (v2, CDA, DICOM); overall application lead for an integration engine with a focus on v2; lead an SOAP protocol open source project; editor of various HL7 v2, v3 and CDA specifications; consultant to PCEHR on clinical document exchange & standards and project lead for FHIR.
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