The discussion on problem list is a good one focused on learning from what has been done, applying/agreeing standards (SNOMED, FHIR etc) and access to the data, and collaborating to help implementation.
In terms of the question of whether we should move to a single system the Ministry view is that we should definitely leverage and build on what we have but that the key is trusted access to data from multiple sources rather than a single system. There are multiple problems/opportunities and one system will never be able to solve them all.
Delivering on opening up access to data will require technology components (data sources, integration platforms, applications for example) but also other enablers such as standards, national services such as for identity, commercial frameworks, enabling policy etc… That is the scope of nHIP. We are hopeful that we get Cabinet approval later this month to proceed to develop the investment case and I want this network to be a key contributor to that process.
I like the thinking…solve the identity/access challenge, open up access to the data through APIs, let the market innovate and the customer choose the systems that solve their problems best.
@karl @amscroggins @david.hay agree that we need the standards and that the challenge is not the lack of them but translating them into practical implementation. A couple of thoughts -
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We need to be prepared to pick a reference standard (FHIR and SNOMED are good places to start) and then use implementation/POCs/MVPs to inform how it needs to be refined to work here (@BeckyGeorge is the allied health experience a good one here?). HISO is there to enable that to happen.
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Implementation requires more than just the standard - clinical and business leadership, good quality data, commercial frameworks, aligned product roadmaps etc… That will be the hard part but you have to start to understand how significant those barriers are.