Some learnings for Hira from working on integration with the “spine” for Maternity:
If a tree falls in a forest and no-one hears it - did it fall? - if you have a source of truth and contributing systems, what is the threshold for determining the data goes into the source of truth - there may be a delay or issues when the data isn’t sent through. This might be due to completeness or quality or availability of connection.Duelling data providers shoot each other in the foot - If there is a more than one data provider that can initiate or overwrite an event (eg. a new pregnancy) how do you manage the knowledge it exists and the quality of the information (who overrides who - who is the “responsible clinician”).Sharing the problems with data - how do we close the loop on the data needing to be improved. Where data is provided to a source of truth what is our method for providing feedback on quality? This is seen in the “referral quality” problem in hospitals.
Yes. Existence of data is evidence of activity.Data is augmented by multiple systems but maintained by 1.Data is improved by addition / notice not change.
IMHO
And it wasn’t already complex! Interesting questions Jon and will need some consideration through our design.