This is a presentation on the role of tools for eHealth standards that would accelerate standards development and adoption for large scale eHealth deployment that is affordable and sustainable. More at www.estandards-project.eu

1. 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

2. 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

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]

4. 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

5. The standard and the deployment lifecycles
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 6
Requirements /
Vision
Design
Development /
Procurement
TestingDeployment
Maintenance
Two interplaying lifecycles……

6. The standard and the deployment lifecycles
Standards Deployment
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….with cooperating actors

7. • 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 …

8. 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
….

9. 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

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
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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.

11. 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

12. 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

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 !
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A draft for comments
registry is currently
available
http://wiki.hl7.eu/index.php?title=Tools

14. 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 !

15. Thank you for
your attention
April 21st, 2016 eStandards Workshop at conhIT 2016, Berlin 16
www.estandards-project.eu