On the 31 October 1517 Martin Luther nail his “Ninety-Five Theses” on to the door of a chapel in Wittenberg, Germany and started the Reformation.
500 years later on the 32 October 2017 Apperta published “Defining an Open Platform”. Being the modest folk we are it contains a mere eight principles and we launched it less theatrically at EHI LIve, but I think it might be the start of a Reformation in Digital Health that will finally enable digital technology to have the transformative effect in our sector that has so far eluded us.
Open Platforms are about opening up the data in health and care systems to innovation, they are about open standards, they are about ending vendor lock-in, by making data and applications portable.
The Foreword by two eminent clinicians say’s it better than I can.
Health and care face a crisis, with growing demands and spiralling costs. In other sectors we have seen digital technology transform the way services are delivered, but so far, despite substantial investment, such transformational effects have eluded us in health and care.
The Apperta Foundation believes innovative technologies can achieve the transformation that we seek, yet if we want a different outcome from future investment we are going to have to do things differently and break away from 20th century technology and business models that lock data in proprietary formats and customers into obsolete systems.
Change requires innovation and innovation does not come from the incumbent players. If we look to other sectors we can see that it was Amazon not Foyles, eBay not Exchange and Mart, Wikipedia not Encyclopedia Britannica that transformed their sectors through digital innovation.
In health and care, the complexity of the environment in terms of the informatics, regulation governance and culture make the barriers to entry for innovative new players much higher than they were in other sectors In health and care we have seen no new entrants to the market reach discernible scale in the last twenty-five years.
We believe that open digital platforms based on open standards can lower barriers to entry, stimulate innovation and enable successful startups rapidly get to scale.
This is not just our view one shared by global experts and the major consultancies, more than this it is an approach that has already been proven at scale elsewhere.
We want to create an ecosystem where health and care communities can deploy and scale up an open platform implementation confident that the data they store in it and the applications that run on it are portable to any other. This requires an unambiguous definition of what we mean by an open platform and the standards on which it should be based.
This document is an attempt to propose such a definition, based on standards that have been proven to work worldwide including HL7 FHIR, SNOMED-CT, IHE_XDS and openEHR.
We put this document forward asa blueprint to enable and support those pioneers keen to progress on the journey to take digital health and care into the 21st Century.
Bill Aylward MA MB BChir FRCS FRCOphth MD
Chair Apperta Foundation
Rebecca Wassall BDS PhD
Clinical Lecturer / StR in Special Care DentistryNewcastle University