this post was submitted on 25 Apr 2025
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Care needs to be taken with big orgs like the NHS to not try and boil the ocean with massive IT systems. Concentrating on open interoperability standards allows for smaller more flexible contracts and the ability to swap out components when needed.
Open source licences would be the ideal default although at a minimum the purchasing org should have a licence that allows them (or subcontractors) to make fixes without being tied to the original vendor.
Biggest problem to open source health adoption has been the extreme unwillingness to form an international standards group around diagnoses and labeling.
Closest we have is the WHO with ICD but for some fucking inane reason it's only used reliably by the second and third world. (Ironically this means most African countries have freakishly good digital MAR interop when they can afford to put in a system that uses those standards.)