- Networks - Dial up modems to fibre internet & 5G cellular
- Application deployment models - have shifted from local to cloud
- Development technology - From local server to native cloud architecture
- Integration - From message(HL7v2) based to API(FHIR) based
Given that applications in healthcare environments tend to stick around for a while (10 to 15 years!), the challenge for the health sector is how to support the old technologies while gradually embracing the new.
Old World
- Message based, asynchronous, with limitations
- Application - On premise, client server
- Volume senders (Labs, Radiology, Hospitals) - message centric
- Health providers (GP, Pharmacy) - Locally deployed applications
New World
- Networks - high speed, internet everywhere, API interactions
- Application partners - pure cloud applications
- Volume senders (Labs, Radiology, Hospitals) - API
- Customers - desktop, tablets, phones via browsers and apps
Health Integration Platforms (such as the Odin Engine) that are architected to support both old and new world technology can help organisations gracefully bridge the gap.
