Stream: social
Topic: Greetings from Brazil
Guilherme Zwicker (Jul 01 2019 at 23:02):
I request your license to introduce myself! Hello from Brazil!
My name is Guilherme, physician, radiologist, a few years ago I modified my career as a traditional doctor to embrace the world of medical information.
In recent years, leaving the futuristic side of the problem and proposing to embrace the construction of solutions, I ended up joining the HL7 Brazil group and the initiatives related to data processing and interoperability here.
Perhaps you do not know, but I can explain a little about, Brazil has a very interesting health system, hybrid, public-private, very heterogeneous in terms of quality, but has universal coverage. There are 210 million people in the public health system and around 50 million in the private sector.
It turns out that initiatives to adopt the data standard to be interoperable are moving slowly, as you know, by fuzzy interests and also by the interest of some consultants who have stable contracts with the government. One of these contracts gives strength to openEHR, against FHIR (which I believe is much more appropriate for our national issues), although openEHR and FHIR are not exclusive.
I believe Brazil has a great advantage in relation to the fact that the R&D part of D, which, of course, by its extension, population, proximity to culture (rather than previous policy), is very much in line with the US in terms of principles and goals. One of the examples that I think is great is how Uber was successful in applying its commercial strategy here in Brazil, being in recent years champion in finished trips (not in revenue).
In recent years, we have built a huge network of relationships with key decision makers in Brazil through the efforts of our former Venture Builder, a joint venture of GE Healthcare and Hacking Health, a global open innovation movement based in Canada.
I have been working together with Paulo Rades, senior consultant in HL7 in the country, possibly people here should know him.
The idea of participating in the forum, even if I am not a developer, is to understand the strengths of the FHIR and establish a way to navigate this important country on interoperability issues.
Thank you very much, Guilherme
Lloyd McKenzie (Jul 02 2019 at 01:24):
Welcome to the community :)
René Spronk (Jul 02 2019 at 07:04):
@Guilherme Zwicker Welcome, indeed. I agree that openEHR and FHIR are not mutually exclusive, they're trying to do different things (in different ways). But that has been written and talked about so many times that there's nothing I'd like to add to that at this point in time. Good luck with your various efforts..
Dave deBronkart (Jul 02 2019 at 14:22):
Hi, @Guilherme Zwicker - I'm here as a patient voice, not as a developer or clinician. Good to meet you.
Last September I visited Sao Paolo for a few days, to speak at a media event for Dasa Group. I assume you know them.
Can you link to some more info about OpenEHR?
Guilherme Zwicker (Jul 02 2019 at 14:32):
Hi @Dave deBronkart !
Yes, I know very well Dasa Group, currently the largest radiology service provider group in the world, and possibly one of the largest as a laboratory.
In relation to openEHR, what is happening is that since 2011 there is the intention to create the national CKM, and this intention did not materialize any executive action that moves towards that solution. What happens now is that some states, like Sao Paulo, have decided to resolve part of their health transactions through FHIR. It is a complex situation and depends on many actors.
Grahame Grieve (Jul 03 2019 at 13:47):
we would like to help grow the FHIR community in Brazil. Let us know if there's anything we can do to help. I know that it's not the same language, but there are active communities in Argentina (@diego kaminker) and Chile (@Camilo Erazo Leiva)
diego kaminker (Jul 03 2019 at 13:52):
Hi @Guilherme Zwicker Welcome from HL7 Argentina. I helped Marivan to create HL7 Brazil and always looking on ways to help him to make it grow. Anything we can do to help you let us know!
Guilherme Zwicker (Jul 03 2019 at 16:27):
What a warm welcome @diego kaminker and @Grahame Grieve ! I'm with dr. Marivan in the HL7 to try to accelerate the goals of FHIR in Brazil. Nothing is fast though (who said it was fast?). I am making every effort to absorb the pattern to start a pilot deployment as soon as possible. We already have some candidates for this. Count on me for the growth and adoption of the standard!
Elano Machado (Jul 03 2019 at 22:40):
Hi @Guilherme Zwicker , it is nice to hear from Brazil. Welcome to the community. I am also from Brazil, but I am living in Germany since 2010. I am working intensive with FHIR for almost two years. I tried to contact some people from HL7 Brazil to start or accelerate the use of FHIR there, but unfortunately I was not successful. I will contact you on private (in Portuguese) to discuss some ideas. Maybe we can start an IG-Brazil. :-)
Grahame Grieve (Jul 03 2019 at 23:05):
also @Jose Costa Teixeira. Brazil has been a conspicuous absence from the community
Guilherme Zwicker (Jul 04 2019 at 00:14):
@Grahame Grieve ! This is about to change!
Jose Costa Teixeira (Jul 09 2019 at 08:28):
Greetings, Brasil. There is so much talent there, I think it will be a great FHIR community. Let us know anything we can do to raise awareness or work on specific topics.
Jose Costa Teixeira (Jul 09 2019 at 08:29):
For those interested, there is a community in #Portugues where we can communicate in either English or Portuguese. Or use any of the other streams for implementers, etc.
Jose Costa Teixeira (Jul 09 2019 at 08:32):
Fun fact: some of the work we are doing is in Delphi/Pascal, so it would be a great collaboration to get some people to use their knowledge of Delphi (which in Brasil is high) to use and improve the tools for the community.
Jose Costa Teixeira (Jul 09 2019 at 08:32):
If anyone is interested (please!), let us know or join the #pascal stream.
Last updated: Apr 12 2022 at 19:14 UTC
