HSE national EHR implementation, community integration and procurement
Key Questions
What is the current progress of HSE's One Health Record EHR implementation?
As of the latest update, 10 public sites are live with 14,000 users, and the maternity EHR (MN-CMS) covers approximately 62% of births following the rollout at Cavan General Hospital. Additional implementations include CareFlow Pharmacy across 9 hospitals with 12 more planned for 2026, and the Solus endoscopy system expanding to 38 sites. The timeline targets Dublin/NE by 2029 following government approval in February 2026.
What standards and models are being considered for HSE's EHR interoperability?
The FHIR versus openEHR debate continues, with Catalonia's openEHR deployment for 8 million people cited as a potential model. Research on health data standard adoption in heart failure cases provides evidence for these choices, while enterprise architecture is emphasized to prevent technical debt in Ireland's fragmented landscape.
What cyber risks and governance measures apply to the HSE One Health Record?
Recent Conti ransomware activity involving a Cork member highlights ongoing threats, reinforced by new EU procurement guidelines for hospital cybersecurity and NIS2 compliance needs. NHS England guidance on unlawful patient record access offers a legal framework with audit trails and controls directly relevant to HSE governance.
How do vendor stability and procurement risks affect HSE's EHR plans?
Oracle Health's potential sale introduces vendor stability concerns, while Palantir's UK Single Patient Record role and performance issues (ten times slower than current systems) serve as cautionary examples. US DHA's modular MHS Genesis approach is suggested as a possible procurement model, alongside performance-linked contracts and multi-track due diligence.
What lessons from UK NHS developments inform Ireland's EHR rollout?
UK legislation for a single patient record by 2028 provides a benchmark, while T-Pro's acquisition of BigHand Healthcare signals consolidation in ambient AI scribing relevant to HSE integration. New Victoria Hospital's MEDITECH Expanse go-live on Google Cloud and Epic's Community Connect expansion also highlight European cloud and interoperability trends.
The HSE One Health Record competitive dialogue is underway, with vendor selection expected in 2027. No new Irish procurement or implementation milestone was identified; current priorities remain interoperability, cloud assurance, data residency, resilience, workforce readiness, change management and total-cost-of-ownership controls.