Open Steps

Open Steps, release 1.0

Report of a thinktank meeting on Free/Libre/Open Source Software in the health and health informatics domains

Marwell, February 2004

Executive Summary

The Open Steps thinktank of February 2004, held at the Marwell Hotel, Winchester , UK was the first in a series of meetings planned by the Open Source Working Group of the International Medical Informatics Association (IMIA OSWG) and held in conjunction with the British Computer Society Health Informatics Committee and other groups. Most participants were from the UK, although others were from The Netherlands, Czech Republic, Belgium and North America.

The main purpose of the meeting was

to identify key issues, opportunities, obstacles, areas of work and research that may be needed, and other relevant aspects, around the potential for using open source software, solutions and approaches within health care, and in particular within health informatics, in the UK and Europe.

Three quarters of attendees described their 'ideal vision for the future use of software in healthcare' as containing at least a significant percentage of Free/Libre/Open Source Software (FLOSS) [1] , with nearly one third wanting to see it 'entirely open source'.

The emergence of a situation wherein FLOSS could interface with proprietary software within the healthcare domain was seen to be achievable and desirable, and also likely if the right drivers were put in place and barriers addressed. Participants felt that the strongest drivers were: 

Participants rated the most important issues why people do and might use FLOSS within the health domain as quality, stability and robustness of software and data, as well as long-term availability of important health data through not being locked up in proprietary systems that do not allow interoperability and data migration. They felt that the two most important areas for FLOSS activity by IMIA OSWG and other FLOSS groups were 'political' activity and work on raising awareness among healthcare workers and the wider public.

The Marwell Open Steps meeting was organised and supported by the following organisations:


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Technical aspects, copyright and licensing; GNU Free Documentation License >>>



Copyright (c) 2004 IMIA Open Source Working Group and British Computer Society Health Informatics Committee

Permission is granted to copy, distribute and/or modify this document under the terms of the GNU Free Documentation License, 
Version 1.2 or any later version published by the Free Software Foundation; with no Invariant Sections, no Front-Cover Texts, and
no Back-Cover Texts. A copy of the license is included in the section entitled "GNU Free Documentation License".

For general enquiries about the Open Steps meeting, email:
Dr Peter Murray -
peter.murray@chirad.info

Site development by: Peter Murray
Last updated 29 April, 2004


The International Medical Informatics Association (IMIA) - www.imia.org




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