Interoperability guru and creator of the FHIR standard Grahame Grieve has fired a broadside at the My Health Record, writing on his blog yesterday that while the system has useful national infrastructure elements, its fundamental architecture meant it was doomed and the government's intense focus on it was holding up innovation elsewhere.

Mr Grieve instead believes the SMART-on-FHIR interface developed during the US-based Argonaut project should be used to flip the MyHR's “push” architecture over and enable health systems to read and write data between themselves without central control.

He told Pulse+IT that the MyHR could continue to be a clinical document repository but that it would no longer be the only choice. “If people want to set up their own arrangements they can do that without everything having to be the bureaucrats' liability,” he said.