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IT Infrastructure NHS BCSP Julietta Patnick November 2007

IT Infrastructure NHS BCSP Julietta Patnick November 2007. Organisation in England. Overarching Structure:. 5 Programme Hubs across England, based on IT Local Service Providers (LSP) undertaking call/recall and lab functions 1 Programme Hub per LSP

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IT Infrastructure NHS BCSP Julietta Patnick November 2007

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  1. IT Infrastructure NHS BCSP Julietta Patnick November 2007

  2. Organisation in England Overarching Structure: • 5 Programme Hubs across England, based on IT Local Service Providers (LSP) undertaking call/recall and lab functions • 1 Programme Hub per LSP • Each Programme Hub has a number of Screening Centres Gateshead Nottingham Rugby London Guildford

  3. Bowel Cancer Screening System (BCSS) • A single national database, written in Oracle • Accessible from anywhere in NHS over secure weblinks • Manages call, recall, results and appointments into local screening centres • Collects and analyses clinical data from all returning a kit

  4. SC SC SC Cancer treatment centres SC SC Programme Hub SC SC SC SC SC Screening Centre LOCAL HOSPITAL: LINKS Colonoscopy site Colonoscopy site

  5. BCSS Links • SNOMED Codes used • Will link to • Cancer registries • NBOCAP • Endoscopy systems? • Pathology systems? • Depends on National Programme for IT overall strategy

  6. BCSS Datasets: Cancer types • can handle synchronous tumours, each tumour described separately • Malignant tumour • Polypoid tumour • Fungating tumour • Frond-like/villous tumour • Ulcerated tumour • Infiltrative tumour • Submucosal tumour • Partial obstructing tumour • Complete obstructing tumour

  7. BCSS Datasets: Interventions

  8. Polyp Reporting • IDENTIFYING THE POLYP • Polyp ID • Diagnostic Test ID • Polyp Location • Polyp Class • Polyp Size Estimate • POLYP HISTOLOGY • Polyp Histology ID • Polyp ID • Polyp Type • Polyp Microarchitecture • Polyp Excision Complete • Polyp Size • Polyp Dysplasia • Polyp Carcinoma • Polyp Stalk Invasion • Polyp Lymphovascular Invasion • Polyp Margin Distance

  9. BCSS Datasets: Polyps • Each polyp separately recorded

  10. Lesion Lookup List in the Cancer Histology entity

  11. T Category Lookup Listfor cancer audit

  12. Changing the system

  13. Thank you for listening www.cancerscreening.nhs.uk www.bcsp.nhs.uk

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