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e-Health – Pan UK ?

e-Health – Pan UK ?. HL7 UK 2006 Dr. Paul Woolman Clinical Information Standards Manager NHS Scotland. UK – Four Home countries. Are we different?. NHS Scotland Health Strategy. “Delivering for Health” Local Community Care Chronic long term conditions

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e-Health – Pan UK ?

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  1. e-Health – Pan UK ? HL7 UK 2006 Dr. Paul Woolman Clinical Information Standards Manager NHS Scotland

  2. UK – Four Home countries • Are we different?

  3. NHS Scotland Health Strategy • “Delivering for Health” • Local Community Care • Chronic long term conditions • “The only game in town for the next ten years”-CMO • Key focus on • People • Information • Governance • ‘Progressive harmonisation and standardisation of ICT’ • Clinically led • Gradual, Ongoing Change

  4. E-Referrals – SCI Gateway Community Health Index Number Emergency Care Summary (ECS) SCI Diabetes e-Health Programme Exploiting what exists Filling the Gaps EHR Project / Future PACS Staff ID and Authentication Clinically led Clinical Data Standards Development Organisational Change E Pharmacy Implementation & Training Generic Clinical Systems EHR - SCI Store Common Drug record & Ward Prescribing Standards Standards * Telecommunications * Managed Technical Hosting Service * ‘New Ways’ waiting times definitions * Terminology Services

  5. Why different from England? • Different people • Different context • Different needs • Different resource priorities • Different timing

  6. An illustration: ePharmacy Four core elements, three with IT support: • Minor Ailment Service (eMAS) • Chronic Medication Service (eCMS) • Acute Medication Service (eAMS)

  7. Minor Ailment Service • Individual registers with a pharmacy • Individual presents with symptoms • Pharmacist offers • Treatment & advice – prescriptions • Lab tests and advice only • Referral • Associated healthy lifestyle advice • Gets paid capitation fee for services • This service went live 1st July in every pharmacy in Scotland

  8. Core Components ~ system • N3 network connection • Central ePharmacy message store (ePMS) • Central Patient Registration System (PRS) • System applications for the new contract (GP and Pharmacy) • Uses DM+D

  9. Pharmacy ElectronicMessagesvia N3 network MAS Core infrastructure components eMAS For those who like boxes and wires. Practitioner Services Patient Registration System CHI ePharmacy Message Store Payment processing systems eMAS registration and claim forms sent to PSD

  10. Technologies/Standards in Common • N3 network – NHS Net • NHS number/CHI • XML • E-Gif pan-government standards • Drug Dictionary DM+D • SNOMED-CT (+ICD/OPCS/READ)

  11. Why different messages? • Timing – started in 2000 • Pragmatism • Philosophy • Small incremental steps based on what works

  12. Does it matter to the user? • Spot the difference 2 The difficult thing is learning to drive Changing cars is easy

  13. Existing developments in common • ENV 13606 – used in GP record exchange – GPEX in 80% GP’s • Moving to GP2GP • Archetypes & Templates– ideas used in • clinical data standards • Generic Clinical system developments • Document metadata index standards • Now on version 5 • Home countries Hub for data exchange

  14. Possible future standards in common • CDA – first recommended in Scotland three years ago ! • RIS-PACS v3 standards – needed now! • Logical Record model • GP2GP – full HL7 standard? • Emergency Care Summary

  15. More Info: • Paul.Woolman@NHS.Net • www.show.scot.nhs.uk • www.isdscotland.org

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