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Stay informed on the latest developments in the national IT program for healthcare services. Learn about progress on key products, successful implementations, and future initiatives to enhance information services.
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National Programme for Information Technology Information Services Supplier Forum 1st October 2009
Update • Continue to support progress on Cerner and Lorenzo products with aim to achieve ‘significant progress’. • EPS R2 Go live 28th July, Leeds • Summary care record EMIS LV full roll out approval > 360,000 uploads from iSoft, INPS, TPP, EMIS systems • C&B regularly taking > 35,000 bookings daily • >500,000 records transferred using GP2GP
Other Initiatives • Toolkits • NHS Gateway • Clinical Dashboards • Pandemic Flu Service
Other Initiatives - Toolkits • The Toolkit is an enabling project • It is not intended to replace LSP or NASP but to compliment them • Ease the local integration burden on trusts implementing LSP (or indeed any) solution • De-risk the development of third party/departmental vendors • De risk local procurements and their integration with the LSPs • At the Pilot stage only, Post March any subsequent phases will be considered.
Operating Model(Processes and Governance) The Toolkit Framework National standards CFH Local Integration Infrastructure (connectivity) Middleware Suppliers Applications (use of data) Application Suppliers • Standards are defined appropriate to the business scenario (e.g. HL7v2, HL7v2 XML, HL7v3) with focus on simplified XML to reduce barriers for new suppliers. • Messaging Infrastructure exposes interfaces (based upon the standards) and provides technical services e.g. adapters, audit, routing, security • Applications use adaptors (or standards directly) to execute business processes • Operating Model provides enabling processes and governance
Architectural Options Integration Ecosystem(an example) Spine TMS LSP Data Centre Local Health Community Toolkit exposes abstract Services. Operates in two contexts:1) Intra-Trust2) Local Health Community PAS MHS Acute Trust GP API Dept Pharmacy Etc Dept Kiosk PAS APIs are not used directly – access is always still via the MHS / TIE May need LSP to add new functions to support some desired features
Choice of StandardsThe Current Selection Initial Choice: HL7 version 2.4 initially based on HL7-UK Version 2.4 A2 Proposal to ‘profile’ this for use in the UK with HL7-UK and IHE-UK support Eventual submission to NHS Information Standards Board National / International Standards Exiting system capability Timescales Proof of Concept scenarios Extensibility and future requirements (native pipe and hat over MLLP) Decision to natively support the XML format of HL7v2.4 over web services Provide native toolkit adapter to convert ‘|^’ (pipe and hat) over MLLP
Pilots - Scenarios • Scenarios identified for September include: