National Record Locator Service Now and Next

The NRLS / Agenda NRLS Overview The Concept The Data Model The Interactions BETA Scope Beyond BETA

The NRLS / What and Why? The National Record Locator Service (NRLS) will enable an authorised clinician, care worker and/or administrator, in any health or care setting, to access a patient’s information to support that patient’s direct care This new national capability will aim to complement local digital initiatives (including shared care records) and enhance the level of digital maturity across Health and Care Phase 1 aims to demonstrate this capability, testing the concept of cross border interoperability and crucially enabling the power of local shared care records (where they exist) to become woven into the NRLS fabric from the outset The NRLS will point to care records from across local platforms and national services based upon common APIs for this to be retrieved and provided in a consolidated view It is expected that organisations will connect to the NRLS using defined standards NHS Digital intends for the NRLS to be accessible to all localities in 2018, opening up the possibility off achieving the ‘holy grail of interoperability’ in the months and years that follow

The NRLS / Aims and Objectives. ( The NRLS / Aims and Objectives* (* to be further explored/agreed as part of beta) NRLS Aims: Build a national record index for data providers and consumers Complement local initiatives, including integrating into existing clinical systems Provide the underpinning technical capabilities (Digital Interoperability Platform) that will facilitate integrated care NRLS Objectives: To provide a national index to support the health AND [social] care system (e.g. store that record exists) in a chronological order To provide a standardised pointer to the record as stored/listed within the index To point/locate records of various complexity (e.g. PDF, HTML, FHIR) To provide cross border interoperability, transparency and real time information for the purposes of direct care

The NRLS / Building and Enabling Access Part 1: National Record Locator Index (NRLI) – building the capability Part 2: National Record Location Service (NRLS) – enabling the capability Technical Underpinning Capability NHS England Strategic Needs NRLI & NRLS

The NRLS / What are we trying to achieve? As a… We want to achieve… And this will be delivered by… Minimum A National Record Locator Index (NRLI) – Capability that solely provides a central repository of what records are stored and where. Where possible we will provide a list of end points (hyperlinks) We want to achieve this by September 2018 Health and Care organisations accessing the NRLI through the Summary Care Record application (SCRa) – owned and maintained by NHS Digital and directly through system integration where possible A national API will also be available for any consumer to utilise the capability Maximum A National Record Locator Service (NRLS) – a capability which provides a mechanism to enable access to static documents in the first instance, followed by more structured records over time We want to achieve this from September 2018 Accessing the NRLS via: the SCRa Shared Care Records Other ‘master nodes’ as outline in the NHS England Target Architecture NRLI functionality will be enabled plus the addition of static document retrieval (e.g. PDFs) NHS Digital is committed to: Utilise already-existing national assets, including SCRa to facilitate accessible adoption of the NRLS Set new standards and enable existing standards where they exist Providing FHIR RESTful interface APIs, aligned with local and national thinking and priorities 6

The NRLS Pointers Consumers Providers NRLS Read Write

The NRLS / Pointer Data Model Constrained FHIR Document Reference Id Version Id Type Subject Author Custodian Attachment Content Type Attachment URL Attachment Creation

The NRLS / Querying for Pointers Consumers Providers NRLS Read

The NRLS / Consumer Organisations GET DocumentReference Consumers

The NRLS / Maintaining Pointers Consumers Providers NRLS Write

The NRLS / Provider Organisations POST DocumentReference PUT DocumentReference DELETE DocumentReference Providers

The NRLS / BETA Focused Scope Limited Types on the Document Reference Record Retrieval is a direct negotiation between Consumers and Providers Limited number of Consumer and Provider Organisations

The NRLS / Beyond BETA More Types on the Document Reference NHS Digital aim to help facilitate Record Retrieval where National Standards are used More Consumer and Provider Organisations

The NRLS / To Recap The NRLS stores Pointers created by Organisations The NRLS allows Organisations to search these Pointers A Pointer is a constrained FHIR DocumentReference Connection and Authorisation is handle through SSP standards utilising MutualAuth, ASIDs and Interaction IDs BETA will be released in just a few months Consumers could retrieve records using Pointer Data Beyond BETA NHS Digital aim to help facilitate record retrieval where National Standards are used