Scottish Care Information Web Services David Brazier david.brazier@nhs.net 9th December 2003
Background Diversity of NHS Organisations New Policy Goals Poor Return on IT Investment?
SCI – Scottish Care Information National IM&T programme Supports NHS Scotland Vision Scottish Parliament Programme for Government Central funding Based on good practice Within the policy documents there are some specific commitments around IM&T.
SCI Partners S I C
Products SCI Gateway SCI Gateway SCI Store SCI Prescriptions SCI XRay Labs PAS SCI Gateway SCI Gateway SCI Store Id XRay Lab1.. xx NAD 3.2 Pharmacy GPASS practice Id Rx Rx.. xx abc xyz SCI Prescriptions SCI Outpatients SCI Clinical SCI Integration non-GPASS practice PSD
shared care communications The Patient’s Journey assessment protocol-based referral appt booking GP practice Tests Reception prep for home Treatment shared care communications
The Patient’s Journey GP practice Tests Reception prep for home Treatment Referrals Booking work flow support SCI Outpatients
The Patient’s Journey GP practice Tests Reception prep for home Treatment SCI Clinical view referral / admission patient management view clinical history procedure recording prescribing
The Patient’s Journey GP practice Tests Reception prep for home Treatment Id XRay Lab1.. xx NAD 3.2 SCI Store SCI Clinical Test requesting Results reporting SCI Integration XRay Labs PAS
shared care communications The Patient’s Journey GP practice Tests Reception prep for home Treatment Discharge letter rapid ‘incorporable’ SCI Clinical shared care communications
Use of XML Demographics queries & updates Referral & Discharge Lots of common data items Patient Name, Address Prescription Group all of these in a general library Outpatients most mature, well received as User Airing. CHD and associated Protocol Based Referrals, Incremental Discharge Letters and Shared Care Communications (the infrastructure facilities to allow Primary/Secondary Care communication) less well advanced but making good progress.
Use of XML Referral further specialised as Protocol Based Referral (PBR) Use XML Schema Restriction
Web Services Initially, not SOAP-style Web Services Use of SCI Integration middleware No stable specs Lack of security support Ad hoc use of XML over HTTP worked Later, introduced interfaces with SOAP Outpatients Booking , SCI Store, Authentication
Outpatients Booking Technical Environment Local Component National SCI Gateway Hospital Outpatients HTTP SOAP COM Gpass
Outpatients Web Service Find Available Slots Book Appointment
More Web Services Authentication SCI Store …
GP Practice User SOAP/ HTTPS LDAP/SSL SCI Authentication LDAP/SSL SCI Auth… Web Service NHS Directory (X.500) Gpass IE Referral Xxxx Yyy Zzzz … HTTPS SCI Gateway Active Server Pages
Experience Initial problems Technology Tools Security Now second nature
Scottish Care Information David Brazier david.brazier@nhs.net 0141 882 9996 (office) 07770 918 490 (mobile)