1. Scottish Care Information Web Services
David Brazier
9th December 2003

2. Background Diversity of NHS Organisations New Policy Goals
Poor Return on IT Investment?

3. 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.

4. SCI Partners S I C

5. Products SCI Gateway SCI Gateway SCI Store SCI Prescriptions SCI
XRay
Labs
PAS
SCI Gateway
SCI Gateway
SCI Store
Id XRay Lab1..
xx NAD
Pharmacy
GPASS
practice
Id Rx Rx..
xx abc xyz
SCI Prescriptions
SCI
Outpatients
SCI
Clinical
SCI
Integration
non-GPASS
practice
PSD

6. shared care communications
The Patient’s Journey
assessment
protocol-based referral
appt booking
GP practice
Tests
Reception
prep for home
Treatment
shared care communications

7. The Patient’s Journey GP practice Tests Reception prep for home
Treatment
Referrals
Booking
work flow support
SCI
Outpatients

8. 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

9. The Patient’s Journey GP practice Tests Reception prep for home
Treatment
Id XRay Lab1..
xx NAD
SCI Store
SCI
Clinical
Test requesting
Results reporting
SCI
Integration
XRay
Labs
PAS

10. shared care communications
The Patient’s Journey
GP practice
Tests
Reception
prep for home
Treatment
Discharge letter
rapid
‘incorporable’
SCI
Clinical
shared care communications

11. 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.

12. Use of XML
Referral further specialised as Protocol Based Referral (PBR)
Use XML Schema Restriction

13. 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

14. Outpatients Booking Technical Environment
Local Component
National SCI Gateway
Hospital
Outpatients
HTTP
SOAP
COM
Gpass

15. Outpatients Web Service
Find Available Slots
Book Appointment

16. More Web Services
Authentication
SCI Store …

17.          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 

18. Experience Initial problems Technology Tools Security
Now second nature

19. Scottish Care Information
David Brazier
(office)
(mobile)