1. EDT Pilot Technical Overview

2. EDT Background  Procured Nationally  Implemented in several health boards (Tayside)  “EDT Hub” acts as a “mailbox” to send electronic correspondence back to appropriate GP practice  Exposes webservice API  Document goes into “Kettering” XML structure in order to be sent  Letters sent via EDT integrate seamlessly in to the GP practice “Docman” document management system as if they had been scanned

3. Previous GG&C Pilot Previous pilot in GG&C used SCI Gateway as transport mechanism Was used with EDIS (A&E), SMD (letter system) and South Glasgow HIS (PAS) Gateway didn’t integrate fully with DocMan, GPs had to manually save to DocMan. GPs were happy with process, but LMC raised EDT to agenda Disagreement whether DocMan supported the use of ClinicalLetter files, or just Referrals via Gateway Used.NET Windows service to package up letter in ClinicalLetter schema, and send to SCI GW “ReceiveWithAttachments” web method. Problems handling exceptions: Non-Glasgow patients, invalid GP, etc

4. Pilot Using EDT EDIS (A&E) system is initial system to pilot with It outputs SCI DischargeLetter schema XML, with attached stylesheet Ensemble will pick up XML, convert document/stylesheet to TIFF, construct SCI DocumentUpload XML and send to Store, then construct Kettering XML, and send to EDT

5. Process

6. Challenges XML from EDIS isn’t strictly to DischargeLetter schema - had to tweak national schema Invalid postcodes from EDIS can prevent document going into SCI Store – Ensemble performs “clean up” How to handle exceptions?

7. Future Pilot EDIS with a few practices this year, or early next year Include other systems going into new year, and roll out further by CHP/area (Feb 2012) Integrate with letters from TrakCare as TrakCare replaces old PAS systems. Currently looking at best way of apporaching – consortium?