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CIS
Background
• Diversity of NHS Organisations• New Policy Goals• Poor Return on IT Investment?
CIS
SCI – Scottish Care Information
• National IM&T programme• Supports NHS Scotland Vision
– Scottish Parliament Programme for Government
• Central funding• Based on good practice
CIS
SCI Partners
S I C
CIS Products
GPASSpractice
non-GPASS
practice
Pharmacy
SC
I Gate
way PSD
XRay Labs PAS Labs
SCIOutpatients
SCIClinical
SC
I Gate
way
SCIIntegration
SCI Store
Id XRay Lab1..
xx NAD 3.2
Id Rx Rx..xx abc xyz
SCI Prescriptions
CIS
GP practice
TestsReception
prepfor home
Treatment
The Patient’s Journey assessment protocol-based referral appt booking
shared care communications
CIS
TestsReception
prepfor home
Treatment
GP practice
The Patient’s Journey
SCIOutpatients
• Referrals• Booking• work flow support
CIS
TestsReception
prepfor home
Treatment
The Patient’s Journey
SCI Clinical
GP practice
• view referral / admission• patient management• view clinical history• procedure recording• prescribing
CIS
TestsReception
prepfor home
TreatmentXRay Labs PAS Labs
Id XRay Lab1..
xx NAD 3.2
SCI Store
SCIIntegration
The Patient’s Journey
GP practice SCI Clinical
• Test requesting• Results reporting
CIS
TestsReception
prepfor home
Treatment
GP practice
The Patient’s Journey
shared care communications
• Discharge letter
• rapid• ‘incorporable’ SCI
Clinical
CIS
• Demographics queries & updates
• Referral & Discharge
• Lots of common data items
– Patient Name, Address
– Prescription
• Group all of these in a general library
Use of XML
CIS
Use of XML
• Referral further specialised as Protocol Based Referral (PBR)– Use XML Schema Restriction
CIS
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
CIS
Outpatients BookingTechnical Environment
National SCI
Gateway
Gpass
HospitalOutpatients
Local Component
COM
HTTP SOAP
CIS
Outpatients Web Service
• Find Available Slots• Book Appointment
CIS
More Web Services
• Authentication• SCI Store• …
CIS
GP Practice UserSCI Authentication
SCI Gateway
Gpass
Web Service
NHS Directory (X.500)S
OAP/HTTPS
LDAP/SSL
Active Server Pages
HTTPS
SCI Auth…
ReferralXxxxYyy Zzzz…
IE
CIS
Experience
• Initial problems– Technology– Tools– Security
• Now second nature
CIS
Scottish Care Information
David Brazier
0141 882 9996 (office)
07770 918 490 (mobile)
