Embed Size (px)
Citation preview
NHS Pathology IT Projects
A putative road map
Version 4.0 – Jan 12th 2008
Path IT Projects
• Currently there are many Path IT projects running inside and outside CfH
• This slide pack tries to gather these together and to show the links between them
• If you wish to update this with new projects or corrections please do so and return the file to [email protected]
• Bulletin of RCPath
• Oct 2007
Foundation Data Services
Data ArchitectureData
StandardsMetadata Models
Data Models
Rule Models
Data ManagementResult
RepositoriesService
CataloguesKnowledge
Sets
Business ServicesOrder &Results
ContractingBenchmarking
Lab 2 Lab
KnowledgeSupport
End User Functions
Order Comms
Planning Contracting
EHR Support
Laboratory Handbooks
Performance Management
N-Tier Conceptual Architecture
A Knowledge Bus
Laboratory Handbook
LabTest Online
Pathology Messaging Pilots
Order CommsCore
Standardised Datasets
Lab to Lab
Benchmarking
Best Practice
HarmonyPOCT
A first pass attempt to summarize the relationships (real and potential)
Blood Tracking
Project: National Pathology Catalogue
• Sponsor: NHS CFH• Leader: Vicki Gledhill, Pathology Programme Manager,
NHS CFH, [email protected]• Contact: John Ironmonger,
[email protected]• Focus: Building a National 'Orderable Items' catalogue
for Pathology with SNOMED CT• Needs: Endorsement from professional bodies:
– Royal College of Pathologists– Royal College of GPs– Association of Clinical Pathologists– Terminology Group of the NHS Data Standards and Products
Directorate
Project: Harmony
• Sponsor: DH Pathology Action Learning project
• Leader: Jonathan Berg, [email protected]
• Contact: Kath Sidoli, [email protected]• Focus: standards• Needs:
– Service catalogues
Project: Pathology Subsets Group
• Sponsor: CfH• Leader: James Paton [email protected]
• Link:• Focus: Pathologists endorsed by RCPath, RCGP.
Quality assures Pathology Bounded Code List, Pathology SNOMED Subsets.
• Needs: – National Catalogue– Links with Messaging pilots
Project: Clinical Best Practice• Sponsor: Cross association : CfH, RCPath, ACP, ACB• Leader: Stuart Smellie• Link: Stuart Smellie [email protected]• Focus: Definition of best practice for laboratory use• Needs:
– Standards– Dissemination channel– Web site under construction ?? CfH - Knowledge Service– http://cks.library.nhs.uk/knowledgeplus/tests_of_the_week
Project: National Laboratory Handbook
• Sponsor: ?? CfH / Knowledge Service• Leader: Rick Jones [email protected]• Link: www.laboratorymedicine.nhs.uk• Focus: Lab Handbooks / Service
catalogues• Needs:
– Standards
Project: Labtest Online
• Sponsor: ACB / CfH / others• Leader: ACB www.acb.org.uk
Stephen Halloran [email protected]
• Link: http://www.labtestsonline.org.uk/• Focus: Knowledge for patients• Needs:
– Possible links to service catalogues– Dissemination links
Project: Order Communications for GPs
• Sponsor: Joint DH / NHS CFH• Leader: Ian Barnes• Contact: Vicki Gledhill, Pathology Programme
Manager, NHS CFH [email protected]• Focus: To learn how to best implement order
communications into primary care• Needs:
– National Pathology Catalogue– Local Directory of Services (PCT/GP-based)
Project: Google Groups – NHS Order Comms
• Sponsor: None – free standing user group• Leader: Fiona Wulf [email protected]• Link: http://groups.google.com/group/nhs-order-comms
• Focus: This is a restricted group for NHS staff who wish to share their journey's past, present, and future, of procuring, configuring, testing, piloting & implementing Order Communications for pathology requesting by GP Practices and/or Hospitals.
• Needs: Links to other projects
Project: Lab to Lab
• Sponsor: DH• Leader: Rick Jones [email protected]• Contact: www.ychi.leeds.ac.uk/lab2lab• Focus: Sample transfer between labs• Needs:
– Agreed standards – HL7, Test codes– Service catalogue
Project: West Midlands Lab to Lab electronic communication
• Sponsor: Department of Health• Leader: Kath Sidoli [email protected]• Link:• Focus: Improving electronic communication between
labs • Needs:
– Possible nationally shared/endorsed solution?– Investment in systems/IT?– Organisational sign up – More work at national level to achieve buy in/ cost benefits
analysis, – Review of potential improvement to quality
Project: Primary Care Benchmarking
• Sponsor: DH• Leader: Keele University (Helen Ogden)• Link: www.ychi.leeds.ac.uk/benchmarking• Focus: Primary care clinical benchmarks• Needs:
– Service catalogues– Standards– HL7 messages
How to pull all this together
• Need a concerted & collaborative effort to :– Define a functional architecture– Set standards at all levels– Build the core service components– Implement them at National / Global scale
• Requires :– Leadership– Resources– New Skills
Service Oriented Enterprises (SOEs)
• Technology perspective:– Loosely couple applications,
trading partners, and organizations • Invoke via service calls.
– Services involved in processes with human participants• Provides even greater value than the
sum of component services.
• Cultural perspective:– Each party sees herself as a service provider as well as a service
consumer – Focus on serving various communities:
• Customers• Shareholders• Trading Partners• Employees• Government
OrchestrateOrchestrateOrchestrate
Buyer Seller Shipper
ChoreographySellerBuyer Shipper
SOE - example
Service orchestration –based custom applications Portals
Reliable Asynchronous Secure MessagingReliable Asynchronous Secure Messaging
service service interfaceinterface
Distributed query engine
Adapters
WebSphere, .NET apps
Java apps
Web Services
MQ gateway
Mainframe & legacy
apps
JMS/J2EE
Business data sources
Enterprise applications
Multi-platform support
service service containercontainer
Enterprise Service Bus (ESB)
Mike P. PapazoglouMike P. PapazoglouINFOLAB, Tilburg University,INFOLAB, Tilburg University,
The NetherlandsThe Netherlandsemail: mikep@email: [email protected]
http://infolab.http://infolab.uvtuvt.nl/people/mik.nl/people/mik
Project: Blood Banking & Tracking Evaluation
• Sponsor: SDO• Leader: Jonathan Kay• Link:• Focus: Best practice in blood tracking
RFID technology• Needs:
Project: DOAS Poct
• Sponsor: DH• Leader: Gilbert Weiringa• Link:• Focus: POCT testing in community• Needs:
– Messages– IT standards
Service-based Architecture
Diabetes 40+ appsMaternityA&E
Demographics
Messaging service
OCSSchedulingReferral RULES
Orchestration
Standards based
Incremental build
Incremental investment
eHealth NAG
