Download - C I S Scottish Care Information Web Services David Brazier [email protected] 9 th December 2003
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CIS
Background
• Diversity of NHS Organisations• New Policy Goals• Poor Return on IT Investment?
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CIS
SCI – Scottish Care Information
• National IM&T programme• Supports NHS Scotland Vision
– Scottish Parliament Programme for Government
• Central funding• Based on good practice
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CIS
SCI Partners
S I C
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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
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CIS
GP practice
TestsReception
prepfor home
Treatment
The Patient’s Journey assessment protocol-based referral appt booking
shared care communications
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CIS
TestsReception
prepfor home
Treatment
GP practice
The Patient’s Journey
SCIOutpatients
• Referrals• Booking• work flow support
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CIS
TestsReception
prepfor home
Treatment
The Patient’s Journey
SCI Clinical
GP practice
• view referral / admission• patient management• view clinical history• procedure recording• prescribing
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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
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CIS
TestsReception
prepfor home
Treatment
GP practice
The Patient’s Journey
shared care communications
• Discharge letter
• rapid• ‘incorporable’ SCI
Clinical
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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
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CIS
Use of XML
• Referral further specialised as Protocol Based Referral (PBR)– Use XML Schema Restriction
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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
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CIS
Outpatients BookingTechnical Environment
National SCI
Gateway
Gpass
HospitalOutpatients
Local Component
COM
HTTP SOAP
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CIS
Outpatients Web Service
• Find Available Slots• Book Appointment
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CIS
More Web Services
• Authentication• SCI Store• …
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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
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CIS
Experience
• Initial problems– Technology– Tools– Security
• Now second nature
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CIS
Scottish Care Information
David Brazier
0141 882 9996 (office)
07770 918 490 (mobile)