nhs england open source event: connecting leeds: open platform
TRANSCRIPT
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Connecting – Leeds
Work towards an open EPR/platform
Dr Tony Shannon, CCIO, Leeds NHS
Richard Pugmire, Technical Architect, Leeds NHS Flickr.com/photos/62766743@n07
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200+
CUI Clinical Portal
TIE
A B C
1
2
3
4
5
PAS
Orders Results
Clinical Docs
Summary Care Record
Leeds: Starting Point & Options
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21st C NHS – Open Platform required
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3 key levels
• Single Patient – Clinical Care – One on One
• Multiple Patients – Patient Cohort
– Managing Ward, Clinic etc
• Aggregate Patient Data – Research & Audit
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LeedsTH EPR: PPM+ Platform
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PPM+ Letters
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PPM+ (inc. Order Comms)
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PPM+ MPV
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PPM+ MPV
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Scale of Challenge
The LTHT Electronic Patient Record
The Leeds Care Record initiative
(leedscarerecord.org)
Patient Pathway Manager (Regional Oncology)
~10,000 LTH users
~1,000 GP, community and
social care users
~300 YCN users
Our “One patient, one record”
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• Refactor EPR using modern, scalable and standards-based technologies
• Flexible approach to electronic data capture and persistence
• Open source vision
• Responsive ‘Agile’ development process
The Challenge
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Our solution
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Flexible Persistence…
Unstructured Computable Structured/Normalised Structured and Archetyped
SQL XML Store File system Clinical Data Repository
(e.g. openEHR)
Data Capture
Form
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Team set up
Developers
Development cells
SCRUM Sprint Scrum Master
EPR (core)
Tech Co-ordinator
Senior Dev
Senior Dev
Senior Dev
Senior Dev
Senior Dev
eForms
Development
Lead
Senior Dev
Junior Dev
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forms4care.com website
http://forms4care.com
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eForm in action
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eForm in action
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PPM+ multi-patient view (wards)
100 wards – 79% of admissions have modified record
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PPM+ - July 2014
13,509 uses 1.89 M patients
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PPM+ Reporting View
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200+
LTH Clinical Portal
Integ Engine
A B C
1
2
3
4
5
Orders Results
ePrescribing
Summary Care Record
Leeds Care Record- Approach
Leeds Care Record
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PPM+ Leeds Care Record Viewer
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Leeds EPR/LCR Development
• Clinically Led
• User Centred
• Agile Development
– 2 weekly Sprints
• Joint NHS & Commercial SME Team
– Answer Consulting & XML Solutions
– Service Based Model
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Leeds & Integration Pioneers
• Open Requirements
• Open Governance
• Open Citizen
• Open Source Viewer
• Open APIs
• Open Record Architecture
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Towards an eHealth ecosystem
International Standards
Local Frontline Innovators
National eHealth Bodies
& Vendors
Regional