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Page 1: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

UKRDC_KS_UKRR_informatics_nn_25092014.ppx

Page 2: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

UK Renal Data Collaboration(UKRDC)

What does it mean forThe registries, renal system suppliers,

renal units, researchers, patients

UKRR Informatics 25 Sept 2014

Keith Simpson

Medical advisor to the UK Renal Registry

[email protected]

Page 3: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

UK Renal Registry UKRR

Scottish Renal Registry SRR

Patient View PV

UK Registry for Rare Kidney Diseases RaDaR

British Association for Paediatric Nephrology BAPN

NHS Blood & Transplant

Northern Ireland Nephrology Forum

Welsh Renal Clinical Network

UK Renal Data Collaboration(UKRDC)

Page 4: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Can we develop a project that supports what we do:

1) Care for patients

2) Research

3) Teach & learn

4) Run the services

5) Quality & safety improvement

UK Renal Data Collaboration

Page 5: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

RPV

.

Labs

RenalUnits

UKRR

SRR

RaDaR

NHSBT

OtherNational data

BAPN

UK Renal Data

Page 6: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

RPV

.

UK Renal Data Collaboration

Labs

RenalUnits

UKRR

SRR

RaDaR10-20 gps

NHSBT

OtherNational data

Warehouse

BAPN

Page 7: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Websitewww.rixg.org.uk

BoardMembers

professional & patients

IT suppliers

Terminology, codes, dataset

Diagnoses & Procedures

SNOMED-CT

Lab TestsNLMC

Link with HSCIC

InfrastructureHardware,

software, comms

Projects

UKRDC – structure

Page 8: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Can we develop a project that supports what we do:

1) Care for patients

2) Research

3) Teach & learn

4) Run the services

5) Quality & safety improvement

UK Renal Data Collaboration

The Registry

Renal system suppliers

Renal units

Researchers

Patients

Page 9: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Can we develop a project that supports what we do:

1) Care for patients

2) Research

3) Teach & learn

4) Run the services

5) Quality & safety improvement

UK Renal Data Collaboration

The Registry

Renal system suppliers

Renal units

Researchers

Patients

Page 10: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 11: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Things we can’t do alone real time safety monitoring

Things we can’t afford to do alone

Research collaboration

Access to ultra specialists – Rare Renal

Patient involvement – Patient View

Page 12: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Standards vs innovation

Page 13: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 14: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 15: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 16: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 17: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Clinical termsget at the meaning of things –

‘semantic interoperability’

Page 18: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Medical terminology

In 2000, more than 225,000 inpatients in the USA died because of drug reactions and medical errors.

Reasons include:medical terms that are similarusing the wrong abbreviation. eg RTA, BG, BM, MI ...

$77 billion in extra costs Starfield B., JAMA 26 July 2000; 284(4):483-5

Page 19: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 20: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 21: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 22: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Clinical terms getting at the meaning of things – ‘semantic

interoperability’acetaminophen = paracetamol ~ Panadol ...

dm+d

Page 23: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 24: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 25: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 26: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 27: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 28: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

www.rcplondon.ac.uk/health-informatics-unit

Page 29: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Can we develop a project that supports what we do:

1) Care for patients

2) Research

3) Teach & learn

4) Run the services

5) Quality & safety improvement

UK Renal Data Collaboration

The Registry

Renal system suppliers

Renal units

Researchers

Patients

Page 30: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

mean for IT suppliersLots of worklittle reward BS&T

Business opportunities

Page 31: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

SNOMED CT within Renal Applications http://www.renal.org/docs

Sept 2013

Page 32: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Lab data NLMC

Page 33: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

CDA is a Health Level 7 (HL7) standard www.cdc.gov/nhsn/CDA/

Ver 2 or 3

Page 34: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Can we develop a project that supports what we do:

1) Care for patients

2) Research

3) Teach & learn

4) Run the services

5) Quality & safety improvement

UK Renal Data Collaboration

The Registry

Renal system suppliers

Renal units

Researchers

Patients

Page 35: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Patients enrolling from all areas

Add new data items and meta data

Direct data feeds from labs

Secure research data

Peer to peer data transmission

Page 36: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Can we develop a project that supports what we do:

1) Care for patients

2) Research

3) Teach & learn

4) Run the services

5) Quality & safety improvement

UK Renal Data Collaboration

The Registry

Renal system suppliers

Renal units

Researchers

Patients

Page 37: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Quality Improvement

Collect any data – and make sense of of it because meta data

Linking to external data sets –

analyse in novel waysoffer new services to patients and renal units eg

decision supportoutcome predictiontrend spotting

research hubs,collaboration with non medical university departments and industry

Page 38: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Can we develop a project that supports what we do:

1) Care for patients

2) Research

3) Teach & learn

4) Run the services

5) Quality & safety improvement

UK Renal Data Collaboration

The Registry

Renal system suppliers

Renal units

Researchers

Patients

Page 39: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 40: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 41: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 42: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

Summary• A new collaboration for managing data in UK

Renal Medicine

• Using industry standard tools

• Enabling patients to see and contribute to their medical record

• Supporting our 5 functions

• Requires support from all of us

Page 43: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 44: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 45: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,
Page 47: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,

http://www.theguardian.com/world/2013/sep/05/nsa-gchq-encryption-codes-security

Page 48: UKRDC_KS_UKRR_informatics_nn_25092014.ppx. UK Renal Data Collaboration (UKRDC) What does it mean for The registries, renal system suppliers, renal units,