[email protected] 020 7405 9200 xt5064 smithk4 @gosh.nhs.uk 020 7405 9200 xt5629 Neo-natal...
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[email protected] 020 7405 9200 xt5064 smithk4 @gosh.nhs.uk 020 7405 9200 xt5629 Neo-natal screening in North London David Bowen Ken Smith Great Ormond Street Hospital for Children NHS Trust
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Transcript of [email protected] 020 7405 9200 xt5064 smithk4 @gosh.nhs.uk 020 7405 9200 xt5629 Neo-natal...
[email protected] 020 7405 9200 xt5064smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Neo-natal screening in North London
David BowenKen Smith
Great Ormond Street Hospital for ChildrenNHS Trust
[email protected] 020 7405 9200 xt5064smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
The GOSH neo-natal screening service
• 110,000 screening tests a year
• Tests: PKU, Congenital
Hypothyroidism, Sickle Cell, MCADD,
Cystic Fibrosis (from April)
• Covers N London, Essex, Beds and Herts
• Some linked, others not
[email protected] 020 7405 9200 xt5064smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Strategic Background
• UK Newborn Screening Programme
• National Programme for IT
• CRS – Children’s Services in P2R1
• …and Screening in P2R2
[email protected] 020 7405 9200 xt5064smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
An unexpected change of circumstances
Deadline – 31st March 2005:
• Replace screening system in lab
• Rebuild links
[email protected] 020 7405 9200 xt5064smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Tactics
• Dedicated v. Mix and match
• Screening = Lab + workflow functionality
• Participants: Managers and Testers
• Interface between them based on open
standards
[email protected] 020 7405 9200 xt5064smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Way forward
• New child health networks receive data from health organisations (CCA, London LSP, to develop)
• New GOSH repository to hold data (integrated into GOSH IT infrastructure)
• Child health network send birth notifications to GOSH• GOSH receive birth notifications and demographics• GOSH will send, to child health networks, notifications
of receipt of cards• GOSH will send results to child health networks.• All messages in HL7 format, some in v2.4, some in
v3.0
[email protected] 020 7405 9200 xt5064smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Way Forward
Intermediate message handling
PCT domain
GOSH domain
eBiz
Result
TransformationTransformation
HL7-ADT
Child Health System
Message handler
HL7-ORR
Transformation
OMNI-Lab
HL7-ORU
Acknowledgementof card receipt
Birthnotification
[email protected] 020 7405 9200 xt5064smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Benefits of our approach
• We can integrate with “anyone”• Cost effective• Application redundancy management• Exploit the flexibility of our lab system• Same applies to CH systems
