NHS England Open Source Event: Connecting Leeds: Open Platform
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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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Transcript of NHS England Open Source Event: Connecting Leeds: Open Platform
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
200+
CUI Clinical Portal
TIE
A B C
1
2
3
4
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PAS
Orders Results
Clinical Docs
Summary Care Record
Leeds: Starting Point & Options
21st C NHS – Open Platform required
3 key levels
• Single Patient – Clinical Care – One on One
• Multiple Patients – Patient Cohort
– Managing Ward, Clinic etc
• Aggregate Patient Data – Research & Audit
LeedsTH EPR: PPM+ Platform
PPM+ Letters
PPM+ (inc. Order Comms)
PPM+ MPV
PPM+ MPV
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”
• 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
Our solution
Flexible Persistence…
Unstructured Computable Structured/Normalised Structured and Archetyped
SQL XML Store File system Clinical Data Repository
(e.g. openEHR)
Data Capture
Form
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
forms4care.com website
http://forms4care.com
eForm in action
eForm in action
PPM+ multi-patient view (wards)
100 wards – 79% of admissions have modified record
PPM+ - July 2014
13,509 uses 1.89 M patients
PPM+ Reporting View
200+
LTH Clinical Portal
Integ Engine
A B C
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2
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5
Orders Results
ePrescribing
Summary Care Record
Leeds Care Record- Approach
Leeds Care Record
PPM+ Leeds Care Record Viewer
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
Leeds & Integration Pioneers
• Open Requirements
• Open Governance
• Open Citizen
• Open Source Viewer
• Open APIs
• Open Record Architecture
Towards an eHealth ecosystem
International Standards
Local Frontline Innovators
National eHealth Bodies
& Vendors
Regional
