Graphnet Health l Sharing information across Primary and

Graphnet Health l Sharing information across Primary and Secondary Care l Secondary Care Background l Primary Care Team l The Products and Solutions graphnet

Graphnet Health l Patient Centred Electronic Record l Captured from any System…Hospital, GP, Community, Departmental or Speciality l Available to all authorised users l Audit Trail/Secure Access/Confidential graphnet

The Oswestry System GP Access Exeter Org Links Rad PAS Spinal Injuries XDocs XML Path Analysis & Clinical Audit IDDs Operation Notes Ward Notes Admission Notes Care Pathway Notes Tumor Data Entry (3) MCSI Goal Setting graphnet Pathology & Radiology Requesting

Graphnet Health l Complies with DOH guidelines l Modular. . scalable l e. GIF Compliant l XML based l Data Protection l Caldicott Principles graphnet

Work to date in Primary Care Implemented Jan 2003 l Direct Nurse Access Centre in Widnes…now extending to Community Nurses and AHPs. across Widnes and Warrington l GPs with Special Interests: Booking and Referrals in Sunderland. Electronic Record creation. Clinical Audit. l GP-Hospital access in Shropshire. Booking to Acute Trust. l l l l l Ongoing in Q 1/2 2003 Secondary-Primary-Out of Hours in Hants Data Quality Project in Sussex Roll Out of Data Extracts for Wirral HER Clinical Repository for Acute Trust/NHSD/SSD/GP Practices across H&IOW St. HA Primary and Community care Information System in Stockport. SAP System in St Helens and Knowsley Diabetes Care Management in West Lancs graphnet

Graphnet Health l Modular, scalable products l Many different examples l Can be assembled in different ways l Each tailored to a particular application l Use the building blocks to design your solution… l …Like a box of Lego graphnet

Graphnet Health l The “Building Blocks” l Data Extract l Secure Data Transmission l User specified input forms l Electronic Record Creation graphnet

Graphnet Health l Data Extract product from Graphnet l Takes agreed data sets from Primary Care feeder systems l Marks data up in XML to populate the repository l e. Xtracts currently available for EMIS, IPS (Vision) Torex (System 6000, Premiere and Premiere Synergy) Micro Test and Exeter l graphnet e. Xtracts for any SQL, UNIX or M based systems

Clinical System e. Xtract Engine Config File Live Replica Rules File e. Xtract NHSn et SQL Server e. Xtract System XML graphnet XML Repository

Graphnet Health l Secure Data Transmission product from Graphnet l Client software requests a connection. Server verifies the client l Client Secure Socket software talks to Server Secure Socket software l Server sends Client a certificate and its public key l Messages exchanged between Client and Server to agree on an encryption method l Public and Private Keys are exchanged l Secure transmission of data graphnet

Secure Data Transmission graphnet

Graphnet Health l XDoc data input forms l XDocs is an XML document creation system that works with browser technology to form an extremely flexible, cost effective means of collecting clinical information. l As an example…Can be used for clinical data collection or contact data across the community – Allied Health Professionals, District Nurses, Single Assessment Process graphnet

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Graphnet Health l So how does all this work? l What can I do with these building blocks? l Lets look at the possibilities graphnet

POD Acute Trust D Nurse ? Access to Clinical Data Stand alone GP Systems Receives paperwork Add to Clinical record ? OOH Physio Need access to multiple systems. DIFFICULT graphnet

POD Acute Trust BUT what happens if we share the Clinical Data within these systems by using Data Extract? Stand alone GP Systems D Nurse OOH Physio graphnet

NHSnet GP Systems Data Extracts Stand alone GP Systems Data Extract: Rules file determines: • Data set from clinical system • Timing of extract. . 5 mins or 5 days! • Data is encrypted • PCT and practice request the extract • Transmission over NHSnet MPI GP Data Org. Links graphnet

G P Web Access G P XDocs NHSnet Web Access MPI GP Data Record is NOT view only Design Data entry forms : • Customise to any application • READ and OPCS Coded data • Drug Database compliant • Text and Graphic support Org. Links graphnet

G P GPs receive Data from Repository XDocs Applications for : • Community Nurses • Physiotherapists • Allied Health Professionals • Diabetes Care • SAP • Acute Trusts NHSnet Web Access MPI GP Data AHP Data SAP Data Trust Data Org. Links graphnet

G P GPs receive Data from Repository G P NHSnet Integrate data back into GP System Record. Interfaces with: EMIS. . IPS. . Torex. . Micro Test Web Access AHP SAP Org. Links MPI GP Data AHP Data SAP Data Trust Data graphnet

G P Secure Messaging service G P NHSnet Messaging Flows Integrating Clinical data Back into GP Systems AHP OO H Out of Practice XML Message Discharge Messages OOH Data Consultation Data AHP Data MPI GP Data OOH Data IDS Data AHP Data SAP Acute Hospital Org. Links graphnet

G P NHSnet Web view of Electronic Record OOH G P AHP 3 rd Party Audit Tool e. g Excel Crystal Reports 3 rd Party Data Repository MPI GP Data OOH Data IDS Data AHP Data SAP Acute SSD Hosp graphnet XML Journal File

Graphnet Health l Remember the LEGO l You have all the bits you need to build what you want l Its just like a jigsaw! graphnet