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Patients and the Web Better NHS services with linked data. Frank Sullivan NHSTayside Prof. of R&D in Primary Care Health Informatics Centre Dundee. Dundee. Edinburgh. Outline of talk. How are health data linked in Scotland? What services does that enable? Do patients benefit

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Presentation Transcript
slide1

Patients and the Web

Better NHS services with

linked data

Frank Sullivan

NHSTayside Prof. of R&D in Primary Care

Health Informatics Centre Dundee

slide2

Dundee

Edinburgh

outline of talk
Outline of talk
  • How are health data linked in Scotland?
  • What services does that enable?
  • Do patients benefit
  • Making access easier
  • Multi-agent systems
64 of adults access the internet
64% of adults access the Internet

Adults who have used the Internet in the 3 months prior to interview

in October 2005 (GB )National Statistics Omnibus Survey 2005

health use internet
Health Use Internet
  • Have used for this purpose
    • Health-related information 34%
  • Is there anything which you havepersonally never used the internet to do but which you would like to?
    • Get medical information/advice 7%

MORI 2005

slide7

GP

Lab Data

Screening

Opticians

HospitalSMR

Investigations

PAMS

Eye van

Pharmacy

Data, Data everywhere

community health number
Community Health Number

07 10 6402 50

Serial No

DOB

Sex

Check

slide9

Linking Data for Seamless Care

Opticians

Lab Data

PAMS

CHNo

Pharmacy

Hospital

Eye Van

Screening

Investigations

slide10

Remote Interrogation GENIE Generic Import and Export

Erroneous Data

Data In

Standard

Format

==

‘Clean’ Data

Previous Export

Data For Export

Regional repository

GP Clinical Systems

Currently operational in Tayside, Glasgow and Lothian

slide11

NHSTayside ICT DepartmentCommunications Infrastructure

Health Board Sites

Acute Trust Sites

5 Sites

300 Clients

3 Hospitals

3000 Clients

Primary Care

Trust Sites

20 Hospitals

700 Clients

NHS Tayside

I & CT Department

76 General Practices

1000 Networked PCs

Local Authority

Perth & Kinross

Angus

Dundee

North-East Fife

Firewall

Other Trusts

& Boards

Firewall

SchlumbergerSema

Mainframe Services

NHSNet

The Internet

web services
Web Services
  • a standard means of interoperating between different software applications, running on a variety of platforms and/or frameworks.
summary for patients
Summary for patients
  • NHSTayside IT for managed clinical networks
    • DARTS
    • HEARTS
health use internet1
Health Use Internet
  • Have used for this purpose
    • Health-related information 34%
  • Is there anything which you havepersonally never used the internet to do but which you would like to?
    • Get medical information/advice 7%

MORI 2005

seniors seeking health information need help crossing digital divide
Seniors Seeking Health Information Need Help Crossing "Digital Divide"

Voelker R JAMA. 2005;293:1310-1312.

multi agent systems in development
Multi-agent Systems in Development
  • Patients’ electronic rights represented and protected by their agents
  • Agents interacting on behalf of patients with electronic systems including web services, databases, and agents representing other individuals, organisations and functions.

trials

Data?

collator

GP

surgery

Anonymised

Data?

History

patient

agent

Access?

hospital

audit +

regs

Logs

Suitable?

Web service:

Trials list

Trials

other stakeholders…

slide28

Record linked data and the web enables the

Information Revolution in health care

Ferguson T, Inverting the power Pyramid, Consumer Health informatics, Healthcare Forum, 1995

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