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Terminology Service NHS Connecting for Health

Terminology Service NHS Connecting for Health. Roger Tackley Working Group Meeting May 2005. IMS responsibilities. NHS Terminology Service (Read, SNOMED CT) Healthcare Resource Group (HRG) service Classifications (ICD10, OPCS4) service National Intervention Classification (NIC) ….??

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Terminology Service NHS Connecting for Health

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  1. Terminology ServiceNHS Connecting for Health Roger Tackley Working Group Meeting May 2005

  2. IMS responsibilities • NHS Terminology Service (Read, SNOMED CT) • Healthcare Resource Group (HRG) service • Classifications (ICD10, OPCS4) service • National Intervention Classification (NIC) ….?? • NHS Data Dictionary service • Clinical Datasets Development • NHS Organisation Codes Service • Information Governance toolkit • NHSnet security, access, and audit services

  3. NHS Terminology Service • development of new concepts/terms • creation of clinical subsets • changes • error correction • cross mapping to classifications • cross mapping to NHS data dictionary • cross mapping to Clinical datasets • cross mapping to HL7 items • distribution • education • support.

  4. Terminology Service Provides: • Terminology Update and Distribution service - TRUD Affects • Personal Spine Information Service - PSIS • Secondary Uses Service - SUS • Personal Demographic Service – PDS • Electronic Transfer of Prescriptions - ETP • Choose & Book

  5. Common Solution ProgrammeTerminology Group • To review the disconnect between clinical BPPDG work and the TS • Meets monthly • SNOMEDCT CDROM • DOS ….? • New website being developed by NCFH TS for registering subsets etc

  6. Personal Demographics Service Pointers to Patient Information Security Tracing Security Core National Core National National Workflow & Rules Workflow/ Services National Services Services Rules Services Broker Broker E - Booking/ E - Booking/ ETP ETP The Data Personal Spine Information Services Transaction and Messaging Spine Spine Transaction and Messaging Spine Transaction Management, Validation and Routing Transaction Management, Validation and Routing Other Other National National Services Services HealthSpace Secondary Uses ‘Local’ ‘Local’ Domains Domains Network Infrastructure Non - - secure domain Non Non - - secure domain secure domain Integration Layer Event Engine Integration Layer Event Engine Event Engine Event Engine Event Engine Browser Browser based based Local Local Local Local Local Local Local Local access access Applications Applications Application Application Application Application Application Application Patient Centric Systems Other participants NHS local applications Simplified Conceptual Architecture

  7. Broken Leg Back Pain Chest infection Spine The Spine – clinical events through time Patient info Patient info LSP Patient visits A&E LSP Patient visits GP Patient info LSP Patient visits hospital The information flow is repeated over time

  8. Data flows PBR Other clinical users HES PSIS SUS Approved chunk Clinical info eg discharge summary Derived classification terms Coders Clinical Record

  9. PbR- Terminologies & Classifications

  10. Questions? More detail to follow about NWCS, SUS and PBR …………………… If you want it!

  11. SUS Version 1 – mid 2005 SUS Secure DataBase Online TMS NWCS DTS EDIFACT EDIFACT XML or XML or XML Commissioner Provider LSP Commissioner Provider Instance Legacy Legacy i M a c Commissioner Provider Legacy Legacy Legacy Legacy Real - time reporting

  12. Hospital Provider & PbR Spell • All CDS data received by NWCS pulled in to SUS PbR and is available for inspection • Starts by creating hospital provider spell and then excluding in accordance with DH algorithm Static definition Hospital Provider Spell 0 PbR Spell Used to define PbR APC Currency - likely to change PbR Excluded episodes Episodes In PbR Episodes in Hospital Provider Spell

  13. Initial HOSPITAL PROVIDER SPELL HPS 2- Emergency Admission 1 HPS 3 - Emergency Admission 2 HPS n- Emergency Admission n Less than readmit interval Less than readmit interval Less than readmit interval Readmit interval = 14 days HPS = Hospital Provider Spell Derivations • Wide range of derivations relating to the dominant spell • Well babies (probably) • Critical care days in qualifying and non-qualifying episodes • Re-admission flag for 14 day re-admissions

  14. Datamart Core Secure DB(Data warehouse) Datamart Datamart Datamart Architectural Overview SUS Deeply simplified… Ardentia Presentation Layer Ardentia/Oracle Analysis Layer Oracle Data Warehouse Builder Data Management Layer

  15. Models & Messages

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