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

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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

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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

Thank you

tony.shannon@nhs.net richard.pugmire@nhs.net

www.frectal.com

@frectally