eHealth Architecture and Design 1

eHealth Architecture and Design 2

Info

rmat

ion

Inte

grat

ion

and

Inte

rope

rabi

lity

App

licat

ions

Info

rmat

ion

Acc

ess

Integration Platform

Record Locator Service

PMSGP

SCI Gateway

Labs PACS/RIS Other

ECS SCI Store CHI

A&E

Process Management

PortalFramework

ClinicalDashboard

Management Dashboard

Patient Dashboard

Identity and Access Management(including Single Sign On)

What will the future look like?

eHealth Architecture and Design 3

eHealth Architecture and Design 4

Complex processsupport

MgmtDashboard

ClinicalDashboard

2009 2010 2011 2012

2009 2010 2011 2012

2009 2010 2011 2012

Integrate to IAM

HL7 CDA

RBAC

Support Portal Solution

SCI Store EPR Datasets

Integrate to RLS

SCI Index

18 Week ADT Datasets

Child Health Summ. Dataset Medication Record Dataset

Integrated to IAM Solution

Integrated to National Portal

SCI Store

SCI Gateway

Integration

2009 2010 2011 2012

Information Access

Int. Platform Procured Platform Available for Pilot

Portal Framework Procured Portal Available

2009 2010 2011 2012

Initial Clinical Dashboard

Initial M’gt Dashboard

OBC and FBC Patient Identification Development Patient Identification Deployment – Phases 1, 2 and 3

OBC and FBC Practitioner Service Commissioning Practitioner Service Transition from CHI

SCI Index

Practitioner Services

National Systems

Supports 18 Weeks

Supports Long Term Conditions

12.1 Release 12.2 Release 12.4

Single MedicationRecord

SCI Store Standards

Available

Standards

Patient and Carer Portal

Patientportal

On-Boarding

IAM Solution Procured

RBAC Support

Identity and Access Management

LTCs Datasets

RBAC & Audit policy

National Audit Policy, RBAC Model, and Consent Model

DRAFT2009 2010 2011 2012

IAM Int.

Release 2.1

RBAC & Audit policy

ECS

2009 2010 2011 2012

Information Governance

Patient and Carer Access Model

Patient informationat the point of care

18 Weeksupport

SCI Store Access Protocol

Standards

Standards

Planning

Patient Con.

Audit Policy

Support Integration Platform

Key:

Milestone

Milestone

Full requirements to be defined

Milestones defined through discussion with national applications and project teams (dates to be agreed)

Example solutions supporting NHS Scotland’sstrategic objectives

Mental Health Datasets

ECS Capabilities Standard

Release 2.2 Release 2.3

Support Integration Platform Integrate to RLS

SCI Index

Release 2.4

Support Integration Platform

Integrated to Portal Solution

Release 13

SCI IndexArchiving into SCI Store

Int Standards

RLS Standards

Pilot IntegrationIntegration

Platform

RLS Available for Pilot Pilot RLS RLS Available

Supports Mental Health

Record LocatorService

Portal Framework and “Internal”

Dashboards

Patient & Carer Portal

2009 2010 2011 2012Standards

Standards IAM Rolled Out

eHealth Architecture and Design 5

Top three priorities of 19 projects

1. Information Governance

Safeguarding information confidentiality: an upgraded information

assurance policy and implementation plan developed.

2. Identity & Access Management/

clinical portal

3. Patient accessible shared care record

eHealth Architecture and Design 6

How to achieve those three?

1. Information Governance

Demonstrator project, including public involvement

Review of national protocols

Engagement in IG of Ces and Ongoing involvement of eHealth Leads/ Clinical Leads

eHealth Architecture and Design 7

Identity & Access Management/ clinical portal

Support Tayside to complete and prove initial IAM procurement

endorsement of the ‘Virtual Patient Record’ concept

eHealth Architecture and Design 8

Patient accessible shared care record

Demonstrator Project 12

eHealth Architecture and Design 9

GP

Nurse

Ph

arm

acis

t Dau

gh

ter

ConsultantSocial Work

Neighbour

Volunte

er

Person

GP

Nurse

Ph

arm

acis

t Dau

gh

ter

ConsultantSocial Work

Neighbour

Volunte

er

Person

Person

Clinical Portal

Patient Portal

Delivered via ‘portals’?