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SSCR Demonstrator

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Dunmail edited this page Mar 12, 2019 · 4 revisions

Maturity

Draft

Motivation

The eSP for SIDeR Shared Care Record app will require amalgamation of data from multiple data sources.

As this is relatively complex it is important to seek early feedback from end users so that they can contribute to review and design of the user experience.

The SSCR Demonstrator app will allow this feedback to be solicited before SIDeR endpoints are completed.

Questions

Are SIDeR organisations happy to publish demo data as part of the project?

Implementation

Patient demographics

The NHS Digital SMSP OpenTest endpoint will be used as source for patient demographics. This is a copy of the NHS Digital SMSP endpoint that will be used in production.

Clinical information

SIDeR organisations will provide data using APIs following the SIDeR record-locate-retrieve pattern: https://github.com/Somerset-SIDeR-Programme/SIDeR-interop-patterns/wiki/record-locate-retrieve. However, not all organisations have completed their services.

For SSCR Demonstrator, a simple web-server will use static responses to mock responses from SIDeR organisations. The mock will not support:

  • other search parameters (e.g. date)
  • paging
  • security and audit

Each SIDeR organisation will return a set of files for JSON responses to FHIR requests:

path content mocks request
/:odsCode/metadata.json CapabilityStatement resource GET /metadata
/:odsCode/Patient/:nhsNumber.json Bundle of Patient resources GET /Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|:nhsNumber
/:odsCode/Encounter/:nhsNumber.json Bundle of Encounter resources GET /Encounter?patient.identifier=https://fhir.nhs.uk/Id/nhs-number|:nhsNumber
/:odsCode/MedicationStatement/:nhsNumber.json Bundle of MedicationStatement resources GET /MedicationStatement?patient.identifier=https://fhir.nhs.uk/Id/nhs-number|:nhsNumber
/:odsCode/AllergyIntolerance/:nhsNumber.json Bundle of AllergyIntolerance resources GET /AllergyIntolerance?patient.identifier=https://fhir.nhs.uk/Id/nhs-number|:nhsNumber
/:odsCode/Condition/:nhsNumber.json Bundle of Condition resources GET /Condition?patient.identifier=https://fhir.nhs.uk/Id/nhs-number|:nhsNumber
/:odsCode/DocumentReference/:nhsNumber.json Bundle of DocumentReference resources GET /DocumentReference?patient.identifier=https://fhir.nhs.uk/Id/nhs-number|:nhsNumber

Scenarios

The files will need to support the following scenarios:

Scenario 1 – registered patient – average patient in area

  • MCANUFF, Hubert (Mr), born: 31-Mar-1956 (62y), gender: M, NHS: 9449307393
  • address: Elvedon Court, Epsom Road, Leatherhead, Surrey, KT22 8TD
  • GP practice: H81109
Current problems
  • COPD
  • Past Medical History
  • Appendicectomy 1961
  • Fractured radius and ulna 1966
Medication
  • Salbutamol inhaler 2puffs as required – max 8 puffs in 24hours
  • Braltus inhaler 1 puff od
Allergies

None recorded

Encounters

  • 27/2/2019

  • 22/02/2019

  • 4/8/18

  • Height 173cm

  • Weight 87kg

  • BMI= 29.0

  • BP= 142/76

  • PEFR=360

  • FEV/FVC ratio = 61%

  • O2 sats 95%

Scenario 2 – temporary resident

  • TARANG, Rajshri (Mrs), born: 30-May-1930 (88y), gender: F, NHS: 9449307210
  • address: 2 Simons Court, Randalls Road, Leatherhead, Surrey, KT22 7TE
  • GP practice: H81109
Current problems
  • Dementia
  • Frailty
  • LVF
  • Falls
Past Medical History
  • MI 2001
  • TIA 2008
  • #NOF 2009
  • Thompson’s arthroplasty 2009
Medication
  • Aspirin 75mg once daily
  • Simvastatin 40mg nocte
  • Ramipril 5mg once daily
  • Bisoprolol 2.5mg once daily
  • Donepezil 5mg od
Allergies
  • Suplphonamides
Encounters
  • 14/01/2019
  • 6/06/2018
  • 04/03/2018

None of this would be available of course!

Scenario 3 – restricted access

  • DEMAYO, Cinco (Mr), born: 05-May-1974 (44y), gender: M, NHS: 9449310106
  • address: 17 Banstead Road, Epsom, Surrey, KT17 3EZ
  • GP practice: H81109
Current problems
  • Depression
  • Fibromyalgia
  • Irritable Bowel Syndrome
Past Medical History
  • Sexual abuse 1981
  • Attempted suicide 2008
  • [X]Overdose paracetamol 2012
Medication
  • Citalopram 40mg one daily
  • Mirtazapine 45mg one at night
Allergies

None recorded

Encounters

Last encounters locked by GP

Scenario 4 patient under 16

  • LIEBERMAN, Meir (Mr), born: 19-Dec-2005 (13y), gender: M, NHS: 9449307873
  • address: 1 Spinney Close, Worcester Park, Surrey, KT4 7BS
  • GP practice: H81109
Current problems
  • Cystic Fibrosis
  • Past Medical History
  • Emergency admission 2009
  • Chest Infection NoS 2012
  • Sweat test
Medication
  • Creon 25000 2 capsules with breakfast and snacks, 4 with main meals
  • Ciprofloxacin 500mg 1 four times daily if developing chest infection
  • Salbutamol inhaler 2puffs qds as required – max 8 puffs in 24hours
Allergies

None recorded

Encounters

Scenario 5 – multiple LTC

  • RHYS, Margaret (Ms), born: 13-Oct-1936 (82y), gender: F, NHS: 9449303789
  • address: 25 Imber Close, Esher, Surrey, KT10 8ED
  • GP practice: H81109
Current Problems
  • Diabetes
  • Cardiovascular disease
  • Chronic Kidney Disease Stage 2
  • Heart Failure
  • Frailty
  • Peripheral vascular disease
  • Hiatus Hernia
  • Decubitus ulcer
  • [V] Has colostomy
  • Hypothyroidism
  • Mild Memory Disturbance
PMH
  • MI 2004
  • Below Knee Amputation – 2010
  • Single Live Birth 1956
  • Post natal depression 1957
  • Pneumonia 1968
  • Carcinoma colon 1993
Medication
  • Furosemide 20mg one in the morning
  • Lisinopril 10mg one in the morning
  • Aspirin 75mg one in the morning
  • Omeprazole 20mg one daily
  • Atorvastatin 20mg one daily
  • Bisoprolol 10mg one daily
  • Metformin 500mg one twice daily
  • Thyroxine 100mcg one daily
  • Coloplast Assura maxi use as directed
  • Sitagliptin 50mg 50mg once daily
Allergies

None recorded

Somerset Integrated Digital electronic Record

Interoperability patterns

Architectural patterns

Security patterns

Use cases

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