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graphnet <the XML people> Graphnet Health Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

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Page 1: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet HealthGraphnet HealthSharing information across Primary

and Secondary Care Secondary Care BackgroundPrimary Care TeamThe Products and Solutions

Page 2: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet HealthPatient Centred Electronic RecordCaptured from any System…

Hospital,GP, Community, Departmental or Speciality

Available to all authorised usersAudit Trail/Secure Access/Confidential

Page 3: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

The Oswestry SystemThe Oswestry System

XMLPAS

Path

Rad

Spinal Injuries

XDocs

IDDsOperation NotesWard NotesAdmission NotesCare Pathway NotesTumor Data Entry (3)MCSI Goal Setting

Pathology & RadiologyRequestingAnalysis &

Clinical Audit

GP AccessExeter

OrgLinks

Page 4: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet Health

Complies with DOH guidelinesModular ..scalableeGIF CompliantXML basedData ProtectionCaldicott Principles

Page 5: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Work to date in Primary CareWork to date in Primary Care

Implemented Jan 2003 Direct Nurse Access Centre in

Widnes…now extending to Community Nurses and AHPs.across Widnes and Warrington

GPs with Special Interests: Booking and Referrals in Sunderland. Electronic Record creation. Clinical Audit.

GP-Hospital access in Shropshire. Booking to Acute Trust.

Ongoing in Q1/2 2003 Secondary-Primary-Out of Hours

in Hants Data Quality Project in Sussex Roll Out of Data Extracts for

Wirral HER Clinical Repository for Acute

Trust/NHSD/SSD/GP Practices across H&IOW StHA

Primary and Community care Information System in Stockport.

SAP System in St Helens and Knowsley

Diabetes Care Management in West Lancs

Page 6: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet HealthGraphnet Health

Modular, scalable products

Many different examples

Can be assembled in different ways

Each tailored to a particular application

Use the building blocks to design your solution…

…Like a box of Lego

Page 7: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet HealthGraphnet Health

The “Building Blocks”Data Extract

Secure Data Transmission

User specified input forms

Electronic Record Creation

Page 8: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet HealthGraphnet Health

Data Extract product from Graphnet

Takes agreed data sets from Primary Care feeder systems

Marks data up in XML to populate the repository

eXtracts currently available for EMIS, IPS (Vision) Torex (System 6000, Premiere and Premiere Synergy) Micro Test and Exeter

eXtracts for any SQL, UNIX or M based systems

Page 9: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Live Replica eXtract

ConfigFile

RulesFile

XML

SQL Server

eXtract System

Clinical System eXtract Engine

XML Repository

NHSnet

NHSnet

Page 10: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet HealthGraphnet Health

Secure Data Transmission product from Graphnet

Client software requests a connection. Server verifies the client

Client Secure Socket software talks to Server Secure Socket software

Server sends Client a certificate and its public key

Messages exchanged between Client and Server to agree on an encryption method

Public and Private Keys are exchanged

Secure transmission of data

Page 11: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Client

Telnet Socket

Server

Telnet Socket

NHSNet

SSL SSL

Client

Telnet Socket

Server

Telnet Socket

NHSNet

SSL SSL

Secure Data Transmission

Page 12: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet HealthGraphnet Health

XDoc data input forms

XDocs is an XML document creation system that works with browser technology to form an extremely flexible, cost effective means of collecting clinical information.

As an example…Can be used for clinical data collection or contact data across the community – Allied Health Professionals, District Nurses, Single Assessment Process

Page 13: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Page 14: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Page 15: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Page 16: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet HealthGraphnet Health

So how does all So how does all this work?this work?

What can I do What can I do with these with these building blocks?building blocks?

Lets look at the Lets look at the possibilitiespossibilities

Page 17: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Need access to multiple systems.

DIFFICULT

Access to Clinical

Data ?Physio

D Nurse

Receives paperworkAdd to Clinical record ?

Stand alone GP Systems

POD

OOH

AcuteTrust

Page 18: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

PhysioStand alone GP Systems

POD

D NurseBUT

what happens if we share the Clinical Data within these systemsby using Data Extract? OOH

AcuteTrust

Page 19: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

MPI

NHSnet NHSnetGP Systems

Data Extracts

GP Data

Stand alone GP Systems

Data Extract:Data Extract:Rules file determines:Rules file determines:•Data set from clinical systemData set from clinical system•Timing of extract..5mins or 5days!Timing of extract..5mins or 5days!•Data is encryptedData is encrypted•PCT and practice request the extractPCT and practice request the extract•Transmission over NHSnetTransmission over NHSnet Org. Links

Page 20: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

MPI GP Data

NHSnet NHSnet

GP

GP

Org. Links

Web Access

Web Access

Record is NOT view onlyRecord is NOT view onlyDesign Data entry forms :Design Data entry forms :•Customise to any applicationCustomise to any application•READ and OPCS Coded data READ and OPCS Coded data •Drug Database compliantDrug Database compliant•Text and Graphic supportText and Graphic support

XDocs

Page 21: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

MPI GP Data

NHSnet NHSnet

GP

GP

Org. Links

GPs receiveData fromRepository

Web Access

Applications for :Applications for :•Community NursesCommunity Nurses•PhysiotherapistsPhysiotherapists•Allied Health ProfessionalsAllied Health Professionals•Diabetes CareDiabetes Care•SAPSAP•Acute TrustsAcute Trusts

XDocs

AHP DataSAP DataTrust Data

Page 22: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

MPI GP Data

AHP DataSAP DataTrust Data

NHSnet NHSnet

GP

GP

AHP

Org. Links

Web Access

GPs receive Data fromRepository

Integrate data back intoIntegrate data back intoGP System Record. GP System Record. Interfaces with:Interfaces with:EMIS..IPS..Torex..Micro TestEMIS..IPS..Torex..Micro Test

SAP

Page 23: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

MPI GP Data

OOH DataIDS DataAHP DataSAP Data

NHSnet NHSnet

GP

GP

OOH

Org. Links

SecureMessaging

service

Discharge MessagesOOH Data

Consultation DataAHP Data

AcuteHospital

Messaging FlowsMessaging FlowsIntegrating Clinical dataIntegrating Clinical dataBack into GP SystemsBack into GP Systems

AHP

SAP

Out of PracticeXML Message

Page 24: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

MPI GP Data

OOH DataIDS DataAHP DataSAP Data

NHSnet NHSnet

GP

OOH

GP

GP AHP

SSD

SAP

AcuteHosp

XML JournalFile

3rd Party Data

Repository

Web view of Electronic

Record

3rd PartyAudit Tool

e.gExcel

Crystal Reports

Page 25: Graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

graphnet <the XML people>

Graphnet Health Graphnet Health

Remember the Remember the LEGOLEGO

You have all the You have all the bits you need to bits you need to build what you build what you wantwant

Its just like a Its just like a jigsaw!jigsaw!