Transcript The patient unconscious on the MPI

Neo-natal screening in North London
David Bowen
Ken Smith
Great Ormond Street Hospital for Children
NHS Trust
[email protected] 020 7405 9200 xt5064
smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
The GOSH neo-natal screening service
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110,000 screening tests a year
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Tests: PKU, Congenital Hypothyroidism, Sickle
Cell, MCADD, Cystic Fibrosis (from April)
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Covers N London, Essex, Beds and Herts
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Some linked, others not
[email protected] 020 7405 9200 xt5064
smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Strategic Background
• UK Newborn Screening Programme
• National Programme for IT
• CRS – Children’s Services in P2R1
• …and Screening in P2R2
[email protected] 020 7405 9200 xt5064
smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
An unexpected change of circumstances
Deadline – 31st March 2005:
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Replace screening system in lab
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Rebuild links
[email protected] 020 7405 9200 xt5064
smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Tactics
• Dedicated v. Mix and match
• Screening = Lab + workflow functionality
• Participants: Managers and Testers
• Interface between them based on open
standards
[email protected] 020 7405 9200 xt5064
smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Way forward
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New child health networks receive data from health
organisations (CCA, London LSP, to develop)
New GOSH repository to hold data (integrated into GOSH IT
infrastructure)
Child health network send birth notifications to GOSH
GOSH receive birth notifications and demographics
GOSH will send, to child health networks, notifications of
receipt of cards
GOSH will send results to child health networks.
All messages in HL7 format, some in v2.4, some in v3.0
[email protected] 020 7405 9200 xt5064
smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Way Forward
PCT domain
Child Health System
Message handler
Birth
notification
Intermediate message handling
Transformation
Acknowledgement
of card receipt
Result
Transformation
Transformation
eBiz
HL7-ADT
HL7-ORR
HL7-ORU
OMNI-Lab
GOSH domain
[email protected] 020 7405 9200 xt5064
smithk4 @gosh.nhs.uk 020 7405 9200 xt5629
Benefits of our approach
• We can integrate with “anyone”
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Cost effective
Application redundancy management
Exploit the flexibility of our lab system
Same applies to CH systems
[email protected] 020 7405 9200 xt5064
smithk4 @gosh.nhs.uk 020 7405 9200 xt5629