Project Overview
The Notts Care Record / Ecosystem Platform (ESP) approach to digital transformation offers the local Integrated Care System (ICS) an opportunity to improve Shared Care Records across Nottingham and Nottinghamshire. Shared Care Records allow primary and secondary care clinicians to see the same information about a patient, meaning that patients only need to tell their health and care history or story once instead of multiple times. This saves time, reduces inefficiencies and ensures that patients receive the right care and support first time.
The project is a high level priority delivered by the Data, Analytics, Information and Technology (DAIT) Board of the ICS. The project is driven by a statutory requirement to have a Shared Care Record across the ICS. At a local level, the ESP project board is responsible for reviewing and providing guidance on the individual priorities.
The ESP will deliver the Shared Care Records for the ICS over a two year period. The project is part of the ICS Interoperability Programme, which aligns closely to the Public-Facing Digital Services (PFDS) and Capacity and Flow (C&F) programmes.
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High Level Logic Model
The figure below provided a high level model of the components and parties within the Ecosystems:
Technical Architecture
The figure below details the technical architecture of the Interweave solution:
FHIR Profiling
The core FHIR specification enables two or more systems to share data seamlessly, however it doesn’t ensure that all users and processes can interpret meaning and operate seamlessly. FHIR includes a framework, called ‘Profiling’ for extending and adapting the existing resources for specific use cases.
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