1. Data Migration vs Data Transfer Leo Fogarty Dunblane 5/11/08

2. Semantic Elements The Record of Patient Information as Text:- which is human-readable and easily communicable The inclusion of codes: XE2uV Ischaemic Heart Disease Which may be qualified as: X793b Mild X78th First Episode Which sit in a context which might include: A Heading: “Past History” or Modifying Information: Q= “Possible” Which all sits in a document: “Referral Letter” Which was constructed during an event: Surgery Consultation Relating to an ongoing Problem: Chest Pain

3. Elements of Data Transfer Methodology –Model –Technical Specification –Implementation Guide –Application Functionality Rules Iterative Development –Testing Roll-Out

4. GP2GP Model

5. Message Viewing

10. An Allergy - - - Adverse reaction to Bronchodilators

11. Non-Interoperable Items Allergies Some Prescribable Products Attachments Incomplete Non-code codes Immunisations Local Codes Local Idiosyncratic Data Structures

12. Elements of Data Migration Individual Record Contents much the same but….. Migration – many records not one Other aspects of systems –Appointments –Agents Directory –Reports etc

13. Elements of Data Migration No existing standard Many one-to-one solutions Variable results GPSoC Validation in England

14. Non-migratable Items Everything from the data transfer list plus: Difficulties migrating between coding schemes Appointments Reports Document management