1. graphnet Graphnet Health Sharing information across Primary and Secondary Care Secondary Care Background Primary Care Team The Products and Solutions

2. graphnet Graphnet Health Patient Centred Electronic Record Captured from any System…Hospital,GP, Community, Departmental or Speciality Available to all authorised users Audit Trail/Secure Access/Confidential

3. graphnet The Oswestry System XMLPAS Path Rad Spinal Injuries XDocs IDDs Operation Notes Ward Notes Admission Notes Care Pathway Notes Tumor Data Entry (3) MCSI Goal Setting Pathology & Radiology Requesting Analysis & Clinical Audit GP Access Exeter Org Links

4. graphnet Graphnet Health Complies with DOH guidelines Modular..scalable eGIF Compliant XML based Data Protection Caldicott Principles

5. graphnet Work 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

6. graphnet Graphnet 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

7. graphnet Graphnet Health The “Building Blocks” Data Extract Secure Data Transmission User specified input forms Electronic Record Creation

8. graphnet Graphnet 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

9. graphnet Live Replica eXtract Config File Rules File XML SQL Server eXtract System Clinical SystemeXtract Engine XML Repository NHSne t

10. graphnet Graphnet 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

11. graphnet Secure Data Transmission

12. graphnet Graphnet 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

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16. graphnet Graphnet Health So how does all this work? So how does all this work? What can I do with these building blocks? What can I do with these building blocks? Lets look at the possibilities Lets look at the possibilities

17. graphnet Need access to multiple systems. DIFFICULT Access to Clinical Data ? Physio D Nurse Receives paperwork Add to Clinical record ? Stand alone GP Systems POD OOH Acute Trust

18. graphnet Physio Stand alone GP Systems POD D Nurse BUT what happens if we share the Clinical Data within these systems by using Data Extract? OOH Acute Trust

19. graphnet MPI NHSnet GP Systems Data Extracts GP Data Stand alone GP Systems Data Extract: 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

20. graphnet MPI GP Data NHSnet GPGP GPGP Org. Links Web Access Record is NOT view only Design Data entry forms : Customise to any applicationCustomise to any application READ and OPCS Coded dataREAD and OPCS Coded data Drug Database compliantDrug Database compliant Text and Graphic supportText and Graphic support XDocs

21. graphnet MPI GP Data NHSnet GPGP GPGP Org. Links GPs receive Data from Repository Web Access Applications for : Community NursesCommunity Nurses PhysiotherapistsPhysiotherapists Allied Health ProfessionalsAllied Health Professionals Diabetes CareDiabetes Care SAPSAP Acute TrustsAcute Trusts XDocs AHP Data SAP Data Trust Data

22. graphnet MPI GP Data AHP Data SAP Data Trust Data NHSnet GPGP GPGP AHP Org. Links Web Access GPs receive Data from Repository Integrate data back into GP System Record. Interfaces with: EMIS..IPS..Torex..Micro Test SAP

23. graphnet MPI GP Data OOH Data IDS Data AHP Data SAP Data NHSnet GPGP GPGP OO H Org. Links Secure Messaging service Discharge Messages OOH Data Consultation Data AHP Data Acute Hospital Messaging Flows Integrating Clinical data Back into GP Systems AHP SAP Out of Practice XML Message

24. graphnet MPI GP Data OOH Data IDS Data AHP Data SAP Data NHSnet GPGP OOH GPGP GPGP AHP SSD SAP Acute Hosp XML Journal File 3 rd Party Data Repository Web view of Electronic Record 3 rd Party Audit Tool e.g Excel Crystal Reports

25. graphnet Graphnet Health Remember the LEGO Remember the LEGO You have all the bits you need to build what you want You have all the bits you need to build what you want Its just like a jigsaw! Its just like a jigsaw!