NHS Wales: Achieving the Single Record Andrew Griffiths Digital Health Assembly: Open Innovation 2015

1. NHS Wales:
Achieving the
Single Record
Andrew Griffiths
CIO (Health) and Director of
NHS Wales Informatics Service
10 February 2015

2. Aim: The Single Record

3. Progress towards the Single Record
• Welsh Clinical Portal
• Individual Health Record
• My Health Online
• National PAS
• National Laboratory System
• National Radiology System
• Master Patient Index
• National Active Directory

4. Challenges: Most records are still paper

5. Challenges: Electronic records are distributed

6. WebsiteWebsite
Google
Search engine index
-pointers to content (URLs)
Website
Searching the web...

7. WebsiteWebsite
Clinical application
e.g. WCP
Record Store
WCRS
Record index
-pointers to records
(URLs)
Viewing a patient’s record...

8. NHS Wales Single Record Architecture

9. Welsh Care Records Service (WCRS)

10. WCRS Content Index: Solr
Solr: open source enterprise search platform based on Apache Lucene
- Mature product
- Active open source community
- 12 releases in past 12 months

11. Capabilities: Full Text Search with Highlighting

12. Capabilities: Faceted Navigation

13. • 2 data centres
• 6 virtual servers
• 24 Solr nodes
• 12 shards
• Load balancing
• Full resilience
• 250-300 million docs
• Scalable to >1 billion docs
Production Solr Cloud

14. Applications: 1. Discharge Medicines Reviews

15. Applications: 2. Sharing Information with the Patient

16. Applications: 2. Sharing Information with the Patient

17. Applications: 3. Community Care Information System (CCIS)