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Chris Munt :: State Of Play In the NHS

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The document discusses the history and current state of IT at the Royal Marsden NHS Trust (RMH). It describes how RMH developed its own software toolkit called ETHOS in the 1980s to build clinical applications using a functional programming approach. ETHOS integrated a database component with the programming environment. RMH has since migrated its systems to run on InterSystems Caché, which provides high performance, scalability and rapid application development capabilities suitable for healthcare IT. The document argues Caché is a good fit for RMH's needs as its systems continue to evolve and serve new protocols over HTTP.

Technology
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The state of play in NHS IT Chris Munt Cherylin Fletcher Royal Marsden NHS Trust
Agenda: Part I ,[object Object],[object Object],[object Object],[object Object],[object Object]
Agenda: Part II ,[object Object],[object Object],[object Object]
RMH IT – History (80s) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RMH IT – History (80s) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RMH IT – History (90s) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RMH IT – History (00s) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RMH IT – Architecture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RMH IT – Architecture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RMH IT – Development ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS: HOS Component ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS: HOS Component ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS ,[object Object],[object Object]
ETHOS tree: Calculate Age
ETHOS tree: Embedded SQL
ETHOS tree: Embedded SQL
ETHOS tree: Recursion
ETHOS tree: Using Libraries
ETHOS: SQL/RDBMS Component ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS: SQL/RDBMS Component ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS ,[object Object],[object Object]
ETHOS Entity: PATIENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS Entity: DATE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS Entity: ADMISSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS Entity: DIAGNOSTICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS Entity: EVENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS Entity: EVENTS (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS Entity: EVENTS (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS Entity: EVENTS (3) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETHOS SQL: Sequences ,[object Object],[object Object],[object Object],[object Object],[object Object]
RMH IT/ETHOS – Why Caché? ,[object Object],[object Object],[object Object]
RMH IT/ETHOS – Why Caché? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RMH IT/ETHOS – Why Caché? ,[object Object],[object Object],[object Object],[object Object],[object Object]
RMH IT/ETHOS – Why Caché? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Free Alternatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Free Alternatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Traditional Project Lifecycle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systems Development ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HTTP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Caché in Healthcare IT ,[object Object],[object Object],[object Object],[object Object],[object Object]
The state of play in NHS IT Chris Munt Cherylin Fletcher Royal Marsden NHS Trust

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Chris Munt :: State Of Play In the NHS