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Chris Munt Cherylin Fletcher State Of Play In Nhs

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The document discusses the state of healthcare IT systems at the Royal Marsden Hospital and NHS more broadly. It provides an overview of the hospital's electronic patient record system and other clinical applications. It also describes the history of the hospital's IT infrastructure and use of the ETHOS toolkit to develop applications using a functional programming approach on top of the InterSystems Caché database.

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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]
Cherylin Fletcher Deputy Director of ICT The Royal Marsden Hospital Information System The State of Play in NHS IT
Electronic Patient Record (EPR) Demographics OP visits Tests & results IP stays Treatments Surgery Notes Palliative care etc Additional Specialised Data Critical Care Unit Diatetics Massage Physio BASO equivalent Genetics research etc Per patient Clinical Workstation Clinical Research Referrals Registration OP IP Case notes Biochemistry Haematology Histopathology Cytology Radiology Radiotherapy Theatres Pharmacy Transport Re-hab Private patients etc Hospital # Staff/System Data Manpower (HR) System Admin Service Agreements etc Trust-wide Hospital Information System (HIS) Management Information
 
 
 
Most of the rest of the NHS ,[object Object],[object Object],[object Object],[object Object],[object Object]
National Spine GPs Guys & St Thomas Royal Marsden Epsom & St Helier Staff Records Web site Choose & Book Demographics www.royalmarsden.nhs.uk NHS Net Digital Dictation Intranet e-Mail Interfaces & Other Systems Non-clinical Finance Human resources Occupational health Access control Charity donations Complaints management Catering Drug Stock Control Micro-biology Picture Archiving Hospital Information System (HIS) Demographics OP visits Tests & results IP stays Treatments Surgery Notes Palliative care etc MRI scanners Patients HR Publications X-ray machines
How can NPfIT help? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LPfIT Acute solution from Cerner ** ** ** Not relevant to the Royal Marsden
Where do we want to be? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Royal Marsden Hospital Information System Cherylin Fletcher Deputy Director of ICT
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 Cherylin Fletcher State Of Play In Nhs

  • 1. The state of play in NHS IT Chris Munt Cherylin Fletcher Royal Marsden NHS Trust
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  • 3. Cherylin Fletcher Deputy Director of ICT The Royal Marsden Hospital Information System The State of Play in NHS IT
  • 4. Electronic Patient Record (EPR) Demographics OP visits Tests & results IP stays Treatments Surgery Notes Palliative care etc Additional Specialised Data Critical Care Unit Diatetics Massage Physio BASO equivalent Genetics research etc Per patient Clinical Workstation Clinical Research Referrals Registration OP IP Case notes Biochemistry Haematology Histopathology Cytology Radiology Radiotherapy Theatres Pharmacy Transport Re-hab Private patients etc Hospital # Staff/System Data Manpower (HR) System Admin Service Agreements etc Trust-wide Hospital Information System (HIS) Management Information
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  • 9. National Spine GPs Guys & St Thomas Royal Marsden Epsom & St Helier Staff Records Web site Choose & Book Demographics www.royalmarsden.nhs.uk NHS Net Digital Dictation Intranet e-Mail Interfaces & Other Systems Non-clinical Finance Human resources Occupational health Access control Charity donations Complaints management Catering Drug Stock Control Micro-biology Picture Archiving Hospital Information System (HIS) Demographics OP visits Tests & results IP stays Treatments Surgery Notes Palliative care etc MRI scanners Patients HR Publications X-ray machines
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  • 11. LPfIT Acute solution from Cerner ** ** ** Not relevant to the Royal Marsden
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  • 13. The Royal Marsden Hospital Information System Cherylin Fletcher Deputy Director of ICT
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  • 52. The state of play in NHS IT Chris Munt Cherylin Fletcher Royal Marsden NHS Trust