1. NHS Open Source Open Day
Code4Health
• Peter Coates
• Open Source Programme Head
Achieving an Integrated Digital Care Record
Open Source Programme

2. Code 4 Health - Powered by HANDI HOPD
Aims
• To increase digital health literacy in the health and
care workforce,
• Promote greater engagement in the design and
implementation of digital tools by frontline health and care
staf
• Stimulate innovation in, and the adoption of, digital tools to
deliver safe, efficient and compassionate care.
• Create economic opportunities for the UK digital health
sector

3. Code 4 Health - Powered by HANDI HOPD
Platform
• Providing an experimental environment to learn, cooperate and
explore the creation and use of digital tools
• Based on open data, open systems and open API’s
• Build and test apps against a realistic simulation of the
increasing numbers of systems and open APIs available.
• Clinicians and other health and care professional can cooperate
on the creation and curation of sharable clinical content in
standard, open and computable formats.
• Provides learning resources to teach clinicians and other health
and care professional and interested citizens how to contribute
to the development and improvement of digital tools working
with engineers, designers and service users.

4. 4
Code 4 Health - Powered by HANDI HOPD

5. Code 4 Health - Powered by HANDI HOPD
Contributors

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Access the Beta version Today
http://c4h-alpha.neovahealth.co.uk/

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Code4Health Challenge
3 ideas voted on over two weeks via the Open Source Community
Website
• QRisk calculator – to utilise existing data feeds to populate the QRisk
cardiovascular disease risk calculator and feed back to an existing
health record
• End of Life care – creation of a key information summary record to
collect data such as personal preferences, drug availability, patient
contacts
• Dental/GP Safeguarding referral – creation of a multi-agency referral
form/app
And the winner is:
Dental/GP Safeguarding referral
With 87% of the overall votes

8. Code 4 Health - Powered by HANDI HOPD
The Dental App Challenge Scenario
Community dental services (CDS) provide dental care for people unable to
access care from high street dentists. This includes vulnerable children. Dental
decay is a common finding in cases of child neglect. Efective communication
between community dentists and school nurses will help identify children who
are sufering neglect.
Current problem: In Northumbria CDS we use paper based clinical records and
to share dental information with school nurses about a vulnerable child
requires a [letter] to be generated by the dentist, saved as PDF and sent via
email. Last month 9.5 days of dentist's time was spent writing these letters.
We also want incorporate aspects of the Dental Health Risk score app (RAG)
that was built at a recent NHS Hackday.

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What has been pre-prepared
To ensure that the app challenge can progress rapidly, a small number of
assets have been pre-prepared
• openEHR archetypes and 'Dental Assessment Final Report' template,
defining the target dataset 'schema‘
• openEHR Dental Assessment Final Report' instance data examples
matching the target dataset schema
• A minimal Prototype Dental Assessment data entry web app

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Today’s objectives
• Populate the Patient Demographics via a FHIR-like Patient API provided
by Neovahealth / Black Pear software
• Create the Dental Assessment data entry form
• Persist the completed Dental Assessment data entry form to the HANDI-
HOPD platform (Ehrscape API)
• Create a service which transforms the persisted document to a PDF for
attachment to an email.
• Re-persist the openEHR document to other openEHR vendor servers
(OceanEHR, Code24, Cabolabs).

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england.opensource@nhs.net
0845 8677697
www.technologystrategy.england.nhs.uk
@NHSOpenSource
For more information: