Freeing the care records stranded on islands of electronic medical records is critical if we are to join up care in England. Judy Falkner has identified the barriers; I offer an alternative to her "solution". Read more › The post Judy Faulkner, spaghetti and Elon’s I’m a celebrity – get out of here. first appeared on Nicholas Oughtibridge.
I've been looking back over 20 years to a functional and useful patient summary across 9 different sources and three NHS Trusts. Read more › The post So what does it all mean? – Part 5 – Summaries first appeared on Nicholas Oughtibridge.
I've been wondering who is to blame for my parcels being delivered to a dirt track and I've now found out. It turns out Google can't know everything! Read more › The post Mapping house names with Google first appeared on Nicholas Oughtibridge.
Now I move to electronic records and explore some of the challenges that come with using modern databases to store health and records. Read more › The post So what does it all mean? – part 4 – Electronic records first appeared on Nicholas Oughtibridge.
In this part of the “so what does it all mean?” series, I’m moving on from specific records to agreed forms designed to be filled in to become part of a person’s record. Part 1 of this series looked at … So what does it mean? – part 3 – forms Read More » The post So what does it mean? – part 3 – forms first appeared on Nicholas Oughtibridge.
In part 1 of this “so what does it all mean?” series I gave an overview of the Lloyd George case note used in English General Practices from 1911. Now to move to hospitals. The illustrations are from the Historical … So what does it all mean? – part 2 – hospital records Read More » The post So what does it all mean? – part 2 – hospital records first appeared on Nicholas Oughtibridge.
The Lloyd George envelope was the mainstay of General Practice record keeping for a century. In the first post of the "What does it all mean?" series I look at it from a health informatics perspective and introduce a basic data model for the record. Read more › The post So what does it all mean? – part 1 – Lloyd George envelopes first appeared on Nicholas Oughtibridge.
A couple of years ago I had the pleasure of visiting Puka Pukara high above Cusco in Peru. The work in building this fortress demonstrates attention to detail. Each stone is carefully shaped to fit into the overall architecture. Edges … Inca masonry – key to interoperability? Read More » The post Inca masonry – key to interoperability? first appeared on Nicholas Oughtibridge.
In a discussion today I remembered this remarkably astute section from Notes on Hospitals, London: Longman, Green, Roberts, Longman and Green, 1863, by Florence Nightingale, OM, RRC I am fain to sum up with an urgent appeal for adopting … … Using health care data is not something new Read More » The post Using health care data is not something new first appeared on Nicholas Oughtibridge.
I joined an eclectic group of experts from the UK and US to discuss how we can achieve the policy commitment to “separate the data from applications”. In effect, to unlock the data held in operational systems (care records, rostering, HR, finance etc.) and make those data available to be use in other applications or for analytics. Read more › The post Separating data from applications that use it first appeared on Nicholas Oughtibridge.
I’m back from a couple of weeks holiday away in Scotland – think trains, islands, whisky, ferries, mountains and a plentiful supply of Irn Bru Original. Some of my colleagues have suggested I should have been away longer (and I’m … On organisational data Read More » The post On organisational data first appeared on Nicholas Oughtibridge.
Last week I had a holiday, walking in the hills of Yorkshire – dales and moors. The week before had been a good one. I finally have access to my GP record using the NHS App. It also includes my … My record for me to use and share Read More » The post My record for me to use and share first appeared on Nicholas Oughtibridge.
Its been over a month since I shared the progress in NHS Digital Data Architecture. During that time we’ve made good progress with the Terminology Server moving into private beta, our metadata in the HDR UK gateway seeing a significant uplift … Data Architecture Update – February 2021 Read More » The post Data Architecture Update – February 2021 first appeared on Nicholas Oughtibridge.
This week marks the completion of my 25th year working for the NHS, so I am being indulgent and sharing a few thoughts on the journey I’ve been on. If my memory has failed, let me know as a comment … A quarter of a century in the NHS Read More » The post A quarter of a century in the NHS first appeared on Nicholas Oughtibridge.
I prepare a data architecture update for colleagues in NHS Digital and other interested organisations – I’m sharing it here for the first time. Let me know if it is useful. Federation and subsidiarity – our contribution Accountability for the … Data Architecture update – November 2020 Read More » The post Data Architecture update – November 2020 first appeared on Nicholas Oughtibridge.
The Draft International Standard is now available for public review and comment ahead of the decision by the BSI committee (and other national member bodies) to cast their votes. For UK contributors, the commenting capability is available on the BSI site. … Foundation standard for health system safe, effective and secure health software and IT systems Read More » The post Foundation standard for health system safe, effective and secure health software and IT systems first appeared on Nicholas Oughtibridge.
Larry Weed pretty much set the tone for patient records. I recently revisited one of his lectures on Youtube, and am resharing with you. Read more › The post Revisiting Larry Weed first appeared on Nicholas Oughtibridge.