The first\nmorning of the hackathon kicked off with introductory presentations from\nINTEROPen, OneLondon, Wessex LHCR and NHSX. David Hancock, INTEROPen industry\nco-chair opened with a reflection on INTEROPen\u2019s journey since 2016, and its\ncontinued importance as an organisation in balancing the demand push and the\nsupply pull for interoperability in healthcare. He reflected that INTEROPen is\nstill going strong four years on due to the complexity of the challenge,\nquoting Bob Wachter, \u201cimplementing health IT today is one of the most complex\nadaptive changes in the history of healthcare, and perhaps of any industry.\nAdaptive change involves substantial and long-lasting engagement between the\nleaders implementing the changes and the individuals on the front lines who are\ntasked with making them work.*\u201d With INTEROPen\u2019s mix of both vendor and NHS\nleadership and membership, the organisation is uniquely placed to encourage\ntesting and adoption of emerging standards across the board.<\/p>\n\n\n\n
Next, Andy Hadley,\nsolution architect for shared records across both Wessex and Dorset set the\nscene around the challenges currently faced around medications data in the\nWessex region. He described how upon hospital admission, clinicians often have\nthe challenge of determining and transcribing the current medications for a\npatient, based on what they might find in the Summary Care Record and physical\nmedications that the patient may have brought with them. An often\ntime-consuming and inaccurate process. Beyond the hospital setting, he also\nemphasised the need for providers such as community hospitals and sexual health\nservices to be able to view and contribute to a patient\u2019s medication record. <\/p>\n\n\n\n
In Dorset through the Dorset Care Record (DCR), progress is being made in rolling out the Orion Health Medicines Platform, to create a complete, patient-centric view of medications. Discharge medications from the WellSky HEPMA solution at Dorset County Hospital recently went live into the record as the first step. In June, the rollout for 150 community pharmacies launched, to give them access to the DCR and therefore this information, supporting their integration in the local health and social care system. Andy finished by outlining the ambitions for the One Medication Record programme being developed by Wessex Care Records, which will create a single holistic medication record for the LHCRE region encompassing Dorset, Hampshire and the Isle of Wight.<\/p>\n\n\n\n
Dave Turner, chief technology officer at NHSX was the keynote speaker, throwing his support behind the hackathon format and its ability to ensure that the tools, standards and APIs being built are fit for purpose, and easy to adopt. He emphasised that the \u2018X\u2019 in \u2018NHSX\u2019 stands for user experience, recognising how important it is for the organisation to work with users and to understand their needs. Dave noted that we need wide adoption of data standards and simple ways to consume & adopt them to enable us to join up systems & organisations. All in the interest of creating more seamless experiences for patients and laying the foundations to explore new & exciting digital pathways. He concluded that one candidate for this joining up of information was medications, stating that we need to deliver a consolidated view of medications across all care settings. And with that the hack was underway!<\/p>\n\n\n\n
The Orion\nHealth team set to work reconciling and consolidating medication information\nfrom multiple sources through the Orion Health Medicines Platform. This\nplatform includes solutions for the recording, reconciling and management of\nmedications at transitions of care with Medication Management, a Medicines\nDecision Support capability, Medicines Viewer to ingest and consolidate medication\nrecords and FHIR APIs for bi-directional interoperability. In this hackathon,\nthe team focused on the Medicines Viewer and a new consolidated patient\nmedication list API to expose a patient\u2019s current medications for 3rd<\/sup>\nparty applications to consume.<\/p>\n\n\n\n Over the two days, using the consolidated patient medication list FHIR API within Medicines Platform, to our knowledge unique in the market, medications from a variety of source systems were aggregated, normalised, enriched and surfaced as current medication list using the FHIR List resource. Clinicians and caregivers able to access the current medication list within Medicines Viewer and 3rd<\/sup> party applications we able to access the same structured data to support their own internal reconciliation workflow and medication management functionality.<\/p>\n\n\n\n Medication sources consolidated during the hackathon included EMIS Health, Better, Healthcare Gateway (MIG) and HL7 message sources that were transformed into the appropriate FHIR resource format. The Orion Health team was able to expose the patient medication list FHIR API endpoint to Better, who consumed the data \u201con admission to hospital\u201d, then passed back the updated medication information \u201con discharge,\u201d completing the transfer-of-care process. This reflected a great achievement for interoperability in medications, moving beyond the more traditional system-to-system information sharing and demonstrating both the sharing and consuming of data by the Orion Health platform. <\/p>\n\n\n\n The consolidated\npatient medication list FHIR API is also able to be consumed by other systems\nand third parties, supporting additional use cases such as presenting current medications\nto patients through a patient engagement applications. The team was able to showcase\nintegration with a third party personal health record application from Tiny\nMedical Apps who consumed the FHIR list API to support patient-led medication\nreconciliation. A writable FHIR API for patient contributed medications was\nalso provided during the Hack but two days just wasn\u2019t long enough to showcase\nthis capability, maybe for the next one\u2026.<\/p>\n\n\n\n The online\nevent provided a valuable opportunity to work on refining Medicines Viewer and\nthe patient medication list FHIR API with industry peers. Going forward, we\nwill use the event outputs to develop these further and seek early adopter\npartners for bi-directional data exchange.<\/p>\n\n\n\n The Wessex\nteam was on hand to support this inaugural virtual hack, using some advanced\nfeatures of Zoom that were found over the two days. Emma Davis, a GP and the\nlead clinician for the Hampshire CHIE programme summarised, \u201cI wasn\u2019t sure what\nto expect, but worked collaboratively with experts from around the country on\nimagining how patient initiated medication records would enrich a consolidated\nmedication record. It felt we were all learning and contributing.\u201d<\/p>\n\n\n\n The event\nclosed with each team presenting a summary of how they progressed, what they\nhad learned, and the challenges along the way. Every team effort was a\npartnership, demonstrating the ethos and benefits of working collaboratively on\ncreating \u201cone medication record\u201d probably the most complex digital problem in\nthe already challenging health and social care landscape.<\/p>\n\n\n\n If you\u2019re not yet a member of INTEROPen, sign up now to keep up to date on their work and future hackathons.<\/p>","protected":false},"excerpt":{"rendered":" The first morning of the hackathon kicked off with introductory presentations from INTEROPen, OneLondon, Wessex LHCR and NHSX. David Hancock, INTEROPen industry co-chair opened with a reflection on INTEROPen\u2019s journey since 2016, and its continued importance as an organisation in balancing the demand push and the supply pull for interoperability in healthcare. He reflected that […]<\/p>\n","protected":false},"author":6,"featured_media":3824,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[1],"tags":[],"region":[27],"class_list":["post-3823","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","region-uk"],"yoast_head":"\n