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Comment: Updated this to include Patch changes from RM211
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id1

ID

RM199

Version

1.0.23

Type

Roadmap Item

Contracting Vehicle(s)

...

There is no single Standard across all GP systems for extracting the Electronic Patient Record (EPR) for PFS. Interface Mechanism 1 (IM1) is the current option for providing PFS APIs from Foundation Solutions. IM1 PFS interfaces, created by the Foundation Suppliers, are based on high level functional specifications rather than technical Standards aligned to interoperability Standards. PFS Consumers cannot integrate in a standardised way with Foundation Suppliers so undertake a separate development with each Supplier. Consumers must apply significant development time and effort to integrate with each differing bespoke API, which introduces technical complexity and inconsistency and negatively impacts New Market Entrants (NMEs) and innovation.

Some existing requirements have been refined due to these changes, and to ensure consistency with the wider Capabilities & Standards model.

Outline Plan

A number of new GP Connect (Patient Facing) APIs are being developed:

...

Summary of Change

Provider Solutions

Patient Information Maintenance - GP: E00166, E00170, E00171, E00172 and

E00172

E00174 updated

E00166 - manage Citizen Service

Access

Aaccess for a Patient

As a Health or Care Professional

I want to manage Citizen Service

Access

Aaccess for Patients

So that Patients have access to Citizen Services

Acceptance criterion 1: enable Citizen Service

Access

Aaccess for a Patient

Given the Health or Care Professional is permitted to enable Citizen Service

Access

Aaccess

When the Health or Care Professional selects to enable Citizen Service

Access

Aaccess for a Patient

Then

the Citizen Service Access

the Citizen Service Aaccess is enabled for that Patient

Acceptance criterion 2: disable Citizen Service

Access

Aaccess for a Patient

Given the Health or Care Professional is permitted to disable Citizen Service

Access

Aaccess

When they the Health or Care Professional selects to disable Citizen Service

Access

Aaccess for a Patient

Then

the Citizen Service Access

the Citizen Service Aaccess is disabled for that Patient

Acceptance criterion 3: create Verified User Accounts

Given the Health or Care Professional is permitted to create Verified User Accounts

When they select to create a Verified User Account for a Patient

Then the Verified User Account is created for that Patient

Acceptance criterion 4: amend Verified User Accounts

Given the Health or Care Professional is permitted to amend Verified User Accounts

When they select to amend a Verified User Account for a Patient

Then the Verified User Account is amended for that Patient

Acceptance criterion 5: view Verified User Accounts

Given the Health or Care Professional is permitted to view Verified User Accounts

When they select to view a Verified User Account for a Patient

Then the Verified User Account is displayed for that Patient

Acceptance criterion 6: generate Verified User Accounts credentials information

Given the Health or Care Professional is permitted to generate Verified User Account credentials information for a Patient

When the Health or Care Professional selects to generate Verified User Account credentials information for a Patient

Then the Practice ODS Code is generated

And the Verified User Accounts ID is generated

And the Verified User Accounts Linkage Key is generated

And a list of available Citizen Services is generated

And a list of Solutions providing a Citizen Service which integrate with the Patient Information Maintenance Solution is generated

And the Verified User Account credentials information is shared with the Patient

Acceptance criterion 7: link Verified User Accounts to Online Service Accounts

Given the Health or Care Professional has createda Verified User Account credentials for a Patient

When the Patient enters their Verified User Account credentials selects to link their Online Service Account with their Verified User Account

Then the Online Service Account is linked to their Verified User Account

E00166 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • Access to Citizen Services will be disabled immediately for deceased or otherwise deducted Patients

  • Suppliers of new services or Solutions:

  • Suppliers of services or Solutions which ARE currently deployed into an operational environment:

    • IM1 - Interface Mechanism Standard (Patient interface Provider requirements)

    • Ability to create, view and amend Verified User Accounts

    • Ability to generate Verified User Accounts credentials information to be shared with the Patient:

      • ODS Code

      • Verified User Accounts ID

      • Verified User Accounts Linkage Key

      • List of available Citizen Services

      • List of Solutions providing a Citizen Service which integrate with the Patient Information Maintenance Solution

      • Include the standard information text and URLs when generating VUA credentials information as defined on Information for GP IT Foundation Suppliers

    • Support linking of Online Service Account and Verified User Account

    • The Solution supports the resetting of the VUA Linkage Key as requested, both

      • Via the Citizen Service Solution, or

      • By a Health or Care Professional via their Solution

    • Upon reset request, the VUA reverts to a Status of Inactive and all access to Citizen Services terminated

Info

E00166 - Supporting Information

E00170 - manage Prescription Ordering Citizen Service access for a Patient and the Practice

As a Health or Care Professional

I want to be able to manage Patient access to the Prescription Ordering Citizen Service

So that I can manage Patient access to Prescription Ordering Citizen Service for Repeat Medication

Acceptance criterion 1: enable Patient access to the Prescription Ordering Citizen Service

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they the Health or Care Professional selects to enable the Patient’s access to the Prescription Ordering Citizen Service

Then access to the Prescription Ordering Citizen Service is enabled for the Patient

Acceptance criterion 2: disable Patient access to the Prescription Ordering Citizen Service

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they the Health or Care Professional selects to disable the Patient’s access to Prescription Ordering

Then access to the Prescription Ordering Citizen Service is disabled for the Patient

Acceptance criterion 3: enable Prescription Ordering Citizen Service for the Practice

Given the Health or Care Professional is permitted to enable a Citizen Service for the Practice

When they the Health or Care Professional selects to enable the Prescription Ordering Citizen Service for the Practice

Then the Prescription Ordering Citizen service is enabled for the Practice

Acceptance criterion 4: disable Prescription Ordering Citizen Service for the Practice

Given the Health or Care Professional is permitted to disable a Citizen Service for the Practice

When they the Health or Care Professional selects to disable the Prescription Ordering Citizen Service for the Practice

Then the Prescription Ordering Citizen Service is disabled for the Practice

E00170 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

Info

E00170 - Supporting Information

E00171 - manage View Record Citizen Service

Access

Aaccess for the Practice

As a Health or Care Professional

I want to be able to manage access to the View Record Citizen Service for the Practice

So that I can manage access to View Record Citizen Service

Acceptance criterion 1: enable access to the Summary Information Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When they the Health or Care Professional selects to enable access to the Summary Information Record Level for the Practice

Then the Summary Information Record Access Level is enabled for the Practice

Acceptance criterion 2: disable access to the Summary Information Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When they the Health or Care Professional selects to disable access to the Summary Information Record Access Level for the Practice

Then the Summary Information Record Access Level is disabled for the Practice

Acceptance criterion 3: enable access to the Detailed Coded Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When they the Health or Care Professional selects to enable access to the Detailed Coded Record Access Level for the Practice

Then the Detailed Coded Record Access Level is enabled for the Practice

Acceptance criterion 4: disable access to the Detailed Coded Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When they the Health or Care Professional selects to disable a Patient’s access to the Detailed Coded Record Access Level for the Practice

Then the Detailed Coded Record Access Level is disabled for the Practice

Acceptance criterion 5: enable access to the Document Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

And the Detailed Coded Recorded Access Level is enabled

When they the Health or Care Professional selects to enable access to the Document Access Level for the Practice

Then the Document Access Level is enabled for the Practice

Acceptance criterion 6: disable access to the Document Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When they the Health or Care Professional selects to disable access to the Document Access Level for the Practice

Then the Document Access Level is disabled for the Practice

Acceptance criterion 7: enable access to the View Record Full Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When they the Health or Care Professional selects to enable access to the View Full Record Level Access Level for the Practice

Then they can record a start date for data to be available from

Then And the View Record Full Record Access Level is enabled for the Practice

Acceptance criterion 8: disable access to the View Record Full Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When they the Health or Care Professional selects to disable a Patient’s access to the a View Record Full Record Access Level for the Practice

Then the View Record Full Record Access Level is disabled for the Practice

E00171 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • The Record Access level for a Citizen will not exceed the configured Record Access Level for the Practice

  • Suppliers of new services or Solutions:

  • Suppliers of services or Solutions which ARE currently deployed into an operational environment:

Info

E00171 - Supporting Information

  • The start date determines the date from which the data made available goes back to, not whether the Service is offered/available by the Practice e.g. where the Full Record Access start date is set to 15th March 2015 and the Full Record Access is enabled (‘switched on’) by the Practice on the 1st April 2015

E00172 - manage View Record Citizen Service

Access The

Aaccess for a Patient

As a Health or Care Professional

I want to be able to manage access to the View Record Citizen Service for individual Patients

So that I can manage Patient access to View Record Citizen Service

Acceptance criterion 1: enable Patient access to the Summary Information Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they the Health or Care Professional selects to enable the Patient’s access to the Summary Information Record Level

Then the Summary Information Record Access Level is enabled for the Patient

Acceptance criterion 2: disable Patient access to the Summary Information Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they the Health or Care Professional selects to disable a Patient’s access to the Summary Information Record Access Level

Then the Summary Information Record Access Level is disabled for the Patient

Acceptance criterion 3: enable Patient access to the Detailed Coded Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they the Health or Care Professional selects to enable the Patient’s access to the Detailed Coded Record Access Level

Then the Detailed Coded Record Access Level is enabled for the Patient

Acceptance criterion 4: disable Patient access to the Detailed Coded Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they the Health or Care Professional selects to disable a Patient’s access to the Detailed Coded Record Access Level

Then the Detailed Coded Record Access Level is disabled for the Patient

Acceptance criterion 5: enable Patient access to the Document Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

And the Detailed Coded Recorded Access Level is enabled

When they the Health or Care Professional selects to enable the Patient’s access to the Document Access Level

Then the Document Access Level is enabled for the Patient

Acceptance criterion 6: disable Patient access to the Document Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they the Health or Care Professional selects to disable a Patient’s access to the Document Access Level

Then the Document Access Level is disabled for the Patient

Acceptance criterion 7: enable Patient access to the View Record Full Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they the Health or Care Professional selects to enable the Patient’s access to the View Full Record Level Access Level

Then they can record a start date for data to be available from

Then And the View Record Full Record Access Level is enabled for the Patient

Acceptance criterion 8: disable Patient access to View Record Full Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they the Health or Care Professional selects to disable a Patient’s access to the a View Record Full Record Access Level

Then the View Record Full Record Access Level is disabled for the Patient

E00172 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

Acceptance criterion 9: enable Prospective Access to the Full Record Access Level for a Patient

will not exceed the configured

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to enable Prospective Access to the Full Record Access Level for

the Practice

  • Suppliers of new services or Solutions:

    • Suppliers of services or Solutions which ARE currently deployed into an operational environment:

    IM1 - Interface MechanismStandard (Patient interface Provider requirements) Info

    E00172 - Supporting Information

    The start date determines the date from which the data made available goes back to, not whether the Service is offered/available by the Practice e.g. where the Full Record Access start date is set to 15th March 2015 and the Full Record Access is enabled (‘switched on’) by the Practice on the 1st April 2015

    a Patient

    Then the Health or Care Professional records a start date for data to be available from

    And the Prospective Access to the Full Record Access Level is enabled for the Patient

    Acceptance criterion 10: disable Prospective Access to the Full Record Access Level for a Patient

    Given the Health or Care Professional is permitted to configure access to Citizen Services

    When the Health or Care Professional selects to disable Prospective Access to the Full Record Access Level for a Patient

    Then the Prospective Access to the Full Record Access Level is disabled for the Patient

    E00172 - Additional Implementation Details

    Solutions MUST comply with the following when implementing this Epic:

    • The Record Access Level for a Patient will not exceed the configured Record Access Level for the Practice

    • Suppliers of new services or Solutions:

    • Suppliers of services or Solutions which ARE currently deployed into an operational environment:

    Info

    E00172 - Supporting Information

    • The start date for Prospective Access to the Full Record Access Level determines the date from which the data made available goes back to, not whether the Service is offered/available by the Practice e.g. where the Prospective Access to the Full Record Access Level start date is set to 15th March 2015 and the Full Record Access Level is enabled (‘switched on’) by the Practice on the 1st April 2015

    • Further information on the View Record Citizen Service can be found in the View Record - Citizen Capability and Citizen Services Implementation Guidance

    E00174 - configure access to elements of the Electronic Patient Record (EPR) in the View Record Citizen Service

    As a Health or Care Professional

    I want to record that elements of the Electronic Patient Record (EPR) are Restricted from View Record

    So that elements recorded as Restricted from View Record are not displayed to Citizens via the View Record Citizen Service

    Acceptance criterion 1: record existing elements of the Electronic Patient Record (EPR) as Restricted from View Record Citizen Service upon review

    Given the Health or Care Professional is permitted to review the Electronic Patient Record (EPR)

    When they the Health or Care Professional selects to record an existing element of the Electronic Patient Record (EPR) as Restricted from View Record

    Then this element is recorded as Restricted from View Record

    And it is not displayed in Citizen Services

    Acceptance criterion 2: record elements of the Electronic Patient Record (EPR) as Restricted from View Record Citizen Service whilst entering information

    Given the Health or Care Professional is permitted to enter information into the Electronic Patient Record (EPR)

    When they the Health or Care Professional enters information into the Electronic Patient Record (EPR)

    And the Health or Care Professional selects to record an element of this information as Restricted from View Record

    Then this element is recorded as Restricted from View Record

    And it is not displayed via the View Record Citizen Service

    Acceptance criterion 3: indicate Restricted from View Record elements to Health or Care Professionals

    Given the Health or Care Professional is permitted to view the Electronic Patient Record (EPR)

    And there are elements of the Electronic Patient Record (EPR) that have been recorded as Restricted from View Record

    When the Health or Care Professional selects to view the Electronic Patient Record (EPR)

    Then the Health or Care Professional can view that these elements are Restricted from View Record

    Acceptance criterion 4: update elements recorded as Restricted from View Record as available for View Record

    Given the Health or Care Professional is permitted to view the Electronic Patient Record (EPR)

    And there are elements of the Electronic Patient Record (EPR) that have been recorded as Restricted from View Record

    When the Health or Care Professional selects to record an element as available for View Record

    Then this element is recorded as available for the View Record Citizen Service

    And it is displayed via the View Record Citizen Service

    E00174 - Additional Implementation Details

    Solutions MUST comply with the following when implementing this Epic:

    • Ability for Health or Care Professionals to record any type of element recorded in the Electronic Patient Record (EPR) as Restricted from View Record Citizen Service

    Info

    E00174 - Supporting Information

    • Elements of the Electronic Patient Record (EPR) MAY include, but are not limited to:

      • An Electronic Patient Record (EPR) (as a whole)

      • Groups of elements of an Electronic Patient Record (EPR) e.g. an entire consultation, documents and all associated read coded information

      • Individual elements e.g. a code, a medication

    • Examples of when a Health or Care Professional MAY need to record an element of the Electronic Patient Record (EPR) as Restricted from view include, but are not limited to:

      • When reviewing Pathology results

      • When reviewing Radiology results

      • When reviewing external documents

    • Further information on the View Record Citizen Service can be found in the View Record - Citizen Capability and Citizen Services Implementation Guidance

    Interoperability Standard: Capability-independent interoperability Standards section updated

    IM1 - Interface Mechanism

    IM1 - Interface Mechanism is a mechanism for accessing data held in GP Systems (Systems providing one or more Capabilities as part of the GP IT Futures Contracting Vehicle. The interface mechanism facilitates three use-cases (Patient, Bulk and Practice) which are detailed within the IM1 page.

    A system or application is required to provide IM1 interfaces if ANY of the following are true: it offered IM1 interfaces under GPSoC GP IT Futures.

    • It offers ALL Foundation Capabilities

    Where a GP Connect interface capability is available, Provider Suppliers would be expected to develop against that, rather than developing a new bespoke or proprietary interface.

    A system or application may wish to consume IM1 interfaces where they have a requirement to access data held in GP Systems and the Provider Solution does not offer a GP Connect interface.

    ...