ID	R1
Version	1.0.2
Type	Reference

1 Introduction
- 1.1 Spine Demographics host:
- 1.2 Spine Clinicals host
- 1.3 Other Spine Services include:
2 Compliance, Assurance and Testing
- 2.1 Using MHS Adaptor
3 Documentation
- 3.1 Using MHS Adaptor

Introduction

The NHS Spine supports national services such as the Personal Demographics Service (PDS), e-Referrals Service (e-RS), Electronic Prescription Service (EPS) and the Summary Care Record (SCR). To provide secure access to these systems Spine hosts an number of subsystems which are defined in the External Interface Specification (EIS). The FHIR services guidance is accessible at Spine FHIR APIs. There are also a number of supporting artefacts that needed for development to enable Spine access. The migration from Spine to Spine 2 has seen an uplift and renaming of some services, which is defined as the DIP (Digital Interoperability Platform). A representation of the DIP can be seen below:

There are two core patient information repositories Spine Clinicals and Spine Demographics, where a service sits is determined by the sensitivity of the data, currently

Spine Demographics host:

Personal Demographics Service (PDS)
Visitors and Migrants
National Data Opt Outs

Spine Clinicals host

Summary Care Record (SCR)
Female Genital Mutilation Risk Indicator System - FGM RIS
Child Projection Information Service - CP-IS
Flags - such as Reasonable Adjustments (in development)

Other Spine Services include:

Spine Directories - ODS, CIS, Pathways DOS. eRS Directory, Choices Directory, MESH endpoints
National Events Management Service
National Record Locator Service
Strategic Authorisation National Identity
Message Exchange for Social Care and Health - MESH
Spine Secure Proxy
Spine Mini Service
API Gateway which includes the functionality of the legacy Transaction and Messaging Service (TMS)
Message Handling System via MHS Adaptor

Compliance, Assurance and Testing

Compliance and Assurance is carried out by the Solution Assurance Team for access to each individual Spine Service. Local Systems accessing Spine services must meet the Spine WES and the minimum set of IG requirements defined by each service.

When developing healthcare applications, they can be tested by connecting them to the Spine test environment OpenTest. It contains clinical and demographic test data and gives access to a real Spine 2 core instance and all spine based national NHS services.

The is supporting guidance for accessing Spine FHIR APIs is currently in draft format and should be checked regularly for further additions

Using MHS Adaptor

MHS adapter has been developed and pre-assured by the Authority.

More information on integrating can be found here

Documentation

Additional supporting documentation:

The Supported Cipher Suite
End Point Access guidance
General Spine Access guidance
Organisation Data Service ODS and codes can be accessed by the ODS API Suite

Using MHS Adaptor

It is recommended to read GP software developer guide in conjunction with the adaptor documentation