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Supports access to national services made available through the Spine. |
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Introduction
The NHS Digital 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:
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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 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 NHS Digitalthe 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
- NPFIT-FNT-TO-SCG-0005 SCG clarification on timezone v1.1.doc
- NPFIT-FNT-TO-SCG-0005 App3 v2.xls
- Organisation Data Service ODS and codes can be accessed by the ODS API Suite
- Spine101.pdf
Using MHS Adaptor
It is recommended to read GP software developer guide in conjunction with the adaptor documentation