Software package and information systems

Tender description

Betsi Cadwaladr University Health Board wishes to procure a Digital Health Record (DHR), that will provide a single view of the acute patient record; supporting integration with local and national systems that are fit for purpose, providing greater access to systems and information that are compliant with data protection legislation requirement, improving and streamlining working practices and removing ‘paper’ from the system. The broad requirements of the solution are as follows: • the operational user interface must be easy to access, responsive, user-friendly, easy to navigate and quick to learn; • the solution is required to present a single, unified view (aggregate from existing point of care systems and new content) of a patient‘s history of encounters. This must include a cross care system longitudinal timeline for an individual. The user should be able to view further information about these encounters where available; • as an overview, the solution must: — take the demographic and appointment data from the Welsh Patient Administration System (WPAS); — allow a user to find/search for a patient by entering any one of the patient’s unique identifiers; — allow a user to select a patient from lists (eg ward, clinic or custom); — create e-form templates and associated workflows for the capture of data; — deliver seamless integration with national and local best of breed systems via an open architecture allowing the transfer of data and documents; — allow existing paper records to be scanned in and stored as a composite part of the patient’s digital record; — the workflow must fit with clinical practice in all areas of the health board; in particular it must not delay acute work, such as patient clerking, nor interfere with clinical interaction (listen, talk, observe, document); — enable quick access to the stored comprehensive patient record or its component parts, and provide features specifically designed to make navigation of very large records quick and easy, e.g. sort, filter, search; — present information in a meaningful way to support clinical workflow; presenting to the user appointment lists, recent test results, etc. and provide automated notifications; — provide an electronic window (portal) that allows clinicians and administrators to view defined information about individual and cohorts of patients in a 'virtual' electronic patient record; — meet the national standards on data coding and transfer, e.g. SNOMED CT, HL7 FHIR; — meet existing NHS Wales Data Dictionary standards, and have the flexibility to be configured to incorporate future changes; — to support the streamlining of working practices by removing ‘paper’ from the system; — provide a detailed audit trail of all access and updates to patient records; — be able to send output to other professionals and/or providers both electronically and in hard copy to support e.g. the management of Subject Access Requests including the redaction of information and output to .pdf; watermarks; — be device agnostic.