The action or process used to ensure that a system provider meets necessary criteria to use the Open API services.
Access Control Framework. Access to NHS Care Records Service data (on Spine) is controlled by the ACF which registers and authenticates all users. It provides a single log-in and a record of each healthcare professional accessing a patient’s NHS care record.
All information is provided on a need-to-know basis and based on a user’s role and legitimate relationship with the patient. It stores the details of those relationships between healthcare professionals and patients, as well as patient preferences on information sharing (such as whether certain sensitive information is restricted from routine sharing).
Access Control Service. The Access Control Service used on Spine.
A class in HL7 that describes if something happened or may happen.
An Active patient as defined by GP Connect is any patient on a providers system that has Not Left and is Not Deceased. The concept of Active is related to the patient’s registration status rather than to the patients registration type.
A provider's system may have a number of different statuses which should be considered Active. Many of those statuses may apply to a number of different registration type. Below is a basic example of a possible GP Practice representation of patient registration type and registration status, to help explain the concept of an Active patient within GP Connect.
A relationship between two HL7 act classes.
Advance Decision to Refuse Treatment. An advance decision (sometimes known as an advance decision to refuse treatment, an ADRT, or a living will) is a decision you can make now to refuse a specific type of treatment at some time in the future.
HL7 Admit/Discharge and Transfer messages carry patient demographic information for HL7 communications but also provide important information about trigger events (such as patient admit, discharge, transfer, registration, etc.).
Some of the most important segments in the ADT message are the PID segment, the PV1 (Patient Visit). ADT messages are extremely common in HL7 processing and are among the most widely used of all message types.
The Academy of Medical Royal Colleges represents standards of care and medical education across the UK. By bringing together the expertise of the medical Royal Colleges and Faculties it drives improvement in health and patient care through education, training and quality standards.
The term Application Programming Interface is quite a confused term in the context of FHIR. Strictly speaking, an API is a set or services offered by a programming library that can be made use of by another application. Historically these would have been made available from a single machine although now they are available across networks.
In the service/message/document categorisation, an API is a service interface. As technology became increasingly capable of supporting distributed operations, the differences between SOA (Service Oriented Architecture) and API became blurred. In the context of FHIR we define APIs as REST based interfaces.
A response from one application to another indicating that a message has been received and is valid.
The role played by the application in a particular interaction.
An initiative launched by HL7 to accelerate the development and adoption of FHIR. Supported by 11 organizations, including EHR vendors Epic and Cerner and health systems Mayo Clinic and Intermountain Healthcare.
SDS Accredited System Identifier.
A set of activities intended to provide confidence that a system works as described and in a safe and secure way.
Attributes are abstractions of the data captured about classes. Attributes capture separate aspects of the class and take their values independent of one another.
An Authenticated User Session is defined as when a real person is physically logged in to a system after being authenticated via their smart card or by another authentication method.