Spine Core Messaging and Spine Core applications
The Spine Core service provides a messaging service that allows certified endpoint message handling systems to query and update data held in the national demographic and prescriptions systems.
The Spine Core systems also supports the e-RS national systems by providing a messaging interface between e-RS and referrers and providers. Also included in the Spine Core service are the Graphic User Interface (GUI) based Summary Care Record application (SCRa) and Demographic Spine Application (DSA). These allow Spine Core data to be manipulated without a messaging interface.
Spine Mini Service Provider
The Spine Mini Service Provider provides customers an interface to submit a limited number of demographic messages in a simple format.
Spine Secure Proxy
The Spine Secure Proxy provides a simpler interface to local systems for demographic messaging, allowing quick recovery of details without the requirements of full integration. Messaging functionality is limited to retrievals and simple trace. Updates are not supported.
Message Exchange for Social Care and Health (MESH)
The Message Exchange for Social Care and Health (MESH) provides a workflow based data transfer service that allows registered users to exchange data between secure mailboxes. It is used to support services such as the transfer of Pathology data between labs and hospitals and electronic discharge notes to community medical teams for patients leaving hospital care.
Care Identity Service (CIS)
The Care Identity Service (CIS) controls user access to data held in the national systems. Users access is via a smartcard and uses Role Based Access Control. Both smartcards and Access control are managed within the CIS application. Certification and management of message handling systems is also managed within the CIS application.
NHS e-Referral Service (e-RS)
The NHS e-Referral Service (e-RS) combines electronic booking with a choice of place, date and time for first hospital or clinic appointments. Patients can choose their initial hospital or clinic appointment, book it in the GP surgery at the point of referral, or later at home on the phone or online.
NHS e-Referral Service Application Programming Interface (e-RS API)
The NHS e-Referral Service Application Programming Interface (e-RS API) service allows patient systems to perform clinical actions within the e-RS application via an external API interface.