17. Make your service interoperable
In an organisation as diverse and complex as the NHS, we need systems and services which talk to each other. Build for interoperability to share patient records and get data quickly from one place to another.
Why it's important
Connected systems make it easier for the public and health professionals to access and share the information they need. Interoperability helps make sure that data is communicated accurately and quickly and that patients get seamless care.
What you should do
Your team should be able to show that:
- you work to open standards and the Technology Code of Practice
- you maximise flexibility and make content, tools and services available through well-designed APIs to reach more people
- you use agreed FHIR-based APIs (from NHS Digital's API catalogue, filtered by FHIR) to join up care for patients
- where appropriate, you use the NHS number (NHS Digital) and NHS data registers and comply with NHS clinical information standards
- for disease information in mortality and morbidity statistics, you use ICD-10 (the World Health Organization's International Classification of Diseases, version 10)
- for electronic care records, you use the structured clinical vocabulary SNOMED CT (on NHS Digital's website)
- if you create any data sets that could be useful to others, you publish them in an open machine-readable format, under an Open Government Licence, unless they contain personally identifiable information, sensitive information, or where publishing the data would infringe the intellectual property rights of someone outside the NHS or government
- if you use barcodes or similar identifiers, you comply with the GS1 barcodes standard as set out in Scan4Safety
- where relevant, you comply with the standards published by the Open Standards Board on GOV.UK
In the GOV.UK service standard, open standards are part of point 13. Use and contribute to open standards, common components and patterns.
Here are some useful GOV.UK resources.
- Application programming interfaces (APIs)
- Introducing registers
- Open standards principles
- Technology Code of Practice
- Working with open standards
Read more about this
- The API catalogue (NHS Digital)
- A guide to good practice for digital and data-driven health technologies (on GOV.UK)
- Data registers service (NHS Digital)
- FHIR (Fast Healthcare Interoperability Resources, NHS Digital)
- ICD-10, version: 2016 - the World Health Organization's International Classification of Diseases (WHO)
- ISB 0149 NHS number (NHS Digital) - this information standard sets out the scope and use of the NHS number
- NHS website developer portal (NHS.UK)
- Open Government Licence (The National Archives)
- SNOMED CT (on NHS Digital's website) - a structured clinical vocabulary for use in an electronic health record