A brief introduction to the priority FGM-IS Service capabilities.

FGM Service is initially focussing on delivering two main interoperability capabilities:

FGM View Only Capability

A ‘view only’ capability within local NHS systems and Spine Mini Service Providers (SMSP). This will allow fully integrated query and response access to national FGM Information Sharing (FGM-IS) from local NHS systems and SMSP’s.

Query for patient FGM status

The FGM client will construct a FHIR FGM query message and send it to the SPINE:

Assuming successful transport, there are three possible outcomes:

• SPINE rejects the query due to business rules around the query construct
• SPINE executes the query and there is an FGM-IS entry for the patient
• SPINE executes the query and there is no FGM-IS entry for the patient

FGM IS Query and Response functionality

This activity diagram below illustrates interactive FGM-IS Query and Response functionality.

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FGM Update Capability

Important: Please note that the ‘update’ capability is not currently available for those suppliers wishing to integrate FGM IS within their product offering. This will be kept under review by the NHS. Currently, the only functionality to be integrated into supplier systems is the ‘view only’ capability.

An ‘update’ capability within local NHS systems. Enabling additional create and delete capability for local NHS systems integration to the FGM-IS.

This functionality is only applicable to local NHS IT systems that are Spine compliant and use National Role Based Access Control (RBAC). The FGM-IS can only be updated by authorised healthcare professionals using Smartcards with the correct RBAC activity codes.

Create patient FGM indicator

The FGM-IS client will construct a FHIR create FGM-IS indicator message and send it to the SPINE

Assuming successful transport, there are two possible outcomes:

• SPINE rejects the create indicator request due to business rules around the message construct
• SPINE executes the create indicator request and there is an FGM-IS risk entry created for the patient on Spine

Delete patient FGM indicator

The FGM-IS client will construct a FHIR delete FGM-IS indicator request message and send it to the SPINE

Assuming successful transport, there are two possible outcomes:

• SPINE rejects the delete indicator request due to business rules around the message construct
• SPINE executes the delete indicator request and the FGM-IS entry is deleted for the patient on Spine

Tags: development