{
  "checked": "2026-09-25",
  "scope": "UK-wide source-linked baseline; not a complete trust, site, discipline or deployment census",
  "records": [
    {
      "id": "scr-west-midlands",
      "nation": "England",
      "area": "Birmingham and Solihull; Coventry and Warwickshire; Herefordshire and Worcestershire",
      "organisation": "Three ICB collaborative",
      "organisation_type": "ICB/programme",
      "programme": "Collaborative / West Midlands Shared Care Record",
      "category": "shared-care",
      "supplier": "InterSystems",
      "product": "HealthShare",
      "status": "live-reported",
      "status_date": "2025",
      "scope": "Regional health and social care shared record",
      "source_footprint": "Birmingham and Solihull; Coventry and Warwickshire; Herefordshire and Worcestershire",
      "current_icb_codes": [
        "QHL",
        "QWU",
        "QGH"
      ],
      "notes": "FOI identifies the three-area HealthShare contract through April 2029. This is distinct from the MERIT-only contract and does not cover every West Midlands ICB.",
      "source_urls": [
        "https://www.bsmhft.nhs.uk/wp-content/uploads/2025/09/FOI-052-2025.pdf",
        "https://www.bsmhft.nhs.uk/wp-content/uploads/2025/06/FOI-0469_2025.pdf",
        "https://digital.nhs.uk/services/national-record-locator/roadmap"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000018",
        "E54000019",
        "E54000055"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-443",
        "SRC-444",
        "SRC-025"
      ]
    },
    {
      "id": "scr-lincolnshire",
      "nation": "England",
      "area": "Lincolnshire",
      "organisation": "NHS Lincolnshire ICB",
      "organisation_type": "ICB/programme",
      "programme": "Lincolnshire Care Record / Care Portal",
      "category": "shared-care",
      "supplier": "InterSystems",
      "product": "HealthShare / Care Community",
      "status": "live-reported",
      "status_date": "Undated source; checked 2026-09-25",
      "scope": "Regional shared care portal",
      "source_footprint": "Lincolnshire",
      "current_icb_codes": [
        "QJM"
      ],
      "notes": "NHS roadmap identifies an InterSystems site; the planned NRL IPS pointer go-live is not proof of completion.",
      "source_urls": [
        "https://digital.nhs.uk/services/national-record-locator/roadmap",
        "https://lincolnshire.icb.nhs.uk/carerecord/",
        "https://www.intersystems.com/resources/fhir-use-cases-digital-health-barriers-transform-care/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000013"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-025",
        "SRC-445",
        "SRC-446"
      ]
    },
    {
      "id": "scr-norfolk",
      "nation": "England",
      "area": "Norfolk and Waveney legacy footprint",
      "organisation": "NHS Norfolk and Suffolk ICB (legacy Norfolk and Waveney programme)",
      "organisation_type": "ICB/programme",
      "programme": "Norfolk and Waveney Shared Care Record",
      "category": "shared-care",
      "supplier": "InterSystems",
      "product": "Shared Care Record (HealthShare family; exact build unverified)",
      "status": "live-reported",
      "status_date": "2024-03-27",
      "scope": "Named mental health and three acute trust feeds",
      "source_footprint": "Norfolk and Waveney legacy footprint",
      "current_icb_codes": [
        "T6Y0W"
      ],
      "notes": "Customer names InterSystems; the implementation partner reports mental health and acute feeds live in 2023. This does not establish HealthShare across the entire new Norfolk and Suffolk ICB or replacement of Suffolk HIE.",
      "source_urls": [
        "https://improvinglivesnw.org.uk/~documents/ics-publications-1/digital/norfolk-and-waveney-shared-care-record-public-and-stakeholder-briefing",
        "https://restartconsulting.com/resources/case-studies/shared-care-record-launches-across-norfolk-and-waveney/"
      ],
      "evidence_strength": "customer selection plus implementation-partner live report",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000068"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-447",
        "SRC-448"
      ]
    },
    {
      "id": "scr-bedfordshire",
      "nation": "England",
      "area": "Bedfordshire and Luton",
      "organisation": "Bedfordshire Hospitals NHS FT / legacy BLMK programme",
      "organisation_type": "ICB/programme",
      "programme": "Bedfordshire and Luton Shared Health and Care Record",
      "category": "shared-care",
      "supplier": "InterSystems",
      "product": "HealthShare",
      "status": "live-reported",
      "status_date": "2022-04",
      "scope": "Clinical portal joining primary/secondary care",
      "source_footprint": "Bedfordshire and Luton",
      "current_icb_codes": [
        "S1Y5D"
      ],
      "notes": "Customer reports HealthShare live April 2021 and the clinical portal launched April 2022. BLMK and the new Central East ICB have other platforms; no whole-ICB supplier claim.",
      "source_urls": [
        "https://blmkhealthandcarepartnership.org/bedfordshire-hospitals-nhs-foundation-trust-partners-with-intersystems-to-launch-new-shared-health-and-care-record/",
        "https://www.bedfordshirehospitals.nhs.uk/wp-content/uploads/2022/04/Board-of-Directors-May-2022.pdf"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000065"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-449",
        "SRC-450"
      ]
    },
    {
      "id": "scr-milton-keynes",
      "nation": "England",
      "area": "Milton Keynes",
      "organisation": "Legacy BLMK / Milton Keynes programme",
      "organisation_type": "ICB/programme",
      "programme": "Milton Keynes HIE",
      "category": "shared-care",
      "supplier": "Oracle Health (Cerner)",
      "product": "Health Information Exchange",
      "status": "live-reported",
      "status_date": "2025-09-23",
      "scope": "Local shared-care component",
      "source_footprint": "Milton Keynes",
      "current_icb_codes": [
        "S1Y5D"
      ],
      "notes": "Trust response confirms Oracle HIE links and selected record visibility, with participation gaps. InterSystems middleware for some connections is a separate product role; not proof HIE is HealthShare.",
      "source_urls": [
        "https://www.elft.nhs.uk/sites/default/files/2022-05/foi_da3992_appendix_1.pdf",
        "https://onelondon.online/london-care-record-partners/",
        "https://www.judiciary.uk/wp-content/uploads/2025/08/2025-0396-Response-from-Milton-Keynes-University-Hospital.pdf"
      ],
      "evidence_strength": "High for dated trust statement; current connection-by-connection coverage unverified",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000065"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-451",
        "SRC-452",
        "SRC-592"
      ]
    },
    {
      "id": "scr-london",
      "nation": "England",
      "area": "London: West and North London, North East London, South East London, South West London",
      "organisation": "OneLondon and four current London ICBs",
      "organisation_type": "ICB/programme",
      "programme": "London Care Record",
      "category": "shared-care",
      "supplier": "Oracle Health (Cerner)",
      "product": "Health Information Exchange",
      "status": "live-reported",
      "status_date": "2026-05-22",
      "scope": "Central OneLondon hub connected to local HIEs",
      "source_footprint": "London: West and North London, North East London, South East London, South West London",
      "current_icb_codes": [
        "Z9B2Z",
        "QMF",
        "QKK",
        "QWE"
      ],
      "notes": "Provider participation varies. Links to neighbouring areas do not establish whole-ICB Oracle deployments. North West London Health Connect Cloud is an integration service, separate from the London Care Record supplier.",
      "source_urls": [
        "https://onelondon.online/london-care-record-partners/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000029",
        "E54000030",
        "E54000031",
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-452"
      ]
    },
    {
      "id": "scr-hertfordshire-west-essex",
      "nation": "England",
      "area": "Hertfordshire and West Essex legacy footprint",
      "organisation": "NHS Central East ICB / NHS Essex ICB",
      "organisation_type": "ICB/programme",
      "programme": "Hertfordshire and West Essex Shared Care Record",
      "category": "shared-care",
      "supplier": "Oracle Health (Cerner)",
      "product": "Health Information Exchange",
      "status": "live-reported",
      "status_date": "2024-07",
      "scope": "Legacy two-county record",
      "source_footprint": "Hertfordshire and West Essex legacy footprint",
      "current_icb_codes": [
        "S1Y5D",
        "D7T5G"
      ],
      "notes": "Customer board evidence names Oracle Cerner HIE. The April 2026 boundaries split the legacy programme between Central East and Essex.",
      "source_urls": [
        "https://www.hertsandwestessex.ics.nhs.uk/wp-content/uploads/2024/07/Meeting-Book-HWE-ICB-Board-meeting-held-in-Public-V1.pdf",
        "https://www.centraleast.icb.nhs.uk/health-care-professionals/shared-care-record/herts-shared-care-record/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000065",
        "E54000066"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-453",
        "SRC-454"
      ]
    },
    {
      "id": "scr-suffolk-ne-essex",
      "nation": "England",
      "area": "Suffolk and North East Essex legacy footprint",
      "organisation": "NHS Norfolk and Suffolk ICB / NHS Essex ICB",
      "organisation_type": "ICB/programme",
      "programme": "Suffolk and North East Essex HIE",
      "category": "shared-care",
      "supplier": "Oracle Health (Cerner)",
      "product": "Health Information Exchange",
      "status": "live-reported",
      "status_date": "2025-08-01",
      "scope": "Regional record accessible from separateMSEviewer",
      "source_footprint": "Suffolk and North East Essex legacy footprint",
      "current_icb_codes": [
        "T6Y0W",
        "D7T5G"
      ],
      "notes": "The NHS training guide distinguishes Suffolk and North East Essex Cerner HIE from the separate Mid and South Essex viewer. Successor-ICB programme convergence is unverified.",
      "source_urls": [
        "https://www.midandsouthessex.ics.nhs.uk/work/digital-data-and-technology/shared-care-record/information-for-professionals/training-materials/launching-the-cerner-health-information-exchange-from-the-shared-care-record-a-quick-reference-guide/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000066",
        "E54000068"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-455"
      ]
    },
    {
      "id": "scr-mid-south-essex",
      "nation": "England",
      "area": "Mid and South Essex legacy footprint",
      "organisation": "NHS Essex ICB",
      "organisation_type": "ICB/programme",
      "programme": "Mid and South Essex Shared Care Record",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Amadeus / Shared Care Record",
      "status": "live-reported",
      "status_date": "2025-08-19",
      "scope": "Regional health and care record",
      "source_footprint": "Mid and South Essex legacy footprint",
      "current_icb_codes": [
        "D7T5G"
      ],
      "notes": "The NHS privacy notice names Orion; the supplier reports Amadeus deployment. This must not be applied to all of Essex.",
      "source_urls": [
        "https://www.eput.nhs.uk/about/shared-care-record/",
        "https://orionhealth.com/global/customer-stories/mid-and-south-essex-integrated-care-system-2025/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000066"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-456",
        "SRC-457"
      ]
    },
    {
      "id": "scr-cambridgeshire",
      "nation": "England",
      "area": "Cambridgeshire and Peterborough legacy footprint",
      "organisation": "NHS Central East ICB",
      "organisation_type": "ICB/programme",
      "programme": "Cambridgeshire and Peterborough Shared Care Record",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Shared Care Record",
      "status": "live-reported",
      "status_date": "2025-01",
      "scope": "Appointment and clinical feeds from participating providers",
      "source_footprint": "Cambridgeshire and Peterborough legacy footprint",
      "current_icb_codes": [
        "S1Y5D"
      ],
      "notes": "Papworth reports the appointment feed live in December 2024; further content was still planned. This does not establish one platform across Central East.",
      "source_urls": [
        "https://royalpapworth.nhs.uk/application/files/8217/3634/9550/Item_1.vii_CEO_report_Jan_2025_-_.pdf"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000065"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-458"
      ]
    },
    {
      "id": "scr-thames-valley-surrey",
      "nation": "England",
      "area": "Buckinghamshire, Berkshire, Oxfordshire, Surrey and North East Hampshire; legacy Frimley footprint",
      "organisation": "Thames Valley and Surrey Care Records partnership",
      "organisation_type": "ICB/programme",
      "programme": "Thames Valley and Surrey Care Records",
      "category": "shared-care",
      "supplier": "Graphnet",
      "product": "Shared Care Record / CareCentric family",
      "status": "live-reported",
      "status_date": "2025-03-13",
      "scope": "Regional consolidation of four predecessor records",
      "source_footprint": "Buckinghamshire, Berkshire, Oxfordshire, Surrey and North East Hampshire; legacy Frimley footprint",
      "current_icb_codes": [
        "S0E4D",
        "S9B9J",
        "QRL"
      ],
      "notes": "Graphnet reported the merger in progress in March 2025. This is not proof of a completed cutover. The legacy programme crosses three current ICB boundaries.",
      "source_urls": [
        "https://www.graphnethealth.com/knowledge-hub/news/increase-in-usage-and-reported-benefits-as-thames-valley-surrey-care-records-merger-progresses",
        "https://s3.eu-west-2.amazonaws.com/www.hra.nhs.uk/media/documents/12._March_2025_Sub_Committee_CAG_minutes.pdf",
        "https://thamesvalley.icb.nhs.uk/your-health/shared-care-record-how-your-data-is-used"
      ],
      "evidence_strength": "NHS regulator supplier confirmation plus supplier deployment report",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000067",
        "E54000069",
        "E54000070"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-459",
        "SRC-460",
        "SRC-461"
      ]
    },
    {
      "id": "scr-sussex",
      "nation": "England",
      "area": "Sussex legacy footprint",
      "organisation": "NHS Surrey and Sussex ICB",
      "organisation_type": "ICB/programme",
      "programme": "Plexus Care Record",
      "category": "shared-care",
      "supplier": "NHS Our Care Connected; commercial platform supplier unverified",
      "product": "Plexus Viewer / OCC",
      "status": "live-reported",
      "status_date": "Undated source; checked 2026-09-25",
      "scope": "Sussex shared record",
      "source_footprint": "Sussex legacy footprint",
      "current_icb_codes": [
        "S9B9J"
      ],
      "notes": "Plexus and the Our Care Connected team are named. A current commercial platform supplier was not verified; do not extend this Sussex association to the entire Surrey and Sussex ICB.",
      "source_urls": [
        "https://www.surreysussex.icb.nhs.uk/sussex-shared-care-records/",
        "https://www.sussex.ics.nhs.uk/professional-guidance/carers/digital-resources-for-carers/"
      ],
      "evidence_strength": "NHS programme; commercial supplier unverified",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000069"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-462",
        "SRC-463"
      ]
    },
    {
      "id": "scr-yorkshire",
      "nation": "England",
      "area": "Humber and North Yorkshire; South Yorkshire; West Yorkshire",
      "organisation": "Three Yorkshire ICBs / Interweave partnership",
      "organisation_type": "ICB/programme",
      "programme": "Yorkshire and Humber Care Record",
      "category": "shared-care",
      "supplier": "Interweave (NHS-owned)",
      "product": "Shared Care Record Exchange / Portal family",
      "status": "live-reported",
      "status_date": "Undated source; checked 2026-09-25",
      "scope": "Regional exchange across three partnership regions",
      "source_footprint": "Humber and North Yorkshire; South Yorkshire; West Yorkshire",
      "current_icb_codes": [
        "QOQ",
        "QF7",
        "QWO"
      ],
      "notes": "Partner association does not establish every provider connected or precise local component versions.",
      "source_urls": [
        "https://interweavedigital.com/partners/",
        "https://interweavedigital.com/partners/yorkshire-humber-care-record/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000051",
        "E54000054",
        "E54000061"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-464",
        "SRC-465"
      ]
    },
    {
      "id": "scr-llr",
      "nation": "England",
      "area": "Leicester, Leicestershire and Rutland",
      "organisation": "NHS LLR ICB",
      "organisation_type": "ICB/programme",
      "programme": "LLR Care Record",
      "category": "shared-care",
      "supplier": "Interweave (NHS-owned)",
      "product": "Shared Care Record Exchange / Portal family",
      "status": "live-reported",
      "status_date": "Undated source; checked 2026-09-25",
      "scope": "Regional shared care record",
      "source_footprint": "Leicester, Leicestershire and Rutland",
      "current_icb_codes": [
        "QK1"
      ],
      "notes": "The local component topology and versions remain unverified.",
      "source_urls": [
        "https://digital.nhs.uk/services/national-record-locator/roadmap",
        "https://interweavedigital.com/partners/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000015"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-025",
        "SRC-464"
      ]
    },
    {
      "id": "scr-notts",
      "nation": "England",
      "area": "Nottingham and Nottinghamshire",
      "organisation": "NHS Nottingham and Nottinghamshire ICB",
      "organisation_type": "ICB/programme",
      "programme": "Notts Care Record",
      "category": "shared-care",
      "supplier": "Interweave (NHS-owned)",
      "product": "Shared Care Record Exchange / Portal family",
      "status": "live-reported",
      "status_date": "Undated source; checked 2026-09-25",
      "scope": "Regional shared record partnership",
      "source_footprint": "Nottingham and Nottinghamshire",
      "current_icb_codes": [
        "QT1"
      ],
      "notes": "Older Graphnet The Portal evidence is retained separately. Interweave partnership does not establish the retirement of the older portal.",
      "source_urls": [
        "https://digital.nhs.uk/services/national-record-locator/roadmap",
        "https://interweavedigital.com/partners/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000060"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-025",
        "SRC-464"
      ]
    },
    {
      "id": "scr-notts-legacy",
      "nation": "England",
      "area": "Nottingham and Nottinghamshire",
      "organisation": "NHS Nottingham and Nottinghamshire ICB",
      "organisation_type": "ICB/programme",
      "programme": "The Portal / Nottingham Shared Health and Care Record",
      "category": "shared-care",
      "supplier": "Graphnet",
      "product": "CareCentric",
      "status": "historical",
      "status_date": "2024",
      "scope": "Prior local shared record",
      "source_footprint": "Nottingham and Nottinghamshire",
      "current_icb_codes": [
        "QT1"
      ],
      "notes": "Current Interweave programme evidence does not settle replacement dates or retirement of the older Graphnet portal.",
      "source_urls": [
        "https://notts.icb.nhs.uk/wp-content/uploads/sites/2/2024/03/NN-ICB-23-443-Response-Letter.pdf"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000060"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-466"
      ]
    },
    {
      "id": "scr-great-north",
      "nation": "England",
      "area": "North East and North Cumbria",
      "organisation": "NHS North East and North Cumbria ICB",
      "organisation_type": "ICB/programme",
      "programme": "Great North Care Record",
      "category": "shared-care",
      "supplier": "Oracle Health (Cerner)",
      "product": "Health Information Exchange",
      "status": "live-reported",
      "status_date": "2024-09-11",
      "scope": "Regional shared record",
      "source_footprint": "North East and North Cumbria",
      "current_icb_codes": [
        "QHM"
      ],
      "notes": "The operator names Oracle Cerner. Specific GP Connect capabilities must be checked separately.",
      "source_urls": [
        "https://www.greatnorthcarerecord.org.uk/2023/12/19/gp-connect-go-live/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000050"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-467"
      ]
    },
    {
      "id": "scr-kent-medway",
      "nation": "England",
      "area": "Kent and Medway",
      "organisation": "NHS Kent and Medway ICB",
      "organisation_type": "ICB/programme",
      "programme": "Kent and Medway Care Record",
      "category": "shared-care",
      "supplier": "Graphnet",
      "product": "CareCentric",
      "status": "live-reported",
      "status_date": "2024-07-14",
      "scope": "Regional shared record",
      "source_footprint": "Kent and Medway",
      "current_icb_codes": [
        "QKS"
      ],
      "notes": "The NHS notice names Graphnet; the supplier identifies the local CareCentric product.",
      "source_urls": [
        "https://www.kentcht.nhs.uk/privacy/project-and-service-specific-privacy-notices/kmcr-data-protection-privacy-notice/",
        "https://www.graphnethealth.com/knowledge-hub/blog/national-user-group-2024-round-up"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000032"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-468",
        "SRC-469"
      ]
    },
    {
      "id": "scr-greater-manchester",
      "nation": "England",
      "area": "Greater Manchester",
      "organisation": "NHS Greater Manchester ICB / Health Innovation Manchester",
      "organisation_type": "ICB/programme",
      "programme": "GM Care Record",
      "category": "shared-care",
      "supplier": "Graphnet",
      "product": "Shared Care Record / Graphnet portal",
      "status": "live-reported",
      "status_date": "2026-04-14",
      "scope": "Regional shared record",
      "source_footprint": "Greater Manchester",
      "current_icb_codes": [
        "QOP"
      ],
      "notes": "The exact local product version is not established. Reported usage measures the whole GM Care Record.",
      "source_urls": [
        "https://gmwearebettertogether.com/staff/gmcr-epaccs-faqs/",
        "https://healthinnovationmanchester.com/news-archive/gm-care-record-hits-record-milestone-with-over-half-a-million-patient-records-accessed-in-a-single-month/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000057"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-470",
        "SRC-471"
      ]
    },
    {
      "id": "scr-one-health-care",
      "nation": "England",
      "area": "Staffordshire and Stoke-on-Trent; Shropshire Telford and Wrekin; Black Country",
      "organisation": "Three ICB One Health and Care partnership",
      "organisation_type": "ICB/programme",
      "programme": "One Health and Care",
      "category": "shared-care",
      "supplier": "Graphnet",
      "product": "CareCentric / Shared Care Record",
      "status": "live-reported",
      "status_date": "Undated source; checked 2026-09-25",
      "scope": "Shared record across namedprogrammeareas",
      "source_footprint": "Staffordshire and Stoke-on-Trent; Shropshire Telford and Wrekin; Black Country",
      "current_icb_codes": [
        "QNC",
        "QOC",
        "QUA"
      ],
      "notes": "This Graphnet programme is separate from the InterSystems West Midlands collaborative. Participation varies by provider.",
      "source_urls": [
        "https://www.sshis.nhs.uk/one-health-care/",
        "https://www.one-health-care.co.uk/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000010",
        "E54000011",
        "E54000062"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-472",
        "SRC-473"
      ]
    },
    {
      "id": "scr-northamptonshire",
      "nation": "England",
      "area": "Northamptonshire",
      "organisation": "NHS Northamptonshire ICB",
      "organisation_type": "ICB/programme",
      "programme": "Northamptonshire Care Record",
      "category": "shared-care",
      "supplier": "Graphnet",
      "product": "Shared Care Record",
      "status": "live-reported",
      "status_date": "2026-06-30",
      "scope": "Regional sharedrecordandcareplanning",
      "source_footprint": "Northamptonshire",
      "current_icb_codes": [
        "QPM"
      ],
      "notes": "Supplier reports a named current shared-record deployment. Population health management and remote monitoring remain distinct functions.",
      "source_urls": [
        "https://www.graphnethealth.com/knowledge-hub/case-studies/supporting-neighbourhood-health-with-shared-care-population-health-and-remote-monitoring"
      ],
      "evidence_strength": "supplier named current deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000059"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-474"
      ]
    },
    {
      "id": "scr-bsw",
      "nation": "England",
      "area": "Bath and North East Somerset, Swindon and Wiltshire",
      "organisation": "NHS BSW ICB",
      "organisation_type": "ICB/programme",
      "programme": "BSW Integrated Care Record",
      "category": "shared-care",
      "supplier": "Graphnet",
      "product": "CareCentric",
      "status": "live-reported",
      "status_date": "Undated source; checked 2026-09-25",
      "scope": "Regional sharedrecord",
      "source_footprint": "Bath and North East Somerset, Swindon and Wiltshire",
      "current_icb_codes": [
        "QOX"
      ],
      "notes": "Current NHS programme with historical supplier selection evidence. A later procurement extension lead was blocked by a 403 response and is not used as award proof.",
      "source_urls": [
        "https://www.graphnethealth.com/knowledge-hub/news/swindon-and-wiltshire-signs-contract-for-new-integrated-care-record",
        "https://bsw.icb.nhs.uk/your-health/your-care-record/"
      ],
      "evidence_strength": "NHS programme plus historical supplier association",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000040"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-475",
        "SRC-476"
      ]
    },
    {
      "id": "scr-lancashire",
      "nation": "England",
      "area": "Lancashire and South Cumbria",
      "organisation": "NHS Lancashire and South Cumbria ICB",
      "organisation_type": "ICB/programme",
      "programme": "Lancashire and South Cumbria Shared Care Record / LPRES",
      "category": "shared-care",
      "supplier": "Unverified in retrieved primary supplier evidence",
      "product": "Shared Care Record",
      "status": "live-reported",
      "status_date": "Undated source; checked 2026-09-25",
      "scope": "Regional programme",
      "source_footprint": "Lancashire and South Cumbria",
      "current_icb_codes": [
        "QE1"
      ],
      "notes": "A 2026 continuity award lead names 2T Solutions (FTS 046130-2026), but primary notice retrieval returned 403. Supplier remains unverified pending retrieval.",
      "source_urls": [
        "https://www.lancashireandsouthcumbria.icb.nhs.uk/our-work/digital-transformation/lancashire-and-south-cumbria-shared-care-record"
      ],
      "evidence_strength": "NHS programme; supplier unverified",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000048"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-477"
      ]
    },
    {
      "id": "scr-cheshire-mersey",
      "nation": "England",
      "area": "Cheshire and Merseyside",
      "organisation": "NHS Cheshire and Merseyside ICB",
      "organisation_type": "ICB/programme",
      "programme": "Cheshire and Merseyside shared record / Share2Care",
      "category": "shared-care",
      "supplier": "Graphnet; Oracle Health (Cerner); Philips",
      "product": "Interconnected shared-record solutions",
      "status": "historical",
      "status_date": "2023-04",
      "scope": "Three interconnectedlocalrecords",
      "source_footprint": "Cheshire and Merseyside",
      "current_icb_codes": [
        "QYG"
      ],
      "notes": "The April 2023 ICB notice names three processors. A newer Graphnet overview retains an early-2026 target with date TBC, so the current mix and completed cutover are unresolved.",
      "source_urls": [
        "https://www.cheshireandmerseyside.nhs.uk/media/25ckx2a5/shared-care-record-privacy-notice-direct-patient-care-april-2023-icb-website-v11.pdf",
        "https://www.cmcarerecord.nhs.uk/media/0wrhbbdo/cm-care-record-overview.pdf"
      ],
      "evidence_strength": "NHS named historical estate and programme transition plan",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000008"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-478",
        "SRC-479"
      ]
    },
    {
      "id": "scr-devon-cornwall",
      "nation": "England",
      "area": "Devon; Cornwall and Isles of Scilly",
      "organisation": "NHS Devon ICB / NHS Cornwall and Isles of Scilly ICB",
      "organisation_type": "ICB/programme",
      "programme": "Devon and Cornwall Care Record",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Shared Care Record / clinical viewers",
      "status": "live-reported",
      "status_date": "2024-05-15",
      "scope": "Cross-ICB regional shared care record",
      "source_footprint": "Devon; Cornwall and Isles of Scilly",
      "current_icb_codes": [
        "QJK",
        "QT6"
      ],
      "notes": "The operator reports live Orion viewers. Exact product versions and full feed coverage remain unverified.",
      "source_urls": [
        "https://devonandcornwallcarerecord.nhs.uk/2024/05/15/dccr-briefing-may-2024/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000036",
        "E54000037"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-480"
      ]
    },
    {
      "id": "scr-dorset-interweave",
      "nation": "England",
      "area": "Dorset",
      "organisation": "NHS Dorset ICB",
      "organisation_type": "ICB/programme",
      "programme": "Dorset Care Record — Interweave partnership",
      "category": "shared-care",
      "supplier": "Interweave (NHS-owned)",
      "product": "Shared Care Record partnership",
      "status": "selected/transition",
      "status_date": "2026-09-17",
      "scope": "Newly announcedpartnership",
      "source_footprint": "Dorset",
      "current_icb_codes": [
        "QVV"
      ],
      "notes": "The September 2026 partnership announcement does not specify complete provider cutover or Orion retirement. Retain the historical Orion baseline.",
      "source_urls": [
        "https://interweavedigital.com/partners/",
        "https://www.humber.nhs.uk/news/dorset-care-record-joins-interweave-partnership/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000041"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-464",
        "SRC-481"
      ]
    },
    {
      "id": "scr-dorset-orion",
      "nation": "England",
      "area": "Dorset",
      "organisation": "NHS Dorset ICB",
      "organisation_type": "ICB/programme",
      "programme": "Dorset Care Record — Orion baseline",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Shared Care Record",
      "status": "historical",
      "status_date": "2023",
      "scope": "Earlierregionalrecord",
      "source_footprint": "Dorset",
      "current_icb_codes": [
        "QVV"
      ],
      "notes": "Interweave partnership was announced on 17 September 2026. Historical Orion use does not prove current exclusive supply.",
      "source_urls": [
        "https://www.humber.nhs.uk/news/dorset-care-record-joins-interweave-partnership/",
        "https://orionhealth.com/uk/blog/new-targets-accelerate-englands-shared-care-record-ambitions/",
        "https://orionhealth.com/global/blog/where-next-for-the-shared-care-record-or-the-connected-care-record/"
      ],
      "evidence_strength": "supplier historical deployment plus NHS transition",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000041"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-481",
        "SRC-482",
        "SRC-483"
      ]
    },
    {
      "id": "scr-hampshire-iow",
      "nation": "England",
      "area": "Hampshire and Isle of Wight",
      "organisation": "NHS Hampshire and Isle of Wight ICB",
      "organisation_type": "ICB/programme",
      "programme": "Care and Health Information Exchange (CHIE)",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Shared Care Record / Clinical Portal",
      "status": "live-reported",
      "status_date": "2026-04-01",
      "scope": "Regional shared care exchange",
      "source_footprint": "Hampshire and Isle of Wight",
      "current_icb_codes": [
        "QRL"
      ],
      "notes": "The NHS roadmap names an Orion site; its new NRL pointer publication was still planned. North East Hampshire has a separate TVS association that requires provider-level lookup.",
      "source_urls": [
        "https://digital.nhs.uk/services/national-record-locator/roadmap",
        "https://orionhealth.com/uk/blog/new-targets-accelerate-englands-shared-care-record-ambitions/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000067"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-025",
        "SRC-482"
      ]
    },
    {
      "id": "scr-derbyshire",
      "nation": "England",
      "area": "Derby and Derbyshire",
      "organisation": "NHS Derby and Derbyshire ICB",
      "organisation_type": "ICB/programme",
      "programme": "Derbyshire Shared Care Record",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Shared Care Record",
      "status": "live-reported",
      "status_date": "2024-04-29",
      "scope": "Regional sharedcare record",
      "source_footprint": "Derby and Derbyshire",
      "current_icb_codes": [
        "QJ2"
      ],
      "notes": "Interweave associate membership does not establish replacement of Orion.",
      "source_urls": [
        "https://interweavedigital.com/partners/",
        "https://orionhealth.com/uk/blog/new-targets-accelerate-englands-shared-care-record-ambitions/",
        "https://orionhealth.com/global/blog/where-next-for-the-shared-care-record-or-the-connected-care-record/",
        "https://orionhealth.com/uk/blog/shared-care-records-the-cornerstone-of-integrated-healthcare/"
      ],
      "evidence_strength": "supplier named deployment and NHS-owned partnership context",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000058"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-464",
        "SRC-482",
        "SRC-483",
        "SRC-488"
      ]
    },
    {
      "id": "scr-bnssg",
      "nation": "England",
      "area": "Bristol North Somerset and South Gloucestershire",
      "organisation": "NHS BNSSG ICB",
      "organisation_type": "ICB/programme",
      "programme": "Connecting Care",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Shared Care Record / Clinical Portal",
      "status": "live-reported",
      "status_date": "2024-04-29",
      "scope": "Regional sharedcare record",
      "source_footprint": "Bristol North Somerset and South Gloucestershire",
      "current_icb_codes": [
        "QUY"
      ],
      "notes": "Historical NHS FOI names Orion and a later supplier reference corroborates the relationship. The current contract term is unverified.",
      "source_urls": [
        "https://www.uhbw.nhs.uk/assets/1/22-244_response.pdf",
        "https://orionhealth.com/uk/blog/shared-care-records-the-cornerstone-of-integrated-healthcare/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000039"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-484",
        "SRC-488"
      ]
    },
    {
      "id": "scr-somerset",
      "nation": "England",
      "area": "Somerset; selected cross-border access",
      "organisation": "NHS Somerset ICB",
      "organisation_type": "ICB/programme",
      "programme": "SIDeR+",
      "category": "shared-care",
      "supplier": "Black Pear",
      "product": "SIDeR+ / eSP family",
      "status": "live-reported",
      "status_date": "2024",
      "scope": "Somersetsharedrecordwithselectedneighbouringprovideraccess",
      "source_footprint": "Somerset; selectedcrossborderaccess",
      "current_icb_codes": [
        "QSL"
      ],
      "notes": "NHS report names Black Pear and the second contract through at least March 2029. Selected cross-border access is not a whole Devon or Dorset deployment.",
      "source_urls": [
        "https://nhssomerset.nhs.uk/wp-content/uploads/sites/2/SIDeR-Benefits-Realisation-Report-2020-24-v0.1.pdf",
        "https://nhssomerset.nhs.uk/about-us/digital-projects/sider/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000038"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-485",
        "SRC-486"
      ]
    },
    {
      "id": "scr-gloucestershire",
      "nation": "England",
      "area": "Gloucestershire",
      "organisation": "NHS Gloucestershire ICB",
      "organisation_type": "ICB/programme",
      "programme": "JUYI / JUYI2 Shared Care Record",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Shared Care Record",
      "status": "selected/transition",
      "status_date": "2024",
      "scope": "ReplacementforhistoricalKainosJUYI",
      "source_footprint": "Gloucestershire",
      "current_icb_codes": [
        "QR1"
      ],
      "notes": "Primary procurement indexed text names Orion and a delayed October 2024 delivery deadline. Direct retrieval returned 403; a later supplier LinkedIn go-live lead is not treated as NHS-verified current operation.",
      "source_urls": [
        "https://www.find-tender.service.gov.uk/Notice/023005-2024/PDF",
        "https://orionhealth.com/uk/blog/shared-care-records-the-cornerstone-of-integrated-healthcare/"
      ],
      "evidence_strength": "primary indexed procurement plus supplier customer association",
      "checked": "2026-09-25",
      "region_codes": [
        "E54000043"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-487",
        "SRC-488"
      ]
    },
    {
      "id": "scr-scotland-north",
      "nation": "Scotland",
      "area": "NHS Grampian; NHS Highland; NHS Orkney; NHS Shetland",
      "organisation": "North of Scotland Care Portal partnership",
      "organisation_type": "Health board partnership",
      "programme": "North of Scotland Care Portal",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Care Portal / Clinical Data Repository",
      "status": "historical",
      "status_date": "2021",
      "scope": "Four-board shared clinical view",
      "source_footprint": "NHS Grampian; NHS Highland; NHS Orkney; NHS Shetland",
      "current_icb_codes": [],
      "notes": "The supplier reports four-board go-live in 2019. This is not proof of all six North of Scotland boards or of current 2026 coverage.",
      "source_urls": [
        "https://orionhealth.com/uk/blog/get-to-know-our-customers/"
      ],
      "evidence_strength": "supplier named historical deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "S08000020",
        "S08000022",
        "S08000025",
        "S08000026"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-489"
      ]
    },
    {
      "id": "scr-scotland-tayside",
      "nation": "Scotland",
      "area": "NHS Tayside",
      "organisation": "NHS Tayside",
      "organisation_type": "Health board",
      "programme": "North of Scotland Care Portal connection",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Interoperability/portal link products",
      "status": "historical",
      "status_date": "2019",
      "scope": "LinksTaysideEPRtoNoSPortal",
      "source_footprint": "NHS Tayside",
      "current_icb_codes": [],
      "notes": "A portal-link procurement does not make the local EPR an Orion EPR or establish full 2026 coverage.",
      "source_urls": [
        "https://orionhealth.com/uk/blog/get-to-know-our-customers/"
      ],
      "evidence_strength": "supplier historical connection report",
      "checked": "2026-09-25",
      "region_codes": [
        "S08000030"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-489"
      ]
    },
    {
      "id": "scr-scotland-west",
      "nation": "Scotland",
      "area": "NHS Greater Glasgow and Clyde; NHS Ayrshire and Arran; NHS Lanarkshire; NHS Golden Jubilee",
      "organisation": "West of Scotland health boards",
      "organisation_type": "Health board partnership",
      "programme": "Regional clinical portals / EHCR",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Clinical Portal",
      "status": "historical",
      "status_date": "2015-02-25",
      "scope": "Namedboardclinicalportalrelationships",
      "source_footprint": "NHS Greater Glasgow and Clyde; NHS Ayrshire and Arran; NHS Lanarkshire; NHS Golden Jubilee",
      "current_icb_codes": [],
      "notes": "A public agency names these historical relationships. Current versions, contracts and cross-board coverage remain unverified. Golden Jubilee is a national board.",
      "source_urls": [
        "https://www.scottish-enterprise-mediacentre.com/news/global-population-health-management-company-opens-new-glasgow-office"
      ],
      "evidence_strength": "public agency historical supplier confirmation",
      "checked": "2026-09-25",
      "region_codes": [
        "S08000015",
        "S08000031",
        "S08000032"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-490"
      ]
    },
    {
      "id": "scr-scotland-dg",
      "nation": "Scotland",
      "area": "NHS Dumfries and Galloway",
      "organisation": "NHS Dumfries and Galloway",
      "organisation_type": "Health board",
      "programme": "Clinical Portal",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Clinical Portal",
      "status": "live-reported",
      "status_date": "2025-06-17",
      "scope": "Localportalwithcrossboardlinks",
      "source_footprint": "NHS Dumfries and Galloway",
      "current_icb_codes": [],
      "notes": "The 2025 NHS support role names Orion. The 2023 plan describes links to other Orion boards and Lothian TrakCare.",
      "source_urls": [
        "https://apply.jobs.scot.nhs.uk/Job/JobDetail?JobId=218649",
        "https://dghscp.co.uk/wp-content/uploads/2023/07/Item-9-Appendix-2-ADP-Draft-23-24-Annual-Delivery-Plan.pdf"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "S08000017"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-491",
        "SRC-492"
      ]
    },
    {
      "id": "scr-scotland-fife",
      "nation": "Scotland",
      "area": "NHS Fife",
      "organisation": "NHS Fife",
      "organisation_type": "Health board",
      "programme": "Clinical Portal / shared clinical record",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "Shared Care Record / Clinical Portal",
      "status": "historical",
      "status_date": "2021-06-29",
      "scope": "Vaccinestatusinsharedrecord",
      "source_footprint": "NHS Fife",
      "current_icb_codes": [],
      "notes": "The supplier names the Fife implementation in 2021; the current complete shared-care estate remains unverified.",
      "source_urls": [
        "https://orionhealth.com/au/media-releases/scottish-health-and-care-professionals-given-access-to-covid-19-vaccine-status-through-orion-health-shared-care-record/"
      ],
      "evidence_strength": "supplier historical deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "S08000029"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-493"
      ]
    },
    {
      "id": "scr-scotland-unverified",
      "nation": "Scotland",
      "area": "NHS Borders; NHS Forth Valley; NHS Lothian; NHS Western Isles",
      "organisation": "Four Scottish territorial health boards",
      "organisation_type": "Health boards",
      "programme": "Shared-care portal supplier validation pending",
      "category": "shared-care",
      "supplier": "Unverified",
      "product": "Unverified",
      "status": "unverified",
      "status_date": "Undated source; checked 2026-09-25",
      "scope": "Coverage gap only",
      "source_footprint": "NHS Borders; NHS Forth Valley; NHS Lothian; NHS Western Isles",
      "current_icb_codes": [],
      "notes": "No shared-record supplier assignment is supported for these four boards in this pass. TrakCare PMS/EPR and regional membership do not establish HealthShare deployment.",
      "source_urls": [
        "https://orionhealth.com/uk/blog/get-to-know-our-customers/",
        "https://dghscp.co.uk/wp-content/uploads/2023/07/Item-9-Appendix-2-ADP-Draft-23-24-Annual-Delivery-Plan.pdf"
      ],
      "evidence_strength": "explicit research gap",
      "checked": "2026-09-25",
      "region_codes": [
        "S08000016",
        "S08000019",
        "S08000024",
        "S08000028"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-489",
        "SRC-492"
      ]
    },
    {
      "id": "scr-wales",
      "nation": "Wales",
      "area": "All Wales",
      "organisation": "Digital Health and Care Wales / seven territorial health boards",
      "organisation_type": "National service",
      "programme": "Welsh Clinical Portal / Single Record",
      "category": "shared-care",
      "supplier": "Digital Health and Care Wales (NHS-developed national service)",
      "product": "Welsh Clinical Portal",
      "status": "live-reported",
      "status_date": "2026-05-28",
      "scope": "Cross-health-board clinicalrecordviewing",
      "source_footprint": "All Wales",
      "current_icb_codes": [],
      "notes": "This is a functional cross-board viewing comparator, not an English ICB shared-record product. Welsh InterSystems LIMS deployment does not make WCP HealthShare.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2026/performance/mission-3/",
        "https://dhcw.nhs.wales/news/latest-news/new-update-to-the-welsh-clinical-portal-wcp-helps-deliver-safer-better-care/"
      ],
      "evidence_strength": "primary named deployment",
      "checked": "2026-09-25",
      "region_codes": [
        "W11000023",
        "W11000024",
        "W11000025",
        "W11000028",
        "W11000029",
        "W11000030",
        "W11000031"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-407"
      ]
    },
    {
      "id": "scr-northern-ireland",
      "nation": "Northern Ireland",
      "area": "Northern Ireland",
      "organisation": "HSC Business Services Organisation / HSC trusts",
      "organisation_type": "National/regional HSC service",
      "programme": "Northern Ireland Electronic Care Record (NIECR)",
      "category": "shared-care",
      "supplier": "Orion Health",
      "product": "NIECR / Clinical Portal",
      "status": "live-reported",
      "status_date": "2026-02-25",
      "scope": "Regionalsharedclinicalrecordalongsideencompass",
      "source_footprint": "Northern Ireland",
      "current_icb_codes": [],
      "notes": "Procurement names Orion for NIECR and a February 2026 clinical manual still lists NIECR alongside encompass. Do not infer NIECR retirement from the Epic rollout; EpicCare Link is a separate access product.",
      "source_urls": [
        "https://www.find-tender.service.gov.uk/Notice/011791-2022/PDF",
        "https://bso.hscni.net/wp-content/uploads/2023/12/January-2022-Consolidated.pdf",
        "https://belfasttrust.hscni.net/wp-content/uploads/wpfd/preview_files/Immunology-User-Manual%28b1f130b49d0fcfa2348098ee4467452f%29.pdf"
      ],
      "evidence_strength": "HSC procurement plus current clinical operating manual",
      "checked": "2026-09-25",
      "region_codes": [
        "BHSCT",
        "NHSCT",
        "SEHSCT",
        "SHSCT",
        "WHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "source_ids": [
        "SRC-494",
        "SRC-495",
        "SRC-496"
      ]
    },
    {
      "id": "ehr-cuh",
      "nation": "England",
      "area": "Cambridgeshire and Peterborough",
      "organisation": "Cambridge University Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "eHospital",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2014-10",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://media.cuh.nhs.uk/documents/Brochure_eHospital_Website_Version_September_2019_2_1.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000065"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-497"
      ]
    },
    {
      "id": "ehr-uclh",
      "nation": "England",
      "area": "North Central London",
      "organisation": "University College London Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic EPR",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2019",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.uclh.nhs.uk/professionals/gp-portal",
        "https://www.rnoh.nhs.uk/news/epic-goes-live-rnohs-new-electronic-health-record"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-498",
        "SRC-509"
      ]
    },
    {
      "id": "ehr-gosh",
      "nation": "England",
      "area": "North Central London",
      "organisation": "Great Ormond Street Hospital for Children NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic EPR",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.gosh.nhs.uk/privacy-notice/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-499"
      ]
    },
    {
      "id": "ehr-marsden",
      "nation": "England",
      "area": "London — Chelsea, Sutton and other London sites",
      "organisation": "The Royal Marsden NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Connect",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.gosh.nhs.uk/privacy-notice/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000031",
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-499"
      ]
    },
    {
      "id": "ehr-mft",
      "nation": "England",
      "area": "Greater Manchester",
      "organisation": "Manchester University NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Hive",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2022-09",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://mft.nhs.uk/hive-epr/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000057"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-500"
      ]
    },
    {
      "id": "ehr-gstt",
      "nation": "England",
      "area": "South East London",
      "organisation": "Guy’s and St Thomas’ NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Apollo",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2023-10-05",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.guysandstthomas.nhs.uk/news/new-electronic-patient-record-goes-live-across-guys-and-st-thomas-and-kings-college-hospital"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000030"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-502"
      ]
    },
    {
      "id": "ehr-kch",
      "nation": "England",
      "area": "South East London",
      "organisation": "King’s College Hospital NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Apollo",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2023-10-05",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.guysandstthomas.nhs.uk/news/new-electronic-patient-record-goes-live-across-guys-and-st-thomas-and-kings-college-hospital"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000030"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-502"
      ]
    },
    {
      "id": "ehr-frimley",
      "nation": "England",
      "area": "Frimley",
      "organisation": "Frimley Health NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic EPR",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2022-06-11",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.fhft.nhs.uk/patients-and-visitors/your-privacy/how-we-use-your-information-patients"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000067",
        "E54000069",
        "E54000070"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-503"
      ]
    },
    {
      "id": "ehr-royal-devon",
      "nation": "England",
      "area": "Devon",
      "organisation": "Royal Devon University Healthcare NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "One Devon EPR",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2020",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.plymouthhospitals.nhs.uk/latest-news/new-electronic-patient-record-goes-live-this-week-9219"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000037"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-504"
      ]
    },
    {
      "id": "ehr-torbay",
      "nation": "England",
      "area": "Devon",
      "organisation": "Torbay and South Devon NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "One Devon EPR",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2026-04-03",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.plymouthhospitals.nhs.uk/latest-news/new-electronic-patient-record-goes-live-this-week-9219"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000037"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-504"
      ]
    },
    {
      "id": "ehr-plymouth",
      "nation": "England",
      "area": "Devon",
      "organisation": "University Hospitals Plymouth NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "One Devon EPR",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2026-07-23",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.plymouthhospitals.nhs.uk/latest-news/new-electronic-patient-record-goes-live-this-week-9219",
        "https://www.plymouthhospitals.nhs.uk/news-from-uhp/news-from-uhp-september-2026-9310"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000037"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-504",
        "SRC-505"
      ]
    },
    {
      "id": "ehr-rnoh",
      "nation": "England",
      "area": "North Central London",
      "organisation": "Royal National Orthopaedic Hospital NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic Connect",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2025-11-23",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.rnoh.nhs.uk/news/epic-goes-live-rnohs-new-electronic-health-record"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-509"
      ]
    },
    {
      "id": "ehr-esneft",
      "nation": "England",
      "area": "Suffolk and North East Essex",
      "organisation": "East Suffolk and North Essex NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic EPR",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2025-10-02",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://sneewellbeing.org.uk/wp-content/uploads/2025/11/SNEE-ICB-Agenda-and-Reports-25-November-2025-1.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000066",
        "E54000068"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-510"
      ]
    },
    {
      "id": "portal-cuh",
      "nation": "England",
      "area": "Cambridgeshire and Peterborough",
      "organisation": "Cambridge University Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "eHospital",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "historical",
      "status_date": "2018-05",
      "scope": "Historical evidence: Granta practices pilot/initial access",
      "notes": "The 2019 provider brochure documents initial 2018 GP access; this source alone does not verify current portal availability or scope.",
      "source_urls": [
        "https://media.cuh.nhs.uk/documents/Brochure_eHospital_Website_Version_September_2019_2_1.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000065"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-497"
      ]
    },
    {
      "id": "portal-uclh",
      "nation": "England",
      "area": "North Central London",
      "organisation": "University College London Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic EPR",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Approved external professionals; neurophysiology requesting",
      "notes": "Local onboarding and permitted functions apply; not an independent EPR or universal NHS access.",
      "source_urls": [
        "https://www.uclh.nhs.uk/professionals/gp-portal"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-498"
      ]
    },
    {
      "id": "portal-gosh",
      "nation": "England",
      "area": "North Central London",
      "organisation": "Great Ormond Street Hospital for Children NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic EPR",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "GOSH Link; read and print for authorised NHS partners",
      "notes": "Local onboarding and permitted functions apply; not an independent EPR or universal NHS access.",
      "source_urls": [
        "https://www.gosh.nhs.uk/privacy-notice/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-499"
      ]
    },
    {
      "id": "portal-mft",
      "nation": "England",
      "area": "Greater Manchester",
      "organisation": "Manchester University NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Hive",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2023-12",
      "scope": "Community access; In Basket messaging",
      "notes": "Local onboarding and permitted functions apply; not an independent EPR or universal NHS access.",
      "source_urls": [
        "https://mft.nhs.uk/app/uploads/2023/12/Hive-Insights-and-benefits-Report-FINAL.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000057"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-501"
      ]
    },
    {
      "id": "portal-frimley",
      "nation": "England",
      "area": "Frimley",
      "organisation": "Frimley Health NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic EPR",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Authorised professional access",
      "notes": "Local onboarding and permitted functions apply; not an independent EPR or universal NHS access.",
      "source_urls": [
        "https://www.fhft.nhs.uk/patients-and-visitors/your-privacy/how-we-use-your-information-patients"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000067",
        "E54000069",
        "E54000070"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-503"
      ]
    },
    {
      "id": "portal-royal-devon",
      "nation": "England",
      "area": "Devon",
      "organisation": "Royal Devon University Healthcare NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "One Devon EPR",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Approved external care partners",
      "notes": "Local onboarding and permitted functions apply; not an independent EPR or universal NHS access.",
      "source_urls": [
        "https://www.royaldevon.nhs.uk/healthcare-professionals/epiccare-link/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000037"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-506"
      ]
    },
    {
      "id": "portal-torbay",
      "nation": "England",
      "area": "Devon",
      "organisation": "Torbay and South Devon NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "One Devon EPR",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Approved external care partners",
      "notes": "Local onboarding and permitted functions apply; not an independent EPR or universal NHS access.",
      "source_urls": [
        "https://www.torbayandsouthdevon.nhs.uk/about-us/working-with-us/health-professionals/epiccare-link/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000037"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-507"
      ]
    },
    {
      "id": "portal-plymouth",
      "nation": "England",
      "area": "Devon",
      "organisation": "University Hospitals Plymouth NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "One Devon EPR",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Approved external care partners",
      "notes": "Local onboarding and permitted functions apply; not an independent EPR or universal NHS access.",
      "source_urls": [
        "https://www.plymouthhospitals.nhs.uk/epiccare-link"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000037"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-508"
      ]
    },
    {
      "id": "portal-rnoh",
      "nation": "England",
      "area": "North Central London",
      "organisation": "Royal National Orthopaedic Hospital NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic Connect",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2025-11-23",
      "scope": "External access and tertiary referrals",
      "notes": "Local onboarding and permitted functions apply; not an independent EPR or universal NHS access.",
      "source_urls": [
        "https://www.rnoh.nhs.uk/news/epic-goes-live-rnohs-new-electronic-health-record"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-509"
      ]
    },
    {
      "id": "portal-esneft",
      "nation": "England",
      "area": "Suffolk and North East Essex",
      "organisation": "East Suffolk and North Essex NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic EPR",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "pilot",
      "status_date": "2026-09-25",
      "scope": "Selected primary care providers only",
      "notes": "Local onboarding and permitted functions apply; not an independent EPR or universal NHS access.",
      "source_urls": [
        "https://www.esneft.nhs.uk/for-gps-partners/epiccare-link-esneft/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000066",
        "E54000068"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-511"
      ]
    },
    {
      "id": "ehr-ni-set",
      "nation": "Northern Ireland",
      "area": "South Eastern",
      "organisation": "South Eastern Health and Social Care Trust",
      "organisation_type": "HSC trust",
      "programme": "encompass",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2023-11-09",
      "scope": "Health and social care EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.health-ni.gov.uk/news/new-era-northern-irelands-health-service-all-trusts-go-live-encompass",
        "https://www.health-ni.gov.uk/news/release-northern-ireland-inpatient-day-case-and-outpatient-hospital-statistics-202526"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "SEHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-125",
        "SRC-512"
      ]
    },
    {
      "id": "ehr-ni-belfast",
      "nation": "Northern Ireland",
      "area": "Belfast",
      "organisation": "Belfast Health and Social Care Trust",
      "organisation_type": "HSC trust",
      "programme": "encompass",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2024-06-06",
      "scope": "Health and social care EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.health-ni.gov.uk/news/new-era-northern-irelands-health-service-all-trusts-go-live-encompass",
        "https://www.health-ni.gov.uk/news/release-northern-ireland-inpatient-day-case-and-outpatient-hospital-statistics-202526"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "BHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-125",
        "SRC-512"
      ]
    },
    {
      "id": "ehr-ni-northern",
      "nation": "Northern Ireland",
      "area": "Northern",
      "organisation": "Northern Health and Social Care Trust",
      "organisation_type": "HSC trust",
      "programme": "encompass",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2024-11-07",
      "scope": "Health and social care EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.health-ni.gov.uk/news/new-era-northern-irelands-health-service-all-trusts-go-live-encompass",
        "https://www.health-ni.gov.uk/news/release-northern-ireland-inpatient-day-case-and-outpatient-hospital-statistics-202526"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "NHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-125",
        "SRC-512"
      ]
    },
    {
      "id": "ehr-ni-southern",
      "nation": "Northern Ireland",
      "area": "Southern",
      "organisation": "Southern Health and Social Care Trust",
      "organisation_type": "HSC trust",
      "programme": "encompass",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2025-05-08",
      "scope": "Health and social care EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.health-ni.gov.uk/news/new-era-northern-irelands-health-service-all-trusts-go-live-encompass",
        "https://www.health-ni.gov.uk/news/release-northern-ireland-inpatient-day-case-and-outpatient-hospital-statistics-202526"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "SHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-125",
        "SRC-512"
      ]
    },
    {
      "id": "ehr-ni-western",
      "nation": "Northern Ireland",
      "area": "Western",
      "organisation": "Western Health and Social Care Trust",
      "organisation_type": "HSC trust",
      "programme": "encompass",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "live",
      "status_date": "2025-05-08",
      "scope": "Health and social care EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.health-ni.gov.uk/news/new-era-northern-irelands-health-service-all-trusts-go-live-encompass",
        "https://www.health-ni.gov.uk/news/release-northern-ireland-inpatient-day-case-and-outpatient-hospital-statistics-202526"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "WHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-125",
        "SRC-512"
      ]
    },
    {
      "id": "portal-ni",
      "nation": "Northern Ireland",
      "area": "Northern Ireland",
      "organisation": "Northern Ireland HSC Trusts",
      "organisation_type": "National programme",
      "programme": "encompass",
      "category": "external-portal",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2025-07-30",
      "scope": "Professional access to encompass; defined requesting functions",
      "notes": "Not the core general-practice EPR.",
      "source_urls": [
        "https://dhcni.hscni.net/digital-portfolio/encompass/epiccare/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "BHSCT",
        "NHSCT",
        "SEHSCT",
        "SHSCT",
        "WHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-113"
      ]
    },
    {
      "id": "ehr-scot-ayrshire",
      "nation": "Scotland",
      "area": "Ayrshire and Arran",
      "organisation": "NHS Ayrshire and Arran",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000015"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-borders",
      "nation": "Scotland",
      "area": "Borders",
      "organisation": "NHS Borders",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000016"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-fife",
      "nation": "Scotland",
      "area": "Fife",
      "organisation": "NHS Fife",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000029"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-forth-valley",
      "nation": "Scotland",
      "area": "Forth Valley",
      "organisation": "NHS Forth Valley",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000019"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-grampian",
      "nation": "Scotland",
      "area": "Grampian",
      "organisation": "NHS Grampian",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000020"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-ggc",
      "nation": "Scotland",
      "area": "Greater Glasgow and Clyde",
      "organisation": "NHS Greater Glasgow and Clyde",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000031"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-highland",
      "nation": "Scotland",
      "area": "Highland",
      "organisation": "NHS Highland",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000022"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-lanarkshire",
      "nation": "Scotland",
      "area": "Lanarkshire",
      "organisation": "NHS Lanarkshire",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000032"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-lothian",
      "nation": "Scotland",
      "area": "Lothian",
      "organisation": "NHS Lothian",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000024"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-orkney",
      "nation": "Scotland",
      "area": "Orkney",
      "organisation": "NHS Orkney",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000025"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-shetland",
      "nation": "Scotland",
      "area": "Shetland",
      "organisation": "NHS Shetland",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000026"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-tayside",
      "nation": "Scotland",
      "area": "Tayside",
      "organisation": "NHS Tayside",
      "organisation_type": "NHS board",
      "programme": "TrakCare PMS",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare PMS",
      "status": "live",
      "status_date": "2026",
      "scope": "Patient management system",
      "notes": "National statistics evidence; board clinical-module scope unverified.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for PMS use; not full EPR",
      "region_codes": [
        "S08000030"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-golden",
      "nation": "Scotland",
      "area": "Scotland national specialist",
      "organisation": "NHS Golden Jubilee",
      "organisation_type": "National NHS board",
      "programme": "TrakCare",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare",
      "status": "live",
      "status_date": "2026-02",
      "scope": "Board-reported upgrade/adoption",
      "notes": "Specialist national board.",
      "source_urls": [
        "https://www.nhsgoldenjubilee.co.uk/application/files/8017/7253/5526/2026-02-3.4.6c_NHS_GJ_ADP_DPT_25-26.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [],
      "mapping_basis": "Nation-level observation; no territorial allocation asserted.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-332"
      ]
    },
    {
      "id": "ehr-wales-aneurin",
      "nation": "Wales",
      "area": "Aneurin Bevan",
      "organisation": "Aneurin Bevan University Health Board",
      "organisation_type": "Health board",
      "programme": "Welsh Patient Administration System (WPAS)",
      "category": "hospital-ehr",
      "supplier": "Digital Health and Care Wales",
      "product": "Welsh Patient Administration System (WPAS)",
      "status": "live",
      "status_date": "2025",
      "scope": "Hospital patient administration",
      "notes": "PAS scope, not proof of a complete clinical EPR.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2024/dhcw-annual-report-2023-2024-english-final-pdf/",
        "https://dhcw.nhs.wales/annual-report-2025/performance-overview/mission-2/"
      ],
      "evidence_strength": "High for PAS use; not full EPR",
      "region_codes": [
        "W11000028"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-513",
        "SRC-514"
      ]
    },
    {
      "id": "ehr-wales-betsi",
      "nation": "Wales",
      "area": "Betsi Cadwaladr",
      "organisation": "Betsi Cadwaladr University Health Board",
      "organisation_type": "Health board",
      "programme": "Welsh Patient Administration System (WPAS)",
      "category": "hospital-ehr",
      "supplier": "Digital Health and Care Wales",
      "product": "Welsh Patient Administration System (WPAS)",
      "status": "live",
      "status_date": "2025",
      "scope": "Hospital patient administration",
      "notes": "PAS scope, not proof of a complete clinical EPR.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2024/dhcw-annual-report-2023-2024-english-final-pdf/",
        "https://dhcw.nhs.wales/annual-report-2025/performance-overview/mission-2/"
      ],
      "evidence_strength": "High for PAS use; not full EPR",
      "region_codes": [
        "W11000023"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-513",
        "SRC-514"
      ]
    },
    {
      "id": "ehr-wales-cwm-taf",
      "nation": "Wales",
      "area": "Cwm Taf Morgannwg",
      "organisation": "Cwm Taf Morgannwg University Health Board",
      "organisation_type": "Health board",
      "programme": "Welsh Patient Administration System (WPAS)",
      "category": "hospital-ehr",
      "supplier": "Digital Health and Care Wales",
      "product": "Welsh Patient Administration System (WPAS)",
      "status": "live",
      "status_date": "2025",
      "scope": "Hospital patient administration",
      "notes": "PAS scope, not proof of a complete clinical EPR.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2024/dhcw-annual-report-2023-2024-english-final-pdf/",
        "https://dhcw.nhs.wales/annual-report-2025/performance-overview/mission-2/"
      ],
      "evidence_strength": "High for PAS use; not full EPR",
      "region_codes": [
        "W11000030"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-513",
        "SRC-514"
      ]
    },
    {
      "id": "ehr-wales-hywel-dda",
      "nation": "Wales",
      "area": "Hywel Dda",
      "organisation": "Hywel Dda University Health Board",
      "organisation_type": "Health board",
      "programme": "Welsh Patient Administration System (WPAS)",
      "category": "hospital-ehr",
      "supplier": "Digital Health and Care Wales",
      "product": "Welsh Patient Administration System (WPAS)",
      "status": "live",
      "status_date": "2025",
      "scope": "Hospital patient administration",
      "notes": "PAS scope, not proof of a complete clinical EPR.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2024/dhcw-annual-report-2023-2024-english-final-pdf/",
        "https://dhcw.nhs.wales/annual-report-2025/performance-overview/mission-2/"
      ],
      "evidence_strength": "High for PAS use; not full EPR",
      "region_codes": [
        "W11000025"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-513",
        "SRC-514"
      ]
    },
    {
      "id": "ehr-wales-powys",
      "nation": "Wales",
      "area": "Powys",
      "organisation": "Powys Teaching Health Board",
      "organisation_type": "Health board",
      "programme": "Welsh Patient Administration System (WPAS)",
      "category": "hospital-ehr",
      "supplier": "Digital Health and Care Wales",
      "product": "Welsh Patient Administration System (WPAS)",
      "status": "live",
      "status_date": "2025",
      "scope": "Hospital patient administration",
      "notes": "PAS scope, not proof of a complete clinical EPR.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2024/dhcw-annual-report-2023-2024-english-final-pdf/",
        "https://dhcw.nhs.wales/annual-report-2025/performance-overview/mission-2/"
      ],
      "evidence_strength": "High for PAS use; not full EPR",
      "region_codes": [
        "W11000024"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-513",
        "SRC-514"
      ]
    },
    {
      "id": "ehr-wales-swansea",
      "nation": "Wales",
      "area": "Swansea Bay",
      "organisation": "Swansea Bay University Health Board",
      "organisation_type": "Health board",
      "programme": "Welsh Patient Administration System (WPAS)",
      "category": "hospital-ehr",
      "supplier": "Digital Health and Care Wales",
      "product": "Welsh Patient Administration System (WPAS)",
      "status": "live",
      "status_date": "2025",
      "scope": "Hospital patient administration",
      "notes": "PAS scope, not proof of a complete clinical EPR.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2024/dhcw-annual-report-2023-2024-english-final-pdf/",
        "https://dhcw.nhs.wales/annual-report-2025/performance-overview/mission-2/"
      ],
      "evidence_strength": "High for PAS use; not full EPR",
      "region_codes": [
        "W11000031"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-513",
        "SRC-514"
      ]
    },
    {
      "id": "ehr-wales-velindre",
      "nation": "Wales",
      "area": "Velindre University NHS Trust",
      "organisation": "Velindre University NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Welsh Patient Administration System (WPAS)",
      "category": "hospital-ehr",
      "supplier": "Digital Health and Care Wales",
      "product": "Welsh Patient Administration System (WPAS)",
      "status": "live",
      "status_date": "2025",
      "scope": "Hospital patient administration",
      "notes": "PAS scope, not proof of a complete clinical EPR.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2024/dhcw-annual-report-2023-2024-english-final-pdf/",
        "https://dhcw.nhs.wales/annual-report-2025/performance-overview/mission-2/"
      ],
      "evidence_strength": "High for PAS use; not full EPR",
      "region_codes": [],
      "mapping_basis": "Nation-level observation; no territorial allocation asserted.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-513",
        "SRC-514"
      ]
    },
    {
      "id": "ehr-nerve-nuh",
      "nation": "England",
      "area": "Nottingham and Nottinghamshire",
      "organisation": "Nottingham University Hospitals NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "live",
      "status_date": "2025-11-03",
      "scope": "Core EPR expansion",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://www.nuh.nhs.uk/news/nottingham-university-hospitals-takes-huge-digital-step-forward-10839"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000060"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-515"
      ]
    },
    {
      "id": "ehr-nerve-uhl",
      "nation": "England",
      "area": "Leicester, Leicestershire and Rutland",
      "organisation": "University Hospitals of Leicester NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "live",
      "status_date": "2025",
      "scope": "Integrated EPR / PAS replacement",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://www.uhleicester.nhs.uk/news/uhl-wins-national-award-for-transformative-electronic-patient-record-rollout/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000015"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-516"
      ]
    },
    {
      "id": "ehr-nerve-ngh",
      "nation": "England",
      "area": "Northamptonshire",
      "organisation": "Northampton General Hospital NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "live",
      "status_date": "2025-06-28",
      "scope": "Trust EPR",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://www.northamptongeneral.nhs.uk/Patients-and-Visitors/Electronic-Patient-Record-EPR.aspx"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000059"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-517"
      ]
    },
    {
      "id": "ehr-nerve-york",
      "nation": "England",
      "area": "Humber and North Yorkshire",
      "organisation": "York and Scarborough Teaching Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "phased-live",
      "status_date": "2026-05",
      "scope": "Major EPR implementation phase",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://www.yorkhospitals.nhs.uk/news-amp-media/latest-news/major-milestone-with-successful-new-electronic-patient-record-go-live/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000051"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-518"
      ]
    },
    {
      "id": "ehr-nerve-harrogate",
      "nation": "England",
      "area": "Humber and North Yorkshire",
      "organisation": "Harrogate and District NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "phased-live",
      "status_date": "2026-05-11",
      "scope": "Acute EPR phase two",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://www.hdft.nhs.uk/news/harrogate-and-district-nhs-foundation-trust-successfully-launches-phase-two-of-its-electronic-patient-record-system/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000051"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-519"
      ]
    },
    {
      "id": "ehr-nerve-uhdb",
      "nation": "England",
      "area": "Derby and Derbyshire / Staffordshire",
      "organisation": "University Hospitals of Derby and Burton NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "phased-live",
      "status_date": "2025-02",
      "scope": "Patient Safety Bundle initial module",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://www.chesterfieldroyal.nhs.uk/latest-news/thousands-patients-see-benefits-new-digital-system-launches-across-six-hospitals"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000010",
        "E54000058"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-520"
      ]
    },
    {
      "id": "ehr-nerve-chesterfield",
      "nation": "England",
      "area": "Derby and Derbyshire",
      "organisation": "Chesterfield Royal Hospital NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "phased-live",
      "status_date": "2025-02",
      "scope": "Patient Safety Bundle initial module",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://www.chesterfieldroyal.nhs.uk/latest-news/thousands-patients-see-benefits-new-digital-system-launches-across-six-hospitals"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000058"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-520"
      ]
    },
    {
      "id": "ehr-nerve-liverpool",
      "nation": "England",
      "area": "Cheshire and Merseyside",
      "organisation": "Liverpool University Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "contracted",
      "status_date": "2026-04-15",
      "scope": "New EPR appointed; no go-live evidence",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://www.uhliverpool.nhs.uk/about-us/our-stories/liverpool-university-hospitals-appoint-nervecentre-electronic-patient-record-supplier"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000008"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-521"
      ]
    },
    {
      "id": "ehr-nerve-lincolnshire",
      "nation": "England",
      "area": "Lincolnshire",
      "organisation": "United Lincolnshire Teaching Hospitals NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "contracted",
      "status_date": "2025-07-03",
      "scope": "New acute EPR contract",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://nervecentresoftware.com/united-lincolnshire-teaching-hospitals-signs-contract-with-nervecentre/"
      ],
      "evidence_strength": "Moderate — supplier contract announcement",
      "region_codes": [
        "E54000013"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-523"
      ]
    },
    {
      "id": "ehr-nerve-sherwood",
      "nation": "England",
      "area": "Nottingham and Nottinghamshire",
      "organisation": "Sherwood Forest Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "phased-live",
      "status_date": "2026-06",
      "scope": "Urgent and emergency modules live; full EPR planned 2027",
      "notes": "Phases and modules matter; do not infer every function is deployed.",
      "source_urls": [
        "https://www.sfh-tr.nhs.uk/media/0two2jyi/0-board-meeting-papers-v3-june-2026.pdf"
      ],
      "evidence_strength": "High — primary provider evidence",
      "region_codes": [
        "E54000060"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-524"
      ]
    },
    {
      "id": "ehr-nerve-east-sussex",
      "nation": "England",
      "area": "Sussex",
      "organisation": "East Sussex Healthcare NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "implementation",
      "status_date": "2026-06-16",
      "scope": "Four-tranche programme; major September 2026 launch forecast",
      "notes": "September completion not established by retrieved source; existing modules do not prove completed full EPR.",
      "source_urls": [
        "https://www.esht.nhs.uk/wp-content/uploads/2026/06/16-June-2026-Trust-Board-meeting-in-public.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000069"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-525"
      ]
    },
    {
      "id": "ehr-nerve-plan-liverpool-women",
      "nation": "England",
      "area": "Cheshire and Merseyside",
      "organisation": "Liverpool Women’s NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "planned",
      "status_date": "2026-04-24",
      "scope": "Regional shared-EPR adoption plans",
      "notes": "Supplier-reported plans, not award or live replacement proof.",
      "source_urls": [
        "https://nervecentresoftware.com/nervecentre-set-to-be-2nd-biggest-epr/"
      ],
      "evidence_strength": "Moderate — supplier programme report",
      "region_codes": [
        "E54000008"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-522"
      ]
    },
    {
      "id": "ehr-nerve-plan-lhch",
      "nation": "England",
      "area": "Cheshire and Merseyside",
      "organisation": "Liverpool Heart and Chest Hospital NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "planned",
      "status_date": "2026-04-24",
      "scope": "Regional shared-EPR adoption plans",
      "notes": "Supplier-reported plans, not award or live replacement proof.",
      "source_urls": [
        "https://nervecentresoftware.com/nervecentre-set-to-be-2nd-biggest-epr/"
      ],
      "evidence_strength": "Moderate — supplier programme report",
      "region_codes": [
        "E54000008"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-522"
      ]
    },
    {
      "id": "ehr-nerve-plan-walton",
      "nation": "England",
      "area": "Cheshire and Merseyside",
      "organisation": "The Walton Centre NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "planned",
      "status_date": "2026-04-24",
      "scope": "Regional shared-EPR adoption plans",
      "notes": "Supplier-reported plans, not award or live replacement proof.",
      "source_urls": [
        "https://nervecentresoftware.com/nervecentre-set-to-be-2nd-biggest-epr/"
      ],
      "evidence_strength": "Moderate — supplier programme report",
      "region_codes": [
        "E54000008"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-522"
      ]
    },
    {
      "id": "ehr-nerve-plan-clatterbridge",
      "nation": "England",
      "area": "Cheshire and Merseyside",
      "organisation": "The Clatterbridge Cancer Centre NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "planned",
      "status_date": "2026-04-24",
      "scope": "Regional shared-EPR adoption plans",
      "notes": "Supplier-reported plans, not award or live replacement proof.",
      "source_urls": [
        "https://nervecentresoftware.com/nervecentre-set-to-be-2nd-biggest-epr/"
      ],
      "evidence_strength": "Moderate — supplier programme report",
      "region_codes": [
        "E54000008"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-522"
      ]
    },
    {
      "id": "ehr-nerve-midyork",
      "nation": "England",
      "area": "West Yorkshire",
      "organisation": "Mid Yorkshire Teaching NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Nervecentre EPR",
      "category": "hospital-ehr",
      "supplier": "Nervecentre",
      "product": "Nervecentre EPR",
      "status": "contracted",
      "status_date": "2026-02-09",
      "scope": "New EPR contract",
      "notes": "No live replacement proven.",
      "source_urls": [
        "https://nervecentresoftware.com/mid-yorkshire-signs-epr-contract/"
      ],
      "evidence_strength": "Moderate — supplier contract announcement",
      "region_codes": [
        "E54000054"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-526"
      ]
    },
    {
      "id": "ehr-epic-plan-dch",
      "nation": "England",
      "area": "Dorset",
      "organisation": "Dorset County Hospital NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Healthset",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "implementation",
      "status_date": "2026-03-17",
      "scope": "Healthset unified acute/community/mental-health programme",
      "notes": "April 2028 target; contract is not live deployment.",
      "source_urls": [
        "https://dchft.nhs.uk/latest-news/new-electronic-health-record-set-to-improve-healthcare-for-communities-in-dorset-and-somerset/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000041"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-527"
      ]
    },
    {
      "id": "ehr-epic-plan-dhc",
      "nation": "England",
      "area": "Dorset",
      "organisation": "Dorset HealthCare University NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Healthset",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "implementation",
      "status_date": "2026-03-17",
      "scope": "Healthset unified acute/community/mental-health programme",
      "notes": "April 2028 target; contract is not live deployment.",
      "source_urls": [
        "https://dchft.nhs.uk/latest-news/new-electronic-health-record-set-to-improve-healthcare-for-communities-in-dorset-and-somerset/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000041"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-527"
      ]
    },
    {
      "id": "ehr-epic-plan-uhd",
      "nation": "England",
      "area": "Dorset",
      "organisation": "University Hospitals Dorset NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Healthset",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "implementation",
      "status_date": "2026-03-17",
      "scope": "Healthset unified acute/community/mental-health programme",
      "notes": "April 2028 target; contract is not live deployment.",
      "source_urls": [
        "https://dchft.nhs.uk/latest-news/new-electronic-health-record-set-to-improve-healthcare-for-communities-in-dorset-and-somerset/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000041"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-527"
      ]
    },
    {
      "id": "ehr-epic-plan-somerset",
      "nation": "England",
      "area": "Somerset",
      "organisation": "Somerset NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Healthset",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "implementation",
      "status_date": "2026-03-17",
      "scope": "Healthset unified acute/community/mental-health programme",
      "notes": "April 2028 target; contract is not live deployment.",
      "source_urls": [
        "https://dchft.nhs.uk/latest-news/new-electronic-health-record-set-to-improve-healthcare-for-communities-in-dorset-and-somerset/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000038"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-527"
      ]
    },
    {
      "id": "ehr-epic-plan-lgt",
      "nation": "England",
      "area": "South East London",
      "organisation": "Lewisham and Greenwich NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Epic Connect / Apollo",
      "category": "hospital-ehr",
      "supplier": "Epic",
      "product": "Epic",
      "status": "planned",
      "status_date": "2026-01-07",
      "scope": "Epic Connect to Apollo proposed for 2027",
      "notes": "Later contract reported by trade press; primary award not verified in this baseline.",
      "source_urls": [
        "https://lewisham.moderngov.co.uk/documents/g8782/Public%20reports%20pack%2007th-Jan-2026%2019.30%20Healthier%20Communities%20Select%20Committee.pdf?T=10"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000030"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-528"
      ]
    },
    {
      "id": "ehr-oracle-imperial",
      "nation": "England",
      "area": "North West London",
      "organisation": "Imperial College Healthcare NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "NWL shared Oracle/Cerner EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2024-01-16",
      "scope": "Shared acute EPR domain",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.imperial.nhs.uk/-/media/website/nwl-acute-provider-group/documents/board-in-common/nwl-acute-provider-collaborative-board-in-common-papers-16-january-2024-website.pdf?rev=80a0fb1969574791a624eb8e51b4f45a"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-529"
      ]
    },
    {
      "id": "ehr-oracle-chelwest",
      "nation": "England",
      "area": "North West London",
      "organisation": "Chelsea and Westminster Hospital NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "NWL shared Oracle/Cerner EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2024-01-16",
      "scope": "Shared acute EPR domain",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.imperial.nhs.uk/-/media/website/nwl-acute-provider-group/documents/board-in-common/nwl-acute-provider-collaborative-board-in-common-papers-16-january-2024-website.pdf?rev=80a0fb1969574791a624eb8e51b4f45a"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-529"
      ]
    },
    {
      "id": "ehr-oracle-lnwh",
      "nation": "England",
      "area": "North West London",
      "organisation": "London North West University Healthcare NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "NWL shared Oracle/Cerner EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2024-01-16",
      "scope": "Shared acute EPR domain",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.imperial.nhs.uk/-/media/website/nwl-acute-provider-group/documents/board-in-common/nwl-acute-provider-collaborative-board-in-common-papers-16-january-2024-website.pdf?rev=80a0fb1969574791a624eb8e51b4f45a"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-529"
      ]
    },
    {
      "id": "ehr-oracle-hillingdon",
      "nation": "England",
      "area": "North West London",
      "organisation": "The Hillingdon Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "NWL shared Oracle/Cerner EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2024-01-16",
      "scope": "Shared acute EPR domain",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.imperial.nhs.uk/-/media/website/nwl-acute-provider-group/documents/board-in-common/nwl-acute-provider-collaborative-board-in-common-papers-16-january-2024-website.pdf?rev=80a0fb1969574791a624eb8e51b4f45a"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-529"
      ]
    },
    {
      "id": "ehr-oracle-barts",
      "nation": "England",
      "area": "North East London",
      "organisation": "Barts Health NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Barts / BHRUT shared EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2025-11",
      "scope": "Shared acute EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.judiciary.uk/wp-content/uploads/2025/12/2025-0635-Response-from-Barts-Health-NHS-Trust.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000029"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-530"
      ]
    },
    {
      "id": "ehr-oracle-bhr",
      "nation": "England",
      "area": "North East London",
      "organisation": "Barking, Havering and Redbridge University Hospitals NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Barts / BHRUT shared EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2025-11",
      "scope": "Shared acute EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.judiciary.uk/wp-content/uploads/2025/12/2025-0635-Response-from-Barts-Health-NHS-Trust.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000029"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-530"
      ]
    },
    {
      "id": "ehr-oracle-royal-surrey",
      "nation": "England",
      "area": "Surrey Heartlands",
      "organisation": "Royal Surrey NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Surrey joint Millennium EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Joint EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.royalsurrey.nhs.uk/information-governance"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000069"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-531"
      ]
    },
    {
      "id": "ehr-oracle-asph",
      "nation": "England",
      "area": "Surrey Heartlands",
      "organisation": "Ashford and St Peter’s Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Surrey joint Millennium EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Joint EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.royalsurrey.nhs.uk/information-governance"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000069"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-531"
      ]
    },
    {
      "id": "ehr-oracle-bradford",
      "nation": "England",
      "area": "West Yorkshire",
      "organisation": "Bradford Teaching Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Bradford / CHFT joint EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2017",
      "scope": "Joint core EPR",
      "notes": "2024 provider source confirms deployed use.",
      "source_urls": [
        "https://www.jobs.nhs.uk/candidate/jobadvert/C9389-24-0857"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000054"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-532"
      ]
    },
    {
      "id": "ehr-oracle-chft",
      "nation": "England",
      "area": "West Yorkshire",
      "organisation": "Calderdale and Huddersfield NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Bradford / CHFT joint EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2017",
      "scope": "Joint core EPR",
      "notes": "2024 provider source confirms deployed use.",
      "source_urls": [
        "https://www.jobs.nhs.uk/candidate/jobadvert/C9389-24-0857"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000054"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-532"
      ]
    },
    {
      "id": "ehr-oracle-ouh",
      "nation": "England",
      "area": "Buckinghamshire, Oxfordshire and Berkshire West",
      "organisation": "Oxford University Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Millennium (Cerner)",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2024",
      "scope": "Trust EPR",
      "notes": "Specialty systems coexist.",
      "source_urls": [
        "https://beta.jobs.nhs.uk/candidate/jobadvert/C9321-24-2271"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000070"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-533"
      ]
    },
    {
      "id": "ehr-oracle-mkuh",
      "nation": "England",
      "area": "Bedfordshire, Luton and Milton Keynes",
      "organisation": "Milton Keynes University Hospital NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Millennium (Cerner)",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2024-04",
      "scope": "EPR / PAS",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.mkuh.nhs.uk/wp-content/uploads/2024/04/Robotic-Process-Automation-Response-236.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000065"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-534"
      ]
    },
    {
      "id": "ehr-oracle-royalfree",
      "nation": "England",
      "area": "North Central London",
      "organisation": "Royal Free London NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Millennium (Cerner)",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (Cerner)",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "EPR / internal referrals",
      "notes": "Site and module coverage require further validation.",
      "source_urls": [
        "https://www.royalfree.nhs.uk/gps/updates-gps"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-535"
      ]
    },
    {
      "id": "ehr-oracle-wsh",
      "nation": "England",
      "area": "West Suffolk",
      "organisation": "West Suffolk NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Millennium (e-Care)",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (e-Care)",
      "status": "live",
      "status_date": "2025-11-28",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.wsh.nhs.uk/CMS-Documents/Trust-board/2024/Trust-open-board-meeting-pack-28-November-2025.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000068"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-536"
      ]
    },
    {
      "id": "ehr-oracle-stgeorges",
      "nation": "England",
      "area": "South West London",
      "organisation": "St George’s University Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "gesh iClipPro",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (iClipPro)",
      "status": "live",
      "status_date": "2025-05-09",
      "scope": "Group-wide shared EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.southwestlondon.icb.nhs.uk/wp-content/uploads/2024/11/NHS-South-West-London-board-meeting-pack-November-2024.pdf",
        "https://www.stgeorges.nhs.uk/newsitem/new-electronic-patient-record-goes-live-across-st-georges-epsom-and-st-helier-hospital-group/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000031"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-537",
        "SRC-538"
      ]
    },
    {
      "id": "ehr-oracle-esth",
      "nation": "England",
      "area": "South West London / Surrey",
      "organisation": "Epsom and St Helier University Hospitals NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "gesh iClipPro",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Millennium (iClipPro)",
      "status": "live",
      "status_date": "2025-05-09",
      "scope": "Group-wide shared EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.southwestlondon.icb.nhs.uk/wp-content/uploads/2024/11/NHS-South-West-London-board-meeting-pack-November-2024.pdf",
        "https://www.stgeorges.nhs.uk/newsitem/new-electronic-patient-record-goes-live-across-st-georges-epsom-and-st-helier-hospital-group/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000031",
        "E54000069"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-537",
        "SRC-538"
      ]
    },
    {
      "id": "ehr-oracle-dbth",
      "nation": "England",
      "area": "South Yorkshire / Bassetlaw",
      "organisation": "Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Oracle Health EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Oracle Health EPR",
      "status": "implementation",
      "status_date": "2026-02",
      "scope": "Shared version of Sheffield EPR",
      "notes": "Late 2027 target; not live replacement.",
      "source_urls": [
        "https://www.dbth.nhs.uk/about-us/how-we-are-run/trust-strategy/digital/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000060",
        "E54000061"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-539"
      ]
    },
    {
      "id": "ehr-oracle-sth",
      "nation": "England",
      "area": "South Yorkshire",
      "organisation": "Sheffield Teaching Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Oracle Health EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Oracle Health EPR",
      "status": "live",
      "status_date": "2025",
      "scope": "Trust EPR",
      "notes": "Neighbouring provider explicitly identifies it as introduced/used at Sheffield; local post-live report still desirable.",
      "source_urls": [
        "https://www.dbth.nhs.uk/about-us/how-we-are-run/trust-strategy/digital/"
      ],
      "evidence_strength": "Moderate — adjacent NHS provider confirmation",
      "region_codes": [
        "E54000061"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-539"
      ]
    },
    {
      "id": "ehr-oracle-plan-gwh",
      "nation": "England",
      "area": "Bath, Swindon and Wiltshire",
      "organisation": "Great Western Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "BSW Shared EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Oracle Health EPR",
      "status": "implementation",
      "status_date": "2025",
      "scope": "Shared acute EPR programme",
      "notes": "Retrieved page forecast 2026; current completion/date requires revalidation.",
      "source_urls": [
        "https://www.bswsharedrecord.nhs.uk/news/save-the-date-for-future-state-review/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000040"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-540"
      ]
    },
    {
      "id": "ehr-oracle-plan-ruh",
      "nation": "England",
      "area": "Bath, Swindon and Wiltshire",
      "organisation": "Royal United Hospitals Bath NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "BSW Shared EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Oracle Health EPR",
      "status": "implementation",
      "status_date": "2025",
      "scope": "Shared acute EPR programme",
      "notes": "Retrieved page forecast 2026; current completion/date requires revalidation.",
      "source_urls": [
        "https://www.bswsharedrecord.nhs.uk/news/save-the-date-for-future-state-review/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000040"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-540"
      ]
    },
    {
      "id": "ehr-oracle-plan-salisbury",
      "nation": "England",
      "area": "Bath, Swindon and Wiltshire",
      "organisation": "Salisbury NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "BSW Shared EPR",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Oracle Health EPR",
      "status": "implementation",
      "status_date": "2025",
      "scope": "Shared acute EPR programme",
      "notes": "Retrieved page forecast 2026; current completion/date requires revalidation.",
      "source_urls": [
        "https://www.bswsharedrecord.nhs.uk/news/save-the-date-for-future-state-review/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000040"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-540"
      ]
    },
    {
      "id": "ehr-oracle-plan-eput",
      "nation": "England",
      "area": "Mid and South Essex",
      "organisation": "Essex Partnership University NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "NOVA",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Oracle Health EPR",
      "status": "implementation",
      "status_date": "2026-02",
      "scope": "Shared acute / mental health / community EPR",
      "notes": "Delay risks identified; live deployment not evidenced.",
      "source_urls": [
        "https://www.eput.nhs.uk/wp-content/uploads/2026/02/Board_of_Directors_Meeting_Part_1-Feb-2026.pdf",
        "https://eput.nhs.uk/wp-content/uploads/2025/09/Annual-Report-2024-25-FINAL-V2.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000066"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-541",
        "SRC-542"
      ]
    },
    {
      "id": "ehr-oracle-plan-mse",
      "nation": "England",
      "area": "Mid and South Essex",
      "organisation": "Mid and South Essex NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "NOVA",
      "category": "hospital-ehr",
      "supplier": "Oracle Health",
      "product": "Oracle Health EPR",
      "status": "implementation",
      "status_date": "2026-02",
      "scope": "Shared acute / mental health / community EPR",
      "notes": "Delay risks identified; live deployment not evidenced.",
      "source_urls": [
        "https://www.eput.nhs.uk/wp-content/uploads/2026/02/Board_of_Directors_Meeting_Part_1-Feb-2026.pdf",
        "https://eput.nhs.uk/wp-content/uploads/2025/09/Annual-Report-2024-25-FINAL-V2.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000066"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-541",
        "SRC-542"
      ]
    },
    {
      "id": "ehr-altera-medway",
      "nation": "England",
      "area": "Kent and Medway",
      "organisation": "Medway NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Sunrise",
      "category": "hospital-ehr",
      "supplier": "Altera Digital Health",
      "product": "Sunrise",
      "status": "live",
      "status_date": "2025-05",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.medway.nhs.uk/foi-disclosure-log/foi-9839-electronic-patient-record-epr/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000032"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-543"
      ]
    },
    {
      "id": "ehr-altera-qvh",
      "nation": "England",
      "area": "Sussex",
      "organisation": "Queen Victoria Hospital NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Sunrise",
      "category": "hospital-ehr",
      "supplier": "Altera Digital Health",
      "product": "Sunrise",
      "status": "live",
      "status_date": "2025-11-20",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.qvh.nhs.uk/2025/11/queen-victoria-hospital-goes-live-with-epr-in-partnership-with-altera-digital-health/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000069"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-544"
      ]
    },
    {
      "id": "ehr-altera-wwl",
      "nation": "England",
      "area": "Greater Manchester",
      "organisation": "Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Sunrise",
      "category": "hospital-ehr",
      "supplier": "Altera Digital Health",
      "product": "Sunrise",
      "status": "live",
      "status_date": "2025-09-12",
      "scope": "Trust EPR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.wwl.nhs.uk/media/FOI/202526/06%20-%20September%202025/11022%20-%20EPR%20ePMA%20Medicine%20Decision%20Support%20and%20Cancer%20Prescribing%20System.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000057"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-545"
      ]
    },
    {
      "id": "ehr-systemc-rwt",
      "nation": "England",
      "area": "Black Country",
      "organisation": "The Royal Wolverhampton NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Blueprint",
      "category": "hospital-ehr",
      "supplier": "System C",
      "product": "CareFlow",
      "status": "phased-live",
      "status_date": "2025-10-07",
      "scope": "Initial EPR phase",
      "notes": "Do not infer all clinical modules completed.",
      "source_urls": [
        "https://royalwolverhampton.nhs.uk/newspost/landmark-digital-healthcare-system-officially-launched/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000062"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-546"
      ]
    },
    {
      "id": "ehr-dedalus-salisbury",
      "nation": "England",
      "area": "Bath, Swindon and Wiltshire",
      "organisation": "Salisbury NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Lorenzo",
      "category": "hospital-ehr",
      "supplier": "Dedalus",
      "product": "Lorenzo",
      "status": "live",
      "status_date": "2026-02-27",
      "scope": "Current EPR as of response",
      "notes": "Separate Oracle replacement programme must not be marked already live.",
      "source_urls": [
        "https://www.salisbury.nhs.uk/about-us/freedom-of-information-foi/previous-foi-requests/foi_9223/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000040"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-547"
      ]
    },
    {
      "id": "ehr-meditech-alderhey",
      "nation": "England",
      "area": "Cheshire and Merseyside",
      "organisation": "Alder Hey Children’s NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Expanse",
      "category": "hospital-ehr",
      "supplier": "MEDITECH",
      "product": "Expanse",
      "status": "live",
      "status_date": "2023-09-01",
      "scope": "Trust EPR, including laboratory module",
      "notes": "2024 inventory; contract renewal/current version need separate validation.",
      "source_urls": [
        "https://www.alderhey.nhs.uk/wp-content/uploads/2024/11/273-Clinical-Systems-Contract-and-Procurement-Information.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000008"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-548"
      ]
    },
    {
      "id": "ehr-meditech-lwh",
      "nation": "England",
      "area": "Cheshire and Merseyside",
      "organisation": "Liverpool Women’s NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Expanse",
      "category": "hospital-ehr",
      "supplier": "MEDITECH",
      "product": "Expanse",
      "status": "live",
      "status_date": "2023-07-10",
      "scope": "Trust EPR",
      "notes": "Historical live baseline; 2026 Nervecentre plans recorded separately.",
      "source_urls": [
        "https://www.cheshireandmerseyside.nhs.uk/media/4o2flmpg/board-public-pack-july-2023-003-_compressed.pdf"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000008"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-549"
      ]
    },
    {
      "id": "ehr-inhouse-leeds",
      "nation": "England",
      "area": "West Yorkshire",
      "organisation": "Leeds Teaching Hospitals NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "PPM+",
      "category": "hospital-ehr",
      "supplier": "Leeds Teaching Hospitals (in-house)",
      "product": "PPM+",
      "status": "live",
      "status_date": "2026-09-25",
      "scope": "Trust clinical EHR",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.leedsth.nhs.uk/about/trust/strategy/investing-in-technologies/about-ppm/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000054"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-550"
      ]
    },
    {
      "id": "ehr-inhouse-uhb",
      "nation": "England",
      "area": "Birmingham and Solihull",
      "organisation": "University Hospitals Birmingham NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "PICS",
      "category": "hospital-ehr",
      "supplier": "University Hospitals Birmingham (in-house)",
      "product": "PICS",
      "status": "live",
      "status_date": "2023",
      "scope": "Clinical EHR, prescribing and order entry",
      "notes": "Source describes the stated organisation/function; no wider product or coverage inference.",
      "source_urls": [
        "https://www.uhb.nhs.uk/news-and-events/news/uhb-shortlisted-for-the-2024-hsj-digital-awards/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000055"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-551"
      ]
    },
    {
      "id": "ehr-dedalus-plan-hull",
      "nation": "England",
      "area": "Humber and North Yorkshire",
      "organisation": "Hull University Teaching Hospitals NHS Trust",
      "organisation_type": "NHS trust",
      "programme": "Humber Health Partnership EPR",
      "category": "hospital-ehr",
      "supplier": "Dedalus",
      "product": "ORBIS U",
      "status": "implementation",
      "status_date": "2026",
      "scope": "Future unified EPR",
      "notes": "No go-live established.",
      "source_urls": [
        "https://www.nlg.nhs.uk/news/our-digital-stars-shine-at-healthcare-innovation-conference/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000051"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-552"
      ]
    },
    {
      "id": "ehr-dedalus-plan-nlag",
      "nation": "England",
      "area": "Humber and North Yorkshire",
      "organisation": "Northern Lincolnshire and Goole NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "Humber Health Partnership EPR",
      "category": "hospital-ehr",
      "supplier": "Dedalus",
      "product": "ORBIS U",
      "status": "implementation",
      "status_date": "2026",
      "scope": "Future unified EPR",
      "notes": "No go-live established.",
      "source_urls": [
        "https://www.nlg.nhs.uk/news/our-digital-stars-shine-at-healthcare-innovation-conference/"
      ],
      "evidence_strength": "High — primary provider/programme evidence",
      "region_codes": [
        "E54000051"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-552"
      ]
    },
    {
      "id": "ehr-scot-unknown-dumfries-galloway",
      "nation": "Scotland",
      "area": "Dumfries and Galloway",
      "organisation": "NHS Dumfries and Galloway",
      "organisation_type": "NHS board",
      "programme": "Core hospital EPR/PAS not established",
      "category": "hospital-ehr",
      "supplier": "Unverified",
      "product": "Core hospital EPR/PAS not established",
      "status": "unknown",
      "status_date": "2026",
      "scope": "Current alternative not established in baseline",
      "notes": "PHS excludes this board from its TrakCare PMS implementation statement; this does not mean no EPR or no InterSystems products.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for exclusion from cited TrakCare PMS cohort; alternative unknown",
      "region_codes": [
        "S08000017"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-scot-unknown-western-isles",
      "nation": "Scotland",
      "area": "Western Isles",
      "organisation": "NHS Western Isles",
      "organisation_type": "NHS board",
      "programme": "Core hospital EPR/PAS not established",
      "category": "hospital-ehr",
      "supplier": "Unverified",
      "product": "Core hospital EPR/PAS not established",
      "status": "unknown",
      "status_date": "2026",
      "scope": "Current alternative not established in baseline",
      "notes": "PHS excludes this board from its TrakCare PMS implementation statement; this does not mean no EPR or no InterSystems products.",
      "source_urls": [
        "https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2025/data-quality/"
      ],
      "evidence_strength": "High for exclusion from cited TrakCare PMS cohort; alternative unknown",
      "region_codes": [
        "S08000028"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-118"
      ]
    },
    {
      "id": "ehr-wales-unknown-cardiff",
      "nation": "Wales",
      "area": "Cardiff and Vale",
      "organisation": "Cardiff and Vale University Health Board",
      "organisation_type": "Health board",
      "programme": "Core acute EPR/PAS not established",
      "category": "hospital-ehr",
      "supplier": "Unverified",
      "product": "Core acute EPR/PAS not established",
      "status": "unknown",
      "status_date": "2024-02-06",
      "scope": "Acute core stack not established",
      "notes": "DHCW WPAS excludes Cardiff and Vale. Other specialty/module systems exist; do not infer supplier absence.",
      "source_urls": [
        "https://dhcw.nhs.wales/about-us/board-committee-and-advisory-boards/programmes-delivery-committee/meeting-6-february-2024/agenda-amp-papers-pdc-6-february-2024"
      ],
      "evidence_strength": "High for WPAS exclusion; alternative core stack unknown",
      "region_codes": [
        "W11000029"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-553"
      ]
    },
    {
      "id": "DX-001",
      "nation": "England",
      "area": "South East London",
      "organisation": "Guy’s and St Thomas’ NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "GP radiology referrals",
      "category": "radiology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live",
      "status_date": "2026-06",
      "scope": "GP referrals to radiology",
      "notes": "External referral route; does not identify hospital RIS or imaging archive.",
      "source_urls": [
        "https://www.guysandstthomas.nhs.uk/referral-guide/radiology"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000030"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-556"
      ]
    },
    {
      "id": "DX-002",
      "nation": "England",
      "area": "South East London",
      "organisation": "Synnovis",
      "organisation_type": "pathology provider",
      "programme": "GP pathology requesting",
      "category": "pathology-order-results",
      "supplier": "EMIS Health / Optum",
      "product": "tQuest",
      "status": "live",
      "status_date": "2025-02-06",
      "scope": "GP practices using Synnovis in Bexley, Greenwich, Lewisham, Bromley, Southwark and Lambeth",
      "notes": "The GP requesting supplier can differ from the EPR at the receiving hospital.",
      "source_urls": [
        "https://ww2.synnovis.co.uk/tquest-synnovis-pathology",
        "https://www.emishealth.com/news-insights/clinical-requesting-and-reporting"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000030"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-557",
        "SRC-555"
      ]
    },
    {
      "id": "DX-003",
      "nation": "England",
      "area": "Kent and Medway",
      "organisation": "Dartford and Gravesham NHS Trust",
      "organisation_type": "trust",
      "programme": "ICE implementation",
      "category": "pathology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live",
      "status_date": "2025-06",
      "scope": "Hospital ordering; GP/community routes also documented",
      "notes": "June 2025 hospital deployment established. Supplier September report described pathology result-return expansion as dependent on later LIMS; do not assume all phases completed.",
      "source_urls": [
        "https://www.dgt.nhs.uk/services/general-practitioners-and-advanced-nurse-practitioners/ice-system/faqs",
        "https://www.clinisys.com/uk/en/news/dartford-and-gravesham-implements-clinisys-ice-for-radiology-and-pathology-orders/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000032"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-558",
        "SRC-559"
      ]
    },
    {
      "id": "DX-004",
      "nation": "England",
      "area": "Kent and Medway",
      "organisation": "Dartford and Gravesham NHS Trust",
      "organisation_type": "trust",
      "programme": "ICE implementation",
      "category": "radiology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live",
      "status_date": "2025-06",
      "scope": "Hospital ordering; GP/community routes also documented",
      "notes": "June 2025 hospital deployment established. Supplier September report described pathology result-return expansion as dependent on later LIMS; do not assume all phases completed.",
      "source_urls": [
        "https://www.dgt.nhs.uk/services/general-practitioners-and-advanced-nurse-practitioners/ice-system/faqs",
        "https://www.clinisys.com/uk/en/news/dartford-and-gravesham-implements-clinisys-ice-for-radiology-and-pathology-orders/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000032"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-558",
        "SRC-559"
      ]
    },
    {
      "id": "DX-005",
      "nation": "England",
      "area": "Kent and Medway",
      "organisation": "Kent and Medway Pathology Network",
      "organisation_type": "pathology network",
      "programme": "Network LIMS standardisation",
      "category": "lims",
      "supplier": "Clinisys",
      "product": "WinPath",
      "status": "planned",
      "status_date": "2025-09-08",
      "scope": "Seven laboratories at DGT, Medway, Maidstone and Tunbridge Wells, East Kent",
      "notes": "Network-wide future rollout described in September 2025; no later full-network acceptance found. ICE results training is not LIMS go-live proof.",
      "source_urls": [
        "https://www.clinisys.com/uk/en/news/dartford-and-gravesham-implements-clinisys-ice-for-radiology-and-pathology-orders/",
        "https://www.ekhuft.nhs.uk/s3/assets/files/health_professionals_docs/ice-training-guides/quick-reference-guide_5_-how-to-look-at-results-in-ice.pdf"
      ],
      "evidence_strength": "Moderate: supplier dated plan",
      "region_codes": [
        "E54000032"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-559",
        "SRC-560"
      ]
    },
    {
      "id": "DX-006",
      "nation": "England",
      "area": "Greater Manchester",
      "organisation": "Manchester University NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Hive / laboratory requesting",
      "category": "pathology-order-results",
      "supplier": "Epic",
      "product": "Epic orders",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "MFT electronic microbiology/laboratory request workflow",
      "notes": "Direct laboratory guidance confirms electronic orders and specimen label/collection workflow.",
      "source_urls": [
        "https://mft.nhs.uk/the-trust/other-departments/laboratory-medicine/manchester-medical-microbiology-partnership/how-to-complete-request-form/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000057"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-561"
      ]
    },
    {
      "id": "DX-007",
      "nation": "England",
      "area": "Greater Manchester",
      "organisation": "Manchester University NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Hive / laboratory module",
      "category": "lims",
      "supplier": "Epic",
      "product": "Beaker",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "Laboratory module in MFT published microbiology workflow",
      "notes": "Do not infer every external laboratory shares Beaker.",
      "source_urls": [
        "https://mft.nhs.uk/the-trust/other-departments/laboratory-medicine/manchester-medical-microbiology-partnership/how-to-complete-request-form/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000057"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-561"
      ]
    },
    {
      "id": "DX-008",
      "nation": "England",
      "area": "Suffolk and North East Essex",
      "organisation": "East Suffolk and North Essex NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Pathology IT",
      "category": "lims",
      "supplier": "Epic",
      "product": "Beaker",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "Colchester and Ipswich pathology service",
      "notes": "Named BAU system; individual discipline and migration-date details not supplied.",
      "source_urls": [
        "https://esneftpathology.nhs.uk/services-departments/pathology-it/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000066",
        "E54000068"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-562"
      ]
    },
    {
      "id": "DX-009",
      "nation": "England",
      "area": "Suffolk and North East Essex",
      "organisation": "East Suffolk and North Essex NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Pathology IT",
      "category": "pathology-order-results",
      "supplier": "Clinisys; DART supplier not attributed here",
      "product": "ICE; DART",
      "status": "mixed",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "Pathology requesting/front-end estate",
      "notes": "Both are explicitly supported alongside Beaker; source does not allocate front ends to every cohort.",
      "source_urls": [
        "https://esneftpathology.nhs.uk/services-departments/pathology-it/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000066",
        "E54000068"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-562"
      ]
    },
    {
      "id": "DX-010",
      "nation": "England",
      "area": "Suffolk and North East Essex",
      "organisation": "East Suffolk and North Essex NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Laboratory exchange",
      "category": "diagnostic-exchange",
      "supplier": "X-Lab",
      "product": "Labgnostic (formerly NPEx)",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "Pathology IT supported lab-to-lab exchange",
      "notes": "Separate from clinician-facing ICE/DART and Beaker.",
      "source_urls": [
        "https://esneftpathology.nhs.uk/services-departments/pathology-it/",
        "https://www.find-tender.service.gov.uk/Notice/044838-2025"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000066",
        "E54000068"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-562",
        "SRC-582"
      ]
    },
    {
      "id": "DX-011",
      "nation": "England",
      "area": "North Central London",
      "organisation": "Royal Free London NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "GP pathology",
      "category": "pathology-order-results",
      "supplier": "EMIS Health / Optum",
      "product": "tQuest; Review",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "GP pathology requests/results at Royal Free/Barnet/related services",
      "notes": "Trust guidance confirms tQuest support. ICB guidance supplies Review detail but is overdue for review.",
      "source_urls": [
        "https://www.royalfree.nhs.uk/gps",
        "https://gps.westandnorthlondon.icb.nhs.uk/digital-tools-in-practice/tquest",
        "https://www.emishealth.com/news-insights/clinical-requesting-and-reporting"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-564",
        "SRC-563",
        "SRC-555"
      ]
    },
    {
      "id": "DX-012",
      "nation": "England",
      "area": "North Central London",
      "organisation": "Royal Free London NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "GP imaging",
      "category": "radiology-order-results",
      "supplier": "EMIS Health / Optum",
      "product": "tQuest",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "Radiology GP request pathways at Royal Free/Barnet/Chase Farm and associated hospitals",
      "notes": "Not proof that all imaging modalities or all recently merged sites use identical workflow.",
      "source_urls": [
        "https://www.royalfree.nhs.uk/gps",
        "https://www.emishealth.com/news-insights/clinical-requesting-and-reporting"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-564",
        "SRC-555"
      ]
    },
    {
      "id": "DX-013",
      "nation": "England",
      "area": "North Central London",
      "organisation": "University College London Hospitals NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "GP pathology",
      "category": "pathology-order-results",
      "supplier": "EMIS Health / Optum",
      "product": "tQuest; Review",
      "status": "documented-current-unverified",
      "status_date": "2026-03-06 review overdue",
      "scope": "NCL GP requests to UCLH",
      "notes": "Current ICB page explicitly says overdue review; preserve as documented route requiring confirmation.",
      "source_urls": [
        "https://gps.westandnorthlondon.icb.nhs.uk/digital-tools-in-practice/tquest",
        "https://www.emishealth.com/news-insights/clinical-requesting-and-reporting"
      ],
      "evidence_strength": "Moderate: NHS guidance explicitly overdue review",
      "region_codes": [
        "E54000071"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-563",
        "SRC-555"
      ]
    },
    {
      "id": "DX-014",
      "nation": "England",
      "area": "Greater Manchester",
      "organisation": "Stockport NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "GP pathology",
      "category": "pathology-order-results",
      "supplier": "EMIS Health / Optum",
      "product": "tQuest",
      "status": "documented-current-unverified",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "Stockport GP electronic ordering",
      "notes": "FAQ remains online but includes legacy browser guidance. Do not assume unchanged interface after 2026 LIMS migration.",
      "source_urls": [
        "https://labmedservices.stockport.nhs.uk/ViewPage.aspx?pageid=1",
        "https://www.emishealth.com/news-insights/clinical-requesting-and-reporting"
      ],
      "evidence_strength": "Moderate: undated provider guidance",
      "region_codes": [
        "E54000057"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-565",
        "SRC-555"
      ]
    },
    {
      "id": "DX-015",
      "nation": "England",
      "area": "Greater Manchester",
      "organisation": "Stockport NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Greater Manchester LIMS programme",
      "category": "lims",
      "supplier": "Clinisys",
      "product": "WinPath",
      "status": "live",
      "status_date": "2026-04-20",
      "scope": "Microbiology/cellular pathology since September 2025; blood sciences/transfusion final phase April 2026",
      "notes": "Supplier reports full deployment; do not carry forward Telepath merely from older job adverts.",
      "source_urls": [
        "https://www.clinisys.com/uk/en/news/stockport-nhs-foundation-trust-advances-pathology-transformation-with-clinisys-winpath/"
      ],
      "evidence_strength": "Moderate-high: dated supplier report with named customer testimony",
      "region_codes": [
        "E54000057"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-566"
      ]
    },
    {
      "id": "DX-016",
      "nation": "England",
      "area": "West Yorkshire",
      "organisation": "Leeds Teaching Hospitals NHS Trust",
      "organisation_type": "trust",
      "programme": "Immunology laboratory",
      "category": "pathology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "Immunology ordering",
      "notes": "Discipline-specific direct operating guidance.",
      "source_urls": [
        "https://www.leedsth.nhs.uk/services/pathology/specialist-laboratory-medicine-slm/immunology-laboratory/",
        "https://www.clinisys.com/us/en/products/clinisys-ice-en/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000054"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-567",
        "SRC-554"
      ]
    },
    {
      "id": "DX-017",
      "nation": "England",
      "area": "Birmingham and Solihull",
      "organisation": "University Hospitals Birmingham NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "GP diagnostic requesting",
      "category": "pathology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live",
      "status_date": "2024-12-04 reviewed",
      "scope": "Primary-care requests and reports across UHB sites",
      "notes": "Page also describes expansion of imaging; local entitlement and modality availability still apply.",
      "source_urls": [
        "https://www.uhb.nhs.uk/gps/diagnostic-electronic-requesting/",
        "https://www.clinisys.com/us/en/products/clinisys-ice-en/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000055"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-424",
        "SRC-554"
      ]
    },
    {
      "id": "DX-018",
      "nation": "England",
      "area": "Birmingham and Solihull",
      "organisation": "University Hospitals Birmingham NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "GP diagnostic requesting",
      "category": "radiology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live",
      "status_date": "2024-12-04 reviewed",
      "scope": "Primary-care requests and reports across UHB sites",
      "notes": "Page also describes expansion of imaging; local entitlement and modality availability still apply.",
      "source_urls": [
        "https://www.uhb.nhs.uk/gps/diagnostic-electronic-requesting/",
        "https://www.clinisys.com/us/en/products/clinisys-ice-en/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000055"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-424",
        "SRC-554"
      ]
    },
    {
      "id": "DX-019",
      "nation": "England",
      "area": "Hampshire and Isle of Wight",
      "organisation": "University Hospital Southampton NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "GP electronic requesting",
      "category": "pathology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "Published pathology and GP radiology requesting/reporting service",
      "notes": "Historic client versions on page not asserted current. New Southern Counties LIMS/ICE work remains labelled in progress.",
      "source_urls": [
        "https://www.uhs.nhs.uk/health-professionals/pathology-services/electronic-requesting",
        "https://www.clinisys.com/us/en/products/clinisys-ice-en/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000067"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-568",
        "SRC-554"
      ]
    },
    {
      "id": "DX-020",
      "nation": "England",
      "area": "Hampshire and Isle of Wight",
      "organisation": "University Hospital Southampton NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "GP electronic requesting",
      "category": "radiology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "Published pathology and GP radiology requesting/reporting service",
      "notes": "Historic client versions on page not asserted current. New Southern Counties LIMS/ICE work remains labelled in progress.",
      "source_urls": [
        "https://www.uhs.nhs.uk/health-professionals/pathology-services/electronic-requesting",
        "https://www.clinisys.com/us/en/products/clinisys-ice-en/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000067"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-568",
        "SRC-554"
      ]
    },
    {
      "id": "DX-021",
      "nation": "England",
      "area": "South West London / Surrey",
      "organisation": "South West London Pathology",
      "organisation_type": "pathology network",
      "programme": "FIT pathway",
      "category": "pathology-order-results",
      "supplier": "Clinisys; EMIS Health / Optum; DART supplier not attributed here",
      "product": "ICE; tQuest; DART",
      "status": "mixed",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "FIT requests through the referring service’s local platform",
      "notes": "A network may accept multiple front ends; do not assign one system across all members.",
      "source_urls": [
        "https://www.swlpath.nhs.uk/home/what-we-do/departments-and-services/services/fit/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000031",
        "E54000069"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-569"
      ]
    },
    {
      "id": "DX-022",
      "nation": "England",
      "area": "Leicester, Leicestershire and Rutland",
      "organisation": "University Hospitals of Leicester NHS Trust",
      "organisation_type": "trust",
      "programme": "Microbiology results",
      "category": "pathology-order-results",
      "supplier": "Clinisys; Nervecentre",
      "product": "ICE; Nervecentre",
      "status": "documented-current-unverified",
      "status_date": "2024-07",
      "scope": "Microbiology result viewing",
      "notes": "Handbook names both for results lookup; no claim that Nervecentre is the LIMS or sole requester. Direct handbook URL returned 404 on 25 September 2026; the indexed provider evidence does not establish unchanged current configuration.",
      "source_urls": [
        "https://www.uhleicester.nhs.uk/wp-content/uploads/2025/07/IN3917-Clinical-Microbiology-Handbook-V15.pdf"
      ],
      "evidence_strength": "Moderate: provider handbook indexed text; direct URL returned 404 at review",
      "region_codes": [
        "E54000015"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-570"
      ]
    },
    {
      "id": "DX-023",
      "nation": "England",
      "area": "West Yorkshire",
      "organisation": "Calderdale and Huddersfield NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Hospital ordering/results",
      "category": "pathology-order-results",
      "supplier": "Oracle Health (Cerner); Clinisys",
      "product": "Cerner EPR; ICE",
      "status": "live",
      "status_date": "2026-06-29",
      "scope": "Cerner orders and return results/reports, with ICE alternative result view",
      "notes": "Radiology also exposes reports through CRIS/PACS. Operational evidence describes real interfaces, not generic supplier compatibility.",
      "source_urls": [
        "https://chft-news.cht.nhs.uk/issue/chft-news-issue-179-29-june-2026/article/are-you-working-a-night-shift-on-tuesday-pause-to-messages-in-and-out-of-cerner-epr-this-coming-wednesday-from-midnight-for-around-an-hour-b52ef3038fb8"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000054"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-571"
      ]
    },
    {
      "id": "DX-024",
      "nation": "England",
      "area": "West Yorkshire",
      "organisation": "Calderdale and Huddersfield NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Hospital ordering/results",
      "category": "radiology-order-results",
      "supplier": "Oracle Health (Cerner); Clinisys",
      "product": "Cerner EPR; ICE",
      "status": "live",
      "status_date": "2026-06-29",
      "scope": "Cerner orders and return results/reports, with ICE alternative result view",
      "notes": "Radiology also exposes reports through CRIS/PACS. Operational evidence describes real interfaces, not generic supplier compatibility.",
      "source_urls": [
        "https://chft-news.cht.nhs.uk/issue/chft-news-issue-179-29-june-2026/article/are-you-working-a-night-shift-on-tuesday-pause-to-messages-in-and-out-of-cerner-epr-this-coming-wednesday-from-midnight-for-around-an-hour-b52ef3038fb8"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "E54000054"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-571"
      ]
    },
    {
      "id": "DX-025",
      "nation": "England",
      "area": "Devon / Peninsula",
      "organisation": "Royal Devon University Healthcare NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Radiology workflow",
      "category": "radiology-order-results",
      "supplier": "Epic; CRIS supplier not identified by local source",
      "product": "Epic orders; CRIS radiology workflow",
      "status": "mixed",
      "status_date": "2024 survey; 2026-08 network review",
      "scope": "Eastern radiology request workflow and Peninsula shared RIS dependency",
      "notes": "2024 service response says Radiant not adopted due to regional CRIS dependency. August 2026 PenRAD still evaluating shared RIS versus Radiant; no current migration-complete claim.",
      "source_urls": [
        "https://www.royaldevon.nhs.uk/media/fkslceuf/you-said-we-did-referrer-survey-2024.pdf",
        "https://peninsuladiagnostics.nhs.uk/newsletter-august-2026"
      ],
      "evidence_strength": "Moderate: provider/network indexed source text, direct fetch unavailable",
      "region_codes": [
        "E54000037"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-572",
        "SRC-573"
      ]
    },
    {
      "id": "DX-026",
      "nation": "England",
      "area": "Kent and Medway",
      "organisation": "Medway NHS Foundation Trust",
      "organisation_type": "trust",
      "programme": "Kent and Medway imaging",
      "category": "ris-pacs",
      "supplier": "Sectra; Soliton",
      "product": "IDS7 PACS; Radiology+ RIS",
      "status": "live-at-source-date",
      "status_date": "2024-02",
      "scope": "Medway radiology",
      "notes": "Installed August 2023 and February 2021 respectively; source contracts run to 2033, not proof of unchanged configuration today.",
      "source_urls": [
        "https://www.medway.nhs.uk/foi-disclosure-log/foi-8760-pacs-and-ris/"
      ],
      "evidence_strength": "High for dated NHS FOI inventory",
      "region_codes": [
        "E54000032"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-574"
      ]
    },
    {
      "id": "DX-027",
      "nation": "Scotland",
      "area": "Lothian",
      "organisation": "NHS Lothian",
      "organisation_type": "health board",
      "programme": "GP order communications",
      "category": "pathology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "GP laboratory ordering available to all Lothian GP practices",
      "notes": "Distinct from hospital TrakCare and from laboratory production systems.",
      "source_urls": [
        "https://edinburghlabmed.co.uk/PLIG/GPOrder/Pages/default",
        "https://www.clinisys.com/us/en/products/clinisys-ice-en/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "S08000024"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-425",
        "SRC-554"
      ]
    },
    {
      "id": "DX-028",
      "nation": "Scotland",
      "area": "Lothian",
      "organisation": "NHS Lothian",
      "organisation_type": "health board",
      "programme": "TrakCare hospital diagnostics",
      "category": "pathology-order-results",
      "supplier": "InterSystems",
      "product": "TrakCare",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "University Hospitals Division ordering/results",
      "notes": "Hospital laboratory and radiology communications evidenced; not a claim that InterSystems operates SCI Store nationally.",
      "source_urls": [
        "https://edinburghlabmed.co.uk/PLIG/GPOrder/Pages/default"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "S08000024"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-425"
      ]
    },
    {
      "id": "DX-029",
      "nation": "Scotland",
      "area": "Lothian",
      "organisation": "NHS Lothian",
      "organisation_type": "health board",
      "programme": "TrakCare hospital diagnostics",
      "category": "radiology-order-results",
      "supplier": "InterSystems",
      "product": "TrakCare",
      "status": "live",
      "status_date": "Undated; checked 2026-09-25",
      "scope": "University Hospitals Division ordering/results",
      "notes": "Hospital laboratory and radiology communications evidenced; not a claim that InterSystems operates SCI Store nationally.",
      "source_urls": [
        "https://edinburghlabmed.co.uk/PLIG/GPOrder/Pages/default"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "S08000024"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-425"
      ]
    },
    {
      "id": "DX-030",
      "nation": "Scotland",
      "area": "Highland",
      "organisation": "NHS Highland",
      "organisation_type": "health board",
      "programme": "EPR Phase 2",
      "category": "pathology-order-results",
      "supplier": "InterSystems",
      "product": "TrakCare order communications",
      "status": "planned",
      "status_date": "2026-05-14",
      "scope": "Initial laboratory and radiology electronic orders/results",
      "notes": "May 2026 board recruitment notice calls Phase 2 future implementation. Existing TrakCare EPR deployment alone does not prove order comms live.",
      "source_urls": [
        "https://apply.jobs.scot.nhs.uk/Job/JobDetail?JobId=258919"
      ],
      "evidence_strength": "Moderate-high: dated board programme description",
      "region_codes": [
        "S08000022"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-575"
      ]
    },
    {
      "id": "DX-031",
      "nation": "Scotland",
      "area": "Highland",
      "organisation": "NHS Highland",
      "organisation_type": "health board",
      "programme": "EPR Phase 2",
      "category": "radiology-order-results",
      "supplier": "InterSystems",
      "product": "TrakCare order communications",
      "status": "planned",
      "status_date": "2026-05-14",
      "scope": "Initial laboratory and radiology electronic orders/results",
      "notes": "May 2026 board recruitment notice calls Phase 2 future implementation. Existing TrakCare EPR deployment alone does not prove order comms live.",
      "source_urls": [
        "https://apply.jobs.scot.nhs.uk/Job/JobDetail?JobId=258919"
      ],
      "evidence_strength": "Moderate-high: dated board programme description",
      "region_codes": [
        "S08000022"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-575"
      ]
    },
    {
      "id": "DX-032",
      "nation": "Scotland",
      "area": "Shetland / hosted by Grampian",
      "organisation": "NHS Shetland",
      "organisation_type": "health board",
      "programme": "Radiology systems",
      "category": "ris-pacs",
      "supplier": "GE Healthcare / Carestream (source naming)",
      "product": "Carestream RIS; Carestream PACS",
      "status": "replacement-unverified",
      "status_date": "2025-03 request",
      "scope": "Shetland RIS and PACS supported through Grampian",
      "notes": "FOI records legacy estate and intended 2025/26–2026 replacement. No cutover confirmation; do not colour as current Sectra solely on national award.",
      "source_urls": [
        "https://www.nhsshetland.scot/directory-record/3815/systems"
      ],
      "evidence_strength": "High for historical/transition inventory, current cutover unresolved",
      "region_codes": [
        "S08000020",
        "S08000026"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-576"
      ]
    },
    {
      "id": "DX-033",
      "nation": "Scotland",
      "area": "National",
      "organisation": "NHS Scotland / NHS National Services Scotland",
      "organisation_type": "national programme",
      "programme": "PACS reprovisioning",
      "category": "ris-pacs",
      "supplier": "Sectra",
      "product": "PACS reprovisioning programme",
      "status": "contracted-rollout-unverified",
      "status_date": "2023-12-08 contract start",
      "scope": "National PACS replacement",
      "notes": "Award establishes supplier and programme only; board-specific deployment and RIS supplier need separate confirmation.",
      "source_urls": [
        "https://www.nss.nhs.scot/media/5728/national-procurement-annual-report-2023-2024.pdf"
      ],
      "evidence_strength": "High for procurement; insufficient for completed rollout",
      "region_codes": [
        "S08000015",
        "S08000016",
        "S08000017",
        "S08000019",
        "S08000020",
        "S08000022",
        "S08000024",
        "S08000025",
        "S08000026",
        "S08000028",
        "S08000029",
        "S08000030",
        "S08000031",
        "S08000032"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-577"
      ]
    },
    {
      "id": "DX-034",
      "nation": "Wales",
      "area": "National",
      "organisation": "Digital Health and Care Wales / NHS Wales",
      "organisation_type": "national programme",
      "programme": "Welsh Clinical Portal diagnostic services",
      "category": "pathology-order-results",
      "supplier": "Digital Health and Care Wales",
      "product": "WCP; ETR; GPTR; WRRS",
      "status": "phased-live",
      "status_date": "2026 annual report",
      "scope": "National pathology ordering/results services",
      "notes": "Over 85% of pathology requests electronic in annual-report body; not universal organisation adoption and not the LIMS supplier.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2026/performance/mission-3/",
        "https://www.gov.wales/sites/default/files/publications/2026-03/public-accountability-meeting-evidence-from-digital-health-and-care-wales.pdf"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "W11000023",
        "W11000024",
        "W11000025",
        "W11000028",
        "W11000029",
        "W11000030",
        "W11000031"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-407",
        "SRC-329"
      ]
    },
    {
      "id": "DX-035",
      "nation": "Wales",
      "area": "National",
      "organisation": "Digital Health and Care Wales / NHS Wales",
      "organisation_type": "national programme",
      "programme": "Welsh Clinical Portal diagnostic services",
      "category": "radiology-order-results",
      "supplier": "Digital Health and Care Wales",
      "product": "WCP; ETR; WRRS",
      "status": "phased-live",
      "status_date": "2026 annual report",
      "scope": "National radiology requesting/report access",
      "notes": "Annual report says almost a quarter of radiology requests electronic; distinguish from RISP image/RIS stack.",
      "source_urls": [
        "https://dhcw.nhs.wales/annual-report-2026/performance/mission-3/",
        "https://www.gov.wales/sites/default/files/publications/2026-03/public-accountability-meeting-evidence-from-digital-health-and-care-wales.pdf"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "W11000023",
        "W11000024",
        "W11000025",
        "W11000028",
        "W11000029",
        "W11000030",
        "W11000031"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-407",
        "SRC-329"
      ]
    },
    {
      "id": "DX-036",
      "nation": "Wales",
      "area": "National",
      "organisation": "NHS Wales laboratory services",
      "organisation_type": "national programme",
      "programme": "WLIMS / LIMS 2.0",
      "category": "lims",
      "supplier": "InterSystems",
      "product": "TrakCare Lab 2016 → TrakCare Lab Enterprise",
      "status": "phased-live",
      "status_date": "2026-02-05 milestone report",
      "scope": "Staged national laboratory platform upgrade",
      "notes": "Technical/data-migration and initial clinical milestones do not prove all boards/disciplines migrated. ABUHB transfusion separately evidenced on WinPath.",
      "source_urls": [
        "https://hduhb.nhs.wales/about-us/your-health-board/board-meetings-2023/board-agenda-and-papers-28-september-2023/agenda-and-papers-28-september-2023/item-4-5-laboratory-information-network-cymru-linc-update-pdf/",
        "https://www.gov.wales/sites/default/files/publications/2026-03/public-accountability-meeting-evidence-from-digital-health-and-care-wales.pdf",
        "https://dhcw.nhs.wales/about-us/board-committee-and-advisory-boards/programmes-delivery-committee/meeting-5-february-2026/documents/pdc-agenda-and-papers-public-02-february-2026/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "W11000023",
        "W11000024",
        "W11000025",
        "W11000028",
        "W11000029",
        "W11000030",
        "W11000031"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-111",
        "SRC-329",
        "SRC-386"
      ]
    },
    {
      "id": "DX-037",
      "nation": "Wales",
      "area": "Aneurin Bevan",
      "organisation": "Aneurin Bevan University Health Board",
      "organisation_type": "health board",
      "programme": "Blood transfusion LIMS",
      "category": "lims",
      "supplier": "Clinisys",
      "product": "WinPath 2023.3",
      "status": "live",
      "status_date": "Autumn 2025; reported 2026-01-12",
      "scope": "Grange transfusion testing/issuing supports four hospitals",
      "notes": "Replaced LabCentre for this service; specific discipline exception to any blanket all-Wales InterSystems assumption.",
      "source_urls": [
        "https://www.clinisys.com/uk/en/news/blood-transfusion-at-aneurin-bevan-university-health-board-live-with-clinisys-winpath/"
      ],
      "evidence_strength": "Moderate-high: dated supplier report with named customer testimony",
      "region_codes": [
        "W11000028"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-578"
      ]
    },
    {
      "id": "DX-038",
      "nation": "Wales",
      "area": "Betsi Cadwaladr — East area",
      "organisation": "Betsi Cadwaladr University Health Board",
      "organisation_type": "health board",
      "programme": "ICE GP link system",
      "category": "pathology-order-results",
      "supplier": "Clinisys",
      "product": "ICE",
      "status": "live-at-source-date",
      "status_date": "2025-03-04 award publication",
      "scope": "East-area GP and community electronic requesting/results",
      "notes": "Contract concluded November 2023 supports an existing service. Procurement explicitly says BCUHB: East area does not mean East Wales. Current national migration status not established.",
      "source_urls": [
        "https://www.find-tender.service.gov.uk/Notice/007828-2025"
      ],
      "evidence_strength": "High for existing-service procurement, current transition unresolved",
      "region_codes": [
        "W11000023"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-579"
      ]
    },
    {
      "id": "DX-039",
      "nation": "Wales",
      "area": "National phased rollout",
      "organisation": "Digital Health and Care Wales / Welsh health boards and trusts",
      "organisation_type": "national programme",
      "programme": "RISP",
      "category": "ris-pacs",
      "supplier": "Philips (prime/PACS); RIS and dose suppliers not named in award",
      "product": "RISP PACS / RIS / dose management",
      "status": "phased-live",
      "status_date": "2026-02-05 milestone report",
      "scope": "Reported live PHW, Powys, Betsi Cadwaladr and Hywel Dda; national procurement scope",
      "notes": "Hywel Dda go-live 1 December 2025. Remaining organisations and completed 2026 rollout not established. Prime contractor attribution does not identify each subcontracted module.",
      "source_urls": [
        "https://www.sell2wales.gov.wales/search/show/search_view.aspx?ID=NOV457172",
        "https://dhcw.nhs.wales/about-us/board-committee-and-advisory-boards/programmes-delivery-committee/meeting-5-february-2026/documents/pdc-agenda-and-papers-public-02-february-2026/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "W11000023",
        "W11000024",
        "W11000025",
        "W11000028",
        "W11000029",
        "W11000030",
        "W11000031"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-392",
        "SRC-386"
      ]
    },
    {
      "id": "DX-040",
      "nation": "Northern Ireland",
      "area": "All five HSC trusts and NIBTS",
      "organisation": "HSC Business Services Organisation / regional laboratories",
      "organisation_type": "national programme",
      "programme": "NIPIMS CoreLIMS",
      "category": "lims",
      "supplier": "Clinisys",
      "product": "WinPath Enterprise",
      "status": "live",
      "status_date": "2025-04-28 final go-live week",
      "scope": "Belfast, South Eastern, Northern, Western, Southern and Northern Ireland Blood Transfusion Service",
      "notes": "Separate system from Epic/encompass; final phases reported complete, not an Epic Beaker deployment.",
      "source_urls": [
        "https://bso.hscni.net/directorates/digital/nipims/laboratory-information-management-system-lims/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "BHSCT",
        "NHSCT",
        "SEHSCT",
        "SHSCT",
        "WHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-580"
      ]
    },
    {
      "id": "DX-041",
      "nation": "Northern Ireland",
      "area": "All five HSC trusts",
      "organisation": "HSC Business Services Organisation / HSC trusts",
      "organisation_type": "national programme",
      "programme": "NIPACS+",
      "category": "ris-pacs",
      "supplier": "Sectra",
      "product": "NIPACS+ regional imaging",
      "status": "live",
      "status_date": "2025-05 final Phase 2; closure event 2026-06-25",
      "scope": "Radiology plus additional imaging specialties",
      "notes": "BCH/RVH integrated; old guidance excluding those hospitals is superseded. July 2026 operations handover announced but not retrospectively verified here.",
      "source_urls": [
        "https://bso.hscni.net/directorates/digital/northern-ireland-picture-archive-and-communication-system-nipacs/",
        "https://bso.hscni.net/nipacs-celebrates-closure/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "BHSCT",
        "NHSCT",
        "SEHSCT",
        "SHSCT",
        "WHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-389"
      ]
    },
    {
      "id": "DX-042",
      "nation": "Northern Ireland",
      "area": "Regional",
      "organisation": "HSCNI / referring clinicians",
      "organisation_type": "national programme",
      "programme": "encompass external clinical access",
      "category": "radiology-order-results",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "live",
      "status_date": "2025-07-30 guidance",
      "scope": "Authorised external clinician imaging requests and access to some results",
      "notes": "Limited workflow actions accompany primarily read-only record access; not the RIS/PACS archive and not all modalities/roles automatically enabled.",
      "source_urls": [
        "https://dhcni.hscni.net/digital-portfolio/encompass/epiccare/"
      ],
      "evidence_strength": "High: direct provider evidence",
      "region_codes": [
        "BHSCT",
        "NHSCT",
        "SEHSCT",
        "SHSCT",
        "WHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-113"
      ]
    },
    {
      "id": "DX-043",
      "nation": "Northern Ireland",
      "area": "Regional",
      "organisation": "HSCNI / GP practices",
      "organisation_type": "national programme",
      "programme": "encompass primary-care access",
      "category": "pathology-order-results",
      "supplier": "Epic",
      "product": "EpicCare Link",
      "status": "reported-capability",
      "status_date": "2025-07-28",
      "scope": "GP laboratory order capability described by Department",
      "notes": "Parliamentary account supports capability; detailed current role, test catalogue and GP workflow need verification. Does not imply primary-care EPR replacement.",
      "source_urls": [
        "https://aims.niassembly.gov.uk/questions/printquestionsummary.aspx?docid=444712"
      ],
      "evidence_strength": "Moderate-high: official statement, operational scope not fully specified",
      "region_codes": [
        "BHSCT",
        "NHSCT",
        "SEHSCT",
        "SHSCT",
        "WHSCT"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-581"
      ]
    },
    {
      "id": "DX-044",
      "nation": "UK-wide",
      "area": "NHSBT laboratory partners",
      "organisation": "NHS Blood and Transplant",
      "organisation_type": "national provider",
      "programme": "Donor characterisation / DCERT interface",
      "category": "diagnostic-exchange",
      "supplier": "X-Lab",
      "product": "Labgnostic",
      "status": "live-at-source-date",
      "status_date": "2025-07-31 award",
      "scope": "Laboratory-to-laboratory requests/results for donor characterisation",
      "notes": "Public procurement found through X-Lab sibling wiki; no private supplier documents copied. Not equivalent to GP order entry, LIMS or a shared-care-record viewer.",
      "source_urls": [
        "https://www.find-tender.service.gov.uk/Notice/044838-2025"
      ],
      "evidence_strength": "High for official existing-service award",
      "region_codes": [],
      "mapping_basis": "Nation-level observation; no territorial allocation asserted.",
      "checked": "2026-09-25",
      "source_ids": [
        "SRC-582"
      ]
    },
    {
      "id": "ehr-trakcare-north-tees",
      "nation": "England",
      "area": "North East and North Cumbria",
      "organisation": "North Tees and Hartlepool NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "TrakCare EPR",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare",
      "status": "live-reported",
      "status_date": "2015 go-live; source reviewed 2026-03-17",
      "scope": "Trust TrakCare EPR and ePMA module",
      "notes": "Trust account reports the installation and module; it is not an independent outcome assessment.",
      "source_urls": [
        "https://www.nth.nhs.uk/news/digital-systems-cutting-edge-technology/"
      ],
      "source_ids": [
        "SRC-070"
      ],
      "evidence_strength": "High for dated provider statement and stated scope",
      "region_codes": [
        "E54000050"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25"
    },
    {
      "id": "ehr-trakcare-roh",
      "nation": "England",
      "area": "Birmingham and Solihull",
      "organisation": "The Royal Orthopaedic Hospital NHS Foundation Trust",
      "organisation_type": "NHS trust",
      "programme": "TrakCare EPR",
      "category": "hospital-ehr",
      "supplier": "InterSystems",
      "product": "TrakCare",
      "status": "contracted",
      "status_date": "2026-03-13",
      "scope": "Future trust EPR programme",
      "notes": "Selection and signed contract are confirmed. Current public sources here do not establish completed go-live.",
      "source_urls": [
        "https://roh.nhs.uk/news-events/the-royal-orthopaedic-hospital-selects-epr-partner",
        "https://roh.nhs.uk/news-events/the-roh-signs-epr-contract-with-intersystems"
      ],
      "source_ids": [
        "SRC-022",
        "SRC-023"
      ],
      "evidence_strength": "High for dated provider statement and stated scope",
      "region_codes": [
        "E54000055"
      ],
      "mapping_basis": "Programme/organisation regional association for navigation; not universal deployment, provider catchment or exclusive supplier coverage.",
      "checked": "2026-09-25"
    }
  ]
}
