| Acacia |
Northern Territory TrakCare-based electronic patient record programme. The August 2026 inquiry records delivered read-only record and patient-administration groups, with later medicines/primary-care groups deferred. |
| Access Record Structured |
GP Connect FHIR API capability for coded, machine-readable GP record sections, subject to NHS access, security, testing, and onboarding requirements. |
| Access to Health Records Act 1990 |
Great Britain statutory route for access to deceased patients' health records; keep separate from living-patient subject access under UK GDPR / DPA and from FOI/EIR request routes. |
| Access to Medical Reports Act 1988 |
Specific consent and access regime for medical reports prepared for employment or insurance purposes; adjacent to health-record access, but not the general route for clinical records, deceased-record access, shared-care-record access, or DSIC assurance. |
| APS |
Atencion Primaria de Salud, the Chilean primary-healthcare setting referenced in SSMS / El Bosque TrakCare evidence. |
| BaRS |
Booking and Referral Standard: NHS England FHIR exchange for supported booking/referral applications. Application, sender/receiver assurance and live local deployment are separate checks. |
| Bulk FHIR Coordinator |
InterSystems capability that mediates bulk-data export interactions between a bulk-data client and a FHIR resource server endpoint. |
| Caché |
InterSystems database technology; the Northern Ireland NHAIS procurement notice says Caché is the underlying database for NHAIS applications used primarily for GP registrations in Northern Ireland. |
| Caldicott Principles |
Health and social care information-governance principles for handling identifiable confidential information, including justified purpose, minimum necessary use, need-to-know access, legal compliance, sharing where appropriate, and patient/public expectations. |
| CIS2 Authentication |
NHS staff single sign-on using OpenID Connect; distinct from patient identity and NHS login. CIS1 retirement is scheduled for end February 2027. |
| Clinical Reasoning Engine (CRE) |
Elsevier clinical decision-support engine named in NHS 24 procurement; procurement/platform evidence does not establish a public referral or booking API. |
| CodeSystem |
FHIR resource describing a coding scheme and its concepts. It gives codes their meaning; a ValueSet selects codes for a particular context. |
| Common law duty of confidentiality |
Legal duty that confidential patient information generally must not be disclosed without consent, statutory/legal requirement, statutory power, public-interest justification, or another valid legal basis. |
| Community Health Index |
Scotland's national patient identifier and core digital infrastructure component; abbreviated CHI. |
| ConceptMap |
FHIR terminology resource for describing mappings between code systems or value sets. In this wiki, local-to-SNOMED, Read-to-SNOMED, and other code maps need purpose, version, equivalence, review, and no-map handling before they support clinical or analytical claims. |
| Continuous Delivery / Extended Maintenance |
Distinct InterSystems software release streams. The 2026.2 availability announcement identifies Continuous Delivery; 2026.1 is Extended Maintenance. Neither establishes the version deployed in a managed-service tenant. |
| Core Information Standard |
PRSB standard defining information that may be shared across sites and settings; NHS England specifies it as the standard shared care records should conform to. |
| CP-IS |
Child Protection – Information Sharing: England service presenting child-protection-plan/looked-after alerts, with role-dependent access notifications. Separate from FGM-IS and editing a protection plan. |
| CPSS |
Call Prioritisation Streaming System used by NHS 111 Wales call handlers; distinct from ECNS and England NHS Pathways. |
| Data Protection Act 2018 |
UK statute supplementing UK GDPR, including health/social-care conditions, exemptions, enforcement, and offences relevant to personal and special category healthcare data. |
| DCB0129 |
NHS clinical risk-management standard for the manufacture of health IT systems; use as supplier/manufacturer clinical-safety evidence, not as DSIC, GP Connect, DSA/DPIA, or customer deployment proof by itself. |
| DCB0160 |
NHS clinical risk-management standard for deployment and use of health IT systems; use as local deployment/use clinical-safety evidence, not as product conformance or national-service onboarding proof by itself. |
| dm+d |
NHS dictionary of medicines and devices; the UK medicines/devices terminology standard for electronic medicines information transfer, maintained by NHSBSA with NHS England and carrying SNOMED CT identifiers. |
| DMedC |
Defence Medical Command; GOV.UK says HQ Defence Medical Services became Defence Medical Command on 20 May 2026, with full operating capability planned for May 2027. |
| DMICP |
Defence Medical Information Capability Programme; the MOD / Armed Forces electronic patient record system and Defence primary-healthcare source baseline, described by GOV.UK as an integrated primary Health Record for clinical use plus a pseudo-anonymised central data warehouse. It is not an InterSystems product; current interface, migration, and CORTISONE implementation proof is still required. |
| DMS |
Defence Medical Services, the MOD healthcare organisation for Armed Forces personnel; PRSB and GOV.UK describe DMS as covering primary healthcare, dental care, rehabilitation, occupational medicine, community mental healthcare, and specialist medical care functions. |
| DoHS |
Directory of Healthcare Services, exposed through England public Service Search APIs; separate from UEC DoS and the e-RS referral directory. |
| DoS |
Directory of Services is context-specific. England UEC DoS supports urgent-care service selection; e-RS has a separate directory. Welsh internal DoS and proposed wider directories do not imply the same API. |
| DoS Search API |
England's staged newer directory API. Organisation/endpoint lookup is available, but published clinical service/triage search operations remain unavailable in UAT/production in the September 2026 specification. |
| DPHC |
Defence Primary Healthcare, the Defence healthcare function that processes records for patients registered with DPHC facilities; family/dependant coverage should be treated as entitlement- and context-specific, not assumed for all relatives or veterans. |
| DPIA |
Data Protection Impact Assessment; deployment-specific evidence of processing purpose, lawful basis, Article 9 condition, risks, mitigations, roles, residual-risk ownership, and review. It does not replace DSA, Caldicott/confidentiality, DCB0129/DCB0160, or supplier/customer implementation proof. |
| DSA |
Data Sharing Agreement; deployment-specific evidence of data-sharing parties, purposes, roles, restrictions, transparency, retention, audit, and responsibilities. It is not proof of clinical safety, DSIC, GP Connect, or product conformance by itself. |
| DSIC |
Digital Services for Integrated Care; NHS England's digital primary-care procurement, capability, standards, and assurance environment for assured GP and integrated-care digital services in England. |
| DSIC Foundation Solution |
GP foundation clinical system/service assessed against the DSIC catalogue standards and capability set needed for general practice and PCN digital services in England. |
| DUAA |
Data (Use and Access) Act 2025; UK data reform legislation that received Royal Assent on 19 June 2025 and is being commenced in stages. ICO guidance says all DUAA data-protection provisions are in force as of 19 June 2026. In this wiki, the key health/adult social care point is the England information-standard provision that can reach IT and IT-service providers, without itself proving product conformance. |
| Duty of candour |
Professional and, in England/Wales/Scotland, statutory or organisational duty context requiring openness, explanation, apology, written follow-up, record keeping, and learning when specified safety incidents or things going wrong affect patients or service users; Northern Ireland’s published Being Open Framework is policy implementation evidence and explicitly creates no new statutory/legal duty. |
| ECNS |
Emergency Communication Nurse System, identified in NHS 111 Wales clinical contracts. This does not establish use of England NHS Pathways. |
| EMPI |
Enterprise master person index; InterSystems positions HealthShare EMPI as an identity-resolution component that can pair with Unified Care Record or operate standalone. |
| encompass |
Northern Ireland's HSC digital-care-record programme; official DHCNI pages describe it as a single digital care record across the five HSC Trusts, with primary care currently outside scope. |
| EpicCare Link |
HSCNI professional-access route that gives GPs and other health professionals read-only access to information documented in encompass, plus limited functionality such as requesting imaging tests. |
| FGM-IS |
Female Genital Mutilation – Information Sharing: England safeguarding indicator for family history of FGM in girls under 18; NCRS distinguishes view-only from indicator-management permissions. |
| FHIR |
Fast Healthcare Interoperability Resources; HL7's standard for representing and exchanging healthcare information as resources. FHIR can support REST, documents and messaging; it is not a product or a security protocol. |
| FHIR Packages and Profiles |
General FHIR concepts: packages group related conformance resources, while profiles constrain resources for a particular use. InterSystems provides mechanisms to load and use them; validation behaviour depends on the product and configuration. |
| FHIR Server |
InterSystems FHIR repository/service architecture for storing FHIR resources and exposing them through REST APIs; the out-of-box server uses the Resource Repository as default storage. |
| Flow Navigation Centre (FNC) |
Scottish health-board urgent-care clinical review/navigation service receiving NHS 24 referrals, with local onward-care and appointment arrangements. |
| FOIA section 46 code |
Code of practice on public-authority records management issued under section 46 of the Freedom of Information Act 2000; useful for records-management discipline, not as permission to disclose personal health records. |
| ASID |
Accredited System Identifier used in NHS endpoint/addressing workflows; it is not an ODS organisation code. Resolve the exact GP2GP service role through SDS. |
| GIRFEC |
Getting it right for every child: Scotland’s framework for children’s wellbeing and coordinated support, including child protection. A child’s plan and a local-authority child-protection register are distinct; the framework is not itself a national software interface. |
| GP2GP |
GP-practice registration and record-transfer workflow; the England FHIR implementation reuses GP Connect migration operations. |
| GP2GP Requesting Adapter |
Supplier-hosted bridge from a receiving FHIR-oriented GP system to a legacy GP2GP sender. Also called Requesting Adaptor, Receiving Adaptor or Patient Switching in official sources; see the implementation page. |
| Degrade |
Transferred clinical data whose original coded meaning cannot be represented directly in the receiving system; requires preservation and appropriate clinical handling, not silent loss. |
| GP Connect |
NHS England service for approved GP-record access and exchange through assured systems, principally for direct care. A separately approved medical-examiner use case supports record review within 28 days after death. |
| Health and Care Act 2022 |
UK Act that, for this wiki, matters because it amended the England health/adult social care information-standard regime, including moving applicable standards toward mandatory compliance and monitoring/enforcement. |
| Health and Social Care (National Data Guardian) Act 2018 |
UK Act establishing the National Data Guardian for Health and Social Care; use as health-data governance authority context, not as product or supplier conformance proof. |
| Health and Social Care Act 2012 section 250 |
Base England power for health and adult social care information standards, later amended by Health and Care Act 2022 and DUAA 2025. |
| Health Connect |
InterSystems healthcare integration engine, available as a managed cloud service or self-managed software. |
| HealthShare |
InterSystems connected-care and interoperability suite for capturing, sharing, understanding, and acting on healthcare information across organisations and communities. |
| HealthShare AI Assistant |
Generative-AI assistant capability announced for HealthShare that operates within Clinical Viewer and the Navigation Application with source traceability, RBAC, and audit claims. |
| HealthShare Care Community |
FHIR-enabled HealthShare care-management and care-plan workflow component that complements Unified Care Record. |
| HealthShare Clinical Viewer |
HealthShare clinical presentation component that makes HealthShare/UCR longitudinal-record data available to clinicians and care teams through browser, mobile, or embedded workflow access. |
| HealthShare Health Insight |
HealthShare analytics companion to Unified Care Record for real-time, retrospective, population, registry, dashboard, and gaps-in-care analysis. |
| HealthShare Provider Directory |
HealthShare provider master-data management component for collecting, consolidating, deduplicating, validating, searching, and publishing provider information. |
| HSCN |
Health and Social Care Network, replacing N3. Spine now supports an internet-access transition alongside HSCN; check the specific service/API route rather than assuming every connection must use HSCN. |
| IEP |
Image Exchange Portal, used for transferring diagnostic images. England NIR aims to reduce reliance on it; no national IEP shutdown date was established in this review. |
| IHE profile |
An Integrating the Healthcare Enterprise specification explaining how existing standards work together to meet a particular clinical or operational need. A named profile describes an integration pattern; a product's implementation must be established separately. |
| Implementation guide |
A coherent set of FHIR rules for a particular setting or use case, including resource profiles, terminology choices and interface behaviour. |
| IntelliCare |
InterSystems next-generation EHR positioned around built-in GenAI and ambient documentation features. |
| IRIS for Health |
InterSystems healthcare data/application platform positioned for FHIR-based healthcare applications and healthcare data management. |
| ITK3 |
Interoperability Toolkit 3 Messaging Distribution FHIR API Standards; an NHS Standards Directory dependency for relevant FHIR messaging distribution routes, including GP Connect Send Document / MESH patterns. |
| Key Information Summary |
Scottish GP-maintained care summary used to share key information for unscheduled and anticipatory-care contexts. |
| MESH |
Message Exchange for Social Care and Health; GP Connect uses MESH for Send Document and Update Record messaging patterns, and it should be assessed separately from GP Connect service capability and InterSystems middleware capability. |
| National Care Records Service (NCRS) |
NHS England professional web application combining SCR, demographics, NRL documents, patient flags, vaccinations and role-specific administrative functions. SCR is one source, not another name for NCRS. GP Connect access remains pilot-restricted; see the feature map (SRC-045, SRC-046, SRC-401 to SRC-403). |
| National Data Resource |
Digital Health and Care Wales programme context for improving Welsh data availability and interoperability, including NHS Wales FHIR standards and implementation work. |
| National Digital Platform |
NHS Scotland national cloud-based platform direction for common digital components, APIs, and data access across health and care. |
| National Imaging Registry (NIR) |
NHS England federated imaging discovery and retrieval service in limited beta use. Current interfaces use SOAP/XCA/XCA-I; wider rollout, FHIR/MHD and WADO-RS are planned. It is not NRL, a new PACS or a new clinical viewer (SRC-397 to SRC-400). |
| National Record Locator |
NHS service for locating patient record pointers; the roadmap names InterSystems sites including Birmingham and Solihull ICB in 2024 International Patient Summary pointer activity. |
| NHAIS |
National Health Application and Infrastructure Services. In NI, a legacy registration/administration application using Caché; NIDIS Phase 2 replaces GP-registration functions, while screening continuity has a separate timetable. Complete retirement is unverified. |
| NHS Act 2006 section 251 |
Shorthand for section 251 of the National Health Service Act 2006 and the Health Service (Control of Patient Information) Regulations 2002, allowing temporary support for disclosure of confidential patient information for medical purposes where consent or anonymised data is not practicable; it does not remove UK GDPR/DPA duties. |
| NHS Digital Buying Catalogue |
NHS England catalogue route for viewing, comparing, ordering, and managing assured clinical IT systems and services from Digital Care Services / DSIC frameworks. |
| NHS Pathways |
NHS England licensed clinical decision-support product for assessment/triage. It is distinct from service discovery, referral transport and a booked appointment. |
| NHS Terminology Server |
NHS England live cloud FHIR-compliant terminology service for national terminology content and locally authored terminology resources, including CodeSystem, ValueSet, ConceptMap, syndication, and FHIR terminology operations. |
| NIDIS |
Northern Ireland Digital Identity Service. Phase 1 distributes HCN and demographics; Phase 2 modernises GP registration. Its name does not imply a staff login service or complete NHAIS retirement. |
| NIPACS+ |
Northern Ireland's regional imaging programme, with Sectra named as supplier. Reported deployment and the June 2026 announcement of planned July operational handover are separate milestones. |
| ODS |
NHS Organisation Data Service supplies organisation reference data. In the HealthShare autoload advisory, ODS instead names a UCR data-store component; that advisory is not NHS ODS integration evidence. |
| OMOP |
Observational Medical Outcomes Partnership Common Data Model; InterSystems OMOP is documented as transforming FHIR data in cloud storage into an OMOP CDM repository. |
| PECR |
Privacy and Electronic Communications Regulations 2003; electronic-communications and storage/access privacy rules relevant to cookies, similar technologies, electronic messages, reminders, surveys, direct marketing, and communications-service privacy, sitting alongside UK GDPR and DPA 2018. |
| Personal Community |
InterSystems EHR-neutral digital-front-door product for patient engagement, record access, communications, scheduling, proxy access, and branding. |
| PHC |
Primary healthcare; this wiki uses it for primary-care, community-health, and closely related public-health settings only when source evidence supports that boundary. |
| Phone First |
Northern Ireland Trust-level urgent-care telephone assessment/routing services. Local hours, populations and receiving sites vary; this is not a single regional 111 service. |
| PMS |
Patient Management System. In the Scotland pages, TrakCare PMS follows Public Health Scotland wording for TrakCare Patient Management System and is a source label for TrakCare in that data-quality context. |
| Post-event message (PEM) |
In the PRSB 111 model, an informational summary sent to the registered general practice after contact, distinct from a referral requiring the recipient to act. Preserve purpose and recipient workflow. |
| Programme CORTISONE |
MOD / Defence Medical Services medical information services programme intended to deliver an integrated ecosystem for Defence healthcare information, NHS interfaces, an Integration Platform, EMPI, and related medical information services. |
| PRSB |
Professional Record Standards Body; publishes health and care record-content standards and conformance listings, including InterSystems Healthshare Core Information Standard conformance. |
| PRSB CIS |
PRSB Core Information Standard; PRSB lists InterSystems Healthshare as conformant to CIS version 2 at Level 2, valid until 17.06.2028. Version 2 identifies the standard, not a HealthShare software version. |
| PSBA |
Public Sector Broadband Aggregation, the Welsh public-sector wide-area network programme, delivered by BT; it carries traffic rather than providing clinical records. |
| Public Records Acts |
UK nation/framework public-records law covering preservation, records management, selection, transfer, archival custody, and public-record-office governance; relevant to retention and archive obligations but not a clinical content standard, patient-access route, or product compliance label. |
| Read Version 2 |
Retired UK clinical coding scheme. NHS England says the final update was April 2016; Read / CTV3 to SNOMED CT migration artefacts exist, but generic Read-to-SNOMED maps should be treated as static migration aids requiring provenance and clinical validation. |
| RISP |
Radiology Informatics System Procurement in Wales, covering PACS, radiology information and dose management. The award names Philips as prime; deployment is phased and separate from InterSystems laboratory delivery. |
| SCI Gateway |
Scottish Care Information Gateway, a national referral and clinical-communication route with board-level access arrangements; distinct from SCI Store. |
| SCI Store |
Scottish clinical-information storage used in local board settings. Lothian documents scanned eCasenotes stored here and viewed through TrakCare; that is local interface evidence, not national InterSystems ownership. |
| SDA |
Summary Document Architecture; InterSystems patient-data format used as an intermediary for transforming between healthcare data formats. Use SDA and CDA Transformation for the full definition and related CDA/C-CDA, FHIR, HL7, DTL, and XSLT/XSL transformation routes. Documentation cautions against using SDA as a persistent data model. |
| Shared Care Record |
Local or regional record-sharing programme that brings together relevant health and care information across organisations for direct care; Birmingham and Solihull ICS describes its Shared Care Record scope and participants. Separate from the national Summary Care Record (SCR). |
| SNOMED CT |
Structured clinical terminology. NHS England says all NHS providers in England must use SNOMED CT for clinical terms in electronic patient records; devolved nations have their own programmes. |
| Source layer |
Reusable source family or evidence layer, such as GMC, NMC, HCPC, GPhC, CQC, NICE, PRSB, records-management code, public-records law, or NHS information standards; visible synthesis tables should link repeated source-layer labels to canonical pages or sections (SRC-241 to SRC-260). |
| Spine |
NHS national infrastructure whose official service page covers England, Wales and the Isle of Man. Shared infrastructure does not imply shared procurement or GP Connect scope; Welsh EPS has a documented Spine/PDS dependency. |
| Spine Secure Proxy |
NHS forward HTTP proxy used by GP Connect RESTful API patterns; provides authentication, authorisation, auditing, data-sharing checks, and transaction logging for consuming systems. |
| Subject access request |
Data-subject request for access to personal data, including health information for living people; handle separately from deceased-record access under Access to Health Records legislation. |
| Summary Care Record (SCR) |
National GP-derived summary of important patient information, including medicines and allergies. SCR has no user interface of its own: authorised staff view it through NCRS or an approved local application. NCRS also presents other services; a regional Shared Care Record is a separate concept. |
| SWAN |
Scottish Wide Area Network, providing public-sector connectivity and external network gateways. SWAN2 is a network transition, separate from SCI services and clinical access rights. |
| TrakCare |
InterSystems EHR and healthcare information system positioned as a unified system for clinical and business workflows, patient records, and interoperability. |
| TrakCare ED |
NHS Shetland's FOI system name for its Intersystems-supplied Accident & Emergency patient-management system; the current evidence reads it as local/source naming for TrakCare in that Emergency Department setting. |
| TrakCare Lab Enterprise |
InterSystems laboratory-management product; its scope is separate from adopting the wider TrakCare EHR. |
| UK GDPR |
UK General Data Protection Regulation; core UK data-protection regime for personal data, including special category health data, requiring lawful basis, Article 9 condition, transparency, accuracy, security, accountability, and rights handling. |
| Unified Care Record |
HealthShare product for creating a shared longitudinal care record from aggregated, normalised, and deduplicated data. |
| ValueSet |
FHIR resource defining which codes may be used in a particular context. It can select codes from one or more CodeSystems; it does not itself define a new coding scheme. |
| Welsh Clinical Communications Gateway |
DHCW primary-care service connecting GPs to hospitals in Wales; use as a Wales-specific connectivity route rather than GP Connect evidence. |