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Glossary

Term Working Definition
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.
Acacia Northern Territory TrakCare-based electronic patient record programme delivered through the Core Clinical Systems Renewal Program.
APS Atencion Primaria de Salud, the Chilean primary-healthcare setting referenced in SSMS / El Bosque TrakCare evidence.
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.
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.
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.
Community Health Index Scotland's national patient identifier and core digital infrastructure component; abbreviated CHI.
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.
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; GOV.UK describes it as an integrated primary Health Record for clinical use plus a pseudo-anonymised central data warehouse, used as the source of electronic, integrated healthcare records for Defence primary healthcare and some MOD specialist care providers.
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.
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.
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.
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.
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.
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 should be handled using local Being Open/statutory-status evidence.
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.
FHIR Packages and Profiles InterSystems endpoint customization mechanism using FHIR packages, profiles, and conformance resources, with CapabilityStatement discovery and an explicit non-automatic profile-validation boundary.
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.
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.
GP Connect NHS service that enables authorised health and care workers in different care settings to access GP record information through approved clinical or care systems for direct care.
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.
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.
HealthShare InterSystems connected-care and interoperability suite for capturing, sharing, understanding, and acting on healthcare information across organisations and communities.
Health Connect InterSystems healthcare integration engine and cloud-first managed service for secure data exchange, high-volume transaction support, process management, and monitoring.
HSCN Health and Social Care Network; NHS England Digital records HSCN as the network route for GP Connect Access Record Structured at time of access.
Key Information Summary Scottish GP-maintained care summary used to share key information for unscheduled and anticipatory-care contexts.
IRIS for Health InterSystems healthcare data/application platform positioned for FHIR-based healthcare applications and healthcare data management.
IntelliCare InterSystems next-generation EHR positioned around built-in GenAI and ambient documentation features.
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.
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.
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 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.
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.
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.
NHAIS National Health Application and Infrastructure Services; in this wiki, the Northern Ireland reference is limited to a GP-registration application context using InterSystems Caché licensing.
National Digital Platform NHS Scotland national cloud-based platform direction for common digital components, APIs, and data access across health and care.
OMOP Observational Medical Outcomes Partnership Common Data Model; InterSystems OMOP is documented as transforming FHIR data in cloud storage into an OMOP CDM repository.
Personal Community InterSystems EHR-neutral digital-front-door product for patient engagement, record access, communications, scheduling, proxy access, and branding.
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.
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.
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.
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; the shared-care-record content standard for which PRSB lists InterSystems Healthshare Version 2, Level 2 conformance valid until 17.06.2028.
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.
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.
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.
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 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.
Spine NHS England national infrastructure used by services and IT systems to exchange information; compare devolved services by function rather than by this product name.
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.
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.
Unified Care Record HealthShare product for creating a shared longitudinal care record from aggregated, normalised, and deduplicated data.
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.
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.