CareCentric Gateway is an Electronic Health Record and portal which presents users with a unified view of data taken from health and social care IT systems across a care community. It provides a single care record which allows multidisciplinary teams from single Trusts or multiple care settings to work together to deliver a coherent, integrated service to patients and clients.
Gateway is used widely in the UK and is currently holding data on over 17m citizens in its master index. It is used by over 30,000 care staff working in social and community-based services and in the NHS.
Portal: A portal viewer makes data and documents from all sources and care settings viewable from a single place. Information includes contacts, letters, clinical notes, alerts, results, medications and clinical data of all types.
Summaries: Structured clinical summaries combine data from different sources onto a single page or document. So for example, an A&E summary could take data items from the GP record, such as current medications and active diagnoses, and put them together with latest test results and previous A&E attendances taken from acute systems.
Patient lists: The system can display numerous active patient lists such as current inpatients, patients in a clinic, planned admissions, patients with selected conditions and clinician-tagged patients. These can be used as pick lists from which the full patient record can be selected.
Charting: Charting allows numerical data to be presented graphically. Charting can render GP data and merge data from multiple sources into one chart (eg GP, pathology and data entry form inputs all displayed together). The system allows users to define standard charts and these can then be used as the viewing format for the type of data being charted.
Third party system integration: Third party systems can be embedded directly within Gateway, allowing a user to access data on the embedded system in patient context and without having to sign out and sign in again. This means that when a patient is in focus, the user can call, say, an external telehealth viewer and review readings using all the controls and facilities of that viewer.
Calling the Gateway record from third party systems: Gateway can also be embedded into local systems. This allows users of EMIS Web or INPS Vision, for example, to view the wider care community record for a patient directly from their GP system patient screens, in patient context and with single sign on.
Links to knowledge-bases and internal document stores: Gateway can be configured to include calls to internal or external knowledge bases, such as protocols or forms stored on a Trust intranet and information on a Royal College website.
Confidentiality and security: Gateway includes a raft of security and confidentiality measures including RBAC, VIP protection, sealed envelope support and comprehensive audit trails.