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Depends: #28

A containerised application can be deployed rapidly to a Kubernetes cluster using a Helm chart, which describes the deployment process.

Implementers who are wanting to use the API will need detailed descriptions of the mapping or data fields that they will need to pull from their EPR and how to send them to the API in a suitable manner that it is accepted.

It will probably be possible to maintain the documentation withing the audit-engine main codebase, perhaps generating a static website from Markdown in a docs/ folder.

MkDocs would do this, or there may be a way to do it with a plugin for Django itself. (Ideally this documentation should be pre-rendered into static HTML rather than server-side rendered by audit-engine for each request)

Suggestion for roles:
RCPCH level: view and editor
RCPCH level: view only
Trust level: view and editor
Trust level: view only
Patient level: view only
Patient level: view and approve/opt out access

Are there other use cases? It is possible to be granular than this - allocating specific access to individual fields

        # this currently is unlikely to work TODO set locked to true if registered > 1 y

https://github.com/rcpch/rcpch-audit-engine/blob/bf8ffc2df81f77474cb0c99c79fb24a31c578fe4/rcpch-audit-engine/epilepsy12/models/registration.py#L74

If we are to have a patient facing platform for users to validate the information held on them within Epilepsy12, it would be ideal to integrate this with NHS Login. The process approval for NHS Login is quite involved.

• complete application form here
• intro call with NHS Digital
• proof of concept using NHS Digital sandbox
• pre-kickoff check list here
• project manager call
• kick off call
• go live date
• conformance testing
• go live

In an effort to ensure we are using idiomatic Django, we will start to convert the Views to Class-based
https://docs.djangoproject.com/en/4.0/topics/class-based-views/intro/

• assessment_views.py
• case_views.py
• comorbidity_views.py
• docs_views.py
• epilepsy_context_views.py
• hospital_trust_autocomplete.py
• initial_assessment_views.py
• investigation_management_views.py
• multiaxial_description_views.py

To allow EEG and childhood epilepsy services to submit data to the audit, an easier authentication/validation process might include logging in with NHS mail. There is a complicated process for this (similar to NHS Login) detailed here and here

Possible we just need new credentials, but Colin/I weren't able to login to review the fields:

ProgrammingError at /accounts/login/
relation "epilepsy12_epilepsy12user" does not exist
LINE 1: ..."epilepsy12_epilepsy12user"."twitter_handle" FROM "epilepsy1...

care planning measures for performance indicator missing

Key affiliation is at NHS Trust or Health Board level, rather than hospital

Quick note that as of this week there has been an announcement that the NHS "Dictionary of Medicines and Devices" aka. "dm+d" (not to be confused with the DM&D "Data Model and Dictionary" (you couldn't make it up, they are unrestrained in their idiocy) now has a REST API via the NHS Terminology Server and so we can potentially use this to look up drug names, classes, etc for the Audit Engine.

https://discourse.digitalhealth.net/t/nhs-dictionary-of-medicines-and-devices-dm-d-data-now-available-through-a-web-api/23990

No where to record if a school individual care plan in place. Used in performance indicator.

Can the top tab be simply 'Clinician Access' rather than 'Hospital Clinician'. this is because the audit includes community colleagues as well as hospital colleagues

	Patient first paediatric assessment date was/will be between

Cohort 4: 1 December 2020 – 30 November 2021
Cohort 5: 1 December 2021 – 30 November 2022
Cohort 6: 1 December 2022 – 30 November 2023
Cohort 7: 1 December 2023 – 30 November 2024

@coldunk can you link to the SNOMED RCPCH curated list here please.
Also the work you've already done mapping these SCTIDs to a Comorbidity, can you upload it here?
We may want to create a re-usable list in another repository, to enable this being shared as a Python package

children's surgery referral criteria
@coldunk it is currently not possible to make a referral and been seen by a children's epilepsy service if referral criteria have NOT been met. Is it common/possible/desirable for children who do not meet criteria still to be referred and seen? If so, do you want to capture this information? See examples:

Need to decide which fields and table structure we want to use

To enable deployment using Kubernetes, the application will need to be deployable via a Docker container.

There should be a Dockerfile which can be used to build a repeatable, secure, and reliable build of the E12 application.

Once there is a Dockerfile the application can also be shared to the Docker Hub, which enables developers and end testers to run a local deployment with docker run rcpch-audit-engine or similar.

Opt out question should be edittable at any stage of data entry. Answer of yes should prevent any further information being added/the case being shown in analyses/downloads. Needs to be removed from the database (with record of system case ID left to track numbers of opt out), deletion on some kind of delay to give small window to retrieve in case opt out applied in error.

This isn't really an atomic piece of work but rather a reminder that all functionality in the E12/Audit Engine application needs to be well tested, so that we can make changes with confidence.

https://docs.djangoproject.com/en/4.0/topics/testing/

Neuropsychiatric, Developmental-behavioural, and Emotional problems possibly can be coalesced into Other Relevant Diagnoses which would allow more than one Diagnosis to be entered, and the pick-list should be constrained to a curated list.

no where to record Epilepsy Specialist Nurse input (plus date of first input) - required for performance indicator

This is a multi step process:

• Enter postcode
• Check postcode is valid
• (Display home address to user for confirmation, but don't persist full address)
• Use postcode to get LSOA or other geographical parameter needed for IMD
• Calculate Index of Multiple Deprivation & IMD quintile

    index_of_multiple_deprivation_quintile=CharField( # TODO need to calculate IMD quintile and persist

Currently on MRI performed date is persisted
An audit metric is time to MRI which needs implementing

So that names of different anti-epilepsy medications recorded, same way as the rescue meds are (no notes/dates needed)