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Practice trajectory
-26%
JD
Dr John Dolittle
Ashford Vale Medical Group
System

Data feeds

26,757 messages ingested in the last 24h · 1 degraded
Enterprise pipeline

Practice knowledge — currency

2841/2968patients · model state < 24h
FHIR R4
healthy
St Mary's Hospital (Path + Imaging)
heartbeat 14s4,221 msgs/24h
FHIR R4
healthy
Northgate Regional (Cardiology)
heartbeat 41s1,870 msgs/24h
HL7v2
healthy
County Reference Labs
heartbeat 8s2,114 msgs/24h
CSV drop
degraded
Central Pharmacy Network
heartbeat 57m312 msgs/24h
Direct API
healthy
Sapio Patient App
heartbeat 2s18,240 msgs/24h
FHIR R4

St Mary's Hospital (Path + Imaging)

https://fhir.smh.nhs.uk/FHIR/R4 · FHIR R4 (US Core 6.1)

healthy
Heartbeat
14s
Messages · 24h
4,221
Backlog
12 (4m old)
Validation
18 ms
Message volume · last 48 hours (hourly buckets)
-48h-24hnow
48h total · 8,400 msgs · peak 235/hReplay and reconnect handled by platform
Recent messages
  1. OKObservationSH-10284
    08:55
    UACR (urine albumin/creatinine ratio) · 42 mg/g
  2. OKObservationSH-10291
    08:48
    ALT 62 U/L · platelets 221
  3. OKDiagnosticReportSH-10326
    08:41
    Lipid panel · LDL-C 1.6 mmol/L
  4. DFRObservationSH-10302
    08:33
    NT-proBNP result pending units reconciliation (ng/L vs pg/mL)
  5. OKMedicationStatementSH-10284
    08:22
    Empagliflozin 10mg OD · start date 2026-04-21
Schema drift
  • info15 Apr✓ resolved
    Observation.referenceRange[0].low.unit
    Changed from 'mg/dL' to 'mg/gCr' for UACR (aligned with KDIGO standard)
FHIR R4

Northgate Regional (Cardiology)

https://api.northgate.nhs.uk/fhir/r4 · FHIR R4

healthy
Heartbeat
41s
Messages · 24h
1,870
Backlog
3 (18m old)
Validation
22 ms
Message volume · last 48 hours (hourly buckets)
-48h-24hnow
48h total · 3,744 msgs · peak 108/hReplay and reconnect handled by platform
Recent messages
  1. OKAppointmentSH-10302
    08:12
    Echocardiogram offered · 2026-04-24 10:30
  2. OKDocumentReferenceSH-10326
    07:45
    Cardiac rehab discharge letter (Phase III complete)
  3. OKDiagnosticReportSH-10302
    07:12
    Previous TTE (2021) attached to record
Schema drift
No schema changes detected.
HL7v2

County Reference Labs

mllp://labs.crrl.local:2575 · HL7 v2.5

healthy
Heartbeat
8s
Messages · 24h
2,114
Backlog
Clear
Validation
9 ms
Message volume · last 48 hours (hourly buckets)
-48h-24hnow
48h total · 4,560 msgs · peak 117/hReplay and reconnect handled by platform
Recent messages
  1. OKORU^R01SH-10284
    08:58
    UACR 42 mg/g · reference <30 mg/g
  2. OKORU^R01SH-10326
    08:52
    Lipid panel · 4 analytes
  3. OKORU^R01SH-10291
    08:40
    FIB-4 panel · AST 38, ALT 62, platelets 221
  4. REJORU^R01
    08:30
    Unparseable OBR.4 (procedure code) — sender notified for correction
Schema drift
No schema changes detected.
CSV drop

Central Pharmacy Network

sftp://pharmacy-network.local/drops · CSV drop (v3 header)

degraded
Heartbeat
57m
Messages · 24h
312
Backlog
48 (58m old)
Validation
144 ms
Message volume · last 48 hours (hourly buckets)
-48h-24hnow
48h total · 674 msgs · peak 23/hReplay and reconnect handled by platform
Recent messages
  1. OKDispensingEventSH-10284
    03:12
    Empagliflozin 10mg · first fill scheduled
  2. DFRDispensingEventSH-10331
    22:11
    Alfuzosin not collected · adherence flag raised
  3. OKDispensingEventSH-10284
    21:58
    Atorvastatin 40mg · refill x28
Schema drift
  • warn15 Apr✓ resolved
    column 'dispensed_at'
    Now supplied with timezone (Europe/London) instead of UTC — normaliser updated.
  • info14 Apr✓ resolved
    new column 'pharmacy_ods_code'
    Optional column appeared; mapped into ingest model.
Direct API

Sapio Patient App

https://api.sapio.health/v3/ingest · Sapio API v3

healthy
Heartbeat
2s
Messages · 24h
18,240
Backlog
Clear
Validation
4 ms
Message volume · last 48 hours (hourly buckets)
-48h-24hnow
48h total · 36,480 msgs · peak 940/hReplay and reconnect handled by platform
Recent messages
  1. OKVitalsStreamSH-10284
    08:59
    HR 82 bpm · SpO2 96% · BP 148/88
  2. OKCGMReadingSH-10291
    08:59
    Glucose 9.4 mmol/L (post-meal)
  3. OKActivityBlockSH-10318
    08:59
    Steps 12,480 · resting HR 58
Schema drift
No schema changes detected.