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

OKObservationSH-10284
08:55
UACR (urine albumin/creatinine ratio) · 42 mg/g
OKObservationSH-10291
08:48
ALT 62 U/L · platelets 221
OKDiagnosticReportSH-10326
08:41
Lipid panel · LDL-C 1.6 mmol/L
DFRObservationSH-10302
08:33
NT-proBNP result pending units reconciliation (ng/L vs pg/mL)
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

OKAppointmentSH-10302
08:12
Echocardiogram offered · 2026-04-24 10:30
OKDocumentReferenceSH-10326
07:45
Cardiac rehab discharge letter (Phase III complete)
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

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

OKORU^R01SH-10284
08:58
UACR 42 mg/g · reference <30 mg/g
OKORU^R01SH-10326
08:52
Lipid panel · 4 analytes
OKORU^R01SH-10291
08:40
FIB-4 panel · AST 38, ALT 62, platelets 221
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

OKDispensingEventSH-10284
03:12
Empagliflozin 10mg · first fill scheduled
DFRDispensingEventSH-10331
22:11
Alfuzosin not collected · adherence flag raised
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

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

OKVitalsStreamSH-10284
08:59
HR 82 bpm · SpO2 96% · BP 148/88
OKCGMReadingSH-10291
08:59
Glucose 9.4 mmol/L (post-meal)
OKActivityBlockSH-10318
08:59
Steps 12,480 · resting HR 58

Schema drift

No schema changes detected.