Tiani Spirit Limited

Spirit HIE

Tiani-Spirit delivers Integrating the Healthcare Enterprise (IHE) based services that enable Healthcare organisations to provide lower cost access to higher quality care. The SpiritEHR data exchange solution enables the sharing of citizen information between existing systems across the whole of public sector services, both within and across regional boundaries​

Features

  • Standardise, connect and exchange information between multiple healthcare systems
  • Orchestrate, process, transform and pseudonymise information for analytics purposes
  • Security services, that provide confidentiality, integrity, non-repudiation and availability
  • Management and exchange of Digital Imaging and Communications in Medicine
  • Provide bi-directional mobile access to healthcare information
  • Clinical Portal and Integration
  • Health Information Exchange Adobe Workflow

Benefits

  • Securely exchange healthcare information
  • Easily interface and integrate health care and social care systems
  • Provide lower cost access to high quality care
  • Provide integrated health records for primary access and analytics
  • Facilitates Cross-Regional data exchange
  • Enables Cross-Community interoperability
  • Optional presentation of patient information and clinical data
  • Publishing/Consuming Adobe Workflow to and from a Health Information Exchange

Pricing

£25,500 an instance a year

  • Education pricing available
  • Free trial available

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at ian.press@tiani-spirit.co.uk. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 13

Service ID

3 3 2 3 0 5 8 8 7 3 5 7 3 7 2

Contact

Tiani Spirit Limited Ian Press
Telephone: 07582929614
Email: ian.press@tiani-spirit.co.uk

Service scope

Software add-on or extension
No
Cloud deployment model
  • Public cloud
  • Private cloud
  • Community cloud
  • Hybrid cloud
Service constraints
Tiani-Spirit services are provided as Java Enterprise Edition software deployed on WildFly or JBoss Enterprise Application Platform. The WildFly or JBoss Enterprise Application Platform is deployed on CentOS or Red Hat Enterprise Linux based virtual machines.
System requirements
  • CentOS or Red Hat Enterprise Linux
  • Any compatible hypervisor
  • Wildfly or JBoss Enterprise Application Platform

User support

Email or online ticketing support
Email or online ticketing
Support response times
P1 = 1 Hour
P2 = 4 Hour
P3 = 2 Business Days
Optional Out of Hours Support Package Available
User can manage status and priority of support tickets
Yes
Online ticketing support accessibility
None or don’t know
Phone support
No
Web chat support
No
Onsite support
Onsite support
Support levels
Tiani Spirit works with each Spirit Service customer, to define the specific service level required by the customer and the subsequent costs to provide the agreed service level. Service customers are allocated a technical account manager.
Support available to third parties
Yes

Onboarding and offboarding

Getting started
Tiani-Spirit provides onsite and web-based training and shares user documentation. Tiani-Spirit also provides access to a wiki for both partners and end-users.
Service documentation
Yes
Documentation formats
  • HTML
  • PDF
End-of-contract data extraction
All data is accessible via the integrated interface and may be exported to any user-defined data format.
End-of-contract process
Access to the service is removed. All Service credentials allocated to the customer are revoked. The customer instance of the service will be archived and retained for a period of 3 months after contract end.

Using the service

Web browser interface
Yes
Supported browsers
  • Internet Explorer 11
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
  • Opera
Application to install
Yes
Compatible operating systems
  • IOS
  • Linux or Unix
  • MacOS
  • Windows
  • Other
Designed for use on mobile devices
Yes
Differences between the mobile and desktop service
Tiani-Spirit's portal services may be accessed using mobile devices via a mobile web browser. Mobile users may also use the Tiani-Spirit iOS based application to provide bi-directional access to healthcare information.
Service interface
Yes
User support accessibility
None or don’t know
Description of service interface
Standards based AP’s that supports the following interfaces and standards

SOAP & REST
IHE Transactions
HL7v2, HL7v3, HL7 FHIR, DICOM,
ITK, Oauth, OpenID Connect, XACML
Accessibility standards
None or don’t know
Description of accessibility
Through the Tiani Spirit Portal
Accessibility testing
None
API
Yes
What users can and can't do using the API
The Tiani-Spirit solution facilitates data-sharing broadly via three mechanisms
- IHE Profiles - For systems that conform to the IHE profile interface and content specification
- Medical global standards - For systems that do not support any IHE profiles, however, do still support interfacing via globally agreed interface and content standards
- Tiani-Spirit API - For systems that cannot offer IHE or other recognised standards interface or content support Tiani-Spirit provides an API for integration options

The Tiani-Spirit solution includes flexible and configurable data forwarding, processing, pseudonymisation, transformation and query services for an integrated system.
API documentation
Yes
API documentation formats
  • HTML
  • PDF
  • Other
API sandbox or test environment
Yes
Customisation available
Yes
Description of customisation
Buyers can perform Tiani-Spirit integration via a supported mechanism and then deliver the integrated capability as part of the Buyer's product or solution.

Scaling

Independence of resources
Tiani-Spirit's architecture supports vertical - per virtual machine - scaling which enables specific services to provide a defined and tested level of support. Tiani-Spirit's architecture also supports horizontal - multiple virtual machine - scaling which enables specific services to be delivered from multiple load-balanced virtual machines.

Analytics

Service usage metrics
Yes
Metrics types
Tiani-Spirit supports IHE Audit Trail and Node Authentication logging that records all transactions between any IHE Actor.

Tiani-Spirit provides Transaction logs that include timing and statics for every web-service transaction. Tiani-Spirit also supports log forwarding to a platform such as Elasticsearch so that analysis can be performed using tools such as Kibana.
Reporting types
  • API access
  • Real-time dashboards

Resellers

Supplier type
Not a reseller

Staff security

Staff security clearance
Other security clearance
Government security clearance
Up to Security Clearance (SC)

Asset protection

Knowledge of data storage and processing locations
Yes
Data storage and processing locations
United Kingdom
User control over data storage and processing locations
Yes
Datacentre security standards
Managed by a third party
Penetration testing frequency
At least once a year
Penetration testing approach
Another external penetration testing organisation
Protecting data at rest
  • Encryption of all physical media
  • Other
Other data at rest protection approach
Tiani-Spirit support IHE Document Encryption (DEN). Hosting providers that host Tiani-Spirit software support Physical access control, complying with CSA CCM v3.0, Physical access control, complying with SSAE-16 / ISAE 3402 and Physical access control, complying with other standards.
Data sanitisation process
Yes
Data sanitisation type
  • Explicit overwriting of storage before reallocation
  • Deleted data can’t be directly accessed
Equipment disposal approach
A third-party destruction service

Data importing and exporting

Data export approach
The Tiani-Spirit solution facilitates data-sharing broadly via three mechanisms
- IHE Profiles - For systems that conform to the IHE profile interface and content specification
- Medical global standards - For systems that do not support any IHE profiles, however, do still support interfacing via globally agreed interface and content standards
- Tiani-Spirit API - For systems that cannot offer IHE or other recognised standards interface or content support Tiani-Spirit provides an API for integration options

The Tiani-Spirit solution includes flexible and configurable data forwarding, processing, pseudonymisation, transformation and query services for an integrated system.
Data export formats
  • CSV
  • Other
Other data export formats
  • IHE XDM (content agnostic, supports XDS-MS, XPHR, XDS-SD, and XD*-LAB)
  • HL7 FHIR
  • HL7 CDA
Data import formats
  • CSV
  • Other
Other data import formats
  • HL7 Clinical Document Architecture
  • HL7 FHIR

Data-in-transit protection

Data protection between buyer and supplier networks
  • Private network or public sector network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway
Data protection within supplier network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway

Availability and resilience

Guaranteed availability
If Tiani fails to achieve a Service Level Target in a Service Measurement Period and then fails to achieve the same Service Level Target in a subsequent Service Measurement Period, the failure in the subsequent Service Measurement Period shall be a “Repeat Failure”. The Repeat Failure count shall increment by one (1) for each additional failure. Repeat Failures shall apply to Service Level Targets for Availability, Incident Resolution and Quality. Repeat Failures shall not apply to Service Level Targets for Provisioning. The Repeat Failure count shall be reset to zero (0) once there have been two (2) consecutive Service Measurement Periods in which the Service Level Target has been met. Service Credits are required to be paid in the event that the Achieved Service Level falls below the Service Level Target in a Service Measurement Period. The Service Credit (£) is calculated by Service Credit (£) = Service Credit (%) x Service Charge for the Service Measurement Period. 20. The Service Charge shall be the Charge for the Service Measurement Period.
Approach to resilience
Tiani-Spirit's architecture supports vertical - per virtual machine - scaling which enables specific services to provide a defined and tested level of support. Tiani-Spirit's architecture also supports horizontal - multiple virtual machine - scaling which enables specific services to be delivered from multiple load-balanced virtual machines.
Outage reporting
Via the hosting service provider's services. Via Tiani-Spirit email alerts.

Identity and authentication

User authentication needed
Yes
User authentication
  • Public key authentication (including by TLS client certificate)
  • Identity federation with existing provider (for example Google Apps)
  • Limited access network (for example PSN)
  • Dedicated link (for example VPN)
  • Username or password
Access restrictions in management interfaces and support channels
Tiani-Spirit supports the IHE Audit Trail and Node Authentication (ATNA) Integration Profile which establishes security measures, together with the Security Policy and Procedures, provide patient information confidentiality, data integrity and user accountability. SAML Tokens are used with TLS authenticated communication channels to enable authorised access to specific services. Tiani-Spirit delivers a Security Token Service (STS), which creates signed SAML assertions as per WS-Trust and JSON Web Tokens (depending on the service used).
Access restriction testing frequency
At least every 6 months
Management access authentication
  • 2-factor authentication
  • Public key authentication (including by TLS client certificate)
  • Limited access network (for example PSN)
  • Dedicated link (for example VPN)
  • Username or password

Audit information for users

Access to user activity audit information
Users have access to real-time audit information
How long user audit data is stored for
User-defined
Access to supplier activity audit information
Users have access to real-time audit information
How long supplier audit data is stored for
User-defined
How long system logs are stored for
User-defined

Standards and certifications

ISO/IEC 27001 certification
No
ISO 28000:2007 certification
No
CSA STAR certification
No
PCI certification
No
Cyber essentials
Yes
Cyber essentials plus
No
Other security certifications
No

Security governance

Named board-level person responsible for service security
Yes
Security governance certified
Yes
Security governance standards
Other
Other security governance standards
NHS IG Toolkit
Information security policies and processes
We comply and follow the NHS IG Toolkit policies and processes

Operational security

Configuration and change management standard
Supplier-defined controls
Configuration and change management approach
Supplied by Hosting Provide
Vulnerability management type
Supplier-defined controls
Vulnerability management approach
Supplied by Hosting Provide
Protective monitoring type
Supplier-defined controls
Protective monitoring approach
Supplied by Hosting Provide
Incident management type
Supplier-defined controls
Incident management approach
Supplied by Hosting Provide

Secure development

Approach to secure software development best practice
Conforms to a recognised standard, but self-assessed

Public sector networks

Connection to public sector networks
Yes
Connected networks
  • Public Services Network (PSN)
  • NHS Network (N3)
  • Health and Social Care Network (HSCN)

Social Value

Fighting climate change

Fighting climate change

Tiani-Spirit Uk Ltd has recognised the impact that business has upon the environment, and we strive to reduce all Tiani-Spirit’s employee’s carbon footprints.

Significantly, Tiani Spirit has taken the stance to not have a corporate UK office, and all employees now work remotely from home. This policy of reduced environmental impact has now been extended to ensure that at least 95% of all business engagement is undertaken virtually. This has significantly reduced collective business travel and we believe contributed to reduced toxic emissions and unnecessary use of environmentally damaging services and products

By launching these policies, we have also encouraged our sub-contract base and our client base to mirror our activities wherever possible. This continues to expand across our business, and we are benefiting from productivity improvements and improvements in both customer satisfaction and employee wellbeing.
Covid-19 recovery

Covid-19 recovery

In response to the current coronavirus (COVID-19) outbreak in the UK, Tiani-Spirit would like to share our current response with our valued customers. Please be assured that we continue to monitor and follow Government advice daily.

Tiani-Spirit takes the health, safety and wellbeing of our team, sub-contractors and customers very seriously. We want to reassure you that as a responsible employer, we continually update our precautionary measures to protect our staff and our ongoing services, especially during these uncertain times.

Due to the development of the COVID-19 outbreak, we have introduced a secure, digital, remote working platform for our office teams. This provides a credible business continuity plan ensuring that we continue to support our customers without interruption whilst protecting our staff. Our team will continue to work regular office hours.

We have been working hard throughout the outbreak and continue to introduce the latest Government guidance and are pleased to advise that our expert team continue to work in line with current recommendations.

Having decided to have employees work remotely, the transition during this Covid outbreak was minimised. However, we continue to engage with customers on a virtual basis to ensure everyone’s safety is at the top of the agenda.
Tackling economic inequality

Tackling economic inequality

Tiani-Spirit Uk Ltd has consistently recognised that there is economic inequality in most companies and institutions throughout the world.

When Tiani-Spirit Uk Ltd was incorporated, the Senior Management team and Board of Directors vowed to remove this barrier to equality.

All employees are rewarded equally in remuneration and benefits and have an equal voice in the decision process and direction of the company.

Each employee has the capability and is empowered to contribute at all decision-making process levels.
Equal opportunity

Equal opportunity

Tiani Spirit UK Limited is committed to encouraging equality and diversity among our workforce and eliminating unlawful discrimination.

The aim is for our workforce to be truly representative of all sections of society and our customers and for each employee to feel respected and able to give their best.

Tiani Spirit is also committed against unlawful discrimination of customers or the public. The policy’s purpose is to: provide equality, fairness and respect for all in our employment, whether temporary, part-time, or full-time.

Tiani-Spirit recognises and agrees with all aspects of the Equality Act 2010 and, therefore, will not unlawfully discriminate because of protected characteristics of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race (including colour, nationality, and ethnic or national origin), religion or belief, sex (gender) and sexual orientation.

Tiani-Spirit will oppose and avoid all forms of unlawful discrimination. Tiani will continue to strive for equality and ensure that all sub-contractor or third-party suppliers conform to the same high standards.
Wellbeing

Wellbeing

Tiani-Spirit Uk Ltd has a duty of care requirement to look after the health and safety of all employees, including their wellbeing. And we recognise there are many factors that influence the health and wellbeing of staff. Understanding and overcoming these issues can result in a range of benefits for both individuals and the wider business.

Tiani will address mental health issues by Integrating Health, Safety and Wellbeing considerations into all aspects of the work we do. We will improve the general well-being of employees, reduce absenteeism, lower staff turnover and increase productivity.

Our employees will receive suitable and sufficient information and training to carry out their duties and will be aware of their specific and general responsibilities. Tiani will continue to allocate suitable resources to embed and continually improve our management system, policies, minimum standards and frameworks, to allow us to build a safe and healthy workplace and prevent work-related injuries, ill health and diseases.

Tiani will monitor our performance and practices to identify opportunities for improvement, and adopt a leadership role with our subcontractors, assisting them to continually improve their own Health, Safety and Wellbeing performance.

We will set challenging targets and objectives and regularly audit our Health, Safety and Wellbeing management system and performance.

Pricing

Price
£25,500 an instance a year
Discount for educational organisations
Yes
Free trial available
Yes
Description of free trial
Tiani provides a proof of concept phase in which one use case is provided at no licence cost in order to try and test the software. This is dependent upon non-live patient data being transferred and not being used in a clinical live environment.

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at ian.press@tiani-spirit.co.uk. Tell them what format you need. It will help if you say what assistive technology you use.