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Summary:

Condensed logic for Connections

Simple, if GMC says it’s connected, put it here:

  • WHERE existsInGmc == true

Condensed logic for Discrepancies

There appear to be a number of logical groups of scenarios that can occur:

  • Programme Memberships (DBC) do not match - 3,4,5,6,7 (Condition: WHERE designatedBody != tcsDesignatedBody) (warning)
    OR

  • Programme Membership Issue (expired, none or concurrent) 11, 12, 13, 15 (Condition: WHERE connectionStatus == "NO") - included in above logic, but useful to distinguish, also WHERE multiple programme memberships
    OR

  • GMC Numbers do not match 8,9,10 (Condition: WHERE gmcReferenceNumber = null , WHERE tisPersonId == null ← Also multiple Tis people assigned to one GMC number?
    OR

  • Special Case 16 Where membershipType = INACTIVE && existsInGmc == true ← we don’t currently get placement type through
    OR

  • Something went wrong with an attempt to connect/disconnect 14 (does this need to be shown in discrepancies or is this just an error box?) - WHERE exceptionReason != null?

17,18,19 are unclear or do not have any specific logic associated with them

(warning) - not currently possible to do this in an elasticsearch query on the version we’re on (needs “runtime fields”) - has to be calculated “ahead of time”

“Show Your Working”:

For Reference: Elasticsearch Fields

masterdoctorindex Fields

Source of Truth (which service has final say)

Required by Recommendations

Required by Connections

id

Elasticsearch (Auto Id)

✅

✅

tcsPersonId

TCS

✅

✅

gmcReferenceNumber

GMC

✅

✅

doctorFirstName

GMC

✅

✅

doctorLastName

GMC

✅

✅

submissionDate

GMC

✅

✅

ProgrammeName

TIS

✅

✅

membershipType

TIS

✅

✅

designatedBody

GMC

✅

✅

gmcStatus

GMC

✅

tisStatus

REVAL

✅

admin

REVAL

✅

lastupdatedDate

REVAL

✅

underNotice

GMC

✅

tcsDesignatedBody

TIS

✅

programmeOwner

TIS

✅

curriculumEndDate

TIS

✅

connectionStatus

*this should be renamed “tisConnectionStatus” and refers to TIS' “point of view” about the connection, and is set to “No” in the following circumstance:
Objects.isNull(curriculumMembership) ||
Objects.isNull(programmeMembership) || Objects.isNull(programmeMembership.getProgrammeStartDate()) || Objects.isNull(programmeMembership.getProgrammeEndDate()) || programmeMembership.getProgrammeStartDate().isAfter(currentDate) || programmeMembership.getProgrammeEndDate().isBefore(currentDate);

TIS

✅

membershipStartDate

TIS

✅

membershipEndDate

TIS

✅

existsInGmc

GMC

✅

exceptionReason*

*this field is currently in the code in connections but doesn’t exist in masterdoctorindex, appears to have been overlooked

TIS/REVAL

✅

Scenario implementation table

Scenario description

Cross Reference with priority: Connections Logic - Discussions with Users

Trigger/Action - Where does this data come from? What Services and methods are involved?

Note - this column is for existing architecture only, not for architecture proposals!

How does this affect what’s shown in Connections and Discrepancies and how can we test for this?

Other Notes

Can be done at query time

Is this scenario is trivial? e.g. equivalent to a SQL “WHERE” clause

Or does this have to be done at “update time”, i.e. would need a calculation comparing two fields during ES sync job

Related tickets

[1] F1 Doctor

[2] Military Doctor

[3] Update made via GMC Connect

Doctor is Connected to a DBC (Add connection)

Doctor changed from disconnected → connected in GMC-Connect

Change in GMC Designated Body code is picked up by Reval system during the overnight sync. If doctor was previously disconnected, “existsInGmc” field will be changed from false to true

Current Connections:
WHERE existsInGmc = true

Discrepancies
WHERE existsInGmc == true && connectionStatus== No

or

WHERE TIS DBC != to DoctorsForDB (GMC) DBC

If a doctor is connected to a DBC via GMC connect, this change will come through to our Revalidation system via the GMC sync.

The discrepancy occurs because the TIS system is not updated accordingly

We need to be able to:

  1. Flag where the TIS DBC is different from the GMC DBC when a new change is made

  2. Flag where the TIS DBC is different from the GMC DBC for historic/existing data in our system

✅

if using WHERE existsInGmc == true && connectionStatus== No

(minus)

if using TIS DBC != GMC DBC

[4] Update made via GMC Connect

Doctor is disconnected from a DBC (Remove connection)

Doctor changed from disconnected → connected in GMC-Connect

Change in GMC Designated Body code is picked up by Reval system during the overnight sync. If doctor was previously disconnected, “existsInGmc” field will be changed from false to true

Current Connections:
Not shown (i.e. won’t show up WHERE existsInGmc = true)

Discrepancies
WHERE existsInGmc == false && connectionStatus == Yes

or

WHERE TIS DBC != to DoctorsForDB (GMC) DBC

If a doctor is disconnected from a DBC via GMC connect, this change will come through to our Revalidation system via the GMC sync.

The discrepancy occurs because the TIS system is not updated accordingly

We need to be able to:

  1. Flag where the TIS DBC is different from the GMC DBC when a new change is made

  2. Flag where the TIS DBC is different from the GMC DBC for historic/existing data in our system

✅

if using WHERE existsInGmc == false && connectionStatus== Yes

(minus)

if using TIS DBC != GMC DBC

[5] DBC removed/remove connection

TIS shows Current Programme Membership && No DB

The connectionStatus field essentially contains the answer to the question “does this doctor have a current programme”, so:

Current Connections

WHERE existsInGmc = true

Discrepancies
WHERE existsInGmc == true && connectionStatus== No

This scenario can be covered by the same test as “Doctor is Connected to a DBC (Add connection)”

Probably applies to a lot of older data?

✅

if using WHERE existsInGmc == true && connectionStatus== No

(minus)

if using TIS DBC != GMC DBC

[6] DBC not matching for both TIS and GMC

Doctor’s DBC is changed in GMC connect

When the DBC is changed in GMC connect, it comes through to our REVAL system during the overnight sync, but TIS is not updated, this means they will not match

Current Connections:

WHERE existsInGmc = true

Discrepancies
WHERE TIS DBC != to DoctorsForDB (GMC) DBC

(minus)

Would have to calculate TIS DBC != GMC DBC at update time

[7] Programme membership not matching

Once again, rephrasing of TIS DBC != GMC DBC

(minus)

Would have to calculate TIS DBC != GMC DBC at update time

[8] GMC number not matching

Not sure how why this happens, data entry error in TIS?

How do we test this? If the GMC numbers don’t match how else? by name?

(minus)

Would have to test number from GMC with number from TIS at update time

[9] No GMC number in TIS

GMC send a GMC number for a doctor who had no GMC number in TIS

Not sure how why this happens, data entry error in TIS?

Would have to be done at update time (“IF data update is coming from TIS AND gmc Number is null) unless we create a new field “tisGmcNumber” (“IF tisGMCNumber = null”)

(minus)

Would have to test number from TIS at update time

[10] GMC provide doctor not in TIS

Rephrasing of the above?

[11] Doctor has current programme membership in TIS, not connected to DBC & programme end date is today or in the future

Elastic Search Rebuild Sync Job
And/Or
TIS Change Data Capture

This logic is contained within the connectionStatus field (see fields table at top of this document for details)

Current Connections:
WHERE existsInGmc = true

Discrepancies
WHERE existsInGmc == false && connectionStatus== Yes

or

WHERE TIS DBC != to DoctorsForDB (GMC) DBC

✅

if using WHERE existsInGmc == false && connectionStatus== Yes

(minus)

if using TIS DBC != GMC DBC

[12] Doctor Connected to a DBC and Programme Membership not expired

Elastic Search Rebuild Sync Job
And/Or
TIS Change Data Capture

This logic is contained within the connectionStatus field (see fields table at top of this document for details)

Current Connections:
WHERE existsInGmc = true

Discrepancies
WHERE existsInGmc == false && connectionStatus== Yes

or

WHERE TIS DBC != to DoctorsForDB (GMC) DBC

✅

if using WHERE existsInGmc == false && connectionStatus== Yes

(minus)

if using TIS DBC != GMC DBC

[13] Doctor Connected to a DBC and Programme membership Expired

Elastic Search Rebuild Sync Job
And/Or
TIS Change Data Capture

This logic is contained within the connectionStatus field (see fields table at top of this document for details)

Current Connections:
WHERE existsInGmc = true

Discrepancies
WHERE existsInGmc == false && connectionStatus== Yes

or

WHERE TIS DBC != to DoctorsForDB (GMC) DBC

✅

if using WHERE existsInGmc == false && connectionStatus== Yes

(minus)

if using TIS DBC != GMC DBC

[14] TIS to GMC API failure

[15] Overlapping programmes in 2 regions

TIS Data Entry Error? Does the current implementation for multiple programmes being sent to reval cover this?

Where programmeName contains “|” ?

[16] INACTIVE Doctors in TIS

We don’t currently get this information in reval, will probably need a bigger ticket

[17] Hide doctor with current connection

[18] NEW: License to Practice removed due to suspension

[19]Sanity check data on Prod

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Slack: https://hee-nhs-tis.slack.com/
Jira issues: https://hee-tis.atlassian.net/issues/?filter=14213