Fig. 1.

Information flow for identifying infection events among UKB participants in SGSS and issuing laboratory alerts to retrieve those micro-organisms. (1) A laboratory results file is received by SGSS from an NHS or PHE laboratory. (2) Hourly, an agent checks SGSS for new UKB infection events, and adds any to a separate database in PHE (Bugbank). The agent copies specimen and AMR susceptibility records. (3) Periodically, an extract of the data is transferred securely to UKB for incorporation into their system. (4) Daily, the agent sends an email alert to each active NHS or PHE laboratory. The email contains minimal information necessary for the laboratory to retrieve micro-organisms from UKB participant infections. (5) A secure SharePoint site provides a front end to view each laboratory’s specimens in PHE’s Bugbank database and records whether each micro-organism has been recovered, is missing or the record veracity has been questioned by the laboratory.