Shared Care Record – Exchange
Interweave Exchange
Exchange is at the heart of the Interweave portfolio as it provides the hub of technologies that facilitate the Shared Care Record.
Organisations, known as ‘providers’, share their data by granting access to the Exchange. Various components are then used to ensure data is shared with authorised users from
organisations providing direct care, these are known as ‘consumers’.
The architecture of the Exchange is summarised in the diagram below. More detailed information can be found in the design documents on the Technical page

Key Benefits
The fundamental benefit of the Exchange is that it enables collaborative care
for participating organisations, leading to:
- Improved outcomes for patients
- Time savings for staff
- An empowered health and care workforce
- Reduction in unnecessary tests and procedures
In terms of the technology, several benefits are delivered by the architecture.
This can be summarised as a vendor-neutral federated approach to sharing data between care providers and includes:
- NHS-led approaches – based on FHIR protocols
- Open Standards based development
- No data lake – instead the data stays where it originated, as does the governance
- Flexible architecture – which allows for data to be displayed in any technically capable user interface
- Utilising secure Google Cloud Platform – accredited to process patient identifiable data
- Real time data – which can be used for secondary care purposes to facilitate a Population Health Management solution