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Standards Adoption Process. IHE Demonstrations. Develop technical specifications. Products with IHE. Identify available standards (e.g. HL7, DICOM, IETF, OASIS). Timely access to information. Testing at Connectathons. Document Use Case Requirements. Easy to integrate products. 1.
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Standards Adoption Process IHE Demonstrations Develop technical specifications Products with IHE Identify available standards (e.g. HL7, DICOM, IETF, OASIS) Timely access to information Testing at Connectathons Document Use Case Requirements Easy to integrate products 1
Key past documentation IHE Medication Management White Paper - 2003 HITSP Medication Management Interoperability Specification - 2007
What has been done? An IHE White Paper • Final version (integration of comments collected after having been put for public comments last year) • 70 pages • Community Pharmacy use cases • Hospital Pharmacy use cases • Harmonization of actors definitions ftp://ftp.ihe.net/Pharmacy/White%20Paper/IHE_Eur_Pharmacy_White_Paper_Final_Text_1.2.pdf
Use cases • HMW • CMPD
TF documentation • Organization of the TF (Technical Framework) documentation After a doodle on the meeting paperboard [ J. Brandstätter (Codewerk – IHE Austria)]
TF documentation Elaboration of the Technical Framework documents: Put for public comment 2010 - 2011 TF Supplement Common parts from the White Paper TF Supplement for hospital Pharmacy [HMW profile] TF Supplement for community Pharmacy [CMPD profile]
Creates Prescription Orders Informs the other actors that a prescription is available / updated Receives updates about the actions for the prescription Common actors Prescription Placer Pharmaceutical Adviser • Receives prescriptions and checks them to • Requests and Receives Current Treatment from other repositories (inside or outside hospital (Not yet covered)) Medication Dispenser • Receives prescription orders and advice, to dispense Medication for a patient • Also does all the actions and management required to deliver the medication to the patient’s stock – including stock redistribution if needed (Not yet detailed).
Med. Administration Informer (HMW) Dedicated actors • Receives Prescriptions, Dispense messages and Pharmaceutical Advice to administer the medication at the defined time. • Sends the report of administration to the other actors. Community Pharmacy Manager (CPMD) • Receives and send Prescriptions, Dispense documents and Pharmaceutical Advice • Manage ID/document links between placers/dispensers/advisers and repositories/registries.
Hospital medication workflow showing actors and transactions between them Hospital Pharmacy : HMW From the white paper
HMW : HL7v2 transaction flow diagram Hospital medication workflow will use HL7v2.5 completed with v2.6 message definitions
HMW : Hospital Medication Workflow PRESCRIPTION Supply chain
Pharmacy/Medication management HL7v3 Dispense event with full prescription
Resources • Wiki site : • http://wiki.ihe.net/index.php?title=Pharmacy • Ftp site : • ftp://ftp.ihe.net/Pharmacy(username :iheyr2; password : interop) • Google groups (mailing list): • groups.google.com/group/ihe-pharmacy
Milestones Sept. 2010 – Internal review of Technical Framework Oct. 2010 - Public Review and Release for Trial Implementation Pisa, Italy, 11-15 April 2011 Connectathon, a « connectivity marathon » • Massive yearly event : • 80 vendors • 250-300 engineers • 100-120 systems • ….integrated in 5 days Results will be published on www.ihe-europe.org
Milestones Achieving Interoperability of health systems on the global level requires a considerable lot of work. Get involved! If you are a vendor, come at Connectathons and test your systems! Next Connectathon: Leopolda Storica in Pisa, Italy, 11 -15 April 2011 For patients’ transnational seamless care between hospital and ambulatory all over the world. Results will be published on www.ihe-europe.org