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IHE Pharmacy domain Profiles for Community and Hospital Pharmacy

IHE Pharmacy domain Profiles for Community and Hospital Pharmacy. Jürgen Brandstätter IHE Pharmacy co-chair. IETF. IHTSDO. What is IHE?. ?. eHealth Projects. Standards. Use cases typically require „ combinations “ of standards - but how to compose?. IETF. IHTSDO. What is IHE?.

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IHE Pharmacy domain Profiles for Community and Hospital Pharmacy

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  1. IHE Pharmacy domainProfilesforCommunity and Hospital Pharmacy Jürgen Brandstätter IHE Pharmacy co-chair

  2. IETF IHTSDO Whatis IHE? ? eHealth Projects Standards Use cases typically require „combinations“ of standards - but how to compose?

  3. IETF IHTSDO Whatis IHE? eHealth Projects Standards Profiling and Testing

  4. Testing at Connectathons Profile Development Identify available standards Use Case Easy to integrate products IHE methodology Products Projects RFPs with IHE reqs Products declare IHE

  5. Radiologysince 1998 Cardiologysince 2003 Pathologysince 2006 Laboratorysince 2003 Eye Caresince 2006 (Healthcare)IT Infrastructuresince 2003 Radiation Oncologysince 2004 QualityResearch & Public Healthsince 2007 Patient Care Coordinationsince 2005 Patient Care Devicessince 2005 Pharmacy within IHE landscape Pharmacysince 2008 since 2008

  6. IHE Pharmacy overview • IHE Pharmacy (PHARM) • “IHE Pharmacy addresses information sharing, workflow and patient care in both community and hospital pharmacies.” • Most actively involved … • Many European countries • USA/Canada • Australia • 1 whitepaper, 5 profiles • Whitepaper work on certain (rather complex) topics • Sponsors & Supporters • EAHP • NICTIZ • RéseauPhast

  7. Liaisons Projects ISO TC215 WG6 / CEN Global recognition High-level ISO Standards IHE Pharmacy Profiling Layer HL7 Pharmacy Base Standards Profiles (UseCases) Technical HL7 Standards

  8. Howtoparticipate in Pharmacy … Participate IHE’s Profile Cycle • Committee work follows the IHE Profile Cycle • Annual cycle • Sep – Dec: Call for proposals • Dec – Jun: Working on work-items • Jun – Jul: Public comment • Jul – Aug: Ballot & Release • Opportunities for IHE members (and non-members) to participate in cycle • Register at http://groups.google.com/group/ihe-pharmacy • Meetings are F2F and TCons • Just join in!

  9. Whathasbeendone? • IHE White Paper • Foundation of all current profiles • Final version • Released in early 2010 • 70 pages • Community Pharmacy usecases • 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

  10. Whathasbeendone? • 5 profilesfor … • … Community Pharmacy • CMPD Community MedicationPrescriptionand Dispense • PRE Content Profile: MedicationPrescription • PADV Content Profile: PharmaceuticalAdvice • DIS Content Profile: Medication Dispense • … Hospital Pharmacy • HMW Hospital Medication Workflow

  11. IHE Pharmacy – Key process Validation oftheprescription (ICA check)

  12. Community Pharmacy profiles Existing Profiles with High Uptake • CMPD (Community Medication Prescription and Dispense) • Basic use case • GP prescribes • Pharmacist validates the prescription • Community pharmacist or pharmacy dispenses • Systems it would impact: • Prescription placer module in GP systems • Pharmaceutical validation software • Pharmacy software • Based on IHE ITI XDS: • Strong integration with existing CDA/XDS-based solutions + PRE Medication Prescription + PADV Pharmaceutical Advice + DIS Medication Dispense

  13. CMPD actordiagram

  14. Content Profiles • Content Profiles define „payload“ of CMPD system • PRE • PADV • DIS • Based on HL7v3 CDA extended by HL7 Pharmacy CMETs

  15. Hospital Pharmacy profiles Existing Profiles with High Uptake • HMW • Basic use case: • Hospital physician prescribes in a ward • Hospital pharmacist reviews orders • Pharmacy technician dispenses • Nurse administers drugs to the patient • Systems it would impact: • Prescription placer nodules • Validation software • Medication dispensing systems • Medication administration informer modules • Based on HL7 v2.5/v2.6: • Message based to fit into hospital environment 10/20/2019 15

  16. HMW Interoperability Model

  17. Becoming real … • European Union: epSOS • 12 member states (extended in epSOS 2) • Definition of prescription and dispense document are (almost) in sync • Italy / Europe: DOGE project • Veniceregion (5 million inhabitants) • 21 LocalHealthAuthorities, 2 Hospital Trusts, 3.900 GPs, 17.800 communitypharmacies • Adoption of DIS profile • Austria / Europe: e-Medicationproject • Fulladoptionof CMPD andcontentprofiles (PRE, PADV, DIS) • Other countries evaluating • Saudi Arabia, Switzerland

  18. Future / Roadmap • Currentwork-items • Pharmacy Medication List • Medication Management • Aka „Medication record“ / „Medication treatment plan“ • Cross-domain work with other IHE domains and HL7 • Administration in Community Pharmacy domain • Supply chain in Hospital Pharmacy • Automatic administration by Infusion pumps • Cross-domain work with IHE Patient Care Devices domain • Common Glossary • Cross-domain work IHE and HL7 • Upcoming work-items • HL7v3 messages • Prescription of non-medication products

  19. Links • Technical Frameworks • http://www.ihe.net/Technical_Framework/index.cfm#pharmacy • Pharmacy Wiki • http://wiki.ihe.net/index.php?title=Pharmacy • Strategic planning page • http://wiki.ihe.net/index.php?title=PHARM_Strategic_Planning • Roadmap • http://wiki.ihe.net/index.php?title=PHARM_Roadmap • Committees • http://wiki.ihe.net/index.php?title=Pharmacy_Planning_Committee • http://wiki.ihe.net/index.php?title=Pharmacy_Technical_Committee • Google group • http://groups.google.com/group/ihe-pharmacy

  20. Thank you Jürgen Brandstätter IHE Pharmacy co-chair, IHE International CodeWerk Software Services and Development GmbH j.brandstaetter@codewerk.at

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