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Drug vocabulary - Australia. A national drug vocabulary (database) goal to cover all sectors (manufacturer-mouth-academic/funder/policy) primary care first (GP-Pharmacy) not a knowledge base A national drug terminology includes relationships (terminology (not =) database
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Drug vocabulary - Australia • A national drug vocabulary (database) • goal to cover all sectors (manufacturer-mouth-academic/funder/policy) • primary care first (GP-Pharmacy) • not a knowledge base • A national drug terminology • includes relationships (terminology (not =) database • required for higher level functions eg decision support
Update on Drug Vocabulary/Terminology/Coding in Australia Dr. Peter MacIsaac Department of Health and Ageing Australia peter.macisaac@health.gov.au
Additions • EAN/UPC as the national drug identifier • EANnet as the national data distribution system • Pharmaceutical industry - responsible for data entry (following initial setup - Gov funded) • Gov. responsible for quality control
International Approach • All of us have some key common issues • All of us have local needs/issues • A remarkably common approach has emerged • Australian model very consistent with UK work presented earlier by Julie James
Where are we • Agreed data structure • EAN governance (numbers cant be reused or retired) • Database complete for 3500 generic drugs (7000 products) - our PBS, DVA, Drugs Dependence • Industry trial to validate database • Development of governance structure (Medicines Coding Council Australia)
Where are we not! • How to expand to cover all clinical drugs • How to expand to move from drug database to a terminology • Engagement with all the pharm industry (need understanding, will, commercial process re-engineering) • Quality control system • Modification of existing systems to use EAN and new database structure
What is needed to make this work? • Leadership and vision expressed by “champions” • Ability to deliver on the technical solution - terminology expertise • Collaboration of Government agencies (who are only group able to fund this work) • Ability to sell this to government “superiors” (managing upwards) • Ability to sell vision to participants (managing sideways and downwords) • Striking while the “iron is hot” when there is the political will and resources (eg patient safety, introduction of electronic records etc)