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Health Informatics – Requirements for electronic prescriptions

This document outlines the essential requirements for electronic prescriptions, focusing on patient and prescriber identification, prescription contents, data elements, and examples. It also details the process of revising prescription messaging standards and key changes made, such as clarifying the standard's purpose and including use cases and information objects.

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Health Informatics – Requirements for electronic prescriptions

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  1. Health Informatics – Requirements for electronic prescriptions ISOTC 215/WG 6 ISO/DIS 17523 Paris, May 2015 Niels Speksnijder KNMP/Z-Index The Netherlands

  2. Scope • Requirements for e-prescription and content that facilitates exchange and processing of e-prescription • Out of scope: other messages (e.g. dispense record) and how e-prescriptions are exchanged or made available

  3. Contents • Requirements on • Identification of the patient • Authentication of the prescription (metadata) • Identification of the prescriber • Identification of the prescribed product • Prescription information • Data elements in normative annex A • Examples in informative annex B

  4. Process • Kuopia, Finland (May 2011) • decision to revise ENV 13607 (CEN, 2000) Health informatics - Messages for the exchange of information on medicine prescriptions • NP Ballot passed October 2011 • Vienna (September 2012) - first draft, scope • Mexico (March 2013) – proceed to CD ballot • Sydney (Sept. 2013) – CD ballot passed • Karuizawa (May 2014) – proceed to DIS • Feb 2015 DIS ballot passed • San Francisco (Apr 2015) – proceed for FDIS

  5. Fundamental comments • DE 011: The purpose and intent of the standard is not sufficiently clear; include scenarios • DE 031: Suggestion to remove the concept of "core elements" from the Annex A • AU 136 versus DE 137: IDMP as normative requirement

  6. Changes of note • Distinction between core and optional elements removed • Definition of ‘electronic prescripton’ • Chapter added: use cases, actors, processes • Chapter added: information objects • Chapter removed: additional requirements • Compliance to MPD’s (informative) moved to the main text (normative) Farmaceutische zorg 2012

  7. Actions • New teleconferences with experts (June/July) • Continue work on processing comments DIS ballot – July 31st Farmaceutische zorg 2012

  8. Thanks to experts • Günther Hellmann (Germany) • Linda Bird (MOH Holdings, NZ) • Jürgen Brandstätter (IHE, Austria) • Christof Gessner (Gematik, Germany) • Anni Buhr (SSI, Denmark) • Kell Greibe (SSI, Denmark) • Stephen Chu (NEHTA, Australia) • Michael Tan (NICTIZ, NL) • William Goossen (Results4care, NL) • Ilaria del Seppia (EMA, Italy) • Emma Melhuish (HSCIC, UK) • Jose Costa Teixeira (IHE, Belgium) • Paolo Alcini (EMA, UK)

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