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Standards Adoption Process

Testing at Testing at ConnectathonsConnectathonsTesting at Testing at ConnectathonsConnectathons IHE IHE

DemonstrationsDemonstrationsIHE IHE DemonstrationsDemonstrations

Products Products with IHEwith IHEProducts Products with IHEwith IHE

Timely access to Timely access to informationinformationTimely access to Timely access to informationinformationDocument Use Case Document Use Case

RequirementsRequirementsDocument Use Case Document Use Case RequirementsRequirements

Develop technical Develop technical specificationsspecifications

Develop technical Develop technical specificationsspecifications

Identify available Identify available standards (e.g. HL7, standards (e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)

Identify available Identify available standards (e.g. HL7, standards (e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)

Easy to integrate Easy to integrate productsproductsEasy to integrate Easy to integrate productsproducts

2006K. Bourquard

IHE Medication Management White Paper - 2003

HITSP Medication Management Interoperability Specification - 2007

Key past documentation

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

UseUse cases

• HMW

• CMPD

• 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 documentation

TF Supplement for community Pharmacy

[CMPD profile]

TF Supplement for hospital Pharmacy

[HMW profile]

TF Supplement Common parts

from the White Paper

Common actors

• Creates Prescription Orders– Informs the other actors that a

prescription is available / updated

– Receives updates about the actions for the prescription

• Receives prescriptions and checks them to

• Requests and Receives Current Treatment from other repositories (inside or outside hospital (Not yet covered))

Pharmaceutical Adviser

• 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).

Medication Dispenser

Prescription Placer

Med. Administration Informer (HMW)• 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.

Dedicated actors

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

Populate Worklist

NominativeDispense

Prescription order entry

Clinical Validation

Pharmacy Validation

Global Dispense=

Picking at ward

RDE

RDE

RDE

RDE (immediate)

Resupply

RDEOMS

RDE

RDS w/ patient ID

OMP

RAS

RDS, no patient ID

RDS

Administration

RGV

Pharmacy Distribution

Stock Management

RDS

Stock Management

RDS

RDS, no patient ID

RDE

OMS

Pharmacy Distribution

RDS

ResupplyOMS

RDS

RDE

RDS

PRESCRIPTION

Supply chain

CMPD: Community Pharmacy

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

Sept. 2010 – Internal review of Technical Framework

Oct. 2010 - Public Review and Release for Trial Implementation

Pisa, Italy, 11-15 April 2011Connectathon, 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

MilestonesAchieving 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