Towards"Guidelines supporting the Member States in
developing the interoperability of ePrescriptions”
Standards Development and Profiling Organisations' Contribution
eHGI Workshop, 11 th March 2014
Jürgen Brandstätter (IHE Pharmacy) Niels Speksnijder (CEN/ISO TC215)
Shirin Golyardi (CEN/ISO TC215) Karima Bourquard (IHE-Europe)
Overview
• Introduction
• ISO TC215 WG6– Requirements for electronic prescriptions
• IHE Pharmacy– Methodology and Profiles
• Conclusion
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Introduction
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HL7IHE
Overview of the state of Art on ePrescription standards and profiles:
ISO TC215 WG6: ePrescription Niels Speksnijder IHE Pharmacy profiles Jürgen Brandstätter
A Conceptual FrameworkTo Implementation Guidelines
Objective
4
ISO/CEN
ePrescription workshop 411/03/2014
ISO TC215 WG6 “Pharmacy”
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Health Informatics – Requirements for electronic prescriptions
ISO/TC 215/WG 6 17523
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CEN-ISO connection
• CEN/TC 251 – Health informatics• ISO/TC 215 – Health informatics
– WG 6 Pharmacy and medicines business
• CEN experts join together efforts with ISO• Vienna Agreement between CEN and ISO to
avoid duplication of (potentially conflicting) standards
• Standardization related to the application of information and communication technology in the domain of pharmacy and medication, including standardization to improve patient safety and the efficiency and interoperability of information systems used in researching, developing, regulating, supplying, using and monitoring pharmaceutical products.
Scope ISO/TC215 WG6
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• May 2011 (Kuopia, Finland) decision to revise ENV 13607 (pre-standard from 2000) Health informatics - Messages for the exchange of information on medicine prescriptions
• NP Ballot passed October 2011
Background - ePrescription
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• Specifies general principles for ePrescription and content that facilitates exchange and processing of ePrescription
• Annex: ‘core’ and ‘optional’ elements of ePrescriptions
• Out of scope: other messages and how ePrescriptions are exchanged/made available
• Out of scope: dispense information
Scope - ePrescription
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• Karl Stroetmann – Empirica• Jürgen Brandstätter – IHE• Fredrik Linden – epSOS• Christian Hay – GS1
• IHE, ISO, HL7 Pharmacy SIG joint meeting – June 2013– Emphasis on scope, boundaries and common ground
• Follow up meeting June 2014
Contacts and meetings
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• CD Ballot passed October 2013 (Sydney, Australia)– Processing and answering comments– Input from (international) experts– Input from the recently delivered Empirica report
• May 2014 Karuizawa, Japan meeting to approve DIS ballot to start– Processing last comments
• Publication December 2014
Where do we stand now?
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• Health Informatics – Requirements for Medicinal Product Dictionaries
• Health Informatics – Requirements for a record of the Dispense of a Medicinal Product
• Health informatics — Data elements and structures for identification of extemporeanous and magistral (compound) pharmaceutical preparations without marketing authorisation
Ongoing projects
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IHE Pharmacy
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What is IHE?
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Use cases typically require„combinations“ of standards
- but how to compose?
eHealth Projects
IHTSDO
IETFIETF
Standards
What is IHE?
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Profiling and TestingeHealth Projects
IHTSDO
IETFIETF
Standards
Products Projects
IHE methodology
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Use Case
Identify available standards
Products declare
IHE
Easy to integrate products
RFPs with IHE reqs
Liaisons
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ISO TC 215 WG6 „Pharmacy“ / CEN TC 251Global recognition
HL7 PharmacyBase Standards
IHE PharmacyProfiling Layer
Friendly collaboration
Liaisons
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ISO TC 215 WG6 / CENGlobal recognition
HL7 Pharmacy Base Standards
IHE PharmacyProfiling Layer
Contributions
User/Vendor Input
ISO Standards
Liaisons
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ISO TC215 WG6 / CENGlobal recognition
HL7 PharmacyBase Standards
IHE PharmacyProfiling LayerProjects
High-level
TechnicalProfiles
(Use Cases)HL7 StandardsHL7 Standards
ISO Standards
• Profiles– Workflow
• Community Medication Prescription and Dispense– Content
• Prescription• Dispensation
• Whitepapers– Medication Management - Concepts and Definitions
• Joint work item with ISO/HL7
IHE Pharmacy
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Synced
1) Concept derived from epSOS2) Worked in sync with epSOS3) Further elaborated in IHE
• Prescription / Dispensation profiles– Content structure derived from HL7– Mature set of data, requirements practice approved– Minimum data requirements incorporated– Leveraged by …
• epSOS• Austria• Italy / Veneto region (Dispensation only)• …
IHE Pharmacy
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Conclusion
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• ISO– Global recognition and authority– High-level requirements of ePrescriptions
• Dispensation next to come• IHE
– The people in the middle create the bridge between theory and implementation (= Standards and Projects)
– Practical Workflow and Content profiles to ePrescription/eDispensation
– In sync with epSOS• SDOs united
– Cooperation between the SDO's is essential for standards users so overlap between standards is avoided
– This is the objective of the Joint Initiative Council (JIC)– Members: ISO, CEN, HL7, IHE, HL7, CDISC and others
Conclusion
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Thank you for your attention!