Standards and Interoperability

1. STANDARDS AND
INTEROPERABILIT
Y

2. »5
Dr. Santos uses a clinic EMR called ClinicSys. He
wants to send prescriptions to a national pharmacy
chain that uses a system called PharmSoft. Dr.
Santos Also wants to know if the medications have
been dispensed to the patient.

3. » I chose Scenario 5 as it tackles about interaction of
different EMRs (i.e. clinics) to a Pharmacy EMR.
» Pharmacy practice is an underrated practice in the
Philippines, but an important component of health
care, which can be greatly realized once we benefit
from modernization of health systems.

4. » Dr. Santos’ Clinic
» The national
Pharmacy chain
» The patients

5. » At minimum, the clinic EMR, ClinicSys, and the
national pharmacy chain system, PharmSoft, will
have to interact for the scenario to work

6. » Proper and accurate dispensing of patient
medications
» Lessen medication errors, such as
prescription and dispensing errors
» Track patient medication compliance
» Provide comprehensive and specific patient
counseling based on current patient records

7. HOW DO MEDICATION
ERRORS OCCUR?
PRESCRIBING ERROR
“One of the largest
causes of therapeutic
medication
misadventures is
incorrectly prescribed
medication. “ – AMCP,
June 2010
“Errors may result from
insufficient or missing
information about co-prescribed
medications,
past dose-response
relationships, laboratory
values and allergic
sensitivities.”

8. » patient demographics:
˃ Patient name, age, sex, DOB, height, weight
˃ To correctly match the prescription given to the
patient
» patient medical records:
˃ drug allergies, previous medical history, past
and present drug history
˃ to monitor drug-disease, drug-drug interactions,
patient-drug compatibility.
* bold text: per data modules of the C32 standard for CCD

9. » medications (drug prescriptions):
˃ prescribed drug, dosage, formulation, route,
frequency, days to be taken
˃ To properly fill the prescription and assure
dispensing of correct drug
» doctor information:
˃ doctor name, contact
˃ To allow for follow-up or inquiries with regards to
patient’s prescriptions, when needing
clarification or providing suggestion.
» patient drug use:
˃ medications dispensed, date dispensed,
adverse reactions reported
˃ To monitor compliance, effectiveness, and
safety.

10. » The trigger event is when a patient goes to
the doctor for check-up and gets a
prescription. The doctor enters the
prescription given to the patient in the
system.

11. » The patient goes to the Pharmacy and the
Pharmacy gets the patient’s prescription
from the system to proceed with the
dispensing.