1/ 2711thCongress of the EAHPPalexpo Congress Centre, Geneva, Switzerland,22-24 March 2006Simon Letellier,Hospital pharmac...
2/ 27International PlayersInternational Playersin Health Care Standardsin Health Care Standards11ststaspect :aspect :
3/ 27Who are the InternationalWho are the InternationalPlayers in Health CarePlayers in Health CareStandards?Standards?Tec...
4/ 27Making World Health CareHealth CareStandardsTC 215AFNORDINNational levelNational levelEuropean levelEuropean levelWor...
5/ 27• WG1 :WG1 : Health RecordsHealth Records• WG2 :WG2 : Messaging and CommunicationMessaging and CommunicationArchitect...
6/ 27//• cen : « academic » view work on standard as norm• HL7 : « pragmatic » view work on functional standard
7/ 27• Technical Board of CEN decided in 1990 thatmany of the issues that needed standards forhealth informatics would bes...
8/ 27• WG1 :WG1 : Information models• WG2 :WG2 : Terminologies• WG3 :WG3 : Security, safety, and quality• WG4 :WG4 : Techn...
9/ 27BSISAIONIBNBASMPABNTCSSNDPSANSICSNIIRAMINTECOICONTECKATSAFNORSFSEOSINENDSDZNMMSZTBSNNSAISTIRBISIDHKSARKEBSJISCUNISIIE...
10/ 27International AffiliatesInternational Affiliates• JapanJapan• KoreaKorea• LithuaniaLithuania• New ZealandNew Zealand...
11/ 27France2004Italy2003Spain2003Denmark2003Germany1995Netherlands 1996Ireland2003UK2000Bulgaria2005Poland2003Finland1996...
12/ 27Is there anything aboutpharmaceutical standards ?• cen : [ENV« EuroNorm Vornorm » draft standard]– ENV 13607:2000  ...
13/ 27Communication processCommunication processfor computer interoperabilityfor computer interoperability2nd aspect :2nd ...
14/ 27SemanticinteroperabilityFunctionalinteroperabilityWhat is computerWhat is computerinteroperability?interoperability?...
15/ 27The Semiotic TriangleThe Semiotic TriangleC.K Ogden and I. A. Richards. The Meaning of Meaning.“Drug”ConceptReferent...
16/ 27From humans to computersFrom humans to computersI dispensea drug
17/ 27The Communication ProcessThe Communication ProcessConceptReferentRefers to SymbolizesStands forRefers toSymbolizesSt...
18/ 27The Communication ProcessThe Communication ProcessConceptReferentRefers to SymbolizesStands forRefers toSymbolizesSt...
19/ 27The Communication ProcessThe Communication ProcessConceptReferentRefers to SymbolizesStands for“Drug”Refers toSymbol...
20/ 27From humans to computersFrom humans to computersJe dispenseunmédicamentI dispensea drugTranslator
21/ 27Je dispenseunmédicamentEAI: «translator» serverNo brain , no cognition.I dispensea drugFrom humans to computersFrom ...
22/ 27?I dispensea drugNo brain , no cognition.From humans to computersFrom humans to computers
23/ 27The Communication ProcessInformation Model/ Data ModelShared ContextConceptRefers to SymbolizesStands for“Drug”Refer...
24/ 27The Communication ProcessInformation Model/ Data ModelConceptRefers to SymbolizesStands forRefers toSymboliszsStands...
25/ 27How to improvecommunication ?Define 2 elements :– Semantics / Vocabulary : definition from a dictionary• Ex: dispens...
26/ 27Messages : communicationand information• Vocabulary for content : CIOsp (Fr) / DM+D (UK) /G-standaard (NL)– Descript...
27/ 27Story-boardsof our pharmaceuticalpracticesEuropeanbest practicesSeamlesscomputercommunicationIn conclusion …Shared C...
Upcoming SlideShare
Loading in …5
×

Healthcare standards for hospital pharmacists

514 views
437 views

Published on

Ma présentation au séminaire 12 du Congrès EAHP de Genève le 24 mars 2006

Published in: Health & Medicine, Technology
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
514
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Healthcare standards for hospital pharmacists

  1. 1. 1/ 2711thCongress of the EAHPPalexpo Congress Centre, Geneva, Switzerland,22-24 March 2006Simon Letellier,Hospital pharmacist, medical informatics MDCHS de la Sarthe, Le Mans, Francesimon.letellier@phast.frContext :Context :11ststaspect :aspect : International PlayersInternational Playersin Health Care Standardsin Health Care Standards22ndndaspect :aspect : Communication processCommunication processfor interoperabilityfor interoperability
  2. 2. 2/ 27International PlayersInternational Playersin Health Care Standardsin Health Care Standards11ststaspect :aspect :
  3. 3. 3/ 27Who are the InternationalWho are the InternationalPlayers in Health CarePlayers in Health CareStandards?Standards?Technicalcommittee 215Health InformaticsTechnicalcommittee 251Health InformaticsHealth CareMessagingStandardsHealth Level SevenEuropeanCommittee forStandardization
  4. 4. 4/ 27Making World Health CareHealth CareStandardsTC 215AFNORDINNational levelNational levelEuropean levelEuropean levelWorldwide levelWorldwide level
  5. 5. 5/ 27• WG1 :WG1 : Health RecordsHealth Records• WG2 :WG2 : Messaging and CommunicationMessaging and CommunicationArchitectureArchitecture• WG3 :WG3 : TerminologyTerminology• WG4 :WG4 : SecuritySecurity• WG5 :WG5 : Smart CardsSmart Cards• WG6 :WG6 : e-pharmacye-pharmacyTechnical Committee 215
  6. 6. 6/ 27//• cen : « academic » view work on standard as norm• HL7 : « pragmatic » view work on functional standard
  7. 7. 7/ 27• Technical Board of CEN decided in 1990 thatmany of the issues that needed standards forhealth informatics would best be solved on aEuropean scaleEuropean scale rather than national andcreated the TC 251.• That position now seems to be changing withthe creation of ISO TC 215and the emergence of HL7 as an internationalstandard.• CEN has moved to a position of sharingsharing andcooperationcooperation in the international community.
  8. 8. 8/ 27• WG1 :WG1 : Information models• WG2 :WG2 : Terminologies• WG3 :WG3 : Security, safety, and quality• WG4 :WG4 : Technology for interoperability Nothing specially dedicated toPharmacy.
  9. 9. 9/ 27BSISAIONIBNBASMPABNTCSSNDPSANSICSNIIRAMINTECOICONTECKATSAFNORSFSEOSINENDSDZNMMSZTBSNNSAISTIRBISIDHKSARKEBSJISCUNISIIELOTDINBPSINDECOPIDGSMNSFSNZNNISNIMAMOLDSTDGNDSMSEE LSTAENORSMISUNMSPSBSASOGOST-RIPQFONDONORMATCVNUNITSSUAETSETTBSTISISNVSISSLSISCCEVSCSMLVSMSAPKNSZSDSTUASRODIN National Standardization BodiesNENSISTSUTNASROISTCNICYS
  10. 10. 10/ 27International AffiliatesInternational Affiliates• JapanJapan• KoreaKorea• LithuaniaLithuania• New ZealandNew Zealand• South AfricaSouth Africa• SwitzerlandSwitzerland• TaiwanTaiwan• The NetherlandsThe Netherlands• TurkeyTurkey• United KingdomUnited Kingdom• and more ...and more ...• ArgentinaArgentina• AustraliaAustralia• BrazilBrazil• CanadaCanada• ChinaChina• Czech RepublicCzech Republic• DenmarkDenmark• FinlandFinland• FranceFrance• GermanyGermany• IndiaIndia
  11. 11. 11/ 27France2004Italy2003Spain2003Denmark2003Germany1995Netherlands 1996Ireland2003UK2000Bulgaria2005Poland2003Finland1996Croatia2001Portugal2006 ?Switzerland2000Austria2006 ?Czech Republic2001Lithuania2002Latvia2006 ?Sweden2006 ?affiliates in Europeaffiliates in Europe
  12. 12. 12/ 27Is there anything aboutpharmaceutical standards ?• cen : [ENV« EuroNorm Vornorm » draft standard]– ENV 13607:2000  messages on medicine prescriptions– ENV 12610:1997  pharmaceutical product identification• HL7 v3 : [From Draft Standard to Normative state]– Pharmacy domain  process and messages– Medication domain  pharmaceutical product identification
  13. 13. 13/ 27Communication processCommunication processfor computer interoperabilityfor computer interoperability2nd aspect :2nd aspect :
  14. 14. 14/ 27SemanticinteroperabilityFunctionalinteroperabilityWhat is computerWhat is computerinteroperability?interoperability?• Although an intuitive answer is easy,a specific response is more complex“The ability of two or more systems or componentsto exchange information and to use the informationthat has been exchanged.”[IEEE Standard Computer Dictionary: A Compilation of IEEE Standard Computer Glossaries, IEEE, 1990]
  15. 15. 15/ 27The Semiotic TriangleThe Semiotic TriangleC.K Ogden and I. A. Richards. The Meaning of Meaning.“Drug”ConceptReferent SymbolSymbolizesRefers toStands for
  16. 16. 16/ 27From humans to computersFrom humans to computersI dispensea drug
  17. 17. 17/ 27The Communication ProcessThe Communication ProcessConceptReferentRefers to SymbolizesStands forRefers toSymbolizesStands forConceptSymbol SymbolSemanticsI dispensea drug Referent“Drug” “Drug”
  18. 18. 18/ 27The Communication ProcessThe Communication ProcessConceptReferentRefers to SymbolizesStands forRefers toSymbolizesStands forConceptSymbol SymbolSemanticsI dispensea drug ReferentSyntax“Drug” “Drug”
  19. 19. 19/ 27The Communication ProcessThe Communication ProcessConceptReferentRefers to SymbolizesStands for“Drug”Refers toSymbolizesStands for“Drug”ConceptSymbol SymbolSemanticsI dispensea drug ReferentSyntaxShared ContextContextContext ContextContext
  20. 20. 20/ 27From humans to computersFrom humans to computersJe dispenseunmédicamentI dispensea drugTranslator
  21. 21. 21/ 27Je dispenseunmédicamentEAI: «translator» serverNo brain , no cognition.I dispensea drugFrom humans to computersFrom humans to computers[EAI: Enterprise Application Integration, the integration of data between applications in a company.]
  22. 22. 22/ 27?I dispensea drugNo brain , no cognition.From humans to computersFrom humans to computers
  23. 23. 23/ 27The Communication ProcessInformation Model/ Data ModelShared ContextConceptRefers to SymbolizesStands for“Drug”Refers toSymbolizesStands for“Drug”ConceptSymbol SymbolI dispensea drugLexicon(dictionary)ContextContext ContextContextReferent Referent
  24. 24. 24/ 27The Communication ProcessInformation Model/ Data ModelConceptRefers to SymbolizesStands forRefers toSymboliszsStands forConceptSymbol SymbolI dispensea drugLexicon(dictionary)ContextContext ContextContextFormal SharedContextTerminologies TerminologiesReferent“Drug” “Drug”Referent
  25. 25. 25/ 27How to improvecommunication ?Define 2 elements :– Semantics / Vocabulary : definition from a dictionary• Ex: dispense blue pharmacist tablet– Syntax / Grammar : structure for themessage/sentence• Ex: subject-verb-complement-adjectivesubject-verb-complement-adjectiveDefine the [global english] globish language forpharmaceutical softwares (Formal Shared Context) :HL7-speak “Pharmacist” “dispense” “blue” “tablet”
  26. 26. 26/ 27Messages : communicationand information• Vocabulary for content : CIOsp (Fr) / DM+D (UK) /G-standaard (NL)– Description of medication content (and model)• Grammar for structure: XML & PN13/HL7v2– Born with WebPages (HTML), XML defines (only)structure inside messages.– Description of messages in pharmaceutical process
  27. 27. 27/ 27Story-boardsof our pharmaceuticalpracticesEuropeanbest practicesSeamlesscomputercommunicationIn conclusion …Shared Context

×