Simon Letellier – Phast – France EHTEL - ePrescribing & Medication Management 19-20 June 2006 1
<ul><li>Ordering System    Physicians </li></ul><ul><li>Nursing System    Nurses </li></ul><ul><li>Pharmacy/Supplier Sys...
3
4
<ul><li>Most important softwares in France  </li></ul><ul><li>Softwares by categories </li></ul><ul><li>CPOE : Computerize...
Pharmacy System Treatment Supplier System OMP OMP RDE RDE RGV RDS RAS RAS The generic flow model OMP Pharmacy order messag...
Pharmacy System Treatment Supplier System Pres. Pres. CR APh CR APh DIN DG CR Adm CR  Adm . DRG After ENV 13607 :  Health ...
<ul><li>4 actors </li></ul><ul><ul><li>Physician </li></ul></ul><ul><ul><li>Pharmacist </li></ul></ul><ul><ul><li>Pharmacy...
One of the last works of Olivier Boux,  member of Phast 9
10
A view of  the XSD validation  file  for the structure of  the « medication order » message 11
Class Diagramm  SIPh / PN13 Medication order element Id Med order element Pharmaceutical validation State Supply Id physic...
© HL7 Inc 13
© HL7 Inc 14
<ul><li>Messages speak about drugs. </li></ul><ul><ul><li>Drugs must be well-defined  for a non ambiguous transmission. </...
<ul><li>Common semantic  (vocabularies and nomenclatures) </li></ul><ul><li>for the messages  (grammar : a tagged structur...
pack list route form VQR supplier ATC code composition equivalence component 17
18
Virtual drug ==   C linical medication Drug (real)  Brand name active ingredient (virtual) Virtual pack Pack  (real) 19
EHR CPOE Ph N Med Ref. «  DMP  » Phys Ph «  DP  » 20
For more information, visit Phast website  at www.phast.fr (Site only in french  for translation use Yahoo or Google servi...
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Messages and drug master files in hospital e-prescription

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Simon Letellier Phast France
EHTEL conference
ePrescribing and Medication Management
June 19 & 20 2006

Published in: Health & Medicine, Education
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Messages and drug master files in hospital e-prescription

  1. 1. Simon Letellier – Phast – France EHTEL - ePrescribing & Medication Management 19-20 June 2006 1
  2. 2. <ul><li>Ordering System  Physicians </li></ul><ul><li>Nursing System  Nurses </li></ul><ul><li>Pharmacy/Supplier System  Pharmacists </li></ul><ul><li>Patient Repository System/EHR  Patients </li></ul>EHR System Pharmacy System Treatment Supplier System 2
  3. 3. 3
  4. 4. 4
  5. 5. <ul><li>Most important softwares in France </li></ul><ul><li>Softwares by categories </li></ul><ul><li>CPOE : Computerized Prescription Order Entry </li></ul><ul><li>NIS : Nurse Information System </li></ul><ul><li>EHR : Electronic Patient Healthcare Records </li></ul><ul><li>PhIS : Pharmacy Information System </li></ul><ul><li>Med P : Medication Process </li></ul>Approx. 40% of hospitals have a computerized medication process Source: Synprefh survey 2005 5 CPOE+NIS+EHR DX-Care Medasys SA CPOE+NIS+EHR Crossway Hôpital MacKesson CPOE+NIS+EHR Actipidos Médicarès CPOE+NIS+EHR Osiris Corwin CPOE+NIS MedXper JK Concept EHR S@nté.com SHS EHR CDP GIP Cpage EHR Orbis Medar Agfa PhIS/ Med P Génois SIB PhIS/ Med P Phédra SIB PhIS Orbis Médicament/ Disporao Agfa PhIS Pharma Computer Engineering PhIS Image Pharma Inlog PhIS Dispen DIS NIS Orbis Care Agfa NIS Arcadis DIS CPOE+NIS+DPE+PhIS Cristal.net CRIH des Alpes CPOE Orbis Medical Agfa
  6. 6. Pharmacy System Treatment Supplier System OMP OMP RDE RDE RGV RDS RAS RAS The generic flow model OMP Pharmacy order message R DE Pharmacy encoded order message RDS Pharmacy dispense RGV Pharmacy give message RAS Pharmacy administration message 6
  7. 7. Pharmacy System Treatment Supplier System Pres. Pres. CR APh CR APh DIN DG CR Adm CR Adm . DRG After ENV 13607 : Health informatics - Messages for the exchange of information on medicine prescriptions 7
  8. 8. <ul><li>4 actors </li></ul><ul><ul><li>Physician </li></ul></ul><ul><ul><li>Pharmacist </li></ul></ul><ul><ul><li>Pharmacy technician </li></ul></ul><ul><ul><li>Administrator (of unit doses to patient) </li></ul></ul><ul><li>5 steps </li></ul><ul><ul><li>Prescription </li></ul></ul><ul><ul><li>Pharmaceutical analy sis </li></ul></ul><ul><ul><li>Preparation </li></ul></ul><ul><ul><li>Delivery </li></ul></ul><ul><ul><li>Administration (of unit doses to patient) </li></ul></ul><ul><li>6 types of messages </li></ul><ul><li>(14 objects / 4 levels) </li></ul><ul><ul><li>Med. prescription order </li></ul></ul><ul><ul><li>Pharmaceutical analysis report </li></ul></ul><ul><ul><li>Nominative delivery </li></ul></ul><ul><ul><li>Reglobalized delivery </li></ul></ul><ul><ul><li>Globalized delivery </li></ul></ul><ul><ul><li>Med. administration report (of unit doses to patient) </li></ul></ul><ul><li>For each message, sharp rules of use </li></ul>« pre »standard published in Official Bulletin 2002/2bis (juillet 2002) 8 PN13
  9. 9. One of the last works of Olivier Boux, member of Phast 9
  10. 10. 10
  11. 11. A view of the XSD validation file for the structure of the « medication order » message 11
  12. 12. Class Diagramm SIPh / PN13 Medication order element Id Med order element Pharmaceutical validation State Supply Id physician Indication Device associated Start order End order Comment Posology element Medication order component Administration report Administration report element Administration report component Medication order Further information Stay Patient Pharmaceutical analysis report 12
  13. 13. © HL7 Inc 13
  14. 14. © HL7 Inc 14
  15. 15. <ul><li>Messages speak about drugs. </li></ul><ul><ul><li>Drugs must be well-defined for a non ambiguous transmission. </li></ul></ul><ul><ul><li>But it’s a complex object with at least 3 levels of definition : </li></ul></ul><ul><ul><ul><ul><ul><li>composition, </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>medication, and </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>drug pack. </li></ul></ul></ul></ul></ul><ul><ul><li>It’s a re-usable nomenclature for ALL messages about drugs. </li></ul></ul><ul><ul><li>Daily or weekly updates : lot of changes for a lot of references </li></ul></ul>After ENV 12610 : Health informatics - Medicinal product identification 15
  16. 16. <ul><li>Common semantic (vocabularies and nomenclatures) </li></ul><ul><li>for the messages (grammar : a tagged structure) </li></ul>EHR Phys. Ph. Nurs. CIO 16
  17. 17. pack list route form VQR supplier ATC code composition equivalence component 17
  18. 18. 18
  19. 19. Virtual drug == C linical medication Drug (real) Brand name active ingredient (virtual) Virtual pack Pack (real) 19
  20. 20. EHR CPOE Ph N Med Ref. «  DMP  » Phys Ph «  DP  » 20
  21. 21. For more information, visit Phast website at www.phast.fr (Site only in french for translation use Yahoo or Google services) 21

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