Development of the Web Service Model for the Evidence-Based Pharmaceutical Care Support, the winner of International Congress of Medical Sciences that took place in Sofia, Bulgaria, by O. Marushchak and V. Kolchenko

1. International Congress of Medical Sciences
Sofia, Bulgaria, 2019
1
Department of Clinical Pharmacy, Pharmacotherapy and Medical
Standardization, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
2
Sciforce Ukraine Ltd, Lviv
O. Marushchak1
,
A. Zimenkovsky1
, O. Boretska1
,
V. Kolchenko2
DEVELOPMENT OF THE WEB SERVICE
MODEL FOR THE EVIDENCE-BASED
PHARMACEUTICAL CARE SUPPORT
1

2. Introduction
A role of the IT in healthcare
increases, including
diagnostics, treatment,
pharmacy
Neoh, Chin Fen, et al. Journal of Young Pharmacists 7.3 (2015): 155.
da Junqueira, R. (2015). Digital Healthcare Empowering Europeans: Proceedings of MIE2015, 210, 261. 2
In pharmacy, IT-systems
extend pharmaceutical
care

3. Introduction
Public health and pharmacy are connected with a
mutual goal - serving for population health concerns.
Pharmacists are able to execute public health
functions through pharmaceutical care practices.
Lack of time, trust and privacy, unsolicited advices were
identified as main barriers to provide pharmaceutical care.
Eades, Claire E., Jill S. Ferguson, and Ronan E. O'Carroll. BMC public health 11.1 (2011): 582. 3

4. Introduction
with precise and relevant information
on-line
with continuous pharmaceutical care
through devices
by providing consultations distantly
using evidence-based sources
Avoiding time pressure
by helping to solve unfamiliar problems
in unfamiliar situation
Developing competence
Do you need
an online
doctor now?
Today there
is a need for
IT support for
Ability to provide patient privacy
Baines, Darrin Lloyd, et al. Frontiers in pharmacology 9 (2018): 678.
Increasing a treatment efficacy
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5. Aim
Development of the
web service model for
pharmacist’s
evidence-based
information support and
assistance in the online
pharmaceutical care of
patients.
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6. Materials
&
Methods
Review of the evidence-based
treatment guidelines and databases
(Cochrane, Medline, and Medscape)
Implementation of The Ukrainian State
Protocols of Pharmacist, State Formulary
parsing
Web-development using Python,
Django web framework, PostgreSQL,
JavaScript, HTML, CSS.
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7. Model of an IT-system
for a patient-pharmacist
connection Shared database
To share information and
providing a continuous
pharmaceutical care
Bot service
To receive pharmaceutical care
messages with a basic information
for medication use
Web service
To access guidelines in an
interactive form, obtain
information on symptomatic
treatment and medication
patient history
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8. Web service
15 symptoms available
Bot connection
Algorithms to define
a symptomatic
treatment
Pharmacovigilance
reports
Medication historyThreatening
symptoms checkers
8

9. Symptomatic treatment determining
Obtain a
result
Threatening
states checking
Guideline in
a form of
algorithm
Symptom
choice
Step 1 Step 2 Step 3 Step 4
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10. Result page
Recommendation to visit a doctor
Custom message
Pharmaceutical care message
Therapeutic group
Pharmaceutical care message
Medications from therapeutic group
Message on pharmacovigilance
General recommendation
10

11. Bot service
Drug interaction
messages
Contact a
pharmacist
Information on rational
pharmacotherapy
Modified
questionnaire
Feedback
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12. Patient
information with
bot service in
Telegram
messenger
12

13. Web service for a pharmacist
Database queries on
symptomatic treatment
Pharmacist-patient
interaction
Bot service for a patient
Database queries on rational
pharmacotherapy data
High-level architecture
13

14. Information processing
Final database
Medications and
recommendations from
State Protocols of Pharmacist
Information from
evidence-based databases
Medications and recommendations
from International guidelines
Dispensing conditions, State Formulary
checking
14

15. Text Parsing
ADVERSE EFFECTS
MEDICAL
CONDITIONS
MEDICATION
WAY OF USE
& DOSAGE
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16. https://turbota.app
team@turbota.app
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17. Our developed IT-system
model, consisting of web
service and bot service is
directed on the support of
the pharmaceutical care.
It promotes the
improvement of the
collaboration between
pharmacies and patients.
Conclusion
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18. Thank you for your attention
Danylo Halytsky Lviv National Medical University

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