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STANDARDS AND 
INTEROPERABILIT 
Y
»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.
» 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.
» Dr. Santos’ Clinic 
» The national 
Pharmacy chain 
» The patients
» At minimum, the clinic EMR, ClinicSys, and the 
national pharmacy chain system, PharmSoft, will 
have to interact for the scenario to work
» 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
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.”
» 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
» 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.
» 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.
» The patient goes to the Pharmacy and the 
Pharmacy gets the patient’s prescription 
from the system to proceed with the 
dispensing.
HI 201: Standards and Interoperability Scenario 5

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HI 201: Standards and Interoperability Scenario 5

  • 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.

Editor's Notes

  1. http://www.amcp.org/WorkArea/DownloadAsset.aspx?id=9300