EPharmWorkshop2008-Minutes

Participants

• Belgium
• France :
• Germany :
• Netherlands
• Norway
• IHE Eur : G. Claeys, K. Bourquard,

Introduction

• Objectives of workshop :
• Overview of IHE

ePharmacy in Europe

• France:
  • Presentation : here and here
  • Take aways :
  • Separate infrastructure for medication record (DP) and clinical record (DMP) of patient
  • No e-prescription on community level since pharmacists are not allowed to sell medication ; focus on hospital pharmacist
  • PHAST : pharmacy association of users and vendors
    • Current statdard : SIPH2v2 : message + data standard
    • Decided to migrate to HL7v3
    • GMSIH/PHAST made a proposal about hospital pharmacy use cases; approved by hospital pharmacy vendors
• Belgium :
  • Presentation : here and here
  • Take aways :
    • Reference Drug product database : APB (Belgian standard)
    • Electronic prescription
      • Recip-e : between GP and community pharmacist with central storage of the prescriptions (push-pull model)
      • eMED : between hospital and community pharmacist
    • Medication record, managed by the pharmacist
• Netherlands
  • Presentation : here and here
  • Take aways :
    • Drug product data standard :G-standard
    • E-prescription
      • Primary care : GP –pharmacy of choice (p-t-point); EDIFACT messages
      • Secondary care (clinics, outpatient centers) : HL7v2
    • AORTA – pilot projects :
      • Electronic Medication Record : dispensed medication, allergies, contra-indications
      • Patient Summary
• Norway
  • Presentation : here and here
  • Take aways :
    • Community Pharmacy focus
    • E-prescription :
      • between GP and pharmacist
      • Prescription broker : stores the prescription
      • Dispensed medication is sent back to GP , which updates the patient EMR.

ePharmacy Use Cases

• Focus on interoperability Use Cases that are common to two or more countries
• Use Cases cover both hospital pharmacy and community pharmacy
• The main community pharmacy use cases are:
  • retrieve medication history and update medication history (dispensed medication
  • electronic transfer of prescriptions between GP and community pharmacist
• The main hospital pharmacy use cases are:
  • electronic transfer of prescriptions between physician (ward) and hospital pharmacist. An initial version is available here
• The complete set of identified pharmacy use cases is listed in following mindmap:

Timing

• June 2008 : complete main use case
• Mid 2008 – Mid 2009 : profile development (as IHE Domain committee)
• 2010 : test implementation at connectathons

Next steps

• Create draft version of the main use cases for review (editor is underlined)
  • Community – retrieve/update medication list : Andre, Asbjorn, Peter, Jacqueline/Frank
  • Community – electronic transfer of prescriptions : AndreB., Peter, Asbjorn, Michael
  • Hospital – electronic transfer of prescriptions : Jacqueline, Andrfe
• Template : Geert
• Broaden the membership of ePharmacy working group :
  • Users :
    • europe association of community/hospital pharmacist: Jacqueline
  • Vendors :
    • Pharmacy Association Belgium : Peter H.
    • Phast – France : Frank
    • National ihe organizations : Geert