New ISO projects Joint meeting HL7, IHE and ISO Pharmacy groups Leonora Grandia, Z-Index.

New ISO projectsJoint meeting HL7, IHE and ISO Pharmacy groups

Leonora Grandia, Z-Index

Datum / Titel PowerPoint presentatie

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Medicinal Product Dictionary

The origin:

• IDMP are separate standards, not integrated• focus of IDMP is pharmacovigilance

Next step is to develop the description of a system in which IDMP can be used, based on the use cases of health care.


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Draft definition of MPD:

A medicinal product dictionary consists of medication concepts, which are formally described in terms of its defining properties (e.g. ingredient, dose form) at various levels of details, and its relationships to other medication concepts in the dictionary.


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Use cases:• prescribing, dispensing and administration of

medicinal products • registration of electronic health records. • decision support• interoperability, pharmacovigilance, supply

chain and reimbursement


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Purposes:• to improve safety and quality and to reduce

the cost of developing and maintaining MPD’s;• to provide information to medicinal product

dictionary developers, to help them design medicinal product dictionaries

• to increase the potential for consistency between medicinal product dictionaries around the world (interoperability)


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Scope:

• defines what is considered to be a MPD• describes the reasons for developing and

maintaining MPD’s• describes the requirements for a MPD that

should be fulfilled to make it suitable for each of the stated use cases and purposes


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Main characteristics:

• structured• coded• connected• appropriate level of detail• current/complete• reliable/authoritative


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Dispensation record

The origin:

A dispensation record is the logical counterpart of an electronic prescription, which is under development


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Dispensation record

Draft definition:

Event relating to the dispense of a Medicinal Product. The event includes any actual dispense, cancellation or other outcome that may have occurred at the time.


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Dispensation record

Use cases:• registration of electronic health records• interoperability• decision support, claiming and

reimbursement, research, regulation, product integrity


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Dispensation record

Purposes:

• to develop a common specification that can be used universally to capture structured data in relation to the dispense of a medicinal product within a pharmacy context


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Dispensation record

Scope:to define the information content for the capture

of structured data of an event relating to the dispense of a Medicinal Product (including OTC)

Out of scope:

to specify the exchange of the information in a message


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Dispensation record

Characteristics:

• structured• etc


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Extemporaneous preparation

The origin:

• IDMP is for licensed medicines, extemporaneous preparation is n’t yet covered


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Unlicensed pharmaceutical preparations:

• extemporaneous preparations, i.e. pharmaceutical preparations individually prepared for a specific subject of care supplied after preparation;

• stock preparations, i.e. pharmaceutical preparations prepared in advance and stored until a request for a supply is received.


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Use cases:• prescribing, dispensing and administration of

unlicensed pharmaceutical products • recording in the electronic health record• decision support, claiming and

reimbursement, research, regulation, product integrity

• interoperability


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Purposes:

• to develop a common specification that can be used universally to capture structured data in relation to pharmaceutical preparations


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Scope:

• to define the information model for the capture of structured data in relation to unlicensed pharmaceutical preparations that are prepared without marketing authorisation


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• active ingredient, excipients, dose form, strength etc. identified at the level of granularity that is needed for prescription dispensing and decision support.

• if relevant also technique or instruction• etc


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Dose syntax

The origin:

• Started by NHS years ago, because of the lack of a projectlead NWIP is reballoted and the project is restarted


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Dose syntax

Definition:

• Written instructions accompanying the medication, which:

– describe the amount of medication per dose

– methodology of administration

– the frequency or interval of dose

– associated parameters necessary for appropriate adminstration of the medication


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Dose syntax

Use cases:

• prescribing/dispensing/administration• dose checking and calculations• readability by patients• interoperability


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Dose syntax

Purposes:

• to define the business requirements for the exchange of structured dose instruction instances


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Dose syntax

Scope:

• description of the conceptual and data elements needed to exchange dose instruction information for prescribing and administration of medicinal products in patient care


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Dose syntax


• containing the full set of information that supports the correct administration of a medicinal product to a patient

New ISO projects Joint meeting HL7, IHE and ISO Pharmacy groups Leonora Grandia, Z-Index.

Documents

medicinal product dictionaries

product integrity slide

purposes slide

reimbursement slide

message slide

development slide

world interoperability

dispensation record