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Simon Letellier – Phast – France EHTEL - ePrescribing & Medication Management 19-20 June 2006 1
[object Object],[object Object],[object Object],[object Object],EHR System Pharmacy System Treatment Supplier System 2
3
4
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],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
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
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
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],« pre »standard published  in Official Bulletin 2002/2bis  (juillet 2002)   8 PN13
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 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
© HL7 Inc 13
© HL7 Inc 14
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],After ENV 12610 :  Health informatics - Medicinal product  identification 15
[object Object],[object Object],EHR Phys. Ph. Nurs. CIO 16
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 services) 21

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Messages and drug master files in hospital e-prescription

  • 1. Simon Letellier – Phast – France EHTEL - ePrescribing & Medication Management 19-20 June 2006 1
  • 2.
  • 3. 3
  • 4. 4
  • 5.
  • 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. 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.
  • 9. One of the last works of Olivier Boux, member of Phast 9
  • 10. 10
  • 11. A view of the XSD validation file for the structure of the « medication order » message 11
  • 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
  • 15.
  • 16.
  • 17. pack list route form VQR supplier ATC code composition equivalence component 17
  • 18. 18
  • 19. Virtual drug == C linical medication Drug (real) Brand name active ingredient (virtual) Virtual pack Pack (real) 19
  • 20. EHR CPOE Ph N Med Ref. «  DMP  » Phys Ph «  DP  » 20
  • 21. For more information, visit Phast website at www.phast.fr (Site only in french for translation use Yahoo or Google services) 21

Notas do Editor

  1. Thank you. Good afternoon, I’m Simon Letellier. I’m hospital pharmacist and I’m master degree in medical informatics. I’m Phast’s member too. ‘ And’ Phast is an association of hospital pharmacists working with software suppliers on standardisation. So, if the name of Phast have no particular sense except perhaps fast « quick / high speed», for me it means « Pharmaceutical Standards ». For the works and implementations of Phast, please follow the presentation of the CEO of the association tomorrow : Mr Frank Gener. Now I will just introduce you to what is done in French hospitals around medication prescriptions.