IHE Pharmacy profilesIHE Pharmacy profiles
Hospital Medication Workflow status – Hospital Medication Workflow status – July 2010July 2010
GoalGoal
Provide interoperability solution for Medication Workflow in hospital
• Prescription – Pharmaceutical Advice – Dispense – Administration
• Doctors – Pharmacists - Nurse
StatusStatus
Roles identified Prescription Placer Pharmaceutical Adviser Medication Dispenser Medication Administration Informer
Transactions described between those actors
FeaturesFeatures
Supply chain is independent of clinical process Complexity of dispensing schemes is not
influencing the model
Supply chain can be modelled in the future
Prescription PlacerPrescription Placer
Creates Prescription Orders Informs the other actors that a prescription is
available / updated Receives updates about the actions for the
prescription:• Pharmaceutical Advice given• Dispensed• Administered
Prescription PlacerPrescription Placer
Patient A. Everyman should get Doliprane®
1000 mg tablets, 1 orally three times a day for the
duration of the admission
Check for ICA, see if
advice required
Start preparing the distribution, if needed (e.g. check stock
levels)
Can start preparing the
patient if needed
Pharmaceutical AdviserPharmaceutical Adviser
Receives prescriptions and checks them to Add notes and Advice Validate (depending on the implementation)
Requests and Receives Current Treatment from other repositories (inside or outside hospital)*
* Not yet covered
Pharmaceutical AdviserPharmaceutical Adviser
Prescription =
Validated
Will make sure that the medication is
given to the patient
Will give it when the time comes. Here, 3x day = 7h – 15h – 23h
For A. Everyman, I have validated the prescription of
Doliprane® 1000 mg. This medication should be
dispensed and administered
Medication DispenserMedication Dispenser
Receives prescription orders and advice, to dispense Medication for a patient
Also does all the actions and management required to deliver the medication to the patient’s stock – including stock redistribution if needed*.
* Not yet detailed
Medication DispenserMedication Dispenser
Prescription =
Dispensed
Got the pills for the patient
for the next week
Here are 21 tablets of Doliprane® 1000 mg for
patient A. Everyman.
Med. Administration InformerMed. Administration Informer
Receives Prescriptions, Dispense messages and Pharmaceutical Advice to administer the medication at the defined time.
Sends the report of administration to the other actors.
Med. Administration InformerMed. Administration Informer
Prescription =
Administered
I add this to the patient’s dossier
I know the patient only has
20 units left now.
I have given one of Mr. Everyman’s tablets of
Doliprane (this tablet) at 15h00
NextNext
Define the needed / expected information in each message
Validate model for expected scope
In-scope: Define the actions needed by the Medication
Dispenser, to address supply chain requirements
ResourcesResources
Ftp site : ftp://ftp.ihe.net/Pharmacy/
Mailing list : [email protected]
Google groups (mail archive): groups.google.com/group/ihe-pharmacy