1. Electronic Medication Management (eMM) International Activities/Projects Landscape and Concepts Dr Stephen Chu CTI, NEHTA

2.  Electronic Medication Management Three key components  Contents  Infrastructures o Trigger events; messages; services o Registry; repository  Applications/User interface/viewer eMM: Landscape

3.  Electronic Medication Management Key landscape components eMM: Landscape eMM Repository SEHR/ PHR Registry/ Directory Triggers Messages Services Contents Applications Interfaces Queries

4.  Electronic Medication Management The recipes and ingredients analogy eMM: Landscape Medication History List Medication Review Record Medication Profile Medication Management Plan Executive/ Management Decisions Executive/ Management Decisions Clinical Decisions Clinical Decisions Queries Reviews Reconciliation Prescrip -tions The production (cooking) processes The recipes The consumptions Dispense Records Pharm Advice Pharm Advice Meds Admin Meds Admin Patient Conditions Patient Conditions Allergies; Adv reactions Contra- Indicat -ions Contra- Indicat -ions Labs … & others… Labs … & others… The data (ingredients) hospitals Community pharmacies Community Labs/paths Community Labs/paths Community Imaging services Community Imaging services others … The sources

5.  Electronic Medication Management Key components eMM: Landscape Medication History List Medication Review Record Medication Profile Medication Management Plan Complexity Data components (processing, … etc) Prescribed √ Dispensed √ Administered ??? Administration/conformance Profile: Omission frequency + reasons Dose variation frequency + reasons Frequency variation frequency + reasons Intermittent + PRN frequency + reasons

6.  Electronic Medication Management Key components eMM: Landscape Medication History List Medication Review Record Medication Profile Medication Management Plan Complexity Data components (processing, … etc) Long term meds list Short term/episodic meds list Intermittent meds list PRN meds list Types of med list view

7.  Electronic Medication Management Three key components  Contents  Infrastructures o Trigger events; messages; services o Registry; repository  Applications/User interface/viewer eMM: Landscape

8. eMM: Application/Interface