1. 1 Standards Adoption Process Testing at Connectathons IHE Demonstrations Products with IHE Timely access to information Document Use Case Requirements Develop technical specifications Identify available standards (e.g. HL7, DICOM, IETF, OASIS) Easy to integrate products

2. 2006 K. Bourquard

3. IHE Medication Management White Paper - 2003 HITSP Medication Management Interoperability Specification - 2007 Key past documentation

4. What has been done? An IHE White Paper Final version (integration of comments collected after having been put for public comments last year) 70 pages Community Pharmacy use cases Hospital Pharmacy use cases Harmonization of actors definitions ftp://ftp.ihe.net/Pharmacy/White%20Paper/IHE_Eur_Pharmacy_White_Paper_Final_Text_1.2.pdf

5. Use Use cases HMW CMPD

6. Organization of the TF (Technical Framework) documentation After a doodle on the meeting paperboard [ J. Brandstätter (Codewerk – IHE Austria)] TF documentation

7. Elaboration of the Technical Framework documents: Put for public comment 2010 - 2011 TF documentation TF Supplement for community Pharmacy [CMPD profile] TF Supplement for hospital Pharmacy [HMW profile] TF Supplement Common parts from the White Paper

8. Common actors Creates Prescription Orders – Informs the other actors that a prescription is available / updated – Receives updates about the actions for the prescription Receives prescriptions and checks them to Requests and Receives Current Treatment from other repositories (inside or outside hospital (Not yet covered) ) Pharmaceutical Adviser 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 Dispenser Prescription Placer

9. Med. Administration Informer (HMW) Receives Prescriptions, Dispense messages and Pharmaceutical Advice to administer the medication at the defined time. Sends the report of administration to the other actors. Community Pharmacy Manager (CPMD) Receives and send Prescriptions, Dispense documents and Pharmaceutical Advice Manage ID/document links between placers/dispensers/advisers and repositories/registries. Dedicated actors

10. Hospital medication workflow showing actors and transactions between them Hospital Pharmacy : HMW From the white paper

11. HMW : HL7v2 transaction flow diagram Hospital medication workflow will use HL7v2.5 completed with v2.6 message definitions

12. HMW : Hospital Medication Workflow PRESCRIPTIONPRESCRIPTION Supply chain

13. CMPD: Community Pharmacy

14. Pharmacy/Medication management HL7v3 Dispense event with full prescription

15. Resources Wiki site : – http://wiki.ihe.net/index.php?title=Pharmacy Ftp site : – ftp://ftp.ihe.net/Pharmacy (username :iheyr2; password : interop) Google groups (mailing list): – groups.google.com/group/ihe-pharmacy

16. Sept. 2010 – Internal review of Technical Framework Oct. 2010 - Public Review and Release for Trial Implementation Pisa, Italy, 11-15 April 2011 Connectathon, a « connectivity marathon » Massive yearly event : 80 vendors 250-300 engineers 100-120 systems ….integrated in 5 days Results will be published on www.ihe-europe.org Milestones

17. Achieving Interoperability of health systems on the global level requires a considerable lot of work. Get involved! If you are a vendor, come at Connectathons and test your systems! Next Connectathon: Leopolda Storica in Pisa, Italy, 11 -15 April 2011 For patients’ transnational seamless care between hospital and ambulatory all over the world. Results will be published on www.ihe-europe.org