1. Delivery module pharmacist Billing Medication history Statistical data (IFEB) Product database (APB) Scientific database (DELPHI ) Scientific database Prescription module doctor GMD/DMG (Patient file) Product database R/

2. MyCarenet BelPharData Recip-e Reference database products Scientific database Prescription module Transport of prescription Delivery module pharmacist Biling Pharmaceutical patient record Statistical data Tool for Chapt IV medication Reference database products Scientific database Tool for Chapt IV medication Asssurability online feedback Indication on prescription Elektronic GMD (incl. medication)

3. 1 2 3 Reference database products Scientific database Prescription module Transport of prescription Delivery module pharmacist Biling Pharmaceutical patient record Statistical data Tool for Chapt IV medication Reference database products Scientific database Tool for Chapt IV medication Asssurability online feedback Indication on prescription Elektronic GMD (incl. medication)

4. Dataflows Three tracks that will be joined…

5. This is also an electronic prescription !

6. ©Patrick M. Davies National Health Service Department of Health Nortern Ireland

7. Recip-e Technical solution and functionality

8. Global overview of the Recip-e system

9. Recip-e prescription server feedback Reference/pointer server R/R/ n° NISZ patient n° recipe n° server n° recipe Content recipe Idt. doctor n° recipe Delivered medication Idt. pharmacists prescribing delivering Feedback future: portal  patient will manage his prescriptions Electronic pharmaceutical patient record Idt (NISZ) patient n° recipe Delivered medication Idt. pharmacist

10. be.health Identification, authentification, Start medical program Editing of prescription with own medical program or portal Recip-e Start Print sequence: Request of RID ( Recip-e Unique Identifier ) to Recip-e Recip-e verifies credentials Recip-e verifies conformity of prescription If OK, Recip-e attributes RID or returns error code Print of prescription with RID Patient receives prescription with RID Recip-e stores prescription with status « non delivered » Carenet When available: Verifying insurance status - Request attestion(s) Identifying patient with e-ID Physician Patient Electronic prescribing by physician

12. be.health Identification of pharmacy, authentification Start pharmaceutical program Patient presents prescription to pharmacist Recip-e Prescription requested from Recip- e server Pharmacist delivers drugs: verification delivery by CNK By closing delivery, communication to server what has been delivered Recip-e returns feedback to physician if allowed by patient Prescription data with status « in transaction » Carenet When available: Verifying insurance status - Request attestion(s) online Pharmacist scans barcode Physician Patient Delivering of electronic prescription Pharmacist Prescription data with status «delivered »

13. Recip-e engine Portal Integration with external SW DRM engine Authentication engine Timestamp Authority Helpdesk Limited SLA (1 server) Recip-e pilot : Technical infrastructure & features Recip-e engine Portal Integration with external SW DRM engine Authentication engine Timestamp Authority Helpdesk Limited SLA (1 server) Logging engine Archive Link with be.Health Mandate engine

14. Authorities ? INAMI SPF Santé Be.Health AFMPS  e-MED study & workgroup  Reference products database  Pilots for e-prescrition in hospital and community pharmacy in 2008  Subgroups for each