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 :  ihe-pharmacy@googlegroups.com

Google groups (mail archive):  groups.google.com/group/ihe-pharmacy