electronic platform for collection, analysis and sharing

Electronic Platform for Collection, Analysis and Sharing of Digital Medical Records (P1) – 2

phase

Bratislava, 6th June 2019

Profiles and standards within the P1 Project

The use of the PIK HL7 CDA standard for e-Prescription and e-Referrals functionalities

The use of the PIK HL7 CDA standard for Medical Events and EMD exchange functionalities. In addition, thefollowing profiles and standards will be used as part of this stage:

Application of the IHE XDS.b

Application of the IHE XDS-I.b

Application of the IHP APPC

Application of the IHE ATNA

Application of the IHE CT

Application of the ebXML Registry Information Model (ebRIM) standard for building the XDS.b registry.

Pharmacies:

Medicinal entities:

Daily statistics (example):

Pharmacy typeThe total number of pharmacies Certified P1

PHARMACY_GENERALLY ACCESSIBLE 12906 12801NO_INFORMATION 1565 151PHARMACY_POINT 1279 1242

Medicinal entities Certified P1 Issuing e-Prescriptions

22275 2594 675

Day Items Prescriptions Pharmacies

27.05.2019 1 651 482 872825 13789

28.05.2019 1 737 166 902513 13795

29.05.2019 1 769 070 917877 13787

30.05.2019 1 773 870 918457 13789

31.05.2019 1 878 190 967074 13801

01.06.2019 681 394 354310 11996

02.06.2019 91 951 54809 2102

e-Prescription (Stage IIIa) - implemented in February 2018

e-Referral (Stage IIIb) - implemented in October 2018 (the solution is currently being piloted)

All Issued Realized Cancelled At operators

298 211 22 34 31

Directory of referrals issued in electronic form in the Medical Information System:

1) outpatient specialist benefits financed from public funds

2) hospital treatment in a hospital that has concluded an agreement for the provision of healthcare benefits

3) Nuclear medicine research financed from public funds and funds other than public funds

4) computed tomography (CT) examinations financed from public funds and funds other than public funds

5) magnetic resonance imaging (MR) financed from public funds

6) gastrointestinal endoscopic examinations financed from public funds

7) fetal echocardiographic examinations financed from public funds

8) positron emission tomography (PET) financed from public funds

Pilot statistics:

The scope of the Medical Event data EMD index data range (example part)

1. The identifier of the medical event 1. Identification of Electronic Medical Documentation

2. Type of the medical event 2. The date of issue of the document

3. Date of the medical event 3. The language in which the document was created

4. Data of the provider 4. The level of confidentiality of the document created

5. Place of providing the healthcare benefits 5. Data of the Service Provider

6. Data of the issuer 6. Data of the Recipient

7. Data of the recipient 7. Details of the medical officer issuing the document

8. Payer type 8. Document custodian - storing and sharing documentation

9. Information about the medical event 9. Relations with other indexes

Medical Events and EMD Exchange (Stage IIIc)

P1

EMD Exchange Scheme (step 1)

EMD

Service provider 1 Service provider 2

Inquiry about patient’s EMDindexes processed in the Service Provider's System (2)

P1


EMD


Feedback on the availability of documentation along with an address for downloading the documentation with prior verification of patient's consents and appropriate authentication of the Service provider 1

P1


EMD


The System of Service Provider's 1, on the basis of the feedback message provided bythe P1 System, will forward the request to download the EMD located in the System ofthe Service Provider's 2 (or custodian) via the link contained in the return messagereceived from the P1 System.

P1


EMD


The System of the Service Provider (2) willverify the "identity" of the System of theService Provider (1) via the P1 System as partof the relevant message.

P1


EMD


The System of the Service Provider 2, on the basis of the confirmation received from the P1System, will return the EMD to the System of the Service Provider 1 and the logs ofdownloading the EMD to the P1 System.

The EMD download logs aretransferred to the P1 System.

https://pacjent.gov.pl/

National data exchange will be carried out via regional platforms and the central platform

Cross-border Data exchange will be carried out through eHealth National Contact Points – openNCP

Our goal is to provide the functionality of a cross-border e-prescription in 2021 in line with eHDSIDeployment Plan for wave 3.

Functionalities:

From the Patient point of view Poland is planing to implement 2 functionalities:

ePrescrition Country A (ePA, as a sending country),

ePrescrition Country B (ePA, as a receiving country).

Technical solution:

Regarding ePrescrition technical solution OpenNCP will be used but Poland needs to develop as wellNational Connector establishing communication with the national infrastructure (P1).

OpenNCP - Cross-border exchange of ePrescription, main assumtion and timeline

eHDSI deployment timeline per service – ePrescription services to implement in wave 3

eP A – ePrescription available to patients from Country A (Member State of affiliation)

eP B - ePrescription available to patients from Country B (Member State of treatment)

Thank you for your attention!

Marcin [email protected]

electronic platform for collection, analysis and sharing

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