medication records and e-prescriptions denmark medcom danish centre for health telematics ib...
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Medication records and
e-Prescriptions
DenmarkMedCom
Danish Centre for Health TelematicsIb Johansen, MI
www.medcom.dk
MedCom
Health Telematics
Danish Centre for
r
1 1†
e-Prescriptions – Medication records
Denmark
• MedCom• Danish Health Sector• Danish Health Care data Network• e-Prescribing
– ETP– Support systems
• Medication Record
MedCom
Health Telematics
Danish Centre for
r
1 1†
MedComThe Danish Health Care Data Network
FynComThe Funen Health Care Data Network
International ProjectsCoCo, Primacom, Wise, Picnic, Prestige, OpenECG, Baltic-eHealth
Coordination and Continuity in Primary Health Care
! Regional Networks! Using EU standards! Creating a market
Amtermed i MedCom
1 til 1 (15)
Health-telematics
Danish Centre for
...
MedCom
Health Telematics
Danish Centre for
r
1 1†
http://
www.openecg.net
Sundheds-telematik-
Center for
r
1 1†
MedCom
Danish Health Sector
63 (41)Public hospitals – 21000 Beds>10 private hospitals- < 150 Beds
3400 GPs (2000 clinics) 804 Private specialists + 245 Part time 331 Pharmacies 2700 Dentists (1650 clinics)1793 Physiotherapist (550 clinics) 225 Chiropractors 546 Psychologists
15 Counties/Kbh/Frberg/Bornholm 271 Municipalities 1 private Health Insurance
VANS
Sundheds-telematik-
Center for
r
1 1†
MedCom
All using national MedCom EDI / XML-standards
MedCom
Health Telematics
Danish Centre for
r
1 1†
Why making Prescriptions electronic ?
Why making Prescriptions electronic ?
• Readable• No retyping• No misuse• Medicine ready when patient show up• Accessible from all Pharmacies• Reuse of data from GP to Pharmacy• Reuse data for Medicine profile / medication
record
Health Telematics
Danish Centre for
Amtermed i MedCom
1 til 1 (15)
MedCom
ijo©
0 100000 200000 300000 400000 500000 600000 700000 800000 900000
1000000 1100000 1200000 1300000
92 93 94 95 96 97 98 99 20 O1 O2 O3 O4 O5 O6
MedCom -The Danish Health Data NetworkMessages/Month
Prescriptions1039105 = 73%Prescriptions1289023 = 87%
Disch. Letters 682923 = 85 %Disch. Letters 1054314 = 88 %
Lab. reports543040 = 82 %Lab. reports844528 = 98 %
ReferralsReferrals115597 = 60 %ReferralsReferrals
Reimbursement
21049 = 92 %
MedCom
Health Telematics
Danish Centre for
r
1 1†
GP´s with EDI : 2150 = 98 %
Specialists with EDI: 639 = 80 %
Hospitals with EDI : 63 = 100%
Pharmacies with EDI: 331 = 100 %
Doctors on Call: 15 = 100 %
Health Insurance: 17 = 100 %
79 messages /min
Lab Requests44385 = 15 %
VANS
Sundheds-telematik-
Center for
r
1 1†
MedCom
e-Prescriptions Denmark
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems-Patient
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems-Patient
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems-Patient
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems, GP
X
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems, GP
Common Data Foundation(CDF)
• Updated electronically every 2nd week
• Drug ID– Content generic, – Strength, – Package: size, price, – Form(i.e. tabl, liq)– Substitution – ATC code – Dosage and indication – Warnings, traffic– Dosage text– Indication text – And more
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems, GP
Patient ElectronicMedicine profile (PEM)(Medication Record)
Sundheds-telematik-
Center for
r
1 1†
MedCom
e-Prescriptions Denmark
E-Prescription
server
VANS
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems, Pharmacy,
Common Data
Foundation
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems, Pharmacy,
Common Data
Foundation
CTR
National Medicine Account
database
<75 €, 75-200 €, 200-500 €
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems, Pharmacy,
Common Data
Foundation
CTR
National Medical Account database
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems, Pharmacy,
Common Data
Foundation
CTR
National Medical Account database
Reimbursement County
(1/month)
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems, Pharmacy,
Common Data
Foundation
CTR
National Medical Account database
Reimbursement County
(1/month)
Private Health Insurance
(1/day)
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsSupporting systems, Pharmacy,
Common Data
Foundation
CTR
National Medical Account database
Reimbursement County
(1/month)
Private Health Insurance
(1/day)
PEM
Sundheds-telematik-
Center for
r
1 1†
MedCom
GP-Clinic
Prescription /orders
Patient
From Hospitals
Cave
Interactions
Interactions
Medicine Prescribed / not prescribed.
CTR Account
100 % refunded
Generics
Compliance
• 2.nd fase Medication record– On the way to a National Medication database– Accessible using national certificate through Health Portal– For Health professionals and citizens– Reuse data, based on e-Prescriptions
Sundheds-telematik-
Center for
r
1 1†
MedCom E-PrescriptionsMedication database