Medication records and e-Prescriptions Denmark Med Com Danish

Medication records and e-Prescriptions Denmark Med. Com Danish Centre for Health Telematics Ib Johansen, MI www. medcom. dk

e-Prescriptions – Medication records Denmark • • Med. Com Danish Health Sector Danish Health Care data Network e-Prescribing – ETP – Support systems • Medication Record

Med. Com The Danish Health Care Data Network Fyn. Com The Funen Health Care Data Network International Projects Co. Co, Primacom, Wise, Picnic, Prestige, Open. ECG, Baltic-e. Health . . . http: //www. openecg. net

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

All using VANS national Med. Com EDI / XML-standards

Why making Prescriptions electronic ?

Why making Prescriptions electronic ? Med. Com Danish Centre for Health Telematics • • ijo© 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

GP´s with EDI : Specialists with EDI: Hospitals with EDI : Pharmacies with EDI: 2150 = 98 % Prescriptions 1289023 87% 1039105 = 73% 639 = 80 % 63 = 100% 331 = 100 % Doctors on Call: 15 = 100 % Health Insurance : 17 = 100 % Disch. Letters 1054314 85 % 682923 == 88 % 79 messages /min Lab. reports 844528 98 543040 = 82 % Referrals 115597 = 60 % Reimbursement 21049 = 92 % Lab Requests 44385 = 15 %

e-Prescriptions Denmark VANS

E-Prescriptions Supporting systems-Patient

E-Prescriptions Supporting systems-Patient

E-Prescriptions Supporting systems-Patient

E-Prescriptions Supporting systems, GP X

E-Prescriptions Supporting systems, GP Common Data Foundation(CDF) • Updated electronically every 2 nd 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

E-Prescriptions Supporting systems, GP Patient Electronic Medicine profile (PEM) (Medication Record)

e-Prescriptions Denmark VANS E-Prescription server

E-Prescriptions Supporting systems, Pharmacy, Common Data Foundation

E-Prescriptions Supporting systems, Pharmacy, National Medicine Account database CTR Common Data Foundation <75 €, 75 -200 €, 200 -500 €

E-Prescriptions Supporting systems, Pharmacy, CTR Common Data Foundation National Medical Account database

E-Prescriptions Supporting systems, Pharmacy, CTR National Medical Account database Reimbursement County (1/month) Common Data Foundation

E-Prescriptions Supporting systems, Pharmacy, CTR National Medical Account database Reimbursement County (1/month) Common Data Foundation Private Health Insurance (1/day)

E-Prescriptions Supporting systems, Pharmacy, CTR National Medical Account database Reimbursement County (1/month) Common Data Foundation Private Health Insurance (1/day) PEM

Prescription /orders Patient GP-Clinic

From Hospitals

Cave

Interactions

Interactions

Medicine Prescribed / not prescribed.

CTR Account 100 % refunded

Generics

Compliance

E-Prescriptions Medication database • 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