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Electronic Health Record and Supply Chain Data... Standards

Electronic Health Record and Supply Chain Data... Standards. Thanks to Pr Christian Lovis, MD, MPHI Head, Unit of Clinical Informatics. EHR from US DoD * / 1 ( encounter / location). Additional Selection Criteria. Location. Previous Encounters. * DoD : US Department of Defense.

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Electronic Health Record and Supply Chain Data... Standards

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  1. Electronic Health Record and Supply Chain Data... Standards Thanks to Pr Christian Lovis, MD, MPHI Head, Unit of Clinical Informatics

  2. EHR from US DoD* / 1 (encounter / location) Additional Selection Criteria Location PreviousEncounters *DoD: US Department of Defense

  3. EHR from US DoD / 2 (encounter / location) Location PreviousEncounters

  4. EHR from US DoD / 3 (document) DischargeLetter DocumengtHistory

  5. EHR from US DoD / 4 (structured document) Location Documents History

  6. EHR from US DoD / 5 (medshistory) Medicationsdispensed by DoD, VA* & retail pharmacies VA: VeteranAffairs, the US federalhospital for military staff

  7. EHR…. Connecting the dotsSupply Chain … connecting to EHR • EHR differs from paper-based files • Data are stored electronically, • Preferrently in a structured format • Preferrently by referring to common agreed semantics, including images, lab results, etc. • EHR belongs to the clinical IT • Supply Chain data belong to an other “silo”?

  8. Supply Chain data in Hospital IT

  9. Supply Chain meeting Clinical IT

  10. Supply Chain and Clinical IT • Drugs, laboratorysamples, etc, … • Care, acts, actions, … University hospitals of Geneva Pediatry Dept, mai – october 2007 – 6’786 episodes, 93’294 medical acts Medication25% Medication Medications Care Nursing acts Laboratory Medication Radiology Consultations 93’294 medicalacts Other 2’900’000 nursing acts

  11. Supply chain as bridging processes and silos Care Supply Chain Accounting From Product to Patient EHR

  12. Supply Chain and EHR:different time scales ? 1971 1978

  13. …over generations 2009

  14. Supply Chain Data … in clinical IT • Supply Chain Data... As identification keys • ...attributes for traceability • Smooth linkage between two environments • HL7 and GS1 collaborating to make this as interoperable as possible

  15. Supply Chain Data … intoClinical IT GS1 xml message GLN 7601001370500 Location Identifier Authority: EAN.UCC

  16. Supply Chain Data … intoClinical IT OID : 1.3.88 HL7 CDA message GLN 7601001370500 Location

  17. ePrescription

  18. Dm+d and SNOMED CT Snomed CT drug core etc etc IS_A Beta-blocker drug IS_A Cardioselective beta-blocker IS_A Atenolol (drug product) (VTM) NHS dm+d Atenolol 50mg Tablet (VMP) Atenolol 50mg Tablet x28 (VMPP) Atenolol 50mg Tablet (COX) (AMP) Atenolol 50mg Tablet (Cox) X28 (AMPP) Source: Paul Frosdick, Bpharm, NHS, 2005

  19. Added value in NCRS and systems 07680382100258* 07640134320013* Adapted* from: Paul FrosdickBpharm, NHS, 2005

  20. Clinical Acts A tentative to visualise GS1 in HL7’s Model shape Entity(GTIN, GLN, etc. ) Acts(Value, Transaction, involved parties) Participation(attributes asserial #, dates,) Entity Role Participation

  21. Continue working in meeting Health IT requirements GSMP « Patient & Caregiver ID » : gap analyse and searching solutions

  22. EHR and Supply Chain Standards … Christian Hay Partner Medinorma LLC www.medinorma.net hay@medinorma.ch

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