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Change to electronic media
_The decision by the Federal Administrative Court to lift the obligation to publish all drug information in a printed compendium
presented the Documed Marketing & Sales team with new challenges. The associated switch to electronic media had to happen
quickly. These changes required an immediate revision of the services offered to the pharma industry. The printed Swiss Drug
Compendium (Arzneimittel-Kompendium der Schweiz ® ) became the electronic platform “compendium.ch”. The new version of
compendiumPORTAL went live at the beginning of 2013, for simplified entry, management and publication of drug information by
the marketing authorisation holder.
40_ HealthCare Information · Galenica annual report 2012

Healthcare information
Successful switchover to new drug information system of Swissmedic
(AIPS)
Ulrich Schaefer
_“HealthCare Information’s services target the core of the
eHealth Switzerland strategy. The HealthCare Information companies
are the leading Swiss information providers in the healthcare
market.”
Strategic priorities 2013
_Developing pioneering eHealth solutions for the
Swiss healthcare market
_Adapting database technologies for use with
new media
_Exploiting synergies in important HealthCare
Information software components
Sales down, earnings up
_As anticipated, the HealthCare Information business
sector reported a decline in sales in 2012, which was due
to the Federal Administrative Court’s decision to shelve
the requirement for compulsory documentation with
Documed. Due to the new regulations governing publication
of drug information, the Swiss Drug Compendium
(Arzneimittel-Kompendium der Schweiz ® ) saw a decline
in sales, as expected. This was offset almost in full by
further roll-outs of TriaPharm ® . The HealthCare Information
business sector generated sales of CHF 47.1 million
(–1.3%). Conversely, earnings before interest and taxes
(EBIT) rose by 79.9% to CHF 4.3 million due to process
optimisation, increased sales of INDEX products and the
further roll-outs of TriaPharm ® .
Key figures 2012
Net sales EBIT Number of staff
1% 1% 3%
HCI CHF 47.1 million
(Galenica Group CHF 3,294.3 million)
HCI CHF 4.3 million
(Galenica Group CHF 349.6 million)
HCI 191
(Galenica Group 7,289)
Galenica annual report 2012 · HealthCare Information _41

TriaMed ® : additional benefits from digital patient files
_While the software industry for medical practice solutions
has been offering digital documentation modules
(patient file management) on the Swiss market for at
least ten years, demand is growing relatively slowly. Less
than 20% of physicians in private practice currently keep
their practice records in digital form. TriaMed ® is the
undoubted leader in the medical documentation software
sector, including solutions for group and joint practices
and medical centres. TriaMed ® is acknowledged by
experts as the market leader in both electronic patient
files and the implementation of major practice projects.
HealthCare Information: services support the
eHealth Switzerland strategy
_The Swiss federal and cantonal governments have defined
clear objectives for the healthcare system with the
eHealth Switzerland strategy, which envisages the introduction
of electronic patient files across the whole country
by 2015. A health portal with quality-assured online
information should also be in place by that date. Progress
is being made in both areas, but there are doubts in the
case of electronic patient files in particular as to whether
the project can be implemented by the target date of 2015
due to hesitation on the part of most practicing physicians
to work with these new solutions.
_Substantial contribution to patient safety. HealthCare
Information’s services target the core of the eHealth Switzerland
strategy. The HealthCare Information companies
are among the leading Swiss information providers in the
healthcare market. The information supplied and required
by various stakeholders in a range of formats is processed,
made compatible and compiled on an IT hub and thus
made available for use on a variety of different platforms,
covering thousands of medicines and many other products
employed in healthcare. The key word is interoperability.
HealthCare Information is familiar with the technological
interfaces and is able to transport information
between A and B securely and reliably. The services offered
by HealthCare Information can thus give healthcare
HCI Solutions: Information hub for commercial and scientific data on medicines
Identa by Documed
_Additional information such as
reimbursement eligibility and links
to further offerings
_Networking of users and providers:
practice-based physicians,
pharmacists, drug stores, hospitals,
nursing homes, health insurers,
wholesalers
_Online publication of drug
information
_Integrated distribution with more
than 115 system providers
throughout Switzerland and in all
language regions
_Record of changes available daily
_Labelling of drugs requiring cold
storage
_Distribution of wholesaler-specific
information (terms and conditions,
return regulations, prices)
_Efficient provision of correct
information to benefit patients
42_ HealthCare Information · Galenica annual report 2012

Hospitals are at the forefront of shaping the development
of eHealth.
Safer hospital prescriptions thanks to hospINDEX ®
_hospINDEX ® supports the decision-making process in
medical prescriptions by allowing software systems to
selectively display information and warnings relating to
the patient via the “Clinical Decision Support” module.
Should a physician prescribe a dose that exceeds the
recommended maximum, the system flags a warning
and shows the relevant section of summary of product
characteristics. When the patient is a child, the recommended
dosage from the “Kinderdosierungen” (child
dosage) database is shown. Medical prescriptions may
also trigger specific instructions to care workers, pharmacists
and hospitals’ invoicing departments.
professionals round-the-clock access to the products and
important information they need. This IT solution makes
a significant contribution to preventing misuse as well as
misinterpretation when dispensing medicines and contributes
substantially to patient safety.
_Dynamism in hospitals. Hospitals are at the forefront
of shaping eHealth’s development. Following the introduction
of flat-rate payments in 2012, hospitals are installing
new IT solutions for processes such as the administration
of medication, thereby increasing drug safety and also
simplifying the administration of individual doses during
hospital stays. While many general practitioners are only
slowly adapting to the electronic age, it can be assumed
that they will eventually adapt, albeit at their own pace. A
contributory factor here is the trend towards joint practices,
where physicians are able to work significantly more
efficiently by using electronic patient files.
_The HealthCare Information business sector also participates
directly in pilot projects for the eHealth Switzerland
strategy, one of these being the installation of various
TriaPharm ® and TriaMed ® applications in the Basle region
since the spring of 2012. Integrating online compendia
and components in a more user-friendly way means that
physicians and pharmacists will adopt the new eHealth
solutions more rapidly.
e-mediat and Documed: new information products
for service providers and industry
_In the early summer, Documed won the European WTO
(World Trade Organization) tender from Swissmedic
and was consequently awarded the contract to develop
and run a new system for regulatory drug information
(Arz neimittelinformation Publikationsplattform Swissmedic,
AIPS). HCI Solutions and Documed took on the
responsibility of ensuring that this reference database
was operational as of 1 January 2013.
_Only the information required by law is published in AIPS
(in accordance with the mandate from Swissmedic). This
is a fraction of the master data and data fields prepared
by Documed and e-mediat. AIPS is not modular and does
not support the software in other publications of INDEX
products. Documed and e-mediat therefore offer data
links and products that are supplementary to all legal
publication requirements. Data preparation is invoiced
according to cost.
_The Competition Commission (COMCO) launched an investigation
against HCI Solutions, Documed and e-mediat
regarding the commercialisation of electronic drug information
in December 2012. Although these companies
have a strong market position, Galenica will do everything
in its power to clarify that there is no misuse of this position.
_www.compendium.ch will offer specialists and the public
free-of-charge access to verified basic information
regarding registered products, linked to extensive scientific
and commercial content in German and French. The
extent of information on offer will therefore far exceed
summary of product characteristics, not least because
of references to additional specialist data sets such as
www.kinderdosierungen.ch.
Galenica annual report 2012 · HealthCare Information _43

The objective for 2013 is to better harmonise processes across
the entire HealthCare Information business sector.
_A free app is available for use on iPhone, iPad and iPod
touch, while an optimised version for mobile devices is
available for all other smartphones and tablets. The
compendium.ch platform offers the pharmaceutical industry
simple and efficient access to safety information with
additional communication offerings designed specifically
for physicians and pharmacists, thus ultimately benefiting
patients.
_e-mediat largely completed data transfer of the “galdat”
article directory into segment-specific INDEX products.
The “Clinical Decision Support” module of hospINDEX ®
was expanded to cover additional functions, including
allergies, dosage control and adjustments for renal and
liver failure, and contraindications during pregnancy and
breastfeeding.
Wider use of TriaPharm ® and TriaMed ®
_In 2012, HCI Solutions launched a new, more userfriendly
generation of TriaPharm ® software for cashdesks
in nearly all Amavita pharmacies. Following this successful
implementation, a start was made on installing the
software in Sun Store pharmacies. The new software allows
for the differing application requirements of Amavita
and Sun Store pharmacies. At the same time, HealthCare
Information is exploiting synergies, thus raising efficiency
and profitability.
_TriaMed ® gives all physicians involved in a patient’s treatment
access to that patient’s medical history. Sales activities
were strengthened in this area. The system is particularly
suitable for joint practices, doctors’ networks,
medical centres and HMOs (health maintenance organisations,
health centres), because it is able to cope with the
strict security regulations regarding data protection. This
software is in the meantime used by about 1,400 physicians.
Outlook: process optimisation
_The objective for 2013 is to better harmonise processes
across the entire HealthCare Information business sector,
particularly between the Content and Process units. To
this end, a synergy project to raise efficiency and effectiveness
will run throughout the 2013 financial year.
_e-mediat and Documed. In collaboration with the
Federal Office of Public Health and the Zurich Children’s
Hospital, Documed will progressively integrate data available
from “Kinderdosierungen”, aimed at improving dosage
information for children, into the INDEX databases.
Paediatric dosage information is relatively limited for
many medications. The platform set up by e-mediat will
also give paediatricians in private practice access to the
current dosage information collated by the Zurich Children’s
Hospital.
_TriaPharm ® and TriaMed ® . TriaPharm ® will be introduced
in all Sun Store pharmacies in 2013. This will conclude
HCI Solutions’ harmonisation of POS software for
the Galenica Group’s two largest pharmacy formats. The
range also includes solutions for pharmacy chains and
groups, such as a price administration platform.
_TriaMed ® is to expand its leading role in the field of practice
software for group practices.
Galenica’s HealthCare Information companies
_HCI Solutions maintains databases and
develops management solutions tailored specifically
to the needs of the networked healthcare
market. TriaPharm ® is a total management software
solution for pharmacies. TriaMed ® was
developed for physicians and is suitable for both
individual and networked medical centres and
group practices.
_e-mediat specialises in establishing and operating
databases for the Swiss healthcare
industry. The company’s extensive experience in
data distribution and processing in the healthcare
market makes e-mediat the leading provider
of master data systems in the health market.
_Documed, an intermediary between the
pharmaceutical industry and healthcare specialists,
publishes printed and electronic information
on pharmaceutical products, and provides
the groundwork for the new system for regulatory
drug information (Arzneimittelinformation
Publikationsplattform Swissmedic, AIPS).
44_ HealthCare Information · Galenica annual report 2012

From “house blend” to brand-name products
_Although the history of some brands, particularly in the beer segment, can be traced
back over several hundred years, the true history of the development of brand-name
products began some 300 years ago. Faber-Castell was one of the first to systematically
develop mass-produced goods as branded products and advertise them.
_Like many retailers, in the 18 th and 19 th centuries, pharmacies were still proud to
receive their products without labelling from manufacturers and intermediaries, and
create a “house blend” from these themselves. At Amavita, “house blends” were developed
specifically and marketed under the SENSES own brand, for example.
Galenica annual report 2012 · HealthCare Information _45