EPrescribing and Electronic Transfer of Prescriptions - hiqa.ie

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EPrescribing and Electronic Transfer of Prescriptions: an International ReviewHealth Information and Quality AuthorityeDispensing initiatives. It is hoped that this pilot will demonstrate that the epSOSproject enables a measurable improvement to medical treatment across Europeancountry borders (63) .44
EPrescribing and Electronic Transfer of Prescriptions: an International ReviewHealth Information and Quality Authority10. ConclusionEach of the six jurisdictions has commenced implementation or already implementedePrescribing solutions, with similarities and differences between them.Each focused mainly on prescribing and dispensing of medication in the communityrather than from hospital setting to the community pharmacies. This is explained asa consequence of both GPs and pharmacists having similar processes with their peersand hence being able to support computerisation of the process. By contrast,hospital medication management processes are typically more complex, makingstandardisation and computerisation more complicated.Each has also undertaken the processes in a phased and incremental approach, withpaper systems either included as part of the solution or paper systems supported inparallel with the electronic solution. Barcoding of prescriptions has been included ineach of the solutions but the purpose of the barcoding differs. In Northern Irelandand Wales 2D barcoding technologies were used to facilitate the transfer of all of theinformation on the prescription. In the other jurisdictions 1D barcoding technologywas utilised to transmit an identifier which uniquely identified either the prescriptionor an item on the prescription.With the exception of Northern Ireland, each solution involved the transmission of anelectronic message from a GP’s practice management system to a message ortransaction broker, where the message was stored. Each solution also allowedpharmacists to retrieve and verify a prescription prior to dispensing.This international review provides information and evidence to aid the developmentof an ETP solution for Ireland. Based on this international review, it is apparent thatthere are a number of fundamental building blocks that must be in place prior todeveloping an ETP solution. These include:• the introduction of an individual health identifier (IHI) and an identifier forhealth and social care professionals and organisations• the development of an interoperability framework and supportinginfrastructure to facilitate the safe and secure electronic transfer ofprescriptions between prescribers and dispensers• the development of a data model to support the implementation of a nationaldrugs reference catalogue• the development of messaging standards to support ETP across organisationalboundaries.The information gathered in this international review was used to inform the workprogramme of the eHealth Standards Advisory Group and to prioritise thedevelopment of standards to support the electronic transfer of prescriptions acrossorganisational boundaries in Ireland.45
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Page 13 and 14: Figure 1. Australia - ETP Level 1EP
Page 15 and 16: 2.3 Governance ArrangementsEPrescri
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Page 37 and 38: 7.3..Governance arrangementsEPrescr
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EPrescribing and Electronic Transfer of Prescriptions - hiqa.ie

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