The Evolution of Pharmacy Messages HL7 UK Conference 2 November 2004

1
The Evolution of Pharmacy Messages HL7 UK
Conference2 November 2004

• Hugh Glover, BSc, PhDPartner, Blue Wave
  Informatics LLPHugh_Glover_at_BlueWaveInformatics.co
  .uk

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Basics

• Information for Health proposes using IT to
  better share patient record
• Must interface different systems together
• How many interfaces do we need?
• 2 Systems 1 Interface
• 3 Systems 3 Interfaces
• 4 Systems 6 Interfaces
• n Systems n(n-1)/2 Interfaces
• 15 GP Pharmacy Systems 105 Interfaces
• 250 Trusts 31,125 Interfaces
• Something has to be done!

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HL7 v3 as a standard

• NHS made a judgement that HL7 v3 was the way to
  go
• No domains had passed ballot
• BUT
• The RIM was on the point of passing ballot

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Do Domains Matter?

• dotORG Ballot
• Basic
• Refinement Localisation
• RIM
• Vocabulary
• Data Types Abstract
• XML ITS
• UML ITS
• Transport Specifications
• ebXML
• MLLP
• Web Services
• Gello
• Common Terminology Services
• Common Domains
• Shared Messages
• CMETS
• Infrastructure Management
• Transmission

• UK MIM
• Basic
• Infrastructure
• CMETs
• Data Types
• Vocabulary
• Business Process Specific
• LRs
• PDS
• PSIS Query

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Do Domains Matter?

• dotORG Ballot
• Admin Management
• Account Billing
• Claims Reimbursement
• Patient Administration
• Personnel Management
• Scheduling
• Health Clinical Management
• CDA
• Blood Bank
• Laboratory
• Clinical Genomics
• Medical Records
• Care Provision
• Pharmacy
• Public Health reporting
• Informative Public Health Specs
• Regulated Studies
• Therapeutic Devices

• UK MIM
• Mainstream
• Accident Emergency
• Diagnostic Imaging
• eBooking
• Emergency Admissions
• GP2GP
• Medication Management
• Mental Health
• NHS Direct
• OOP Appointments
• Out of Hours
• Provision of Care
• Single Assessment

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Pharmacy is a Domain Exemplar

• Giving a patient medicine is understood by all
• It is the first example that springs to mind
• RIM Definitions are frequently in terms of drug
  administration
• What has happened?

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Pharmacy DMIM 2002
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Pharmacy DMIM 2003
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Pharmacy Combined Order RMIM 2004
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NPfIT MIM 3.1.01 Parent Prescription
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NPfIT MIM 3.1.06 Parent Prescription
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Development Harmonisation
Pharmacy DMIM 2002
Pharmacy DMIM 2003
UK Development
Dutch Development
Pharmacy RMIM 2004
Pharmacy RMIM 2004
Canadian Development
Toronto Harmonisation Meeting
Pharmacy DMIM 2005
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Do Domains Matter?

• dotORG Ballot
• Admin Management
• Account Billing
• Claims Reimbursement
• Patient Administration
• Personnel Management
• Scheduling
• Health Clinical Management
• CDA
• Blood Bank
• Laboratory
• Clinical Genomics
• Medical Records
• Care Provision
• Pharmacy
• Public Health reporting
• Informative Public Health Specs
• Regulated Studies
• Therapeutic Devices

• UK MIM
• Mainstream
• Accident Emergency
• Diagnostic Imaging
• eBooking
• Emergency Admissions
• GP2GP
• Medication Management
• Mental Health
• NHS Direct
• OOP Appointments
• Out of Hours
• Provision of Care
• Single Assessment

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Challenges for HL7

• Absorbing new domains
• Making ballot processes work
• Defining conformance