Use Case Repository

Skip to main content
Table of Contents
< All Topics

e-Prescription and e-Dispensing on a national/regional scale with a national medication register

Updated

Related Use Case

e-Prescription and e-Dispensing on a National/regional scale

Scenario context

There is a central (national/regional) location where the current
medication is monitored and updated.

Actors/Roles

  • HCP EHR System (HealthCare Provider)
  • Medication List Source

Transactions

  • (HCP login)
  • Lookup of patient
  • Request current medication list from another system
  • Download medication list

Technical process flow

  1. Patient visits HCP
  2. HCP EHR System selects the patient
  3. HCP EHR System requests the current medication (from the Medication List Source, which is an external system)
  4. HCP EHR System imports the list of current medications into the HCP EHR System
  5. HCP views the generated list of current medications from his / her own HCP EHR System

Associated profiles, standards, and HL7 FHIR Implementation Guides

  • Policy: —
  • Care process:
    • [CMPD] Community Medication Prescription and Dispensation
  • Information:
    • [PRE] ePrescription document
    • [DIS] eDispensation document
  • IT Infrastructure:
    • [XCA] Cross-Community Access
    • [ATNA] Audit Trail and Node Authentication
    • [CT] Consistent Time
  • Access control:
    • [BPPC] Basic Patient Privacy Consent
    • [XUA] Cross-Enterprise User Authorization

Availability of testing tools

Gazelle test bed

Possible issues

  • When medication information is stored centrally, where should the information about contra-indications be stored?
  • When medication is stored in federated systems, locally or interorganisationally, a standardised definition of the data elements and the data formatting of medication information is needed, as information from different sources have to be brought together.
  • Often, the alerts (interactions, contra-indications and allergies) information is not a part of the prescription system – in that case, the information will have to be distributed separately, or the software that creates the medication list will have to extract this information from other systems (such as an EHR)

Implementation examples

Unknown

Tags: