Presentation is loading. Please wait.

Presentation is loading. Please wait.

Webinar : An introduction to NHS dm+d and SNOMED CT UK Drug Extension Ian Spiers Pharmaceutical Terminology Specialist Data Standards and Products.

Similar presentations


Presentation on theme: "Webinar : An introduction to NHS dm+d and SNOMED CT UK Drug Extension Ian Spiers Pharmaceutical Terminology Specialist Data Standards and Products."— Presentation transcript:

1 Webinar : An introduction to NHS dm+d and SNOMED CT UK Drug Extension Ian Spiers Pharmaceutical Terminology Specialist Data Standards and Products

2 Contents History of NHS dm+d and Use Casesdm+d 5 box data modelNHS standardSNOMED CT UK Drug ExtensionRelease and dm+d website

3 Information: Paper to IT *July 13 th 2012 New Drugs New Drugs New Drugs Discontinued Drugs Discontinued Drug Name Change Drug Name Price Change Price Change Price New Drugs New Drugs New Drugs Product Change Product Change Paper held Information Electronically held Information NHS dictionary of medicines and devices (dm+d) has 188,527* drug concepts HELP

4 Why a dictionary is needed? “There is a lack of standardisation in the UK in describing medicines, appliances and medical devices, in how such descriptions are organised, and in linking knowledge required for decision support to these descriptions” Section 3.21

5 What will be done? “Work will begin on a national project to develop the UK Standard Clinical Products Reference Source (UKCPRS), bringing together all existing initiatives associated with the coding of drugs etc” Information for Health Section 3.22

6 UKCPRS The initial products of the Programme: – PCDD (Primary Care Drug Dictionary) PPA (now NHS Prescription Services) – SCDD (Secondary Care Drug Dictionary) NHSIA (now NHS CFH) – MDD (Medical Devices Dictionary) NHSIA (now NHS CFH) The three dictionaries (PCDD, SCDD, MDD) combined to become the NHS dictionary of medicines and devices (dm+d)

7 What the dm+d provides: a unique stable identifier (code) for all drugs and devices a standard term (description) for all drugs and devices a structure in which this information will be held knowledge for decision support application functionality What the dm+d does NOT provide:

8 Use Cases Primary Care GP Prescribing GP Dispensing Nurse Prescribing NHS Dental Prescribing Community Pharmacy Dispensing GP Personal Administration NHS Prescription Service (was PPD) Reimbursement Decision Support links Electronic Prescribing Guidelines Primary Care GP Prescribing GP Dispensing Nurse Prescribing NHS Dental Prescribing Community Pharmacy Dispensing GP Personal Administration NHS Prescription Service (was PPD) Reimbursement Decision Support links Electronic Prescribing Guidelines Secondary Care Prescribing – no product specified Prescribing – product specified In patient Dispensing Out patient Dispensing Tablets to Take Away (TTA) Dispensing Administration Patient Group Directive Protocols Ward Stocks Formulary/Protocol Development Purchasing Secondary Care Prescribing – no product specified Prescribing – product specified In patient Dispensing Out patient Dispensing Tablets to Take Away (TTA) Dispensing Administration Patient Group Directive Protocols Ward Stocks Formulary/Protocol Development Purchasing

9 dm+d 5-box data model Take a look at the following description of tablets Paracetamol 500mg Tablets This concept description is made up of Name Strength Form This concept is known as the Virtual Medicinal Product (VMP) in dm+d What are the dm+d concepts and how they fit in the 5-box data model

10 dm+d 5-box data model Paracetamol 500mg soluble tabletsParacetamol 500mg capsulesParacetamol 120mg suppositories Lets look at some more descriptions that include Paracetamol in the name These are all VMP concepts in dm+d They all have a unique SNOMED CT identifier (Code) and a unique term (description) e.g. Paracetamol 500mg Tablets has SNOMED CT Code

11 dm+d 5-box data model In dm+d the VMPs Paracetamol 500mg tablets Paracetamol 500mg soluble tablets Paracetamol 500mg capsules Paracetamol 120mg suppositories Paracetamol This higher level concept is called a Virtual Therapeutic Moiety (VTM) Each VTM also has a unique SNOMED CT identifier (Code) and a unique term (description) e.g. Paracetamol SNOMED CT Code are all associated with the higher level concept with the description As you can see one VTM may have many VMPs associated to it

12 dm+d 5-box data model VMP Paracetamol 500mg Tablets VMP Paracetamol 500mg Tablets VTM Paracetamol VTM Paracetamol

13 dm+d 5-box data model If we now look at the VMP : Paracetamol 500mg tablets Many companies could make these tablets e.g. Paracetamol 500mg tablets (Actavis UK Ltd) Paracetamol 500mg tablets (Aspar Pharmaceuticals Ltd) Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) When we add brand / supplier information to the description of a VMP we describe a concept known as the Actual Medicinal Product (AMP) in dm+d Each AMP also has a unique SNOMED CT identifier (Code) and a term (description) e.g. Paracetamol 500mg tablets (Aspar Pharmaceuticals Ltd) SNOMED CT Code As you can see one VMP may have many AMPs associated to it

14 dm+d 5-box data model VMP Paracetamol 500mg Tablets VMP Paracetamol 500mg Tablets VTM Paracetamol VTM Paracetamol AMP Panadol 500mg Tablets AMP Panadol 500mg Tablets

15 dm+d 5-box data model If we now look at the AMP : Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) This company supplies these tablets in different pack sizes Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) 12 tablet Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) 16 tablet 2 x 8 tablets Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) 32 tablet 4 x 8 tablets When we add pack information to the description of a AMP we describe a concept known as the Actual Medicinal Product Pack (AMPP) in dm+d

16 dm+d 5-box data model So the AMP : Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) Can have many AMPPs Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) 12 tablet Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) 16 tablet 2 x 8 tablets Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) 32 tablet 4 x 8 tablets Each AMPP also has a unique SNOMED CT identifier (Code) and a term (description) e.g. Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) 12 tablet SNOMED CT Code

17 dm+d 5-box data model AMPP Panadol 500mg Tablets 32 tablet 4x 8 tablets AMPP Panadol 500mg Tablets 32 tablet 4x 8 tablets VMP Paracetamol 500mg Tablets VMP Paracetamol 500mg Tablets VTM Paracetamol VTM Paracetamol AMP Panadol 500mg Tablets AMP Panadol 500mg Tablets

18 dm+d 5-box data model Paracetamol 500mg tablets 32 tablet This higher level concept is called a Virtual Medicinal Product Pack (VMPP) Look at the following AMPPs Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) 32 tablet 4 x 8 tablets Paracetamol 500mg tablets (Teva UK Ltd) 32 tablet 4 x 8 tablets Paracetamol 500mg tablets (Aspar Pharmaceuticals Ltd) 32 tablet 4 x 8 tablets They all have the same VMP Paracetamol 500mg tablets and all have the same pack size The only difference is that they are supplied by different companies All the above AMPPs are associated with the higher level concept with the description

19 dm+d 5-box data model So the VMPP : Paracetamol 500mg tablets 32 tablet Can have many AMPPs Panadol 500mg tablets (GlaxoSmithKline Consumer Healthcare) 32 tablet 4 x 8 tablets Paracetamol 500mg tablets (Teva UK Ltd) 32 tablet 4 x 8 tablets Paracetamol 500mg tablets (Aspar Pharmaceuticals Ltd) 32 tablet 4 x 8 tablets Each VMPP also has a unique SNOMED CT identifier (Code) and a unique term (description) e.g. Paracetamol 500mg tablets 32 tablet SNOMED CT Code

20 dm+d 5-box data model VMPP Paracetamol 500mg Tablets 32 tablet VMPP Paracetamol 500mg Tablets 32 tablet AMPP Panadol 500mg Tablets 32 tablet 4x 8 tablets AMPP Panadol 500mg Tablets 32 tablet 4x 8 tablets VMP Paracetamol 500mg Tablets VMP Paracetamol 500mg Tablets VTM Paracetamol VTM Paracetamol AMP Panadol 500mg Tablets AMP Panadol 500mg Tablets dm+d 5 box model Each concept has a standard term (description) Each concept has a SNOMED CT identifier Relationships are not defined they are implied

21 dm+d 5-box data model Each dm+d concept has additional information associated to it (Attributes) The different dm+d concepts have different attributes associated to them that are applicable to the concept level Some but not all of the attributes have SNOMED CT identifiers e.g. VMP Paracetamol 500mg Tablets Has the attribute of dose form populated with tablets Has the attribute of route populated with oral

22 Key dm+d documents dm+d Editorial Policy dm+d Data Model dm+d Technical Specifications Implementation guidance for both primary and secondary care

23 NHS Standard SNOMED CT as a Fundamental Standard SNOMED CT has been approved as a Fundamental Standard by Information Standards Board for Health and Social Care (ISB HaSC). The Information Standards Notice (ISN) issued to notify this approval signals that SNOMED CT will be mandated for coded business interchanges between electronic healthcare record systems which support individual patient care by Where pharmaceutical products are required to be represented then dm+d should be used.

24 NHS Standard dm+d as a ISB Fundamental Standard The Information Standards Board (ISB) approved dm+d as NHS Standard for communicating medicines information (an Interoperability Standard). Electronic systems that exchange or share information about medicines relating directly to a patients care must adhere to the Standard by using dm+d identifiers when transferring information and should also use dm+d descriptions For licensed medicines only at this stage. Other content within dm+d such as medical devices are excluded in terms of complying with the Standard although users can use all the content within dm+d Health and Care Organisations, System Suppliers and Pharmaceutical companies must comply with requirements in standard by 30th June 2017 The Electronic Prescription Service, Summary Care Record and Electronic Yellow Card Reporting already meet the requirements of this standard For further information on the ISB standard

25 Information Strategy The Power of Information: Putting all of us in control of the health and care information we need DH Strategy document makes specific reference to the use of SNOMED CT and dm+d It recommends that where IT systems reference medicines they use dm+d for coded information Standardising on a single set of identifiers means that IT systems can more easily interoperate and information more readily shared

26 4 Key Points about dm+d dm+d concepts have unique identifiers and associated textual descriptions dm+d consists of a 5-box data model All dm+d concepts and some attributes use SNOMED CT concept identifiers It is designed for both primary and secondary care

27 Any questions? Please put yourself on mute when not talking. Many Thanks.

28 SNOMED CT UK Drug Extension dm+d and SNOMED CT have a different structure and release format SNOMED CT UK Drug Extension is produced to provide seamless links from SNOMED CT root node to dm+d concepts through one terminological structure Mainly a technical transform which utilises some but not all information from dm+d Defines relationships between concepts and has additional concept classes Released 4 weekly

29 SNOMED CT UK Drug Extension VTM Nifedipine (product) VTM Nifedipine (product) VMP Nifedipine 30mg modified-release tablets (product) VMP Nifedipine 30mg modified-release tablets (product) VMPP Nifedipine 30mg modified-release tablets 28 tablet (product) VMPP Nifedipine 30mg modified-release tablets 28 tablet (product) AMP Adalat LA 30mg tablets (Bayer Plc) (product) AMP Adalat LA 30mg tablets (Bayer Plc) (product) AMPP Adalat LA 30mg tablets (Bayer Plc) 28 tablet 2x14 tablets (product) AMPP Adalat LA 30mg tablets (Bayer Plc) 28 tablet 2x14 tablets (product) IS_A Has_VMPHas_AMP IS_A Defined Relationships

30 SNOMED CT UK Drug Extension If we look at all the different ‘types’ of AMPs with the brand Adalat in their description we see the following Adalat 10mg capsules (Bayer Plc) Adalat 5mg capsules (Bayer Plc) Adalat LA 20 tablets (Bayer Plc) Adalat LA 30 tablets (Bayer Plc) Adalat LA 60 tablets (Bayer Plc) Adalat retard 10mg tablets (Bayer Plc) Adalat retard 20mg tablets (Bayer Plc) In the SNOMED CT UK Drug Extension new concept classes Trade family (TF) and Trade Family Group (TFG) have been added These new concepts classes allow the grouping of branded products Adalat (product) Adalat LA (product) Adalat retard (product) Adalat (qualifier value) Trade Family Trade Family Group

31 SNOMED CT UK Drug Extension VTM Nifedipine (product) VTM Nifedipine (product) VMP Nifedipine 30mg modified-release tablets (product) VMP Nifedipine 30mg modified-release tablets (product) VMPP Nifedipine 30mg modified-release tablets 28 tablet (product) VMPP Nifedipine 30mg modified-release tablets 28 tablet (product) AMP Adalat LA 30mg tablets (Bayer Plc) (product) AMP Adalat LA 30mg tablets (Bayer Plc) (product) AMPP Adalat LA 30mg tablets (Bayer Plc) 28 tablet 2x14 tablets (product) AMPP Adalat LA 30mg tablets (Bayer Plc) 28 tablet 2x14 tablets (product) IS_A Has_VMPHas_AMP IS_A Additional Concept Classes e.g. Trade Family Trade Family Adalat LA (product) Trade Family Adalat LA (product) IS_A Trade Family Group Adalat (qualifier value) Trade Family Group Adalat (qualifier value) Has_TRADE_ Family_Group

32 dm+d links to SNOMED CT VMPP Nifedipine 30mg modified- release tablets 28 tablet (product) AMP Adalat LA 30mg tablets (Bayer Plc) (product) AMPP Adalat LA 30mg tablets (Bayer Plc) 28 tablet 2x14 tablets (product) VMP Nifedipine 30mg modified-release tablets (product) VTM Nifedipine (product) calcium channel blocking agent IS_A cardiovascular drug IS_A etc IS_A Snomed® CT™ International Release NHS dictionary of medicines and devices

33 Example of VTM in SNOMED CT UK Drug Extension Virtual Therapeutic Moiety Fully Specified NamePreferred Term Virtual Medicinal Products SNOMED CT root node

34 4 Key Points about SNOMED CT UK Drug Extension dm+d information forms the basis of the SNOMED CT UK Drug Extension Not all dm+d information is used (e.g. Price) Additional concept classes and information are added (e.g. Trade Family) Defines relationships between concepts (only implied in the dm+d XML)

35 Release Schedule dm+d data updated and released weekly in XML format Number of medicine and device concepts typically added per week: Concept type added per week in dm+dTotal No. in dm+d (13/07/12) VTM concepts 2,286 concepts VMP 5 – 50 concepts 15,589 concepts VMPP 20 – 150 concepts 22,683 concepts AMP 25 – 500 concepts 68,988 concepts AMPP 50 – 500 concepts 78,981 concepts Total188,527 concepts SNOMED CT UK Drug Extension released every 4 weeks Both released via the TRUD website and FTP site – Technology Reference Data Update Distribution Service (TRUD) –

36 dm+d release on TRUD

37 SNOMED CT UK Drug Extension release on TRUD SNOMED CT UK Drug Extension Editorial Policy

38 dm+d website

39 dm+d information dm+d Browser dm+d Helpdesk – – In-Demand - is a web based system which provides pharmaceutical companies the facility to submit their product information changes and prices directly to the NHS Business Services Authority https://indemand.medicines.org.uk/login/default.aspx?ReturnUrl=%2fDefault.aspx

40 Governance and Issues Information on dm+d governance structures, issues process and the current issues log can be found on the dm+d website:

41 NHS dm+d Stable, well defined national dictionary that is freely available published editorial policy and stringent governance process for change control continually updated and released weekly dm+d concepts have unique SNOMED CT identifiers and associated textual descriptions Allows unambiguous recording of medicines and devices for prescribing, dispensing, administration and reimbursement Enables unambiguous electronic data transfer SNOMED CT UK Drug Extension Contains dm+d concepts with defined relationships to the international terminology SNOMED CT, allows international interoperability New concept classes : Trade Family and Trade Family Group supports brand prescribing and enhanced allergy recording Key Benefits

42 Any questions? Please put yourself on mute when not talking. Many Thanks. A recorded webinar can be found on the TRUD website under UKTC Education and Training Resources as well as other webinars on SNOMED CT


Download ppt "Webinar : An introduction to NHS dm+d and SNOMED CT UK Drug Extension Ian Spiers Pharmaceutical Terminology Specialist Data Standards and Products."

Similar presentations


Ads by Google