1. Medication Therapy Vision Jürgen Brandstätter Stephane Spahni

2. What has triggered this work-item Projects dealing with a „Medication Plan“ are coming up in – Switzerland (Geneva) – Stephane Spahni – Germany (NRW) Purpose: – Manage a „Medication Plan“ for a patient – Print out the Medikation Plan for a patient as hand-out Proposed solution with IHE – Use Pharmacy Medication List (PML) – BUT: There is something missing The whole layer of „planning“ a Medication Therapy

3. Patient Care Medication Therapy Plan Big picture Concern Other Therapy e.g. Surgery, etc. Med 1 Med Therapy Plan Item Med 2 Med Therapy Plan Item Med 3 Med Therapy Plan Item Concern Implies risk Med 4 Med Therapy Plan Item Concern

4. Overview of the proposal ACTUAL PLAN PRE item DIS item PRE item DIS item Med 1 Med Therapy Plan Item Change PADV Change : Time Introduce a new “plan” layer above the “logistics” layer (PRE, DIS, PADV) This “glues” together PRE and DIS related to that Medication Therapy leads to reference

5. Name Other suggestions for the name of this layer – Medication Therapy Item – Medication Therapy Plan Item – Medication Treatment Item – Medication Plan – Medication Profile – Medication Management Decision for a working title: Medication Therapy Plan Item

6. Data-elements Right HL7 structure: substanceAdministration with moodCode=INT – That means, we derive the structure from PRE Data-Elements – Medicine All as defined in the Medicine Entry Content Module, located in the PRE profile – except lotNumber, expirationDate Question: Generic Equivalent? Question: Packaging: Shall it be kept as „Proposed packaging“? – Medication Therapy Plan Item (derived from PRE-item) Rename – Prescriber -> Medication Therapy Plan Manager? Delete – Number of repeats – Amount of consumable to be dispensed – Other data-elements to add?

7. Details Changes to "Medication Therapy" entries could be PADVs – Must shall be checked in detail, but looks good Needed changes to existing profiles: – PADVs have to be extended to carry an additional reference to Medication Therapy Entries to indicate that the command is related to this new information element – We need additional references in PRE, DIS to relate them to "Medication Therapy“ – PML must be extended to carry those new Medication Therapy Entries By that we would meet the need of „Medication Plan“ projects in Switzerland and Germany