Medication in Patient Summaries openMedicine Workshop @ FDA 2016 Silver Springs, June 21st, 2016

openMedicine Workshop Washington Patient has the right to get for him the most appropriate care when being cross-border: =>Directive on the patient’s rights in cross border healthcare (article 14 (2) (b) (i)) This includes Availability of the relevant patient data at the point of care Correct treatment (medication) 21/06/2016 openMedicine Workshop Washington

Scope of the patient summary Scope defines the content Different summaries possible in parallel Emergency or unexpected care Sharing of data for cooperating practices Pathology specific patient dossier: multidisciplinary diabetes dossier Patient Migration File..... eHealth network defined a “basic and extended Patient Summary dataset” Basic Dataset : “minimum required” Extended Dataset 21/06/2016 openMedicine Workshop Washington

Essential / Extended Dataset Essential dataset " a set of essential health information that needs to be sent from a clinical point of view in order to be able to deliver safe care to the patient” mandatory Extended dataset “ the minimum amount of recommended health information from a clinical point of view that needs to be exchanged between member states” whenever possible Missing “basic” attributes e.a. procedure ID, invalidityID mandatory => how mandatory ??? 21/06/2016 openMedicine Workshop Washington

Comments on the dataset Healthcare alert Basic ! The alert has no sense, well the risk Normalised identifier.. Does not exist! Past problems Miss the notion of “relevant” or “meaningful” Strange concept, mostly not present Surgical procedures (split 6 months + /-) Concept “relevant” “Major” only required for ‘recent’ procedures 21/06/2016 openMedicine Workshop Washington

openMedicine Workshop Washington Medication summary 21/06/2016 openMedicine Workshop Washington

Comments on the medication section What do we need to know in “emergency”? May we need differently presented information compared to the EHR? Duration: is not always known Identification only by active substance: What with fytotherapy, homeopathy,…? How to identify multi-component product? Do we need the administration regimen? Can we make it with a DDD? If qty different per intake… 21/06/2016 openMedicine Workshop Washington

Comments on the dataset (2) Coded ID is mentioned for each element: frequently not existing or not available in system of origin Upgrade of a pre-existing PS No !! “crushing” & archive of consulted PS 21/06/2016 openMedicine Workshop Washington

Exploitation / Management issues Complementary services needed Patient Consent Safe “data boxes” Locator services Regional HUBs Central Metahub Access management Therapeutic link Hit Rate Quality issue 21/06/2016 openMedicine Workshop Washington