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Electronic Medication Management ( eMM ). Dr Stephen Chu Chief Clinical Informatician & Terminologist Clinical Terminology & Information, NEHTA. Landscape and Concepts eMedication Management Stack concepts and scope. eMM : Landscape. Electronic Medication Management - PowerPoint PPT Presentation
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Electronic Medication Management (eMM)
Dr Stephen ChuChief Clinical Informatician & TerminologistClinical Terminology & Information, NEHTA
•Landscape and Concepts– eMedication Management Stack– concepts and scope
Electronic Medication Management• Three key components
Contents Infrastructures
o Trigger events; messages; serviceso Registry; repository
Applications/User interface/viewer
eMM: Landscape
Electronic Medication Management• Key landscape components
eMM: Landscape
eMM Repository
SEHR/PHR
Registry/Directory
Triggers
Mes
sage
s Services
Contents
Applications
Interfaces
Queries
Electronic Medication Management• The recipes and ingredients analogy
eMM: Landscape
Prescrip-tions
Dispense Records
PharmAdvice
MedsAdmin
PatientConditions
Allergies; Adv
reactions
Contra-Indicat-ions
Labs …&
others…
The data(ingredients)
hospitals Community pharmacies
CommunityLabs/paths
CommunityImaging services others …
The sources
Executive/Management
Decisions
ClinicalDecisions
The consumptions
MedicationManagement
Medication Review Record
Reconciled Medication History List
Queries
Reviews
Reconciliation
The production (cooking) processes
The recipes
Patient Medication Record Medication related Reporting
Medication Profile
Medication Management Plan
Unreconciled Medication History List
Medication Profile
• Definitions
Medication Profile• A set of information about characteristics of a patient’s
medication use
• Medication Management Profile A set of information about a patient’s characteristics,
which are relevant to safe medication management for this patient
Electronic Medication Management• Key components
eMM: Landscape
Complexity
Data components
(processing,… etc)
Prescribed √Dispensed √Administered ??? Administration/conformance Profile:
Max cumulated doseOmission frequency + reasonsDose variation frequency + reasonsFrequency variation frequency + reasonsIntermittent + PRN frequency + reasons
Medication Review Record
Reconciled Medication History List
Queries
Reviews
Reconciliation
The production (cooking) processes
The recipes
Patient Medication Record Medication related Reporting
Medication Profile
Medication Management Plan
Unreconciled Medication History List
Electronic Medication Management• Key components
eMM: Landscape
Complexity
Data components
(processing,… etc)
Long term meds listShort term/episodic meds listIntermittent meds listPRN meds list
Types of med list view
Medication Review Record
Reconciled Medication History List
Queries
Reviews
Reconciliation
The production (cooking) processes
The recipes
Patient Medication Record Medication related Reporting
Medication Profile
Medication Management Plan
Unreconciled Medication History List
Top down and bottom up approaches
Medication data requirement analysis
Prescrip-tions
Dispense Records
PharmAdvice
MedsAdmin
PatientConditions
Allergies; Adv
reactions
Contra-Indicat-ions
Labs …&
others…
The data(ingredients)
hospitals Community pharmacies
CommunityLabs/paths
CommunityImaging services others …
The sources
BottomUp
Topdownanalysis
ComplementaryCross-referencingValidating Adequacy, accuracyreusability and consistency checks
Executive/Management
Decisions
ClinicalDecisions
The consumptions
MedicationManagement
Medication Review Record
Reconciled Medication History List
Queries
Reviews
Reconciliation
The production (cooking) processes
The recipes
Patient Medication Record Medication related Reporting
Medication Profile
Medication Management Plan
Unreconciled Medication History List
Electronic Medication Management• Three key components
Contents Infrastructures
o Trigger events; messages; serviceso Registry; repository
Applications/User interface/viewer
eMM: Landscape
Medication data – how they are used: through application/Interface design
