How are GS1 and IHTSDO standards working together?

How are GS1 and IHTSDO standards working together? Mark Brommeyer Manager Supply Chain Global GS1 Healthcare Conference, Buenos Aires 25 April 2013 0 National E-Health Transition Authority

Agenda 1. AMT and SNOMED in Australia 2. GS1 and NEHTA in Australia 3. NPC and AMT 4. Future and Next Steps 1 National E-Health Transition Authority

NEHTA s Structure The National E-Health Transition Authority (NEHTA) is a company established by the Australian, State and Territory governments in 2005 to develop better ways of electronically collecting and securely exchanging health information. Independent company state and federally government funded, including: Board of Directors (CEOs of Health Jurisdictions, an Independent Director and an Independent Chair) Board Committees The Chief Executive Officer The Company Secretary The NEHTA Organisation 2 National E-Health Transition Authority

Australian Medicines Terminology The Australian Medicines Terminology (AMT) is the national terminology to identify medicines used in Australia, using unique codes to deliver unambiguous, accurate and standardised names for both branded (trade) and generic (medicinal) products. AMT has been developed to be fit for the purpose of unambiguously identifying for clinicians and computer systems, commonly used medicines in Australia and can be implemented in clinical information systems for the following activities: Prescribe Record Review Issue including dispense Administer Transfer of information * Currently this includes all items on Australia s Pharmaceutical Benefits Scheme and all items Registered or Listed with the Therapeutic Goods Administration 3 National E-Health Transition Authority

Australian Medicines Terminology AMT evolved from Australian Catalogue of Medicines (ACOM) and the NHS Dictionary of Medicines and Devices (dm+d). AMT is an extension to SNOMED CT, a SNOMED CT licence is required. The dm+d is a subset of SNOMED CT. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation (IHTSDO). 4 National E-Health Transition Authority

Australian Medicines Terminology AMT v3 shares the same format and top level hierarchy as SNOMED CT and is distributed as SNOMED CT Release Format 2 (RF2). Easier in conforming to IHTSDO SNOMED RF2 specifications. β Release already out. AMT v3 Production Releases will be published using the Full Release type, i.e. Distribution Normal Form. 5 National E-Health Transition Authority

Medications Management Cycle Information Required: Procurement Product Materials management Pharmaceutical Terminology Clinical Logistics Patient 6 National E-Health Transition Authority

AMT High Level Model Medicinal Product (MP) Trade Product (TP) Is A (attribute) Is A (attribute) Is A (attribute) Medicinal Product Unit of Use (MPUU) Is A (attribute) Trade Product Unit of Use (TPUU) Is A (attribute) Has MPUU Has TPUU Medicinal Product Pack (MPP) Is A (attribute) Trade Product Pack (TPP) Is A (attribute) Containered Trade Product Pack (CTPP) 7 National E-Health Transition Authority

AMT and NPC MP Amoxycllin TP Amoxil Is A (attribute Is A (attribute Is A (attribute MPUU Amoxycllin 250 mg capsule Is A (attribute TPUU Amoxil 250 mg capsule Is A (attribute) GTIN Has MPUU Has TPUU MPP Amoxycllin 250 mg capsule, 20 Is A (attribute TPP Amoxil 250 mg capsule, 20 PBS GTIN: Global Trade Item Number PBS: Pharmaceutical Benefits Scheme ARTG: Australian Register of Therapeutic Goods CTPP Amoxil 250 mg capsule, 20 Blister pack Is A (attribute) 8 National E-Health Transition Authority GTIN ARTG

Agenda 1. AMT and SNOMED in Australia 2. GS1 and NEHTA in Australia 3. NPC and AMT 4. Future and Next Steps 9 National E-Health Transition Authority

NPC Data Synchronisation Product and Price Synchronisation Supplier 1 Manufacturer Supplier 2 Importer Hospital Health Department GS1Net NPC Supplier 3 Distributor Hospital Health Department Supplier 4 Wholesaler Supplier 5 Hospital Other Data Recipients Retail Pharmacy, Private Hospitals 10 National E-Health Transition Authority Product data is common to all - Price data is customer specific

NEHTA and GS1 = NPC 1. Lack of standardised product identification = GTIN 2. Lack of standardised location identification = GLN 3. Multiple product data catalogues being maintained per hospital, per hospital network and per state = NPC 4. Inaccurate and inefficient procurement practice = eprocurement (GS1 XML) 11 National E-Health Transition Authority

Agenda 1. AMT and SNOMED in Australia 2. GS1 and NEHTA in Australia 3. NPC and AMT 4. Future and Next Steps 12 National E-Health Transition Authority

AMT-NPC: The GTIN link The AMT can share a common identifier with the NPC, the Global Trade Item Number (GTIN). This will enable cross referencing between systems to ensure a linking between a concept (which is uniquely identified by a SNOMED concept identifier described and held in the AMT) and the physical supply chain data held in the NPC. 13 National E-Health Transition Authority

AMT-NPC Use Cases 1. Dispensing of Medications 2. Administration of Medications 3. Availability of Medications 4. Using Correct Information 5. Clinical Validation of Mapping Process 6. Chemotherapy Prescribing, Dispensing, Supply and Claiming 14 National E-Health Transition Authority

Australia s choice 1. Dispensing of Medications 2. Administration of Medications 3. Availability of Medications 4. Using Correct Information 5. Clinical Validation of Mapping Process 6. Chemotherapy Prescribing, Dispensing, Supply and Claiming 15 National E-Health Transition Authority

Dispensing of Medications The Pharmacy Board of Australia has set out mandatory dispensing guidelines that state that pharmacists are to use barcode scanners when dispensing medicines. This guideline is admissible as evidence of what constitutes appropriate, professional conduct or practice and therefore failure to use a barcode scanner can result in disciplinary action being taken. The use case requires that the current, correct GTIN is stored in the dispensing system. 16 National E-Health Transition Authority

Agenda 1. AMT and SNOMED in Australia 2. GS1 and NEHTA in Australia 3. NPC and AMT 4. Future and Next Steps 17 National E-Health Transition Authority

Australian Medicines Terminology AMT v3 shares the same format and top level hierarchy as SNOMED CT and is distributed as SNOMED CT Release Format 2 (RF2). Easier in conforming to IHTSDO SNOMED RF2 specifications. β Release already out. AMT v3 Production Releases will be published using the Full Release type, i.e. Distribution Normal Form. 18 National E-Health Transition Authority

ehealth Supply Chain Reform 19 National E-Health Transition Authority

Summary 1. AMT and SNOMED in Australia 2. GS1 and NEHTA in Australia 3. NPC and AMT 4. Future and Next Steps 20 National E-Health Transition Authority

Contact and Questions Supply Chain www.nehtasupplychain.com.au NEHTA specific information Mark Brommeyer Manager Supply Chain e-mail: mark.brommeyer@nehta.gov.au The latest in ehealth including registering for an ehealth record www.ehealth.gov.au 21 National E-Health Transition Authority