Uniformal barcode processing for patient safety and efficiency Brief Proposal Esther Peelen, GS1 en Erik Zwarter, ErasmusMC 12 November 2015
Standaardiseren in de zorg doe je samen
Wat is IHE Integrating the Healthcare Enterprise IHE is een wereldwijd initiatief van zorgprofessionals en ICT leveranciers om de manier waarop ICT systemen uit de zorg informatie uitwisselen en delen te verbeteren Co-creatie van eindgebruikers en leveranciers, competence centers, SDO s Op basis van vrijwilligheid Profielen: implementatierichtlijnen, definieren transacties (geformaliseerde interfaces) tussen actoren (software-modules) Gebaseerd op geaccepteerde internationale standaards Gestandaardiseerde, testbare informatieuitwisseling tussen systemen Inmiddels meer dan 100 profielen, waarvan XDS de bekendste is IHE is geen product, en geen nieuwe standaard. Integrating the Healthcare 3
The problem defined by ErasmusMC Healthcare professionals cannot ensure traceability of medical devices and/or pharmaceuticals due to the inability of healthcare ICT-systems to communicate with each other in a uniform way. Even when all relevant information for the products is provided by manufacturers, ICT systems at various stages of the logistical process cannot communicate product information coming from different barcode systems in a standardized manner. This results in patient risks as well as high inventory cost, waste and out-of-stock situations. 4
Context In the US the FDA issued legislation on the Unique Device Identification (UDI) for all medical devices in 2013. The accredited organizations that are allowed to provide the UDI are GS1, HIBCC and ICCBA. This legislation will be adopted in the EU in 2017 as well as other regions, adjusted to the needs and requirements of that region. The Netherlands In cooperation with the Dutch Ministry of Health two workgroups are striving for uniform barcoding for pharmaceuticals and medical devices. Associations for Hospitals and suppliers are involved, as well as experts that have implemented barcode scanning in their hospital or manufacturing site 5
Scope Domain - Healthcare: pharmaceuticals, medical devices, patient ID, caregiver ID, locations, organic tissue,... Systems Unified approach for three globally adopted standards for identification and barcoding: - ICCBBA Blood, tissue - HIBCC pharmaceutical, medical devices - GS1 pharmaceutical, medical devices Content - Product information: ProductId, Batchnumber, CompanyID, Expiration date - Context information: PatientId, CaregiverId, LocationId, DocumenttypeID (only GS1) 6
Example: ProductId (01): The System only allows 12 positions, when 14 are needed. No correct registration possible. 7
4 Use Cases Scanning at Point of Care of Pharmaceuticals, see video EAHP Traceability of Medical Devices up and until the patient, see video Bernhoven Hospital Efficient Inventory management, see GS1 Business Case Blood transfusion, video ErasmusMC 8
UBP - Uniform Barcode Processing Input from product scanning Barcode system A Barcode system B Barcode system C SDO-ID BatchID ItemID Exp.Date (other fields) BatchID Exp.Date ItemID SDO-ID (other fields) SDO-ID ItemID BatchID Exp.Date (other fields) Input from product scanning (GS1) or from other ICT systems Functional data definition SDO_ID 12345 BatchID 23456 ItemID 34567 Exp.Date 21/02/201 7 PatientID 123456789 CaregiverID 876543 LocationID 56262727 PatientID CaregiverID LocationID DocumenttypeID DocumenttypeID 1234543 GS1 HIBCC ICCBBA SDO generic generic only medical products of human origin Standard Developing Organization Technical communication templates HL7 FHIR HL7 CDA Edifact ebxml 9
IHE profiles xx Actor Content Source Transaction ParseBarcode Content Consumer 10
Brief Proposal Proces Ingediend 25 september Verdedigd 30 oktober Er blijkt overlap tussen IHE Pharmacy Hospital Supply Work Item En tussen JIC Implementation Guideline for UDI In November: call met IHE Hospital Supply Circa 1 jaar nodig voor afronden 2017: Connectaton 11
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Contact Erik Zwarter e.zwarter@erasmusmc.nl Twitter @ErikZwarter http://www.erasmusmc.nl/ Esther Peelen Esther.peelen@gs1.nl Twitter @estherpeelen www.gs1.nl LinkedIngroep: GS1 Healthcare Nederland 13