Prescription and dispense repository to link to the PCEHR
The Department of Health and Ageing has confirmed that the new National Prescription and Dispense Repository (NPDR) will go live on May 6 in Geelong, allowing consumers to have information on their prescribed and dispensed medications uploaded to their PCEHR.
Part of the PCEHR national infrastructure, the NPDR has been designed and built for the Australian government by Fred IT Group and its partners following the MedView project, which centred around general practices, pharmacists, a hospital and an aged care facility in Geelong.
A spokeswoman for the Department of Health and Ageing said the information contained in the NPDR will become available as part of a consumer's eHealth record, accessible by consumers and healthcare providers involved in the consumer's care.
“The functionality will be available through the PCEHR nationally, and will be provided to healthcare providers through upgrades to prescribing and dispensing software, which will be gradually rolled out in accordance with the software vendor’s release schedules,” the spokeswoman said.
“NEHTA is currently negotiating with other contracted software providers who were not involved in MedView to include … functionality in their software.”
The spokeswoman said consumers will need to register for a PCEHR in order to have prescribed and dispensed information uploaded to their record utilising the PCEHR consent model. The department, as the PCEHR System Operator, will be responsible for operating the new registry, she said.
David Freemantle, general manager for enterprise solutions with Fred IT, said the NPDR will be different from MedView in that consumers will be able to have the information uploaded to their PCEHR.
Consumers did not have online access to their information during the trial as it was about proving that connectivity between different types of software systems and the MedView repository itself was possible, Mr Freemantle said.
With MedView, GPs and pharmacists were able to open a view of the data through a web portal. With the NPDR, however, the view will be directly integrated into their desktop software, and the information will be uploaded to the patient's PCEHR, if they consent for it to do so.
“Technically, MedView did what we set out to do and showed that ETP is a viable source of data and a logical source of that data,” he said. “We had an extremely positive response to it. The transition to the NPDR and the national infrastructure is the next step in the project. We have taken what we have built with the Geelong trial and integrated it with the PCEHR.”
The next steps involve integrating GP, pharmacy, hospital and aged care software to allow the new functionality. This will be achieved through the different software vendor panels that NEHTA has established.
The MedView team has also built a generic adaptor to allow other software systems to integrate with the NPDR, including the other electronic prescription exchange vendor, MediSecure, which is currently in discussions with NEHTA as to when and how it will link to the NPDR.
While the specification for electronic transfer of prescriptions, ETP 1.2, is still being considered by Standards Australia, Mr Freemantle said the repository has been built to be standards-compliant.
“The system is built to the dispense and the prescribe records ETP 1.2 specification, so it is CDA-compliant and will be able to cater for these emerging standards in the future,” he said.
Plans for a roll-out beyond Geelong largely depend on the software vendors integrating their clinical systems to be able to use the new system and will be driven by the larger PCEHR change and adoption program, Mr Freemantle said.
“At the moment the NPDR roll-out will be centred on the same sites that were involved in MedView, and then other vendors will come on board through the vendor panels and the process of deploying more widely can happen,” he said.
The DoHA spokeswoman said information on the new functionality will be available on the ehealth.gov.au website and consumers and healthcare providers will be provided with educational material and support in understanding and using the new functions, and drive take-up and adoption.
Posted in Australian eHealth