13606 implementation?

Clinical (archive)
1

Dear Diego,

I am currently working on an ISO standard covering the basics for
electronic prescriptions of medicinal products.

Could your work for the ministry of health in Spain be seen as an implementation site for 13606 based implementation?

In other words, can I put the Spanish project in the ISO document ?

If so, what does Procedimiento mean in English?

and is HojaMedicacionActiva the medication list?

Which of the archetypes is actually including an electronic prescription of medication?

sincerly yours,

dr. William TF Goossen
Director Results 4 Care B.V. the Netherlands
De Stinse 15
3823 VM Amersfoort
the Netherlands
phone +31654614458
mail wgoossen@results4care.nl
web www.results4care.nl
www.results4care.eu
chamber of commerce 32133713

2

Hello William,

As you can imagine, things at the Government level are always complex and have always their own timing, but I’ll try to do a summary of the situation, so you can decide by yourself

There are 17 independent regions in Spain, with their own healthcare services. The Ministry of Health just acts as a coordinator. In 2007 they started a project to build the infrastructure to allow sharing the contents of 8 clinical documents plus prescription information among the different regions. They defined the contents of those documents (in Spanish: https://www.boe.es/boe/dias/2010/09/16/pdfs/BOE-A-2010-14199.pdf) and even defined the Patient Summary document in CDA (which was, by the way, the initial reference for epSOS Patient Summary). But it was a hard task, and even now all the other documents are still being shared in PDF format.

To solve this situation, they have decided that the first step is to formalise the contents of the clinical documents, that were just defined in paper as part of the law. So they chose ISO EN 13606 and archetypes as a way to represent and share the definition of those contents and facilitate the bindings to terminologies and subsets. The next step is to convince the regions to follow this approach, because at the end they will be the responsible of the real implementations. This can take some time but in some regions the ball is already rolling.

Back to your specific questions:

  • “Procedimiento” means Procedure
  • “Hoja de medicación activa” means Current medication list
  • The Prescription can be found in the archetype CEN-EN13606-COMPOSITION.Receta.v1

Best regards,
David