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Cross-border ePrescription implementation in Estonia 07.11.2018
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Cross-border ePrescription implementation in Estonia
Aleksandra Stupak
Project Manager for Cross-Border Service Implementation in Estonia
Health and Welfare Information Systems Centre
November 2018
Aim of Cross-Border ePrescription Service in Estonia
Aim
of the
Project
- To ensure Estonian patients can have the opportunity to use ePrescriptions in other EU countries
- To enable Estonian pharmacies to view prescription in a standard format and in local language
- To ensure better data quality on prescriptions for performing the dispensation
- To rise the dispensation of medical products in Estonia pharmacies from other European countries
Overall Project Timetable in Estonia
Cross-Border ePrescription Deployment
Project duration: 01.01.2017 - 31.12.2020
In December 2018:
Estonia plans to deploy the receiving side of ePrescription service (the country where the cross-border ePrescription is dispensed)
In June 2019:
Estonia plans to deploy the sending side of ePrescription service (Estonian ePrescriptions are sent to another country to be dispensed)
In June 2020:
Estonia plans to deploy the sending and receiving side of Patient Summary service
Timetable
Timetable
Background - Prescribing and ePrescriptions in Estonia
Estonian population is 1.3 million, the Estonian medicinal products market expressed in wholesale prices is 74 million euros
Background
ePrescription was launched already in 2010
In 2016
In 2016
- 99% of prescriptions were prescribed electronically (it is about 12 million prescriptions)
- 9.8 million prescriptions were dispensed (both ePrescriptions and paper-prescriptions). Paper-prescriptions are still allowed e.g. during technical issues. Paper-prescriptions are digitalized by pharmacists during dispensation
- 89 000 paper-prescriptions were dispensed
Dispensed EU paper-prescriptions in Estonia – 3374 prescriptions in 2016, 2647 prescriptions in 2015 and 2492 prescriptions in 2014
Main medicinal products dispensed in Estonia with EU paper prescriptions: Vagifem, Malarone, Pradaxa, Victoza, Cialis, Xarelto
Prescribing and ePrescriptions in Estonia
Mostly INN based (generic) prescriptions
Implementing ePrescription Cross-Border Service in Estonia
Every country has one technical and organisational national contact point, which is also responsible for managing the cross-border data exchange
Technical Implementation
For data sharing, the data exchange platform developed by European Commission will be used, which is integrated into Estonian eHealth infrastructure and connected with existing registries, databases and services
To enable access to service for pharmacies:
- A portal is set up to enable viewing of cross-border ePrescriptions and forwarding data about dispensed products to Country A
- Service to be integrated in pharmacy own information system are created to enable the use of the cross-border data exchange straight from pharmacy information system
Use-Case
Cross-Border ePrescription Service Use-Case
Patient consent
Country B rules and regulations apply
Portal
Portal for Cross-Border ePrescription
Common Restrictions
Common Restrictions of Cross-Border ePrescription Service
- Narcotic and psychotic medical products
- Reimbursement
- Substitution of ATC code, dose or strength
Implementing
ePrescription Cross-Border Service in Estonia
Implementing
Country B
All Estonian pharmacies will be able to provide the service
- Cross-border ePrescription service to be integrated in pharmacy information systems
- Additionally a separate portal is set up
Country A
Estonian specific exclude:
- anabolic steroids
- extemporaneous preparations
- medical devices
- clinical nutritional
- dietary supplements preparations
- By default all Estonian patients agree to use ePrescription and transfer patients personal data across border
- Patients can express their wish to deny to use ePrescription and transfer patients personal data across border electronically in the national Patient Portal
Thank you!
info@tehik.ee
+372 7943 900