This wiki page will document the definitions used in the PDMP & HIT Integration Initiative to aid the community through our work group discussions.
Health Care Professional
- A medical practitioner or provider of care (or someone legally authorized to act on their behalf by relevant state laws, rules or regulations) who has legal authorization to access prescription drug data for patients at the point of care to make informed clinical decisions and appropriate treatment recommendations
- This may include: prescribers, dispensers, pharmacists, nurses, etc.
Health IT System
- An information system that is used by a Healthcare Professional to collect and store patient information including demographics, medicine, etc. (i.e. EHR, Hospital Information System, Pharmacy System)
Intermediary
- An entity that accepts an electronic transaction from another organization electronically routes the transaction to a receiving entity. A switch/intermediary may perform value added services including detailed editing/messaging of input/output of data for validity and accuracy and translating data from one format to another
Hub
- A highly secure communications exchange platform that facilitates transmission of PDMP data to authorized requestors, allowing for in state and, where allowed, out of state queries on a person of interest
Health Information Exchanges (HIE)
- Electronic movement of health-related information among organizations according to nationally recognized standards. The goal of health information exchange is to facilitate access to and retrieval of clinical data to provide safer, timelier, efficient, effective, equitable, patient-centered care. Health information exchange organizations (HIOs) provide the capability to electronically move clinical information between disparate health care information systems while maintaining the meaning of the information being exchanged. HIOs also provide the infrastructure for secondary use of clinical data for purposes such as public health, clinical, biomedical, and consumer health informatics research as well as institution and provider quality assessment and improvement. Most HIOs currently are regional health information organizations (RHIOs).
Justification for including an Intermediary (Hub, Pharmacy Switch/Intermediary, HIE):
- An intermediary may act as a consolidator of PDMP data exchange between disparate systems (which may include EHRs, Pharmacy IT systems, and state PDMPs) to provide seamless integration capabilities
Controlled Substances
- Drug, substance, or immediate precursor in Schedules II through V or a precursor required to be reported to a PDMP by law or regulation
Transformation
- Data transformation allows the facilitation of data from one source to another by converting it, usualy on an intermediate server, from one format into another to fit the operational needs of the end source