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e in pharmacy e in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Baltic IT&T 2005 Forum: eBaltics Rīga Rīga , , 08 April 08 April 200 200 5 5

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Page 1: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

e in pharmacye in pharmacyGatis Ozoliņš

Head of Information DepartmentState Agency of Medicines,

Latvia

Baltic IT&T 2005 Forum: eBalticsBaltic IT&T 2005 Forum: eBaltics

RīgaRīga, , 08 April 08 April 20020055

Page 2: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Pharmacy in numbersPharmacy in numbers

Registered medicinal productsLatvia - ~4500Each EU country from 3000 to 30 000

Market turnover in 2004Latvia – 165 000 000 €EU – 130 000 000 000 €

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 3: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

A little from historyA little from history

1996 – IT systems are started to put into practice in governmental pharmaceutical sector in Latvia;

1998 – PHARE financed project for development of IT vision for pharmaceutical sector in Latvia;

2001 – the build of “first set” of IT systems has been completed.

Page 4: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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A circulation of information within EUA circulation of information within EU

EudraNET – secure network provider;EudraVigilance – system for monitoring adverse

drug reactions;CTS – system for handling information regarding

“mutual recognition medicines”;eSubmissions – system for exchange medicines

registration information in electronic format;EudraCT – system for tracking clinical trials;…

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 5: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

1st of May 20041st of May 2004

Legislation issues;Procedural issues in pharmaceutical

market regulation; Need for information exchange between

EU MS and EMEA;Various EU projects.

Page 6: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Alignment with the EU information exchangeAlignment with the EU information exchange

Possibilities to harmonize IS within 25 countries and 45 regulatory bodies:TIG’es – Telematic Implementation

Groups;Reference data models;Dictionaries.

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 7: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Structure of TIG’esStructure of TIG’es

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Pharmaceutical Committee

TSC

TMC

TIGEudraNET

TIGEudra

Vigilance

TIGEuroPharm

TIGEudraCT

HoA

Page 8: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Alignment with the EU information exchangeAlignment with the EU information exchange

Possibilities to harmonize IS within 25 countries and 45 regulatory bodies:TIG’es – Telematic Implementation

Groups;Reference data models;Dictionaries.

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Gatis Ozolins
Šis slaids ir jāpapildinaTIGu shēma vēl varbūt ir jāparāda.Kaut kas ilustratīvs par RDM
Page 9: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Milestones implementedMilestones implemented

EudraNET;CTS;EudraVigilance ;EudraCT.

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 10: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Germany

Internet Router

IPVPN

Latvia

Estonia

Eudranet services

Internet

Globix line

RouterRouter

MCI

Router

Router

IPVPN

IPVPN

Firewall Monitoring system

EudraTrack

SNMP

Other protocolos

EudraNETEudraNET

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 11: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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milestones to gomilestones to go

EuroPharmEudraGMPDictionaries…

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 12: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Why should all before mentioned are Why should all before mentioned are needed? Why should we talk about needed? Why should we talk about

eHealth and another e in pharmacy?eHealth and another e in pharmacy?

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 13: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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EuroPHARM EuroPHARM

Main objective – Establishment of a common European database of information relating to all medicinal products on the market in the European Union.

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 14: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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EuroPHARM – project goalEuroPHARM – project goal

A database of information about:all medicinal products authorized in the European

Union;elements of the data held in the register of clinical

trials; in all the official languages of the EU ; to all stakeholders in the system as appropriate; in a manner that ensures that the confidentiality of

third party data held is maintained.

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 15: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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EuroPHARMEuroPHARM – project goal – project goal

The database shouldenable access to related data from

different sources by staff of competent authorities in the EU and all other stakeholders;

minimise the physical input of information into national and pan-European systems;

act as a reference source for other pan-European systems.

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 16: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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StakeholdersStakeholders

Health Authorities within the European Union

Competent Authorities in the European Union

EMEA DG Enterprise DG SANCO

Patients Health professionals Pharmaceutical industry WHO Council of Europe CEN Industry Associations

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 17: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

1. A pharmaceutical industry has a product that needs to be (re-) evaluated and sends an eCTD containing an Electronic Application form and / or Product Information to one or more MS CAs.

2. The MS CA (s) receives, processes and stores the info in the file in its (their) national DB.

EPhOutbox<Rec>

EPhInbox

EuroPharm

QA

DataProvider

DB

Validator

Ack R

DictionariesBusiness Rules

LoaderLog

WWW WW WWW WWW

WWW WW WWW WWW

WWW WW WWW WWW

WWW WW WWW WWW

EPh DA

WWW WW WWW WWW

WWW WW WWW WWW

WWW WW WWW WWW

WWW WW WWW WWW

Ack A

EPhPortal

Flu

3. The national DB (s) generates overnight an XML file containing all new, modified or deleted product-related entries as approved at the end of the relevant national procedures and posts this file to the Inbox.

4. EuroPharm takes the file (s) from the Inbox.

5. The system sends an acknowledgement of receipt to the Data Provider.6. The Validator validates the file (s) against the Dictionaries and Business Rules.7. The Validator concludes that the file (s) is valid.8. The Loader loads the file (s) into the EuroPharm Quarantine Area DB . A log file is created.9. In the morning, the EuroPharm Data Administrator connects to the system and consults an overview of all

activities since previous activities (loading of files from Data Providers, manual data entry and taking of files by the Authorised Bodies).

10. The EuroPharm DA approves all loaded files.11. The new information is published and made available for consultation via the EuroPharm Portal.12. The system sends an acknowledgement of formal acceptance of data in the DB to the Data Provider.13. A user connects to the EuroPharm Portal.14. The user selects his language15. The user selects his profile.16. The user launches the query module and enters his query criteria.17. The system executes the query.18. The system displays the results from the query.

19. The user consults the query results.

EPh DAPortal:Review

&AcceptanceDictionary

DataEntry

Page 18: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Some more use casesSome more use cases

Patients, together with their representative groups, seek better information on medicinal products constantly. Through the data repository held in the EuroPHARM database, and using a portal with access rights geared to the user, it is planned to provide access to data that is important to patients (indications; availability) on a search basis, the results being presented in a user friendly and uncluttered manner.

Health professionals. It is expected that authoritative information may be made available through portal technology, to pharmacists and prescribers at the point of sale and prescription respectively. In addition, the database should enable immediate access for health professionals to the most up to date safety information relating to a product, accessible through the system and linked to the product name.

Companies in the pharmaceutical sector will benefit as current, authoritative information relevant to their products will be available to all on an equal footing with their competitors. Companies will also benefit from the ability to submit data electronically.

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 19: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Where are we going with e?Where are we going with e?DangerDanger

OO + NT = EOO ????

Old Organisation New Technology

$$$

ExpensiveOld

Organisation

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 20: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Don’t forgetDon’t forget

Infrastructure

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 21: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Don’t forgetDon’t forget

Concerned partiesInfrastructure

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 22: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Don’t forgetDon’t forget

Infrastructure Concerned parties

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005

Page 23: E in pharmacy Gatis Ozoliņš Head of Information Department State Agency of Medicines, Latvia Baltic IT&T 2005 Forum: eBaltics Rīga, 08 April 2005

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Don’t forgetDon’t forget

Infrastructure Concerned parties

Gatis OzoliņšGatis Ozoliņš eBaltics 2005eBaltics 2005