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GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

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Page 1: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

GS1 Healthcare Conference

Lisbon, 23-25 October 2012

EDQM activities around counterfeiting and

traceability

Page 2: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

The eTACT project

1. Introduction

� What is the background to the project?

� EDQM proposal

� Focus on some demo functionalities

� Progress of the project – workshops and beyond

� Benefits

©2012 EDQM, Council of Europe, All rights reserved 2

Page 3: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

The eTACT project

1. Introduction

� What is the background to the project?

� EDQM proposal

� Focus on some demo functionalities

� Progress of the project – workshops and beyond

� Benefits

©2012 EDQM, Council of Europe, All rights reserved 3

Page 4: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Council of Europe / European Directorate for the Quality of

Medicines & HealthCare (EDQM)

©2012 EDQM, Council of Europe, All rights reserved 4

Page 5: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

European Pharmacopoeia

• Official standards for the quality control of medicines in Europe

• Legal and scientific basis

• Principles of elaboration keep pace with • regulatory needs of Public Health authorities

• technological/scientific advances and industrial constraints

©2012 EDQM, Council of Europe, All rights reserved 5

Page 6: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

CoE/EDQM anti-counterfeitingstrategy

©2012 EDQM, Council of Europe, All rights reserved 6

Inspection

Testing

MedicrimeMultisectorial

training

Page 7: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

The opportunities: mass serialisation

©2012 EDQM, Council of Europe, All rights reserved 7

Public Business

Bollino (IT) GS1

CIP-13 (FR) Aegate (BE, GR)

eTACT (CoE/EDQM) EFPIA (SE 2010 -> ESM)

FMD (EU) Securpharm (DE)

Page 8: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Current situation: Point-of-Dispense verification

©2012 EDQM, Council of Europe, All rights reserved 8

Verificationat dispensing point

Retail pharmacy

Generationof item code

Manufacture Distribution

Page 9: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Falsified Medicines Directive (FMD)

• Directive 2011/62

– Safety features � Identifier that is readable by wholesale distributors and pharmacists

�Tamper-proof device (outside scope of eTACT)

– Public consultation Nov 2011-Apr 2012

– Impact study � Delegated Acts 2014

©2012 EDQM, Council of Europe, All rights reserved 9

Page 10: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

The eTACT project

1. Introduction

� What is the background to the project?

� EDQM proposal

� Focus on some demo functionalities

� Progress of the project – workshops and beyond

� Benefits

©2012 EDQM, Council of Europe, All rights reserved 10

Page 11: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

©2012 EDQM, Council of Europe, All rights reserved 11

Generation of UMI = Unique Medicine

Identifier

Verification of UMI

PharmacyInternetMail-order

Traceability &Traceability &Traceability &

DistributionManufacture

Verificationof UMI

Patients

Page 12: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Public governance

�EDQM / Authorities

�Business stakeholders

�Confidentiality of data

©2012 EDQM, Council of Europe, All rights reserved 12

More information at the eTACT workshop 14-15 Nov Sofia

Page 13: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Unique Medicine Identifier (UMI)

©2012 EDQM, Council of Europe, All rights reserved 13

Page 14: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

©2012 EDQM, Council of Europe, All rights reserved 14

Queries from authenticated stakeholders and patients

Architecture

Page 15: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Manufacturers landscape & interactions

15

Manufacturers sending UMI= MSU

MSU-N

MSU-E MNSU-E MSU-NE MNSU-NE

National Traceability SystemNational Traceability System

National Traceability System

National eTACT

National eTACT

Manufacturers not sending UMI= MNSU

Page 16: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Scope

©2012 EDQM, Council of Europe, All rights reserved 16

• Any pharmaceutical products

• Actors:

�Any registered business stakeholders �Authorities�Patients

• 36 member states of the European Pharmacopoeia and beyond

• Secondary packaging

Page 17: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

The eTACT project

1. Introduction

� What is the background to the project?

� EDQM proposal

� Focus on some demo functionalities

� Progress of the project – workshops and beyond

� Benefits

©2012 EDQM, Council of Europe, All rights reserved 17

Page 18: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Level of Confidence (LoC)

©2012 EDQM, Council of Europe, All rights reserved 18

Distributor AManufacturer B Pharma A

Point-of-Dispense verification modelCommissioningLoC 1

ShippingCommissioning

LoC 2

Receiving &

Shipping

Commissioning

shipping LoC 3

Commissioning,

packing, shippingLoC 4

Direct to pharma

Page 19: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

©2012 EDQM, Council of Europe, All rights reserved 19

Page 20: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability
Page 21: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

©2012 EDQM, Council of Europe, All rights reserved 21

Hospital pharmacy

Page 22: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

©2012 EDQM, Council of Europe, All rights reserved 22

Hospital pharmacy

Page 23: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Separate logical decisions from the application

Business rule management system

©2012 EDQM, Council of Europe, All rights reserved 23

Dispensing: if UMI status= « decommissioned » then« This box cannot bedispensed… »

RULES APPLICATIONRULESENGINE

This box cannot be dispensed…

Page 24: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

24©2012 EDQM, Council of Europe, All rights reserved

Participants from authorities and supply chain stakeholders / 53 requests for functionalities

Demo

system

24.5%

Production

system

39.6%

To be

discussed

34.0%

No action

1.9%

Page 25: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

25©2012 EDQM, Council of Europe, All rights reserved

Coding

Authorities

7,4%

Distributors /

Wholesalers

7,4%

Manufacturers

33,3%

Patients

1,9%

Pharmacies

24,1%

Regulatory

Authorities

20,4%

Packaging

line

manufacturers

5,6%

Functionalities by category (%)

Page 26: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

The eTACT project

1. Introduction

� What is the background to the project?

� EDQM proposal

� Focus on some demo functionalities

� Progress of the project – workshops and beyond

� Benefits

©2012 EDQM, Council of Europe, All rights reserved 26

Page 27: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

General overview of eTACT

©2012 EDQM, Council of Europe, All rights reserved 27

Phase 1:Concept

development

2a: System development

2009-2010

Phase 2: Live demo2010 – 2012 From 2013

2b:Workshops

Phase 3:Service

development

Page 28: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

The eTACT project

1. Introduction

� What is the background to the project?

� EDQM proposal

� Focus on some demo functionalities

� Progress of the project – workshops and beyond

� Benefits

©2012 EDQM, Council of Europe, All rights reserved 28

Page 29: Lisbon, 23-25 October 2012€¦ · GS1 Healthcare Conference Lisbon, 23-25 October 2012 EDQM activities around counterfeiting and traceability

Benefits…

• Creates a harmonised approach�Inter-operable and flexible

• Protects confidentiality of data �Public governance

• Allows patients to verify their medicines

…to protect Public Health

©2012 EDQM, Council of Europe, All rights reserved 29