Supply of Products for Healthcare (SUPPLY), published by IHE Pharmacy Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/pharm-supply/ and changes regularly. See the Directory of published versions

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Official URL: http://profiles.ihe.net/PHARM/supply/ImplementationGuide/ihe.pharm.supply				Version: 0.3.0
Active as of 2024-03-26				Computable Name: IHE_PHARM_SUPPLY
Copyright/Legal: IHE http://www.ihe.net/Governance/#Intellectual_Property

This specification provides standard mechanisms for the exchange of information around the supply and procurement of products used for healthcare purposes, for example diagnostic, therapeutic or prophylactic uses. This includes medicinal products and medical devices. Supply chains are normally established and interoperable outside of the clinical space. This interoperability framework addresses the articulation between the logistics and clinical activities. For this reason this specification has been prepared after analyzing current standards and practices, to ensure the continuity of information between the logistics and clinical environments - which in turn ensures continuity of traceability and operations.

Scope

In clinical domains, activities like dispensing are considered to be an opaque process or activity. In practice, this is expected: supply is an operational process that, if done well, ensures that clinical care can be provided with the right materials always available. This specification opens up the requirements for this to be true. The availability of products at the point of care and its traceability and safe lifecycle is challenged by several constraints (availability, safety concerns) all over the globe. Still, supply relies

Integration between logistics and clinical flows

This specification defines mechanisms that can be articulated with the clinical domains, so that the supply aspects of interoperability can be plugged in without negatively affecting the clinical solutions.

Different kinds of health products

This specification can be used for different healthcare products: medicinal products, implantable devices, devices used in surgery, radiological contrasts (or any medication used in a diagnostic procedure), etc., and regardless whether these products are managed by a Pharmacy, or by other departments.

Diverse processes

Supply chains are complex, adaptable and diverse. Some products need to have different authorization and tracking than others. Different regions, institutions or departments may be regulating or adopting traceability at different levels. This specification does not constrain that diversity or choose a limited scope, but rather supports the expected variance found in real life by providing a modular framework.

Effectiveness and safety

This specification is intended to support better data, which contributes to sager use of medication. For example including the “5 rights”, a well-known guidance for medication: the right medicinal product to the right patient, in the right dose and the right route, at the right time. The same applies to all use of healthcare products: The effective distribution and use of healthcare products is essential to ensure operational efficiency and patient safety. Avoiding misidentification of patients and products, unintentional use of defective or expired products, etc. are key factors for the scope of this specification.

Out of Scope: Authorization and payment models

The supply aspects are articulated with other aspects – for example, payment models, or authorizations like insurance coverage. These are very diverse and normally depend on legal framework and constraints. This specification remains agnostic of whatever model is applicable for billing, payment, etc.

MHD is part of IHE – Pharmacy Domain .

Organization of This Guide

This guide is organized into four main sections:

1. Volume 1: Use-Case analysis
   1. Introduction and standards
   2. Use Cases
   3. Overview of data exchange for supply
   4. Actors and transactions
      1. Actor options
      2. Actor required grouping
   5. Security considerations
   6. Cross-profile considerations
2. Volume 2: Transaction definitions
   1. Supply Request [PHARM-S1]
   2. Supply Request Status [PHARM-S2]
   3. Shipment Notice [PHARM-S3]
   4. Delivery Receipt [PHARM-S4]
   5. Inventory Report [PHARM-S5]
   6. Inventory Update [PHARM-S6]
   7. Inventory Query [PHARM-S7]
3. Appendix

Click on any of the links above, head on over the table of contents, or if you are looking for a specific artifact, check out the index.

Downloads

You can also download:

• this entire guide,
• the definition resources in json, xml, ttl, or csv format, or
• the example resources in json, xml or ttl format.

The source code for this Implementation Guide can be found on IHE GitHub https://github.com/IHE/pharm-supply.