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Medications

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 eChart Manitoba Medications video

What are the medication information sources for eChart?

Medication information in eChart is received from the Drug Program Information Network (DPIN), administered by Manitoba Health (MBH). eChart Manitoba has been aggregating data since April, 2010, and keeps medication information on a long-term, lifetime basis.

What is DPIN?

DPIN is a billing payment system and drug database which contains medications dispensed in retail-community pharmacies. (It excludes hospital pharmacies, nursing stations, ward stock, and outpatient visits at programs like CancerCare Manitoba).

Is the medication information in eChart the same as in DPIN?

Medications dispensed from retail pharmacies in Manitoba appear in DPIN and therefore in eChart.

Identical medication information is available in the DPIN-Viewer and in eChart Manitoba – with two exceptions:

  • eChart Manitoba has been aggregating data since April, 2010, and keeps medication on a long-term, lifetime basis; whereas DPIN shows the most recent six months of medication information at any given time.
  • Pharmacy telephone numbers are not currently in eChart.

Which medications do not appear in eChart?

Medications do not appear in eChart:

  • If a patient is prescribed medications that are filled through a hospital pharmacy. If the hospital has an EMR, the EMR may show other prescribed medications that have been dispensed in hospital.
  • If a patient is prescribed medications that are dispensed by a pharmacy/pharmacist outside of Manitoba.
  • If a patient is prescribed medications that are not insured by Manitoba Health, and are paid for by the patient or a different insurer.
  • If a patient is prescribed medications that are uninsured by Manitoba Health, such as sample medications, the medications may not appear in eChart.

What type of patient identifier is used to transmit medication data in DPIN to Medication view in eChart?

DPIN is linked to the Insurance Registry at MBH, and medication messages are dependent on the presence of a MBH active PHIN (Personal Health Identification Number) in order to transmit medication information.

How frequently is DPIN information sent to eChart?

eChart is updated approximately every ten minutes from DPIN. If there are any delays in transmission or reason information has not yet been entered into DPIN (e.g. the medication has not yet been dispensed at a retail pharmacy), this will impact the delivery time from DPIN to eChart.

How can specific dates be selected for display?

Medication information in eChart goes back to April, 2010. You can use the date filters and click “show” to view any selection of dates. This may be easiest to view in when “Ungrouped” view is selected.

What community pharmacy information is displayed in DPIN and eChart?

Community pharmacy information that is displayed in DPIN (and eChart) includes:

  • Demographics:
    • Patient Name
    • Patient Birth Date
    • Patient PHIN
    • Patient Age
    • Patient Gender
    • Patient Address
  • Date – Date the medication was dispensed
  • Form – Form of the medication delivery (does not describe the non-medicinal ingredients in the formulation)
  • Medication – Brand name & generic name of medication
  • Strength – Concentration of medicinal ingredient(s)
  • Dispense – Quantity dispensed
  • Duration – Number of days duration
  • Prescriber – Ordering health care provider (e.g. Physician, Nurse Practitioner, etc.)
  • Facility – Pharmacy name (and Franchise Number if available)

What Community pharmacy data is not displayed in eChart?

Community pharmacy data that is not displayed in DPIN or in eChart includes:

  • Units of measure for the prepared form of the drug (e.g. millilitres, milligrams, metered dose per puff)
  • Non-medicinal ingredients in the medium, solution or preparation form of the drug
  • Provider instructions / provider details
    • No details about frequency and quantity per time of day within each 24 hour period
    • No special instructions such as ‘with or without food’ or warnings for special populations (e.g. pediatric, pregnant, or geriatric patients), etc.
  • Medications ordered but not dispensed

Note: If you require more information, please contact the ordering provider and/or pharmacy identified in eChart.

What dosage information is available in eChart, and is it complete?

Dosage information is available in eChart, but it is incomplete. Especially in some forms, like suspensions or other pharmaceutical compounds, the amount dispensed can only be estimated, not confirmed (see example below).

To gather complete dosage information, the original provider and/or source pharmacy must be contacted (whether the user is using DPIN or eChart); see the Prescriber and Facility columns for contact names.

Dosage details available in eChart:

  • Duration – days ordered
  • Dispense – quantity dispensed

Note: Some limited dosage information may be inferred from the Days “Duration” and the Quantity “Dispensed” fields, if the non-medicinal ingredients of the medication form/formulation have no remarkable impact on the medication quantity, such as for solid formulations like tablets or patches.

For example, the total quantity of tablets per day (e.g. 1 tablet per day) may be inferred using the Days/Duration field (e.g. 50 days) and the Quantity/Dispensed field (e.g. 50). However, the details about frequency and quantity per time of day within each 24 hour period are not available, and so the dosage details still need to be validated with the ordering provider and/or dispensing pharmacy. See screen view example.

Why can there be more or less medications showing in my EMR or paper chart than in eChart?

eChart:

  • Shows only medications dispensed by retail pharmacies (i.e. DPIN medications only)

Your EMR:

  • Shows only medications ordered in your own facility’s EMR (or regional if a regional EMR)

Your paper chart:

  • Shows medications ordered in your own facility on traditional paper order forms
  • May also include (depending on your site’s printing policy):
    • Print-outs of medications ordered in your own facility’s EMR (or regional if a regional EMR)
    • Print-outs of eChart Medication view
    • Print-outs of DPIN Medication view (same content as eChart Medication view)