Pharmacist Shared Medicines List (PSML)

Product

Context

The Pharmacist Shared Medicines List (PSML) is a new clinical document type supported by the My Health Record system and will be released by the end of June 2019.

The PSML contains detailed information about medicines the consumer is known to be taking when the list was created.

This includes both prescription and non-prescription medicines, including ‘over-the-counter’ (OTC) medicines and complementary medicines such as vitamins and herbal products.

What are the benefits of the PSML?

  • Improved information sharing between health professionals. Transitions between episodes of care e.g. between acute and community care or community care to acute, are periods prone to risk and error

  • Supports meaningful clinical use by providing pathways for the upload of PSML to the My Health Record system

  • Provides timely access to pharmacist shared medicines lists via My Health Record

  • Provides another source of medicines information available in My Health Record

  • Will help reduce medication interactions which improves both medicine safety and patient safety 

How can the PSML help during medicines reconciliation?

The PSML will contain the medicines the consumer is known to be taking at the time the list was created. It contains more than prescriptions and dispense records, which are already in the My Health Record system. The PSML may be an important outcome from a medicines reconciliation as well as providing a useful reference source for future medicines reconciliation.

For example, while performing a medicines reconciliation process, a pharmacist may identify a drug interaction between a complementary medicine such as St John’s Wort and a prescribed medicine (such as an anti-depressant) and intervene to resolve this interaction.

Are pharmacists responsible for creating and uploading the document?

Only a pharmacist can prepare and upload a PSML to a consumer’s My Health Record.

The Agency is undertaking awareness raising and education with pharmacists in partnership with professional peak bodies. Revised professional guidelines will be issued by professional organisations to provide guidance to pharmacists on generating and uploading a PSML. 

Other health professionals and consumers will be further informed about what a PSML is and how it is best used to support consumer care and enhance medicines safety.

Where does the information come from when creating a PSML?

A number of sources of medicines information may be used by the pharmacist to create a PSML.

PSMLs might be created based on:

  • a hospital discharge medicines list

  • a medicines history provided by the consumer

  • a dose administration aid medicines list

  • a pharmacist professional service e.g. a Home Medicines Review (HMR).

A link to the PSML will also be provided in the My Health Record Medicines Information View that is presented in the National Provider Portal and National Consumer Portal.

Does pharmacy software support the upload of PSML documents?

A small number of pharmacy service providers and software vendors have started to develop code in their products so that pharmacists can upload PSMLs in clinical practice. It is expected that these capabilities will be progressively rolled out throughout the 2019- 20 financial year.

What changes to clinical information systems will be required?

Software vendors and healthcare organisations that provide My Health Record viewing functionality in clinical information systems will need to make minor configuration changes to their software before they can view the PSML documents from the My Health Record system.

Are the PSML specifications and sample codes available for download from the Agency website?

The specifications for PSML have not yet been published. The Agency intends to publish these documents in October 2019.

What do I need to do to view PSMLs?

Clinical information systems that view the My Health Record will need to ensure that the new document types can be accessed by their users. This will typically involve ensuring the new documents are a selectable document type on the document list screen. We recommend these documents are included by default.

Do pharmacy software vendors receive financial assistance for the PSML development?

The Agency is not offering any financial assistance to vendors wishing to help their clients upload PSMLs to the My Health Record. The Agency has a strong track record in the provision of documentation, source code and technical advice to ease technical barriers for software developers.

Below is the Coding System and TypeCode for PSML documents and the implementation guidance for PSML in more detail.

DOWNLOAD:
Pharmacist Shared Medicines List (PSML) Implementation Guidance for Downloading and Viewing PSML Using the B2B Gateway [PDF 561KB]

Coding System

TypeCode
ClassCode

ClassCodeDisplayName

TypeCodeDisplayName

LOINC

56445-0  

Pharmacist Shared Medicines List  

Pharmacist Shared Medicines List  

Testing: Patient in SVT with PSML documents

(NOTE: This patient is for viewing only, please do not upload any documents to this patient)

Patient 1 - Ludwig HOBBS  IHI: 8003608333345684  Medicare Card: 2950345681  IRN: 1  Sex: Male  DOB: 26/04/1995  Address: 76 Hung CCT, Deakin, ACT, 2600

By operation of the Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Rule 2016, on 1 July 2016, all the assets and liabilities of NEHTA will vest in the Australian Digital Health Agency. In this website, on and from 1 July 2016, all references to "National E-Health Transition Authority" or "NEHTA" will be deemed to be references to the Australian Digital Health Agency. PCEHR means the My Health Record, formerly the "Personally Controlled Electronic Health Record", within the meaning of the My Health Records Act 2012 (Cth), formerly called the Personally Controlled Electronic Health Records Act 2012 (Cth).

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