NL Electronic Health Record Pharmacy Network User Guide

NL Electronic Health Record
Pharmacy Network User Guide
Version 2.1
2015-06-01
Pharmacy Network User Guide v2.1
i
Document Revision History
Date
2012-02-08
2012-07-12
2014-03-26
2015-06-01
Version
1.01
1.02
2.0
2.1
Pharmacy Network User Guide v2.1
Status
Description
Draft
Pharmacy
Network User
Guide revisions
post DIS upgrade
Draft
Refresh and
website links
updated
Approved
Content and
format update
and alignment
with Quality by
Design
Refresh and
website links
updated
Author
P. Gosse
P. Gosse
P. Gosse,
E. Hamlyn
P. Gosse
ii
Copyright Notice
This document is fully copyright protected by the Newfoundland and Labrador Centre for
Health Information
Reproduction, in its original form, is permitted for background use for private study,
education instruction and research provided appropriate credit is given to the
Newfoundland and Labrador Centre for Health Information. Citation in editorial copy, for
newsprint, radio and television is permitted. The material may not be reproduced for
commercial use or profit, promotion, resale, or publication in whole or in part without
written permission from the Newfoundland and Labrador Centre for Health Information.
Pharmacy Network User Guide v2.1
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PHARMACY NETWORK USER GUIDE
TABLE OF CONTENTS
Newfoundland and Labrador Pharmacy Network .......................................... 1
Introduction .......................................................................................................................... 1
Provincial Electronic Health Record ............................................................... 3
Connecting to the Pharmacy Network ........................................................... 5
Site Visit Strategy for Pharmacy Network Connections ....................................................... 7
Consent and Privacy Management ................................................................. 7
How to Comply with Confidentiality Processes .................................................................... 8
Pharmacy Network Processes ........................................................................ 9
Client Registry ....................................................................................................................... 9
Processing an Adoption ...................................................................................................... 13
Provider Registry ................................................................................................................. 14
Out of Province Providers ................................................................................................... 15
Location Registry................................................................................................................. 15
Drug Information System (DIS) Requirements ................................................................... 16
“How To” Guide for Pharmacy Practices ...................................................... 16
Filling Prescriptions ............................................................................................................. 16
e-Therapeutics .................................................................................................................... 20
Prescription Status .............................................................................................................. 20
Drug Utilization Review (DUR) ............................................................................................ 21
Pick-up Message ................................................................................................................. 22
Vendor Support ........................................................................................... 24
General Responsibilities............................................................................... 24
Responsibilities of the NL Centre for Health Information ............................. 24
Responsibilities of the Registered Pharmacist in Charge .............................. 25
Data Quality ................................................................................................ 26
Pharmacy Network Reports ................................................................................................ 26
Troubleshooting .......................................................................................... 26
Vendor Technical Support (Tier 1) ...................................................................................... 26
Centre’s Service Desk Support (Tier 2): .............................................................................. 27
APPENDIX A – ‘Ask Your Vendor’ ................................................................. 30
Appendix B - Easy Access contacts ............................................................... 34
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NEWFOUNDLAND AND LABRADOR PHARMACY NETWORK
Introduction
This User Guide has been prepared to provide pharmacy staff with information needed to
access and use the Newfoundland and Labrador Pharmacy Network (Pharmacy Network).
The Pharmacy Network is fundamental to the province’s vision for an integrated electronic
health record (EHR), which aims to improve health through the provision of quality health
information for all residents of the province. An EHR provides individuals with a secure,
private, lifetime record of their health information and care within the healthcare system.
The provincial EHR, viewed through HEALTHe NL, will be available electronically to
authorized NL providers anywhere, anytime, to support high quality care.
The Pharmacy Network includes the information of individuals, both residents and non
residents, who have presented to a connected Newfoundland and Labrador community
pharmacy. It enables viewing of a patient's profile when providing pharmaceutical care.
This profile includes the patient’s demographic information and the associated medication
profile. It may include over-the-counter and natural health products, as well as clinical and
allergy information from pharmacies connected to the drug information system (DIS). It is
important to note that the Pharmacy Network is not connected to or communicating with
the Newfoundland and Labrador Prescription Drug Program (NLPDP), nor does the
Pharmacy Network contain financial information.
The Pharmacy Network is used by community pharmacy staff to update demographic and
administrative information (e.g. name, address), as well as to record and share medication
information in the provincial DIS. This connection enables authorized health professionals to
access medication profiles in an online, real-time environment facilitating:
 Effective decision-making regarding the potential of a new medication reacting or
having a side effect when taken in combination with other medications;
 Improved patient safety with respect to known allergies;
 Faster and more informed decision making in emergency situations; and
 Improvements in the use of medications and compliance with drug therapies.
A primary benefit gained through connection with the Pharmacy Network is enhanced
patient safety via the drug utilization review (DUR) process. The DUR process evaluates
potential drug interactions, the appropriate use of medications and provides direct access
to information resources. Connection to the Pharmacy Network expands the scope of the
DUR beyond the pharmacy’s local system to encompass all recorded Drug Identification
Numbers (DINs) on the patient’s Pharmacy Network medication profile.
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For more information about the Pharmacy Network please visit the Newfoundland and
Labrador Centre for Health Information (Centre) website:
http://www.nlchi.nl.ca/index.php/the-pharmacy-network.
This document will be reviewed annually and revised as necessary to ensure currency and
usefulness. Feedback from readers is welcomed and encouraged. Suggestions for future
updates can be sent to:
Pharmacy Network Program
Centre for Health Information
70 O’Leary Avenue
St. John’s, NL
A1B 2C7
Bus: 1-877-752-6006
Email: service@nlchi.nl.ca
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PROVINCIAL ELECTRONIC HEALTH RECORD
Newfoundland and Labrador (NL) has developed a solid foundation for the development,
adoption and use of the NL electronic health record. An electronic health record facilitates
the sharing of data across healthcare delivery organizations and across the province and
encompasses multiple point of service (POS) applications. The Newfoundland and Labrador
blueprint is aligned with Canada Health Infoway (Infoway) to create a pan-Canadian
interoperable electronic health record.
Client Registry - provides unique identification of clients (individuals who have received
health care within NL). The data provided is a consolidation of information collected from
pharmacies that communicate with the provincial Client Registry through their local vendor
systems (i.e., Kroll, Nexxsys, Assyst Rx, UBIK and Health Watch Next Generation (HWNG)),
Regional Health Authorities through their Meditech systems, the Client and Referral
Management System (CRMS), and the Department of Health and Community Services
Medical Care Plan (MCP). The Client Registry is used to retrieve and validate accurate and
complete client demographic and administrative information (e.g. name, address, and
identification numbers). The Client Registry does not contain clinical information but
enables clinical information to be linked to the correct individual within the EHR (e.g. DIS,
patient chart).
Provider Registry - provides unique identification of care providers. The Provider Registry is
used to locate an authorized health care provider’s identification number (i.e. the provider’s
license number) as well as their licensing information.
Provider Registry data sources include: the Newfoundland and Labrador Pharmacy Board,
the College of Physicians and Surgeons of Newfoundland and Labrador, the Newfoundland
and Labrador Dental Board, the Association of Registered Nurses of Newfoundland and
Labrador, and the Newfoundland and Labrador Optometric Board.
Location Registry - provides unique identification of care delivery locations (e.g.,
pharmacies, clinics).
Drug Information System - provides a complete summary of prescribed and dispensed drug
information for clients. The DIS provides decision support capabilities by monitoring
prescriptions against the client’s active medications and his/her personal profile. This may
include over the counter medication, in some cases it may also store and provide a client’s
allergy information.
HEALTHe NL- a ‘view-only’ application that utilizes the Client Registry for client searching
and provides authorized care providers access to clinical client information (i.e. DIS
information) contained within the NL EHR. HEALTHe NL will evolve to include other
relevant clinical information including lab results, diagnostic images and select clinical
records pulled in from other eHealth systems.
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CONNECTING TO THE PHARMACY NETWORK
New Pharmacy Network users must obtain a username and password, please refer to the
Pharmacy Network Education site at http://www.nlchi.nl.ca/pharmacy/
Step 1: Read the Pharmacy Network education material and complete the online test.
Access to a computer with an internet connection and printer is required when taking the
test. If the Certificate of Completion is not printed at the time the online test is completed
the online test must be retaken to reprint the Certificate of Completion.
 Review material found on the Pharmacy Network Education site;
 Receive a passing mark ≥ 70% on the test; and
 Print and sign the Certificate of Completion.
Step 2: Complete, print and sign the appropriate Pharmacy Network Password Agreement.
 Enter the pharmacy name, mailing address, telephone number and email address; if
no email address is available then a telephone number must be provided. This
information will automatically print on the Password Agreement;
 Pharmacists are required to print and sign a copy of the online Password Agreement
and have it witnessed by another licensed health care provider or a NL notary public;
and
 Pharmacy assistants, technicians and students are required to print a copy of the
online Password Agreement and have it signed by the pharmacist in charge of the
location where they are working.
o The pharmacist in charge must already be a registered user of the Pharmacy
Network.
o Pharmacy technician and student passwords are associated with a specific
location; the pharmacist in charge must call the Centre to have an additional
location added to, or removed from a pharmacy technician or student’s
account.
Note: If the Password Agreement is not completed and printed at the time the test is taken,
it can be accessed later without having to retake the online test. In this circumstance, the
Password Agreement would not be pre-populated and would need to be manually
completed.
Step 3: Fax the Certificate of Completion and the completed Password Agreement (Step 2)
to the Centre at 1-877-272-6029.
 The Centre will process the application and contact the end-user to provide a
Personal Identification Number (PIN) as well as further instructions on having the
user account created; and
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
When the pharmacy is
o connected to the Pharmacy Network applicants are contacted within 1-2
business days after the Centre receives this information; and
o not connected to the Pharmacy Network applicants are contacted closer to
the date of the store connection.
Online education must be completed within four months of a pharmacy connecting to
the Pharmacy Network.
Step 4: To obtain a username and temporary password, contact the Centre’s Service Desk
with the assigned PIN, and respond to the following three security questions:
Questions are:
1. What is your favorite color?
2. In which city were you born?
3. What is your mother’s maiden name?
The Centre’s Service Desk will provide the username and temporary password for accessing
the Pharmacy Network.
Step 5: Initial access to the Pharmacy Network requires the use of the provided temporary
password.
 Once connected to the Pharmacy Network, the user is prompted to create a
permanent password.
o Password security features require a minimum of one uppercase letter, one
lowercase letter, and one number and must be between 8-15 characters in
length.
o The password will expire every 6 months at which time the user will be
prompted to create a new one.
When you connect to the Pharmacy Network, you will begin to receive ‘Broadcast
Messages’. Broadcast messages are a one-way communication from the Centre to provide
Pharmacy Network end users with updates on system upgrades, new pharmacy
connections, etc. Each vendor system displays these messages differently; please check
with your vendor for more information.
Vendor Education
 Additional training from the vendor is required to train pharmacy staff on new fields,
screens and workflow changes in the local pharmacy system once connected to the
Pharmacy Network; and
 A list of key questions to ask your vendor can be found in Appendix A.
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Site Visit Strategy for Pharmacy Network Connections
The Pharmacy Site Visit Strategy includes scheduled site visits (in-person and/or telephone)
to identify any issues and to ensure end-user satisfaction. Visits occur during:
 Initial deployment (in-person);
 One month post deployment;
 Three months post deployment;
 Six months post deployment;
 Twelve months post deployment;
 Annual site visits; and
 Additional site visits (in-person or by telephone) may occur as needed.
Site visits are collaborative and provide an opportunity to discuss questions or concerns
pharmacy staff may have, as well as allow Pharmacy Network Program (PNP) staff to deliver
educational updates and collect feedback from end users. For example, the pharmacy’s
staff may request training on the process to register non-human specimens or office supply
locations in their local vendor system.
CONSENT AND PRIVACY MANAGEMENT
The Provincial Health Information Act (PHIA)
(http://www.health.gov.nl.ca/health/phia/phia_overview_june_2011.pdf) does not require
consent for the collection of information in the Pharmacy Network and provides implied
consent for use and disclosure of information related to the provision of health care. The
Centre has provided custodians, such as pharmacists, who collect personal health
information with brochures explaining disclosure of personal information to the Pharmacy
Network. It is recommended that this information be displayed at the local pharmacy. A
custodian is entitled to assume that they have an individual's continuing, ongoing implied
consent to either use or disclose the information unless the custodian becomes aware that
the individual has withdrawn his or her consent.
Section 39(4) (c) of PHIA authorizes custodians such as pharmacists and other private
practitioners to “disclose patients’ personal health information to or via an information
network designated in the regulations under the Act without the consent of the data
subjects”. The Pharmacy Network Regulations designate the Pharmacy Network as such an
information network.
As individuals are not able to opt out of having their information copied into the Pharmacy
Network, the Centre has enabled individuals to restrict access to their information through
consent directive functionality. Individuals are able to request that their profile be ‘masked’;
in such cases, a password must be provided before health care providers are able to see the
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masked profile. Brochures about masking a profile and the Pharmacy Network are available
at connected pharmacies, and more information is on the next page.
PHIA applies to all healthcare environments and establishes rules for collection, use and
disclosure of patient health information whether it is paper or electronic. The Pharmacy
Network as well as vendor functionality is built to be fully compliant with PHIA. Please refer
to http://www.health.gov.nl.ca/health/phia/phia_overview_june_2011.pdf.
How to Comply with Confidentiality Processes
Patient Masking (Passwords)
Patients have the right to limit the use or disclosure of their personal information by
masking their Pharmacy Network profile. When a patient decides to mask their profile, the
Pharmacy Network view is limited to local pharmacy content. Any patient profile data from
other pharmacies will be masked to Pharmacy Network end-users, unless the password is
provided. Unmasking occurs when the patient provides the password or in an emergency
‘break the glass’ situation. All demographic information is viewable on the Pharmacy
Network.
Patients requesting masking of their patient profile should be directed to the Centre’s
Service Desk at 1-877-752-6006. For additional information, please refer to the Personal
Health Information Act found within the Consent and Privacy Management section of this
User Guide.
Recognizing a Masked Patient Record Scenario
Vendors can identify visual cues indicating when a patient record has been masked. Each
local pharmacy system interface may be designed differently.
Unmasking a Patient Record
The Pharmacy Network supports unmasking when:
 A patient or his/her authorized representative provides the patient password to an
authorized end-user;
 A patient requests that a Pharmacy Network administrator remove the mask on
their information; and
 One-time temporary access to masked data is required (i.e. emergency ‘break the
glass’ scenarios). The procedure for “breaking the glass” will vary by local pharmacy
system. Professional judgment is to be used to determine whether a situation
warrants this action.
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Pharmacists should consult PHIA for information as to their responsibilities in a ‘break the
glass’ situation. The patient should be notified if this occurs, and this action needs to be
recorded on the patient’s profile.
Patients have the right to ask the Centre for a report that reflects who has accessed their
profile.
When a Patient Refuses to Unmask their Record
If a patient refuses to unmask his/her record, authorized end-users accessing the Pharmacy
Network should utilize professional judgment governing adequate patient care.
Storing a Patient Password
While it is not necessary or appropriate to store patient passwords, passwords can be
stored with the patient’s consent, as per the Personal Health Information Act. In this
instance the password should be stored securely and treated as personal health
information.
Resetting a Patient Password
To reset a lost or forgotten password, the patient must contact the Centre’s Service Desk (at
1-877-752-6006) and respond correctly to the security questions.
PHARMACY NETWORK PROCESSES
The Pharmacy Network utilizes patient information from the Client Registry, provider
information from the Provider Registry, location information from the Location Registry,
and clinical (prescription) information from the DIS and the local pharmacy vendor systems.
Client Registry
When a search is initiated on patient information in the Pharmacy Network, data is
retrieved from the Client Registry. If a patient has never presented to the pharmacy you
can retrieve information from this provincial database, saving time and effort.
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Always search the Client Registry when you are syncing (synchronizing) new or existing
patients in your local pharmacy system to the Client Registry. Search the Client Registry
using ONLY the MCP number whenever possible.
Sync each of your patients to the Client Registry on a one-time, go-forward basis when they
present to the pharmacy.
Verify and update patient contact information during each visit.
When searching the Client Registry, the correct search order is:
1. MCP Card # only (e.g. 329123123123) it will return one record.
a. Do not include additional data (such as name) in the search.
2. Client demographic information (e.g. name and date of birth) will return multiple
records; choose with care.
a. If the MCP number is not available, search using multiple patient demographic
information (to distinguish the presenting ‘John Doe’ from multiple other ‘John
Doe’ patients accessing healthcare within NL).
b. When not using the MCP Card #, a multi-field search must be performed including:
Name + date of birth + other options such as Gender (M - Male, F - Female) and/or
postal code and/or phone number and/or street address and city.
Choose with care as the search may return multiple records.
The patient’s full legal name (first and last names), date of birth (DOB) and sex should align
with the data on the MCP card.
 Validate patient’s DOB; if DOB discrepancies are identified, ask the patient to contact
their third party insurer and/or MCP to correct this information.
If no patient match is found or multiple match options are returned, request patient
identification to confirm accuracy of the name, spelling and date of birth.
 Ask questions, confirm and update patient information.
o What is your current address? What is your date of birth?
 Prompt the patient to determine if any of the following apply:
o A nickname (Margaret vs. Peggy), middle name (James Dean vs. Dean James),
multiple first names (Ann Marie) or alternative spelling of name (Jon vs. John,
McDonald vs. MacDonald, Betty Ann vs. Betty-Ann); or any change to the last
name (i.e. marriage or adoption).
Name should match the patient’s MCP card; do not document nicknames (except as a note
on the patient’s local file).
DO NOT:
 Do not add nicknames or non-human specimens to the Client Registry (e.g., Lucky
the dog, office supplies); and
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
Do not collect other data in the MCP field (e.g. policy #); this field is for MCP card #
only.
If the incorrect patient is selected from the returned list, the medications
dispensed are linked to the wrong patient’s profile.
Information displayed should always be confirmed with the patient to
ensure it is accurate and updated as necessary. Duplicate or multiple
records result in inaccurate medication profiles.
The complete mailing address should be recorded in proper format, including the city,
province, postal code and country:
 Canada Post has a free postal code search tool: www.canadapost.ca
TIP: A patient’s driver’s license includes their address and postal code.
Out of Province Patients
When out-of-province patients or patients affiliated with Non-Insured Health Benefits for
First Nations and Inuit (NIHB), or other health benefits programs require the services of a
provincial pharmacy, ask whether they have ever:
 Lived in Newfoundland & Labrador?
 Received a MCP card?
 Previously received healthcare in the province?
 Presented to any NL hospital?
 Had a prescription filled in the province?
If the answer to any of the above questions is ‘yes’, the patient should have an existing
record within the Client Registry.
If a search of the Client Registry has not returned a record, a new patient record needs to be
added.



Do not record other numbers (i.e. hospital cards) in the MCP field of
your local pharmacy system.
Do not add pets or office supply locations to the Client Registry.
Contact the Centre’s Service Desk at 1-877-752-6006 if a duplicate or
incorrect record is suspected on a valid search.
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Synchronizing (Syncing) and the Client Registry
Syncing occurs when a local patient record is linked to its match in the electronic health
record. Pharmacy staff must sync existing patients to the Client Registry on a one-time, goforward basis. Do not sync a patient more than once. If you have a second local record for
the same patient, merge it with the other local record (vendors can provide training on this
process).


The Pharmacy Network will reject transactions submitted with a
pharmacy system local client identifier that has not been synced with
the Client Registry.
A prescription on the Pharmacy Network cannot be filled until the
sync has been performed.
Entering Patient Demographic Information
Adding the MCP number will typically return a direct match and reduce data entry time.
A minimum data set is required to successfully sync the patient record with the Client
Registry. A prescription cannot be filled if these mandatory fields are missing:
 First and last name;
 Date of birth;
 Gender;
 Complete Address: First line, city, province, country and postal code; and
 Phone number.
In order for the Pharmacy Network to perform as designed, it is important to send the
postal code as part of the complete patient address. Failure to enter all of the above
patient information can result in errors being received from the Pharmacy Network.
Updating the Client Registry
Pharmacy staff should verify demographic information (e.g. name, address, date of birth,
telephone number) with the patient to ensure the information is up to date while ensuring
the correct patient record is selected.
 Legal name, date of birth, gender and MCP number should match the information
on the MCP card; and
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
Pharmacy staff should validate and make corrections to the address and telephone
number at the patients’ request.
For corrections to legal name (e.g., recently married), date of birth, and/or gender error
direct the patient to call the MCP toll-free line:
Avalon Region: 1-866-449-4459
Outside Avalon: 1-800-563-1557
Data elements collected by a pharmacy and subsequently sent to the Client Registry may be
recorded only at the pharmacy and not exchanged within the Client Registry. E.g., MCP
number will align with MCP source only because MCP is the source of truth for this data
element. If a pharmacy records another identification key within the MCP field, it may be
retained within the local pharmacy record only and not returned on a subsequent search.
Processing an Adoption
When an adoption takes place through the Department of Child, Youth and Family Services,
PNP staff are notified if the client has a record in the Pharmacy Network. PNP staff will
contact connected community pharmacies where an adoptee had a prescription filled so
that local records can be acted upon appropriately. Communication will take place through
phone calls as well as a secure transmission process.
When contacted by PNP staff, pharmacies are expected to either:
 Inactivate the patient profile in the pharmacy’s local system and insert a local note
indicating “Inactivated upon request of the Newfoundland and Labrador Centre for
Health Information. Do not use this file as it may result in a patient confidentiality
breach”.
OR
 Place a note on the patient profile (if there are prescription refills) cautioning other
pharmacy staff that utilizing this record may contribute to a confidentiality breach.
Pharmacies are requested to:
 Create a new patient profile, ONLY if the patient presents to the pharmacy.
 Contact PNP staff if they suspect the pre-adoptive identity has replaced the postadoptive identity, or if there are any concerns regarding the adoptions record
management process.
PNP staff will include education and training related to adoptions record management in
Pharmacy Network deployments and pharmacy follow-up visits, to ensure pharmacy staff
are aware of the rationale and procedure. There may be situations where PNP staff work
with community pharmacy staff on a case by case basis; no link should be made between
the pre-adoptive and post-adoptive identities.
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Pharmacy Network Program staff will forward, through registered mail or via secure
managed file transfer (MFT), written documentation from the Centre stating the necessity
of the actions associated with the pre-adoptive records.
In the event that an adoption is disrupted, PNP staff will provide relevant demographic
details regarding the adoption disruption, enabling the pharmacy to return information
appropriately to the pre-adoptive identity. Phone calls will be utilized to follow up and
ensure proper management of the records is completed.
It is important to manage adoptions in a timely and specific manner; the above process will
contribute to adoption management and support the future health care of the child/youth.
The above process does not apply if an adoption takes place external to the Department of
Child, Youth and Family Services. In that case, PNP staff are not notified and these
adoptions are treated as an official name change only. Note: if PNP staff are notified, they
will work with community pharmacy staff on a case by case basis; no link should be made
between the pre-adoptive and post-adoptive identities.
Provider Registry
The Provider Registry is used by the Pharmacy Network to identify licensed health care
providers in Newfoundland and Labrador. Registry data sources include: the Newfoundland
and Labrador Pharmacy Board; the College of Physicians and Surgeons of Newfoundland
and Labrador; the Newfoundland and Labrador Dental Board; the Association of Registered
Nurses of Newfoundland and Labrador; and the Newfoundland and Labrador Optometric
Board.
The Provider Registry includes a unique ID (i.e., license number) for all authorized health
care providers, their associated locations of practice, as well as their licensing information.
The provider number is validated against the Provider Registry. If the prescriber license
number results in a local pharmacy system error, pharmacy staff should call the Centre
Service Desk to investigate. Vendors will demonstrate how to perform a search on the
Provider Registry to obtain the license number.
The provider license number is formatted differently when submitted for adjudication
versus the Pharmacy Network purposes. The examples below highlight these differences:
MEDICAL DOCTOR
Pharmacy Network
Adjudication
09876
P09876 (the letter P, F, R, L or M should already be populated by
the vendor. New licensees may have to be added by the
pharmacy staff)
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PHARMACIST
Pharmacy Network
Adjudication
NURSE PRACTITIONER
Pharmacy Network
Adjudication
DENTIST
Pharmacy Network
Adjudication
OPTOMETRIST
Pharmacy Network
Adjudication
67-142
67142 (remove the hyphen from DIS #)
14678
N94678 (remove first digit from DIS # and replace with N9)
018909XXX (there is no specific format for dentist license
numbers)
D88909 (remove first 2 DIS digits and add D8; then remove last 3
digits)
NNNN (each ‘N’ represents a number from 1-9, i.e. 0602)
TNNNNN (each ‘N’ represents a number from 1-9, i.e. T00602)
If home healthcare items are written by a physiotherapist (for example), enter the items as
“pharmacist prescribed” to place the item on the patient’s profile.
If you do not find the provider:
 Insert an asterisk (*) before and after a word that is within the provider’s name, (i.e.
*James*) to display any matches that contain the word ‘James’.
 Insert an asterisk (*) after the word, (i.e. Captain*) to display any location names
that contain the first word of ‘Captain’.
 If the provider search is still unsuccessful, contact your pharmacy vendor system
service desk for assistance.
Out of Province Providers
Out-of-province providers are recorded using 00000 for the Pharmacy Network.
Out-of-province providers are recorded using P00000 for adjudication.
P00000 is not a unique number. The use of this number is restricted to out of province
providers only. Inappropriate, excessive or unnecessary use of this number can lead to data
quality issues; therefore use of this value across the Pharmacy Network is monitored.
Location Registry
The Location Registry is used by the Pharmacy Network to locate an authorized health care
provider’s identification number (i.e. the provider’s license number) and identify care
delivery locations in NL (e.g. pharmacies and clinics).
If you do not find the identification number:
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


Insert an asterisk (*) before and after a word that is within the provider’s name, (i.e.
*James*) to display any matches that contain the word ‘James’.
Insert an asterisk (*) after the word, (i.e. Captain*) to display any names that contain
the first word of ‘Captain’.
If the search is still unsuccessful, contact your pharmacy vendor system service desk
for assistance.
The address information for providers may not be their location of practice. If you cannot
find a location within the Location Registry, call the Centre’s Service Desk at 1-877-7526006, requesting the addition of a specific location.
Drug Information System (DIS) Requirements
The Drug Information System functions as a data repository of person-specific prescribed
and dispensed medications and includes information required for the Pharmacy Network.
Each prescription should include:
 Drug name and dosage
 Prescriber
 Pharmacy (auto-populated)
 Pharmacist (auto-populated)
 Date dispensed
 Quantity dispensed
 Days' supply
 Instructions for use





Indication for use – if available
(optional field)
Status of prescription order (pickup) – Mandatory
Applicable clinical notes
Quantity remaining
Number of refills
“HOW TO” GUIDE FOR PHARMACY PRACTICES
Filling Prescriptions
Each patient profile should be viewed when a prescription is filled. A patient’s profile can
only be viewed for a clinical purpose.
Allergies, medical conditions, and other information can be added to and viewed on the
Pharmacy Network. All prescriptions, except those that are non-human (i.e., animals, office
supplies) must be recorded in the Pharmacy Network.

Vendors need to be consulted for their specific processes associated with filling
prescriptions.
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Pharmacies may at times process prescriptions when the patient is not present (e.g.,
prescription picked-up by a family member). When the patient file is created based on a
prescription only:
 Query the Client Registry and accept Client Registry information if available,
matching at minimum two of three key identifiers (i.e. MCP number, date of birth
and/or name).
Drug and Product Databases
The Drug Product Database administered by Health Canada is available on each local
pharmacy system. For a product or device that does not have a drug identification number
from Health Canada’s Drug Product Database, please refer to the following databases:
1. Natural Health Products Database contains information about natural health products
that have been issued a product license by Health Canada. Examples of products that
would have a Natural Health Product Number (NPN) are Glucosamine Chondroitin,
Ginkgo Biloba and Slow-K.
The Natural Health Products Database is available via: http://webprod.hcsc.gc.ca/lnhpd-bdpsnh/index-eng.jsp
2. OPINIONS is a web-based database that assigns Product Identification Numbers (PINs)
to products, which are usually devices that do not have DINs. Examples of products
found in OPINIONS include diabetic test strips and insulin pump supplies. When
recording these products pharmacy staff should identify the code as part of OPINIONS,
prior to submitting to the Pharmacy Network.
Products from the OPINIONS database can be used as ingredients in a compound. The
OPINIONS database is available via: http://opinions.atlanticpharmaceutical.ca.
The OPINIONS PINs are also listed in the Atlantic Pharmaceutical Services Inc. (APSI)
3. The Newfoundland and Labrador Pharmacy Network Product Identification Number
(NLPN-PIN) list identifies ingredients and/or medical products that do not have a DIN,
PIN or NPN. Examples of items contained in the NLPN PIN list are hydrocortisone
powder, Tear Gel and wrist splints.
A listing of NLPN PINs is available at http://www.nlchi.nl.ca/pinlist/.
If the prescribed component is not identified on this list call the Centre’s Service Desk at
1-877-752-6006. Please note:
 Proper spelling of the component, the brand name, the label name and the drug
form; and
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
Items added to the NLPN PIN list during this call to the Centre’s Service Desk will
not be subject to DUR checks.
Compound Prescriptions
When pharmacy staff enters compound medications into the Pharmacy Network, at least
one ingredient of the compound is required to have a drug Identification Number,
OPINIONS Product Identification Number, Natural Health Product number or Newfoundland
and Labrador Pharmacy Network Product Identification Number.
Adding Non-Prescription Drugs to Patient Profiles
If a patient asks to have a non-prescription medication recorded, the product is added to
the patient’s Pharmacy Network profile based on the vendor’s process. The Pharmacy
Network can accommodate the addition of non-prescription medications to the patient’s
profile as an Other Medication (e.g. over-the-counter and natural health products).
Examples of over-the-counter (OTC) items include diabetic and pump supplies, ostomy
supplies, iron, vitamin C, Tylenol.
Dispensing Over-the-Counter Codeine Preparations
As per NLPB Standards of Practice, acetaminophen with codeine is recorded on the patient
profile as a prescription with the pharmacist indicated as the prescriber.
There are a small number of products containing narcotics that are sold over the counter
such as Atasol 8 or cough syrup with codeine. When purchased, the pharmacist is required
to record the item on the patient profile.
Prescriptions for Third Party Billing Purposes
If an item is being processed as a prescription only for third party adjudication purposes,
the pharmacist should be recorded as the ‘prescriber’. For example, the pharmacist is
identified as the prescriber when an occupational therapist provides the client with a toilet
seat referral.
Non Human (Veterinarian) Prescriptions
The EHR should not include non human prescriptions (e.g., animals, office supplies).
Veterinary prescriptions should never be sent to the Pharmacy Network. Ask your vendor
for training on how to enter required information for a non- human specimen.
No person should ever be intentionally flagged as an animal in order to exclude the
and data quality issue.
Pharmacy
Network
Guide
record from
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DIS;
thisv2.1
practice would be a patient safety
18
Office-use Medications
Office supplies (e.g., ward stock or medical bag supplies) are medications issued to a facility
versus a specific patient.
While the actual work flow for recording office supplies is vendor specific, here are some
general steps:
 Select office supply, for the prescription;
 Choose the location to which the medications are being dispensed. If not found:
o Insert an asterisk (*) before and after a word that is within the location’s
name, (i.e. *Memorial*) to display any matches that contain the word
‘Memorial’.
o Insert an asterisk (*) after the word, (i.e. Captain*) to display any location
names that contain the first word of ‘Captain’.
o If the location search is still unsuccessful, contact your pharmacy vendor
system service desk for assistance.
 Enter all other applicable details; and
 Send the ‘office supply’ to the DIS.
Non-human items (i.e. office supplies) should not be synchronized with the EHR (Client
Registry).
Erroneous Addition of Non-Human Records
If non-human records are added in error, pharmacies may be contacted by PNP staff.
When these types of clinical transactions are found and can be retracted, PNP staff will:
 Contact the pharmacy involved in a timely manner requesting they retract the
prescribe and or dispense action;
 Request pharmacy staff mark the animal’s file as an ‘animal’ or set up a provider file
for the ‘office supply location’ (not a patient file); and
 Educate the pharmacy staff involved on workflow processes associated with animals
and/or office supply locations.
When clinical transactions are found but cannot be retracted, they will remain on the
Pharmacy Network but the animal and or office supply location can be deleted by PNP staff
from the Client Registry.
When no clinical transactions are found, PNP staff will:
 Contact the pharmacy, requesting the animal’s file be marked as an ‘animal’ or a
provider file created for the ‘office supply location’ (not a patient file); and
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
Educate the pharmacy staff involved on workflow processes associated with animals
and/or office supply locations.
An animal or office supply location deleted from the CR cannot have further prescriptions
sent to the Pharmacy Network by the original local pharmacy vendor system. A validation
error will cause a hard stop ‘Retrieval of requested record failed: Error code: ‘EPERM.’
e-Therapeutics
e-Therapeutics enables pharmacists and other practitioners to review various drugs, obtain
warnings about possible interactions with other medications and herbal remedies, as well
as view best treatment options for a wide variety of medical conditions. This includes
Canadian drug names, advisories and alerts from Health Canada. Connected pharmacies
have complimentary access to e-Therapeutics via:
https://www.e-therapeutics.ca/
Note: the username and password are provided to pharmacies when they connect to the
Pharmacy Network.
Disclaimer: e-Therapeutics is managed and maintained by the Canadian Pharmacists
Association (CPhA), not the Centre’s Service Desk. Any difficulty experienced when
accessing the e-Therapeutics system, or searching for information can be directed to the
Canadian Pharmacists Association at:
 CPhA Customer Service, available Monday to Friday from 8:30 a.m. to 4:30 p.m. EST
at 1-800-917-9489
 CPhA online Feedback form (accessible through their website)
 Email support@pharmacists.ca
 Fax questions to 1-800-601-1904
 Mail correspondence to:
Canadian Pharmacists Association
 Attn: Product Management
 1785 Alta Vista Drive
 Ottawa, ON K1G 3Y6
Prescription Status
A prescription’s final status is “aborted” on the Pharmacy Network, with the following
status changes being accepted:
 From “complete” to “aborted”;
 From “complete” to “suspended”; and
 From “suspended” back to “complete”.
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For example, when an end user copies a prescription to create a new one, the old
prescription is aborted on the Pharmacy Network.
Dispenses are validated on the total quantity prescribed, versus validation on the number of
refills. A prescription status will change to “complete” when the total quantity has been
dispensed and picked up. “Copying new” to dispense a prescription with a remaining
quantity is not required. If the total quantity prescribed is not sent when the original
prescription is added to the Pharmacy Network, the validation will occur on the total day’s
supply. During the dispense process, there is validation against the original prescription on
the days’ supply only when the total quantity is not provided.
Retract
There are limitations associated with retracting prescriptions. Changes (or removals)
required to a prescription or dispense that has been sent to the Pharmacy Network can be
made (retracted) provided the record has not been viewed by an end-user at another
location. Only the last event can be retracted (by authorized staff at that location), which
means that if a prescription has been dispensed and picked up, only the pickup can be
retracted. The “retract” functionality (removing a record such as a prescription or allergy
from a patient’s Pharmacy Network profile) is not linked to a specific user within the same
location.
If a record cannot be removed from the Pharmacy Network (because it is not retractable):
 Put a note on the record for others users to see; and
 Abort the record.
Note: When prescriptions are “logged” on file, and not dispensed, the user who “logged”
the prescription will be required to “retract” the prescription.
Drug Utilization Review
Pharmacy Network DURs are activated at the time of dispense, checking against other
current medications on the patient’s medication profile. DURs can be reviewed at anytime
by a pharmacist, and other clinicians can view how a particular DUR was managed.
Medications are not included in future DURs when:
 The days’ supply of a specific medication is complete, based on the actual date of
pick up; and
 A medication is deactivated.
Information on managing DURs can be recorded when the DURs are displayed to the user;
the Pharmacy Network also allows recording information on DUR management at a later
time. Check with your vendor as to what is allowed on the local pharmacy system for DUR
management.
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The Pharmacy Network DUR checks include:
Controlled Substance
Drug to Drug
Drug to Gender
Drug to Known Disease
Drug to Lactation
Drug to Pregnancy
Duplicate Ingredient
Duplicate Therapy/Switchback
Min/Max
Too Late
Too Soon
Drug to Allergy
Note: Pharmacy technicians should always notify the pharmacist when a DUR notification is
received from the Pharmacy Network.
Drug Utilization Review on Masked Records
The Pharmacy Network DUR includes information which has been masked. However,
complete profiles are not made available unless the patient profile is unlocked using the
patient password or in an emergency, i.e. ‘breaking the glass’.
Pick-up Message
The pick-up message is designed to identify when a patient pays for the prescribed
medication; the pick-up message is what distinguishes patients that should be excluded
from a DUR because they have finished a medication. Prescriptions are included in DURs for
one year from the original prescribed date if a pick-up is not recorded.
When the pick-up message is recorded, the Pharmacy Network will utilize the pick-up date
and extend the duration of the DUR if the pick-up date is different than the dispense date.
Recording the pick-up will aid in keeping DUR messages to a minimum. Not recording the
pick-up means that the Pharmacy Network has not received updates associated with
recorded prescriptions. Consequently, if a patient should come back for a refill, an alert DUR
will display, reflecting that the previous prescription is waiting to be picked up.
Reversals
Pharmacy Network users should continue to perform reversals as per current pharmacy
practice.
Discontinuations
To ensure completeness of the patient’s Pharmacy Network profile, prescriptions should be
discontinued if a patient has stopped using the medication. Discontinued medications will
not be included in the DUR.
Queuing
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If the Pharmacy Network is not available due to scheduled maintenance or unforeseen
downtime, users will be notified via fax and/or email. Pharmacy Network users should
continue to work off-line, entering prescriptions into the local pharmacy system until the
issue is resolved and connectivity has been re-established. At that time, the local pharmacy
system will submit accumulated data from the queue (the process is vendor specific).
Note: Normal operations can continue with the exception of DUR checks from the
Pharmacy Network.
When the connection is re-established, Pharmacy Network users may need to check the
local system queue and manage pending Pharmacy Network transactions (Client Registry
duplicates, invalid providers, DURs to be managed against the entire patient profile, etc.).
The notification of issues and the resolution will vary based on the workflow and pharmacy
vendor system used. Ask your vendor for instructions on how to continue working when
the Pharmacy Network is unavailable as well as how to reconnect and submit queued
transactions when the Pharmacy Network has re-established connection.
Transfers
When performing a prescription transfer, Pharmacy Network users should adhere to the
process outlined by the NLPB. When transferring a prescription out of your pharmacy, a
transfer message is sent to the Pharmacy Network requiring the local pharmacy vendor
system to specify the transfer location:
http://www.nlchi.nl.ca/images/ELID_Listing_15.11.13.pdf
This message will reassign ownership of the prescription and will allow the pharmacist at
the receiving pharmacy to “download” the prescription to their local application and create
a dispense against it. The prescription will stay active on the Pharmacy Network profile but
will be deactivated on the sending pharmacy local patient profile. If you are transferring a
prescription to another province, the “Out of Province” location should be selected.
Adding Clinical Notes to the Pharmacy Network
There is a difference between adding notes to a local pharmacy system (e.g. patient prefers
snap cap vials) versus notes documented and shared via the Pharmacy Network. Ask your
vendor for a demonstration; it is important to differentiate between local notes and notes
that may be shared across a patient‘s electronic health record.
Adding Patient Allergies to the Pharmacy Network
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Patient allergies can be added to the Pharmacy Network by licensed providers and
pharmacy technicians. Allergies may be transferred ‘to’ or ‘from’ the Pharmacy Network.
Ask your vendor for a demonstration of this process.
VENDOR SUPPORT
Vendors make modifications as appropriate to communicate with the Pharmacy Network,
and the Centre provides support to vendors to ensure that the vendor solution conforms to
Pharmacy Network requirements. An up-to-date list of conformed pharmacy system
vendors is available at: http://www.nlchi.nl.ca/images/PDFs/ConformanceStatus.pdf
The Centre does not have the authority to mandate pharmacy vendor system design;
therefore issues relating to vendor system design or workflow should be addressed with
the vendor, not the Centre.
GENERAL RESPONSIBILITIES
Appropriate use of medication profile information and any other personal health
information is governed by the Personal Health Information Act and the NLPB Pharmacy
Standards of Practice, Policies and Guidelines. Proper use of the Pharmacy Network is also
outlined on the Password Agreement signed by all Pharmacy Network users.
Patient’s have the right to request a transcript of who accessed their medication profile. A
patient's personal health information includes any personally identifiable health
information such as medical service history, results of tests as well as indication of any
medical conditions.
RESPONSIBILITIES OF THE NL CENTRE FOR HEALTH INFORMATION
The Newfoundland and Labrador Centre for Health Information is responsible for
maintaining and supporting the following services of the Pharmacy Network:
 Health Information Network (HIN) (private network access directly from the local
pharmacy vendor system to the Pharmacy Network);
 Drug Information System;
 Client Registry;
 Provider Registry; and
 Location Registry.
The following services are not the responsibility of, nor supported by, the Centre:
 Adjudication systems;
 Pharmacy local vendor system (Point of Service System));
 Internet access (other than Pharmacy Network connectivity);
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

Local personal computer issues; and
Local printing/printer issues.
RESPONSIBILITIES OF THE REGISTERED PHARMACIST IN CHARGE
Relocation and Renovations
While adhering to NL Pharmacy Board requirements for a change of location the registered
pharmacist-in-charge should contact the Centre’s Service Desk at 1-877-752-6006 and:
 Provide notification of the change in location; and
 Identify pharmacists, pharmacy assistants, technicians and students associated with
the new location.
To ensure a seamless transition for pharmacy staff, it is important to contact the Centre
Service Desk (1-877-752-6006) at least eight weeks prior to the move to ensure reconnection to the Pharmacy Network.
New Pharmacies
When a new pharmacy is connecting, the pharmacist-in-charge and/or business owner of
the pharmacy should contact the Centre’s Service Desk at 1-877-752-6006:
 Eight weeks in advance, to obtain a connection to the Health Information Network;
and
 Identify the pharmacists, pharmacy assistants, technicians and pharmacy students
working within the pharmacy.
The pharmacist-in-charge and/or business owner must ensure all pharmacy staff at the new
location has:
 Completed the Pharmacy Network Education program (including the testing
component);
 Printed and signed the Certificate of Completion;
 Completed, printed and signed the Password Agreement; and
 Faxed required information to the Centre at 1-877-272-6029
o The Centre will provide user access to the Pharmacy Network
Pharmacy Closures
While adhering to NLPB requirements for terminating pharmacy operations, the registered
pharmacist-in-charge must contact the Centre’s Service Desk at 1-877-752-6006 and:
 Identify the pharmacists, pharmacy assistants, technicians and students that will no
longer be associated with that pharmacy location; and
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
Request direction regarding any equipment on-site that is associated with the
Pharmacy Network.
Staff Turnover
When pharmacy assistants, technicians and/or students are leaving or joining a pharmacy it
is the responsibility of the pharmacist-in-charge to notify the Centre’s Service Desk at 1-877752-6006.
DATA QUALITY
The primary purpose of the Pharmacy Network is to improve patient safety by providing
clinical information important for the delivery of enhanced care for patients. Data quality is
essential to providing quality information; therefore data quality issues are proactively
addressed and monitored on an ongoing basis. PNP staff provide support that includes:
 Site visits to new pharmacies connecting to the Pharmacy Network;
 Scheduled follow up visits at one, three, six, and twelve months post deployment
then as needed and annual touch points;
 A deployment checklist to support connectivity and work flow processes; and
 An evaluation form to assess the Pharmacy Network connectivity experience.
Pharmacy Network Reports
PNP staff generate and process Pharmacy Network data quality and performance reports on
a regularly scheduled basis. PNP staff liaise with key contacts at the connected pharmacies
to provide a duplicate report for review, feedback and resolution.
TROUBLESHOOTING
Pharmacy Network users can check the status of the Pharmacy Network through the - EHR
Service Desk - Newfoundland and Labrador Centre for Health Information
(http://www.nlchi.nl.ca/index.php/ehr-service-desk) link or by calling 1-877-752-6006.
While all efforts are made to ensure smooth operation of the NL EHR, technical problems
may arise. If you encounter problems please contact either the Centre Service Desk (SD) or
the pharmacy local vendor service desk. Please review below (Tier 1 vs. 2) and place the call
appropriately for faster service.
Vendor Technical Support (Tier 1):
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When technical issues occur, a pharmacy must first contact the pharmacy’s local vendor
service desk. Vendor service desk staff will initiate troubleshooting to determine if the
issue stems with the local pharmacy system.
If the local pharmacy system is ruled out as the cause, the vendor service desk will initiate
contact with the Centre’s Service Desk. The Centre’s Service Desk is comprised of the
appropriate IT staff and the Pharmacy Network support team, as well as third-party vendor
support. The Centre’s Service Desk may be reached by phone at 1-709-752-6006 or 1-877752-6006 or via email at service@nlchi.nl.ca.
Centre’s Service Desk Support (Tier 2):
The Centre’s Service Desk is available at 1-877-752-6006 at service@nlchi.nl.ca and meets
pharmacy needs year-round, 24 hours a day, for:
 Pharmacy Network username and passwords;
 Pharmacy Network connections (HIN);
 NLPN PINs;
 Patient password requests; and
 Patient report requests.
All other inquiries and/or issues should first be directed to the local pharmacy vendor.
System Maintenance
Regularly scheduled maintenance or upgrades are routinely performed on the Pharmacy
Network application/service. The Centre reserves Sundays between 2:30 -7:30 PM for
scheduled maintenance as needed on the Drug Information System, Health Information
Network and the Client and Provider Registries.
Unscheduled System Issues
Unplanned outages occur when technical interruptions (e.g., power outages,
hardware/software failures) happen outside scheduled and approved maintenance times.
During an unplanned outage, the Centre communicates and works directly with pharmacy
system vendors to coordinate problem solving efforts. Local pharmacy systems are designed
to allow Pharmacy Network users to continue to operate during an outage and receive
information updates via email.
In the event of an unplanned outage Pharmacy Network users should consult with:
 Their pharmacy system vendor to diagnose (and potentially resolve) the problem;
and
 The Centre Service Desk after consulting with their vendor
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During any Pharmacy Network outage:
 DURs are unavailable; the patient’s profile on the Pharmacy Network cannot be
accessed; and
 All pharmacy transactions are queued until the Pharmacy Network is online.
Username or Password Issues
If a username or password is forgotten and a reset is required:
 Contact the Centre’s Service Desk at 1-877-752-6006 or service@nlchi.nl.ca;
 Callers must verify their identity by responding correctly to two of three security
questions that were answered during the registration process. When successful, the
Centre Service Desk will provide the caller with a temporary password; and
 The system will then prompt the user to create a new, self-chosen password.
If the caller cannot answer two of the three questions, he/she will be prompted to reregister.
A locked password occurs after five unsuccessful attempts have been made to log in. Users
must contact the Centre’s Service Desk (steps above) to obtain a new password.
Passwords expire after 180 days. After 180 days, users of the Pharmacy Network are
prompted to change their password. Users must contact the Centre’s Service Desk (steps
above) to obtain a new password.
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APPENDIX A – ‘ASK YOUR VENDOR’
Ask Your Vendor Checklist
Connection Questions:
Is there a vendor user manual for the local pharmacy system?
E.g., Direction for pharmacy staff to sort the medication summary
by date and/or make other changes to the local pharmacy default
settings.
How will pharmacy staff know they are connected to and
exchanging information with the Pharmacy Network?
Is there a difference in Pharmacy Network transactions when
logging in as a pharmacist, a pharmacy assistant or a pharmacy
technician?
Can pharmacy staff record the reason they are accessing/requesting
information from the Pharmacy Network?
How does pharmacy staff manage multiple sessions (e.g., switch
screens)?
Security, Passwords and Patient Masking Questions:
What is included in the local pharmacy vendor Help Desk support
agreement?
E.g., contact information, hours of service, and are there additional
fees associated with ‘after hours’ service calls?
How does a new pharmacy staff person obtain a Pharmacy Network
password?
How does pharmacy staff change their temporary password for
accessing the Pharmacy Network?
How does pharmacy staff change their Pharmacy Network
password?
How does pharmacy staff change their vendor system password?
What is the process for masking a patient?
How will pharmacy staff know (e.g., visual cue) that a record is
masked in their vendor system?
What is the process to ‘break the glass’?
Patient information / Client Registry General Questions:
What are the changes to existing pharmacy vendor system
Pharmacy Network User Guide v2.1
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workflows, with the addition of the Client Registry? E.g., Are there
best practices, new screens and fields that should be applied while
processing a prescription?
How is the Client Registry searched and how is the correct patient
selected?
How is a patient added to the Client Registry?
How is an out of province patient added (e.g., s/he does not have an
MCP number)?
How and what local pharmacy system patient information are
updated by the Client Registry?
What is the process to upload information from the local pharmacy
system (e.g., change of mailing address) to the Pharmacy Network?
When a patient does not exist in the local pharmacy system but
does exist in the Client Registry, how does pharmacy staff copy
Client Registry data to the local pharmacy system rather than having
to re-type all of the patient data?
If two different patient records are identified as belonging to the
same patient, what is the process to ‘merge’ (i.e. combine) those
patient records?
If it is apparent that two merged patient records have been
combined in error; what is the process to ‘unmerge’ those patient
records?
Provider Questions:
How is a search performed on the Provider Registry to obtain a
provider license number?
How many provider license number fields have to be populated for
adjudication and the DIS?
Does the provider information vary if multiple provider license
number fields have to be populated?
How is an out-of-province provider added?
Prescriptions and DIS Questions:
What information is required on a new patient ‘add’?
What is the process for filling a prescription?
How is a new prescription copied from an old prescription when the
old prescription is dated prior to the date of connection to the
Pharmacy Network and, therefore, not on the DIS?
What is the process to retract a prescription/dispense?
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How are transfers of prescriptions completed?
What is the ‘pick up’ process?
How is a ‘pick up’ reversed?
Are there any vendor specific processes associated with filling
prescriptions?
How is a non-prescription medication recorded in the local
pharmacy system?
How are prescriptions for a doctor’s bag/clinic recorded?
How is an observation added? How is an observation viewed on the
Pharmacy Network?
How is an allergy added?
How is an allergy viewed on the Pharmacy Network?
How is an allergy transferred to and/or from the Pharmacy
Network?
What are the new screens and fields to be populated, and what are
the changes to existing workflows when filling prescriptions, with
the addition of the Pharmacy Network?
Queuing Questions:
How does pharmacy staff continue working in the local pharmacy
system when the DIS is unavailable?
How does pharmacy staff send a transaction that was refused by
the DIS without reversing third party adjudication?
What is queuing?
What is the role of pharmacy staff when managing queued
transactions?
How does pharmacy staff submit queued transactions when the DIS
has re-established connection?
How does queuing work if there is a failed transaction in the
Pharmacy Network?
How will the local pharmacy system upload transactions to the
Pharmacy Network after planned or unplanned downtime?
How is a batch transaction performed?
Drug Product Database Questions:
What is the difference between a device PIN (OPINIONS), a NLPN
PIN, and a Pseudo DIN?
How are items entered in the Pharmacy Network that may require
the use of different codes versus third party adjudication?
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Are the OPINIONS Database numbers (i.e. PIN numbers) preloaded?
How is a drug utilization review (DUR) managed?
E.g., Can a local pharmacy system manage a DUR after the
associated dispense has been completed?
Non human prescriptions
What information and workflow is required to record veterinary
prescriptions?
What information and workflow is required to record office
supplies?
Communication Questions:
How are broadcast messages viewed?
How are broadcast messages saved and/or deleted?
How does pharmacy staff record and differentiate between local
notes and Pharmacy Network notes that may be made available to
the patient upon request to the Centre.
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APPENDIX B - EASY ACCESS CONTACTS
e-Therapeutics
https://www.e-therapeutics.ca/
As a benefit of connecting to the Pharmacy Network, end-users can avail of free access to eTherapeutics. The username is NLCHI and the password is 0114922.
Canadian Pharmacist’s Association
If you experience any difficulties with accessing e-Therapeutics:
 Call CPhA Customer Service, which is available Monday to Friday from 8:30AM4:30PM EST (10AM-6PM NL) at 1-800-917-9489
 Provide comments using the CPhA online Feedback form on their website
 Emailing support@pharmacists.ca
 Outside of Ottawa, you can fax 1-800-601-1904 with your questions
 Or you can send mail to:
Canadian Pharmacists Association
Attn: Product Management
1785 Alta Vista Drive
Ottawa, ON K1G 3Y6
HEALTHe NL
http://nlchi.nl.ca/index.php/healthe-nl-viewer
NL Centre for Health Information Service Desk
service@nlchi.nl.ca
1-877-752-6006
NL Pharmacy Board
http://www.nlpb.ca/
Natural Health Products Database
http://webprod.hc-sc.gc.ca/lnhpd-bdpsnh/index-eng.jsp
Newfoundland & Labrador Pharmacy Network Password Agreements
http://www.nlchi.nl.ca/pharmacy/reg_forms.php
OPINIONS
http://opinions.atlanticpharmaceutical.ca/
Personal Health Information Act, (PHIA) SNL 2008, C. P-7.01 and regulations
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http://assembly.nl.ca/Legislation/sr/statutes/p07-01.htm
Personal Information and Protection of Electronic Documents Act (PIPEDA) 2000, C. 5, P8.6, and regulations
http://laws-lois.justice.gc.ca/eng/acts/P-8.6/index.html
Pharmacy Network Downloads
http://www.nlchi.nl.ca/pharmacynetwork/downloads.php
Pharmacy Network Education and Training Materials
http://www.nlchi.nl.ca/pharmacy/
http://nlchi.nl.ca/index.php/pharmacy-network-resources-for-pharmacists-a-their-staff
http://nlchi.nl.ca/index.php/education-and-training-materials
Pharmacy Network General Information
http://www.nlchi.nl.ca/pharmacynetwork/
Pharmacy Network PIN List
NL Pharmacy Network Product Identification Number (PIN) Search
Pharmacy Act, SNL2012, P-12.2 and regulations;
http://assembly.nl.ca/Legislation/sr/statutes/p12-2.htm
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Newfoundland and Labrador Centre for Health Information
www.nlchi.nl.ca
70 O’Leary Avenue, St. John’s, NL A1B 2C7
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