Codifier of Medicinal Products and Medical Devices for info

Codifier of Medicinal Products and Medical Devices for information systems in the Kyrgyz Republci

Jankorozova M.K.Head of MeTA Secretariat 4th Forum of MeTA KyrgyzstanBishkek, 8 December, 2015

Introduction of 1C Accounting System in healthcare facilities for 2006-2007

During the 1C introduction, the team faced the lack of unified reference on medicinal products that is based on State Register

Decision was to

:

Leave a line for classifier of medicines for subsequent introduction

Den

Sooluk

to include the task of developing the Codifier of Medicines, with Government office involvement

Plan of actions in Den Sooluk

4.4.

Resource mobilization

Department of Pharmaceuticals

D.

Development

of instruments to computerize the management and monitoring of medicines at national level and in healthcare organizations

D.1.

Development of codifier of medicines for

the information system

D.2.

Clearing issues around

integration of the Codifier of medicines into 1C program in healthcare organizations

E.

Ensure rational

management of medicines (selection, procurement, storage, distribution, use,

analysises

)

Unification of data is a pre-condition for introducing the computerized information systems

The unification of parameters of medicines would enable computerization in the pharmaceutical sector (market) and creating the single information space for successful functioning

:

Automated financial accounting in healthcare organizations

;

E-procurements

;

Monitoring of public procurements

E-prescriptions

Price monitoring of medicines

Purpose and objectives of the Codifier

Purpose

:

computerized data entry on medicines and operating through unique code

Objectives: improved effectiveness of information processes

,

in particular

:

Ensured effectiveness and transparency of public procurements of medicines

;

Better coordination of involved public agencies

;

Creation of accessible electronic resources to improve access of general public to information on medicines

Code assigning

Parameters outlining the medicines shall be unified into the reference identifiers

:

Reference of

АТ

C

codes

Reference of formulations

Reference of

dosing

Reference of

packing

Reference of

manufacturers – origin countries

Main parameters of Codes

Name

AT

C

код

Formulation code

Dosing code

Packing code

Enalapril

10

mg

№

20,

tablets

INN

Enalapril

C09AA02

C09AA02-

ААА-11112

Formulation

tablets

AA

А

Dosing

10

mg

11112

Packing

№20

118

118

Manufacturer

Gedeon

Richter

3480002

Country of origin

Hungary

Full code

C09AA02-

ААА-11112-

118-3480002

Trade name

Ednit

®

10

mg

№20,

tablets,

таблетки

,

Gedeon

Richter

,

Hungary

ATC classification (Anatomical Therapeutic Chemical classification system)

Adopted by WHO as an international standard methodology for conduct of statistical studies on medicines consumption

Medicines are classified following their medical use

(

i.e. guided by main active ingredient)

The ATC coordinating body is

–

WHO Centre for collaboration on methodology of statistical studies

ATC codes reference

Anatomical group

Therapeutical

group

Pharmacological group

Chemical

group

Chemical substance

Names of groups

List of essential groups

Included in lists of

State Service for Narcotic Control

DDD

Measuring unit

DDD

A

Gastrointestinal tract and

methabolism

A

A02

Preparations

used in conditions associated to acidity disorders

A

A02

A02B

Preparations used in ulcer and

gastroesophageal

reflux

A

A02

A02B

A02BA

Histamine

H2 receptor blockers

A

A02

A02B

A02BA

A02BA03

Famotidine

ДА

40

мг

A

A02

A02B

A02BB

Prostaglandins

A

A02

A02B

A02BB

A02BB01

Mizoprostol

ДА

800

мг

A

A02

A02B

A02BC

Proton pump inhibitors

A

A02

A02B

A02BC

A02BC01

Omeprazole

ДА

20

мг

Reference list of drug forms

Enables systematizing the forms with account for administration routes and drug formulations

EphMRA

Guidelines

‘

New

Form Classification

Guidelines

’

(2015

)

‘Nomenclature of drug forms in

Euroasian

Economic Union’

Reference list of drug forms

Route of administration

(

1

letter

)

code

name

A

Oral solid regular

B

Oral solid

with

prolonged effect

D

Oral liquid

regular

E

Oral liquid

with

prolonged effect

F

Parenteral regular

G

Parenteral

with

prolonged effect

H

Rectal

with systemic effect

I

Nasal

with systemic effect

J

Other

with systemic effect

K

Oral with local effect

M

Local

,

dermatological, anti-haemorrhoidal, external

N

Ophthalmologic

P

Ear

Q

Nasal local

Reference list of drug forms

Outline of drug form

(2-3

letters

)

Drug form

(

all

3

letters

)

Code

Name

Code

Full name

AA

Tablets

A

AA

Tablets

AB

Tablets soluble

A

AB

Tablets

orodispersible

BA

Tablets coated

A

BA

Tablets

coated

BC

Tablets film-coated

A

BC

Tablets film-coated

BD

Tablets

enteric coated

A

BD

Tablets

enteric coated

CA

Capsules

A

CA

Capsules

CD

Capsules enteric

coated

A

CD

Capsules enteric

coated

AH

Tablets effervescent

A

AH

Tablets effervescent

Reference list of drug forms

Route of administration

(1 буква)

Outline of drug formulation

(2-3

letters

)

Drug formulation

(

все 3

letters

)

Code

Name

Code

Name

Code

Full name

D

Oral

liquid

GB

Drops

DGB

Drops for oral intake

I

Nasal with systemic effect

GB

Drops

IGB

Nasal drops

with systemic effect

N

Ophthalmologic

GB

Drops

NGB

Eye

drops

P

Ear

GB

Drops

PGB

Ear drops

Reference list of dosing

In accordance to interstate standard GOST

8.417-2002

‘State system of ensuring unified measuring units’

and

Requirements to labelling following the ‘

Technical Regulations on Safety of Medicines for Medical use’

Reference list of dosing

Unit of measuring

parent

dosing

(

full

name)

Unit of dosage

(

abbreviation

)

Code of

parent

dosing

Dosage

Code of dosage

microgramm

mcg

01

18

mcg

01100

microgramm

mcg

01

50

mcg

01101

microgramm

mcg

01

100

mcg

01102

Microgramm

(

multicomponent

)

mcg+mcg

02

30

mcg

+150

mcg

02100

Microgramm

per

milliliter

mcg

/

ml

03

50

mcg

/0,3

ml

03100

Microgramm

per

milliliter

mcg

/

ml

03

10

mcg

/0,5

ml

03101

Milligram

mg

11

1

mg

11100

Milligram

mg

11

1,25

mg

11101

Milligram

mg

11

1,5

mg

11102

Reference list of packing

Packing Code of packing №1 101№2102№3103№4104№5105№6106№7107№8108№9109

Reference lists of dosing and packing

enable systematizing all dosing and packing of medicines

registered

in Kyrgyzstan to assign coding

Reference list of manufacturers

Reference list of countries follows the standard

ISO

3166

Manufacturer code along with country of origin identifies the specific manufacturer or registration certificate holder

Reference list of manufacturers

Digital code of country

COUNTRY_OF_ORIGIN

Code of manufacturer

Manufacturer/registration certificate

holder

Code of manufacturer

/

registration certificate holder/ country

040

Austria

0001

Gerot

Pharmazeutika

GmbH

040

0001

040

Austria

0002

GL Pharma GmbH

040

0002

051

Armenia

0001

Arpimed

Ltd

051

0001

051

Armenia

0002

Liquor

,

JS

051

0002

051

Armenia

0003

Pharmatec

,

JC

051

0003

417

Kyrgyz Republic

0001

Asian Medicals,

Ltd

417

0001

417

Kyrgyz Republic

0002

Glenmery

Biotechnologies FEZ-Bishkek,

Ltd

417

0002

417

Kyrgyz Republic

0003

IMEX

417

0003

203

Chechish

Republic

0002

Zentiva

k.s

.

203

0002

Current state of activities around the Codifier (1)

Parameters essential for forming the Codes of Medicines have been unified in the Reference Lists

App.

6,5

00 items of medicinal products in the Database have been subdivided into three parts

:

Essential medicines

+

Additional lists of pilot healthcare organizations

(2

,

848

itmes

)

Others with active registration status

Medicines with registration expired

(2008-2009)

Current state of activities around the Codifier (2)

Elaborated and standardized the reference lists

ATC codes, drug forms, packing, dosing, manufacturers, and other support references

!

Solving the issue of standardization of data to formulate the reference lists have held the bulk of time during the development works

The software of the Codifier has been developed for computerized code assigning

Current state of activities around the Codifier (3)

Discussions have been held with healthcare organizations to identify technical requirements for application of the medicines codifier in 1C Accounting and e-procurement system

The Integrating Module for 1 C Accounting in healthcare organizations has been developed and tested in several organizations

(

Bishkek Municipal Hospital

№1

,

Tokmok

Municipal hospital, Osh Municipal Hospital)

–

the piloting results have been used to explore notes and proposals of the hospital managers for the second version of the Integrator

During the piloting, the algorithm of data entry into 1C was used, so that introduction of the Codifier did not require additional efforts/complexities for financial accountants

Results of the Codifier piloting

Nomenclature from the Codifier is successfully loaded into 1C Accounting and enables its application for financial accounting purposes

.

Hospitals noted the need to use the Codifier for

:

Computerization of reports on medicines in

MoH

, MHIF,

DPhMD

System of e-public procurements

,

as the existing

e-public procurements

classificator

is difficult to use as many medicinal products cannot be classified to codes employed there

The software configuration enables the computerization of reports of medicines at healthcare organization level

:

Additionally, the module of computerized reports is under elaboration

Computerization of financial accounting in healthcare organizations

At the moment, the healthcare organizations have accumulated in 1C huge data on procured and used medicinal products

No possibility to analyse them and use for informed decision making on pharmaceutical policies

,

rational use of medicines

,

price monitoring etc.

At the moment, the data collection

in healthcare organizations

is manual

What is the key barrier for computerization of this process?

During the introduction of 1C Accounting, the 1C team was not given the unified data on medicinal products for use as a standard nomenclature

of

medicinal

products

National e-procurements of medicinal products

Experience of e-procurements of medicinal products demonstrated that failure to unify all parameters of medicinal products results in failure of e-biddings

The

Minfin

called to

MoH

for the reference lists in 2912, but the data presented were not usable without unification of all parameters of medicinal products

As a result, the

Minfin

cannot use them for e-procurements, and the Portal of e-public procurements has used the INNs

General Classifier of Public Procurements (GCPP)

33200000-7

INN in the Kyrgyz Republic

(

international non-proprietary

names)

33200763-4

Enalapril

33200010-2

Azithromycin

33200036-4

Amoxicillin

33200070-2

Benzylpenicillin

33200187-2

Diclofenac

Current status of works on Codifier of medicines in the electronic public procurements (e-PP)

A number of discussions with the ADB project on introduction of e-procurements in

Minfin

regarding the use of Codifier of Medicines as a technical instrument in the system of e-PP

,

in particular

:

Implementation of functionalities to prepare the technical specifications for medicinal products for procurements at government’s portal of

ePP

based on standardized parameters of medicinal products as specified in the Codifier of Medicines

;

Development of the computerized monitoring of procurements and development of other statistics around medicinal products

Configuration of

softwares

has been elaborated, with account for the need to prepare the technical specifications of medicinal products and possibility to computerized monitoring of prices at the

ePP

portal

Interaction of databases:

ePP

– DB of Medicinal Products – Healthcare organization

EPP

Healthcare organization

Computerized system of medicinal products

Full name of medicinal product

Trade name

Ednit

, 10 mg, N20, tablets,

Gedeon

Richter,

Hugary

FMC N 44

Supplier

Preliminary plan of introduction of Codifier of medicines in the e-procurement system (ePP)

In December 2015 – copying the database of medicines

at

ePP

,

online exchange of updated medicines

.

IN January 2016 – development and testing in pilot organizations of the formulation of the application for procurement and publication of the biddings on the Portal, as well as reception of bidding applications from suppliers

.

Before end of February 2016 – approval of new rules of procurements by medicinal products and INNs

thorugh

the

ePP

Portal

.

In March 2016 – translation of new rules of e-procurements into the online system

Thank you

!