Shared Medication Record••••Purpose/Vision
Implementation / History
ResultsFutureShared Medication Record
PurposeShared Medication RecordVision
One centralized system with information about current medication for
all citizens in Denmark in order to ensure high quality, patient safety andimproved treatment for Danish citizens.

3

Shared Medication Record
SMR in use
DoctorCitizen••••

View current medicine
Make prescriptions

View current medicine
Order prescription renewalSMR

4PharmacyHome Care••

Hand over medicine

Administer medicine

Shared Medication RecordReduction of possible medication errors

Emergency department

5

Medication overview

Shared Medication Record
Implementation

Shared Medication RecordTimeline
20092010

2014

2015

2016

2016 - 19

Program start

Pilot program

Implemented:

Implemented:

App launch

Implemented:• GP’s• Citizens• Dentists• Hospitals• Municipalities• Abuse centers• (Pharmacies)

7

Shared Medication Record
App – Citizen Empowerment
Medication overview
Current prescriptions
Renew prescriptions

8

Shared Medication Record
Medication overview for local doctors - Before SMR

Prescriptions

9

Shared Medication Record
Medication overview for local doctors - After SMR
DoseDrug
discontinuation

Suspendmedication

Medication
pause

Prescriptions

Vaccines

Dose
dispensed
medicine

Overview of
all medication

Presription
server10

Shared Medication Record
History
1,5

Shared Medication Record
Prescriptions: Paper and Digital
4.000.000

3.500.000

3.000.000

2.500.000

2.000.000

1.500.000

1.000.000

500.000

0

2014

2023
Digital Prescriptions

12

Paper Prescriptions

Shared Medication Record
SMR usage progression, monthly
13.00012.00011.00010.000
9000
8000
7000
6000
5000
4000
3000
2000
1000
02016

2024
Prescriptions (first time)

13Prescriptions (permits)

Cal to “Get Medicines” service on SMR

Shared Medication Record
Results

Shared Medication Record
How is has become a success• Political determination and support• Strong stakeholder management and governance• Common interests

15

Shared Medication Record
Some implementation elements to reach success
••
•
•••
•
•

16

National it-infrastructure was devellopedHigh safety (critical system in Denmark)Certifications
Robust and scalable system
Governance, incl. Roadmap for SMR
Extensive test system
Not a project an ongoing program
Digital signature.

Shared Medication Record
Changes for healthcare professionals
Positive changes• Shared Medication Record is directly embedded in local systems (supporting theworkflow and look and feel of that particular system)• On-line and real time updated medication overview• Access to medication information for all citizens

Challenges• Initial update of medication overview• In-time/every time updating and correct use of the Shared Medication Record• Knowledge about ”all medication”

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Shared Medication Record
Changes for citizens
Positive changes• Increased patient safety• Patient empowerment – Overview of prescriptions, medicine and self
service

Challenges• Trust in accuracy• Privacy and access to data18

Shared Medication Record
Changes for society
Positive changes• ONE medication system• Reduced use of medicine• Increased quality, patient safety and treatment• Full digitization of the medication process• Ice breaker for new shared initiatives

Challenges• Large programme across multiple sectors and stakeholders• Change of mindsets• Change of workflows

19

Shared Medication Record
FutureShared Medication Record
Future oppotunities• AI• The team will have nation wide knowledge and overview ofdigitalization and medication

21

Thank you!
For the attention
The Danish Health Data AuthorityØrestads Boulevard 5
DK-2300 Copenhagen S
T: +45 7221 6800
E: kontakt@sundshedsdata.dk
W: sundhedsdata.dk

Lars Seidelin Knutsson
lskt@sundhedsdata.dk