eHealth NSW plans to roll out its new electronic transfer of care (eTOC) medications reconciliation application to the rest of the state following successful pilots in four hospitals in NSW of the system, which automates the workflow of checking medication orders as patients move from intensive care units to wards.
eTOC is a web-based application using FHIR APIs and the CSIRO’s Snapper and Ontoserver terminology systems and has been developed internally by eHealth NSW to act as a bridge between the electronic record for intensive care (eRIC) and the statewide electronic medical record (eMR).
eRIC uses iMDSoft’s MetaVision ICU system, while the eMR is Cerner’s Millennium. The first phase of the project is enabling the transfer of medication orders as patients are discharged from ICU to the wards, which was previously done manually between eRIC and eMR. There are future plans to enable similar workflows from wards to ICU.