Resource Centre - Home Med Drugs and Services View

Return to Resource Centre

Click here to learn about the Hospital Medications view.

Video Tutorial - Overview of Digital Health Drug Repository data in ClinicalConnect.


ClinicalConnect is integrated with the Digital Health Drug Repository (DHDR), which contains information on Ontario publicly-funded drugs and pharmacy services , as well as all monitored drugs (narcotics and controlled substances),  as outlined in the DHDR Data Reference Guide. More information about the DHDR can be found on the Ministry of Health and Long-Term Care’s (MOHLTC) website at www.ontario.ca/mydruginfo.

DHDR information is presented in two tabs in the Pharmacy module called Home Med Drugs and Home Med Services, so clinicians can easily view clinically-relevant community-based drug and pharmacy service information. In addition, users have the ability to access and print new, customizable reports about a patient’s data as contained in the DHDR. This data, and reports, help support a patient’s ‘Best Possible Medication History’, which can be developed with input from the patient or his/her Substitute Decision Maker (SDM).

a note icon Provincial repositories such as the DHDR retrieve information based on the patient’s Health Card Number (HCN). In cases where the HCN is not available or invalid, data from provincial repositories will not be accessible in ClinicalConnect. In addition, access to DHDR information in ClinicalConnect is limited to users of Participant Organizations that have signed the appropriate eHealth Ontario access agreement(s).   

Pharmacy Module:  Home Med Drugs Tab 

By clicking the Home Med Drugs tab, users can:

  • Collapse and expand ‘roll up’ list for meds with the same Generic name, Dose/Strength and Dose Form. The most recently dispensed drug appears first in the list, and the user can click to expand and see repeated prescription refills, making the drug list more clinically user-friendly.
  • View additional information about the drug, including Therapeutic Class and Subclass, which can be sorted/filtered
  • View Drug Utilization Review (DUR) alerts as communicated from the dispensing pharmacy about the following conditions
    • May be Double Doctoring
    • Drug/Drug Interaction Potential 
      (Severity: 2 Severe Interaction, Severity: 3 Moderate, Severity: 4, Interacting) 
    • Identical Claim Processed
    • Poly-Pharmacy Use Indicated
    • Fill Too Soon
    • Duplicate Drug Other Pharmacy

Pharmacy Module: Home Med Services Tab 

By clicking the Home Med Services tab, users can view a list of the publicly-funded professional pharmacy services, such as: 

  • MedsCheck Program
  • Pharmacist administration of vaccines
  • Naloxone kits
  • Medications provided for Medical Assistance in Dying (MAID) (Note: the specific details of the medications provided will not be available)
  • ColonCancerCheck (CCC)
  • Pharmacy Smoking Cessation Program
  • Pharmaceutical Opinion Program

a note icon Please note that any Drugs & Services information dated prior to June 7, 2018 will display in the Home Med Drugs tab. On or after June 7, 2018, Drugs will display in the Home Med Drugs tab, and Pharmacy Services will display in the Home Med Services tab.

Accessing Home Med Drugs in ClinicalConnect

To access Home Med Drugs information in ClinicalConnect:

  1. Select the Pharmacy module.
  2. Select the Home Med Drugs tab. The Home Med Drugs tab is the default view for users who are authorized to access DHDR, unless the user has changed their preferences. 

 To view Home Med Drugs or Services from the DHDR, ensure that the Encounter filter is set to All Regional Encounters. The Days Back default filter is set to 180 days by default but can be modified. If no DHDR data is available for the patient within the selected days back parameter, the following message will display: No records found for search time period
In this case, increase the number of Days Back to check for additional data.

This filter can be set to a maximum of ALL, however this setting may impact data retrieval speed if returning large volumes of pharmacy data.

3. To view the details of a medication, select the medication from the list to display the details in the view below. For more information regarding the Home Med Drugs and Services details, please refer to the Home Meds Details: Data Field Descriptions (as provided by the MOHLTC) in this guide.

 Additional alert information may be provided in the details view by clicking on the drug line item.

 

New Data Columns in the Home Med Drugs Tab

Several new columns of data have been added to the Home Med Drugs tab as indicated by the green arrows in the image below: 

Depending on your screen size, you may need to scroll to the right to see all available columns of data. 

Last Dispensed Date: the start and end date range can be defined to narrow down the drug list.

 

 

 

 

Rx Count: this displays the number of prescription refills that have been dispensed- details of each refill will display when the medication name is clicked to expand.

 

 

 

 

 

 

 

 

 

 

 

Therapeutic Class and Therapeutic Subclass:  these drug classification columns display in the last two columns and can be used to filter drugs by classification.

 

 

 

 

 

 

 

 

 

 

 

 

 

Prescriber and Pharmacy Phone Numbers: are available if needed to contact the prescriber/pharmacy.

 

Accessing Home Med Services in ClinicalConnect

The Home Med Services tab provides a list of the publicly-funded professional pharmacy services, such as: 

  • MedsCheck Program
  • Pharmacist administration of vaccines
  • Naloxone kits
  • Medications provided for Medical Assistance in Dying (MAID) (Note: the specific details of the medications provided will not be available)
  • ColonCancerCheck (CCC)
  • Pharmacy Smoking Cessation Program
  • Pharmaceutical Opinion Program

To access Home Med Services information in ClinicalConnect:

  1. Select the Pharmacy module.
  2. Select the Home Med Services tab.

a note icon Please note that any Drugs & Services information dated prior to June 7, 2018 will display in the Home Meds Drugs tab. On or after June 7, 2018, Drugs will display in the Home Meds Drugs tab, and Pharmacy Services will display in the Home Meds Services tab.

3. Select the Service from the list to view additional details. 

New DHDR Reports 

New custom DHDR reports are available to view or print for data in both the Home Med Drugs and the Home Med Services tabs, as shown below.  The six report types currently available display in PDF format, and include either a summary or detailed view of the drug & services information available from the DHDR.  These reports can be useful for clinicians when completing medication reconciliation activities and support ‘Best Possible Medication History’ practices. 

Clicking the Print icon  will print information from every available field in the list or details view, resulting in a print-out that may not be as useful compared to a report where parameters have been set/customized. 

To generate a report of drugs and/or services, select the DHDR Reports icon from the module banner.

The Print selection window will display the list of reports available.  Select the report type, then click Print. 

a note icon Ensure you’ve selected the number of Days Back you’d like data for as this will impact the report’s content. 

 

 

 

 

 

 

All reports will display as PDFs and include the ClinicalConnect watermark and page header details, as shown below: 

 

 

 

DHDR Reports Available in ClinicalConnect

Drug Summary Report  
This report provides a summary of the Drug list, only showing the most recently-dispensed drug. 

 

Drug Detail Report
This report provides all available details of each dispensed drug, including repeat prescription refills and associated Alert information. 

 

 

 

 

 

 

 

 

 

 

 

 

Service Summary Report
This report provides a summary of the Services list.  Additional information may be available in the Service Detail Report.

 

 

Service Detail Report
This report provides all available details related to Home Med Services.

 

 

 

 

 

 

 

Combined Drug and Service Summary Report
This report combines both the Home Med Drugs and Services summaries into one.

Combined Drug and Service Detail Report
This report combines both the Home Med Drugs and Services details into one. 

 

Viewing Home Meds or Services with a Consent Directive

 

All Ontarians have the right to withdraw consent to the sharing of their publicly-funded drug and pharmacy service, or monitored drug information available through the DHDR. ClinicalConnect honours the consent directive and will display the following message in the patient’s ClinicalConnect record:

CONSENT DIRECTIVE IN PLACE: Access to Drug and Pharmacy Service Information has been blocked by the Patient.
Select button below to temporarily unblock access.

If a patient has a consent directive applied to their entire record in DHDR, the Home Med Drugs and Home Med Services tabs in ClinicalConnect will display the following message: No Records Found as shown below.

 

 

Once the consent reinstatement (Unblock Access) is activated by an authorized user, all ClinicalConnect users from the user’s organization may access this patient’s DHDR drug and services information for a period of four (4) hours. 

 

Process to Temporarily Unblock Access to DHDR Data Using ClinicalConnect

If a patient has a consent directive in place for some or all of their DHDR information, authorized users may temporarily unblock the records, if the patient/SDM provides written consent to do so. The user must document consent to unblock access on the MOHLTC’s Temporary Unblocking of Access to Your Drug and Pharmacy Service Information form, accessible from within ClinicalConnect.

To perform the consent override:

  1. Complete Consent Form: First, complete the Temporary Unblocking of Access to Your Drug and Pharmacy Services consent form by clicking Unblock Access then click the Consent Form link. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete the form online, then print it to obtain the required wet signature from the patient/SDM (see example on next page) before unblocking access to the data

2. Inform the Patient/SDM: Users must inform the patient/SDM that their consent will allow all authorized ClinicalConnect users from their organization access to the drug/service information for a period of four (4) hours.
Note: If the SDM selection is a Sibling or Other Relative, you must enter details of the relationship in the text field provided as shown in this example.

 

Audit: The Temporary Unblocking of Access to Your Drug and Pharmacy Service Information form must be retained in accordance with your organization’s privacy policies and procedures, as the Privacy Contact from your organization will need it for audit validation purposes.

 

3. Patient Notification:  When consent is temporarily reinstated, the patient will be notified by mail from the MOHLTC. 

After the four-hour period has expired, if a user requires access to the information again, they must follow the same process as described previously and obtain consent from the patient/SDM.

 


Once the override is performed, this message will display: 

A consent override request has been successfully completed for this data. Access will
now be granted depending upon the availability of the data in the source system.
ONTARIO Unblocking of access was successful.

 

 

All authorized ClinicalConnect users from the user’s organization will be able to access the patient’s blocked information from the DHDR for a period of four hours and will see this message:


A consent directive exists that applies to some or all of the data being shown; you are viewing this information due to the temporary unblocking of access.

 

 

Completing the Temporary Unblocking of Access to Your Drug and Pharmacy Services Information Form

The following explains how to complete the consent form: 

 IMPORTANT


1. Consent Form: Click the consent form link (shown above), complete the form online, print it and have the patient or SDM sign the completed form.


2. Inform the Patient or SDM: Users must inform the patient/SDM that their consent to temporarily unblock information will provide access to their blocked DHDR records to all authorized ClinicalConnect users from within their organization for a period of four hours.


3. Audit: The completed and signed Temporary Unblocking of Access to Your Drug and Pharmacy Service Information form must be retained in accordance with the organization’s privacy policies and procedures, as it will be required by the organization’s Privacy Contact for audit verification purposes.

 

4. Patient Notification: The patient will receive a notification from the MOHLTC by mail that their consent directive was temporarily unblocked by the patient/SDM as well as the user and organization where the override was performed. 

 

Note: A French language version of this form is available on page 2 of the PDF.

 

 

Home Meds Detail: Data Field Description (Provided by the Ministry of Health and Long-Term Care)

1.    Patient First Name: First name of patient
2.    Patient Last Name: Last name of patient
3.    Patient Gender: Gender of patient
4.    Patient Date of Birth: Date of birth of patient
5.    Health Number: Number on an Ontario Health Card that uniquely identifies a patient
6.    Generic Name: Non-proprietary name or generic name of the drug dispensed (e.g. Diclofenac sodium). For Pharmacy Services, this field will contain the description of the pharmacy service rendered by a pharmacist
7.    Brand Name: Brand name of the prescription drug dispensed (e.g. Voltaren). For Pharmacy Services, this field will contain the pharmacy service type (e.g. MedsCheck)
8.    Drug Strength: Strength of the drug; amount of active ingredient in the prescription drug dispensed (e.g. 100mg)
9.    Dosage Form: The physical form of a dose of a drug product (e.g. pill, tablet, capsule, syrup, cream, ointment, suppository, aerosol, patch)
10.  Therapeutic Classification Name: Pharmacologic therapeutic classification of the prescription drug dispensed (e.g. Analgesics nonsteroidal)
11.  Therapeutic Sub-Classification Name: Pharmacologic therapeutic sub-classification of the prescription drug dispensed (e.g. anti-Inflammatory agent)
12.  Dispensed Date: Transaction date on which the prescription was dispensed or the pharmacy service was rendered
13.  Quantity: Quantity of medication dispensed
14.  Estimated Days Supply: Estimated number of days of treatment based on the directions for use on the prescription and/or the pharmacist’s judgment on usage
15.  Prescriber Name: Name of the prescriber that provided the prescription or ordered the pharmacy service
16.  Prescriber Phone Number: Phone number of the prescriber that provided the prescription or ordered the pharmacy service
17.  Pharmacy Name: Name of the pharmacy that dispensed the prescription or rendered the pharmacy service
18.  Pharmacy Phone Number: Phone number of the pharmacy that dispensed the prescription or rendered the pharmacy service
19.  Medical Condition/Reason for Use: Indicates prescriber’s designation of the medical condition for which the patient is being treated. This data field is only available for Limited Use products (e.g. Acarbose).
20.  Drug Identification Number (DIN)/Product Identification Number (PIN): Drug Identification Number (DIN) assigned by Health Canada or Product Identification Number (PIN) assigned by the Ministry of Health and Long Term Care (MOHLTC).
21.  Pharmacist Name: Name of the pharmacist or dispensing physician that dispensed the prescription, or rendered the pharmacy service
22.  Current Prescription Number: Number assigned by the pharmacy that appears on the label of the dispensed
Prescription
23.  Prescriber ID: Identification number of prescriber of medication, supplies or professional service issued by their licensing college
24.  Prescriber ID Reference: The Prescriber ID Reference is used in conjunction with the Prescriber ID. It identifies the registration authority (e.g. Health Profession College) which provided the identification number to the prescriber of the medication, supplies or professional service
25.  Drug Utilization Review (DUR): Historical Information on Drug Utilization Review (DUR) alerts that were generated and communicated to the dispenser (e.g. pharmacist) when drug claim was submitted for adjudication (“approval”) or when a monitored drug dispense event record is submitted to the NMS. Currently, only drug to drug interaction DUR alert information is available for display.
Alert Type: DUR alert triggered at the point of claims submission or when a monitored drug is submitted to NMS. 
Intervention: Action (intervention) taken by the pharmacist in response to the DUR alert. 
Additional Information:  Additional information on the DUR alert.This includes the severity level of the potential drug to drug interaction, DIN/PIN of the interacting drug and the brand name of the interacting drug.

 

Home Med Drugs Tab: Preference Settings

Setting your preferences to define how you wish to view Home Med Drugs or Services in the Pharmacy Module is essential, as these settings impact how data is organized and how quickly data is retrieved. Data retrieval speeds will also vary depending on a variety of factors such as patient complexity, number of items/results being returned, and filter settings such as Days Back. Preferences need only be set once, and can be updated anytime as your clinical needs change. 


The Home Med Drugs tab in the Pharmacy module is the default view for all users who are authorized to access DHDR data; if not authorized, the default view will be Hospital Medications. 

How medication information presents in the Home Med Drugs view can be customized to suit your clinical needs. The easiest and quickest way to customize your preferences is by using the Preferences icon. You can customize your preferences as to how you’d like the medication information to display. 

The Home Med Drugs tab is the default view however this can be changed by selecting Hospital Medications or Home Med Services. 

 

 

 

The Encounter Filter default must be set to All Regional Encounters in order to view Home Med Drugs or Services from the DHDR. 

Home Med Drug List: Sort By: select one ofthe options from the list to define the sort. In this example, Last Dispensed Date is selected as the default. You can also define
the Sort Direction in Ascending or Descending order based on your Sort By selection. The preferences also include options to customize the DHDR report layouts (Portrait or Landscape orientation).

 

Home Med Drugs: Default Detail Location: Select ‘Bottom’ to display medication details below the list, or ‘Right’ to display the details to the right of the list. 

Days Back Filter: The ‘Days Back’ filter refers to the amount of information presented based on the number of days back from the date of patient discharge. For an admitted in-patient, the Days Back filter refers to the number of days back from the current date (today). 

a note icon By default, the ‘Days Back’ filter in the Home Med Drug view is set to 180 days but can be changed to a maximum of ‘ALL’; however, this setting may impact data retrieval speed if returning large volumes of pharmacy data.  If no DHDR data is available for the patient within the selected days back parameter, the following message will display: No records found for search time period  
In this case, increase the number of Days Back to check for additional data.

 

Home Med Services Tab: Preference Settings

The Home Med Services tab in the Pharmacy module can also be customized based on the column data available in this view.
Select the Preferences icon and using the dropdown menu options, customize your view to suit your clinical needs.

 

 

The Encounter Filter default must be set to All Regional Encounters in order to view Home Med Drugs or Services from the DHDR. 

Home Med Services List Sort By: select one of the options from the list to define the sort. In this example, Service Date is
selected as the default. You can also define the Sort Direction in Ascending or Descending order based on your Sort By selection.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The preferences also include options to customize the DHDR reports PDF layouts by defining landscape or portrait. 

 

Using Global Preferences to Define Home Med Drugs and Services SettingsImage of the Global preferences options under the name

Global Preference settings can be used to set your Home Med Drugs and Services default preferences all at once.

1. Click on your name from the top right of the screen, then select Global Preferences.

2. Scroll down the list of preferences to the Pharmacy module then expand the preferences. The Pharmacy Default View field can be used to define the Pharmacy tab that should display as the default when accessing the module.

 

 

 

 

 

 

 

 

 

To set additional preferences in the Home Med Drugs and Home Med Services tabs using Global Preferences, scroll down to Home Meds, expand the list, and then customize your options.  

 

 

When you’re finished, ensure you click   at the top or bottom of your screen.

 

Links

PDF ClinicalConnect Pharmacy Module - Home Meds View - Digital Health Drug Repository

PDF Information Available to Health Care Providers through the Digital Health Drug Repository

The Digital Health Drug Repository (DHDR) Reference Guide may be used by health care providers to understand the inclusions and limitations of the information available through the DHDR.