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Patient ID to be used: 090200A901F (Seokor, Curt Helge Eerik)

Country A: Finland

Country B: Portugal


All workflow tests must be executed in coordinated manner, with both Country A and Country B participating together. Tests must not be executed independently by Country B without ongoing communication with Country A.

Note that Step 0 (prerequisite) in all workflow tests is that the CTD documents referenced in the test have been prepared and made available by Country A.

Workflow test id: WF-eP1

Version: 1.1

CTD references: eP-C1, eP-C4

Test target: Verify that (1) partial dispensation of modified prescription works properly in Country B, (2) the partially dispensed prescription may be dispensed fully or overdispensed locally in Country A after a dispensation in Country B. In addition, dispensations with and without substitutions are tested.

Actors involved: Country A, Country B

Mandatory: yes, if partial dispensation is supported by Country A and Country B.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country A

Modify prescription

Prescriptions are not dispensed

Prescriptions are modified, not dispensed

Forsteo and Triveram slightly modified. 

2

Country B

Dispense partially: half of the amount (NB: number of units, strength change is not allowed in eHDSI) for eP-C1, 1/3 of the amount for eP-C4. Dispense one of the prescriptions without substitution and the other one with substitution, local availability of drugs permitting.

Prescriptions are available on the list, not dispensed

Prescriptions available on the list, partially dispensed

Received dispensation of Forsteo 1x2.4mL, remaining 0 ml. Substitution false. 

Received dispensation of Triveram 30x30 kpl, remaining 0. Substitution true. 

Made another Triveram prescription and received dispensation of 1X30 kpl, 370 kpl remaining. Substitution true. Also received dispensation of 10X30 kpl and finally 3X30 kpl (which goes bit over the prescriped amount). 0 remaining.

Dispensed Forsteo 0,25mg/ml, 2,4ml - 1 unit. Substitution false.


Dispensed Triveram 20mg + 10 mg + 5mg - 30 units. Substitution true.


Dispensed Triveram 20mg + 10 mg + 5mg - 10x30 units. Substitution true.


Dispensed Triveram 20mg + 10 mg + 5mg - 3x30 units. Substitution true.

3

Country A

Using a local pharmacy system, dispense full remaining amount for eP-C1, dispense amount slightly exceeding the remaining amount for eP-C4 (if allowed according to Country A rules, otherwise dispense fully). Dispense one of the prescriptions without substitution and the other one with substitution, local availability of drugs permitting.

Prescriptions available on the list, partially dispensed

Prescriptions not available on the list, because of full dispensation.

Prescriptions are fully dispensed.

Workflow test id: WF-eP2

Version: 1.1

CTD references: eP-C9

Test target: Verify that a prescription partially dispensed with a different package size in Country A may be dispensed in Country B. Also overdispensation is tested, and brand name change will most likely be tested for a prescription for which substitution is prohibited.

Actors involved: Country A, Country B.

Mandatory: yes, if partial dispensation is supported by both A and B.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country A

Dispense partially, changing the package size.

Prescription is not dispensed

Prescription is partially dispensed

Klexane partially dispensed (2ml), remaining 8 ml. 


2

Country B

Dispense amount slightly exceeding the remaining amount (if allowed according to the Country B rules, otherwise dispense fully). As substitution is prohibited, dispense the same drug, but a name change may happen.

Prescriptions is available on the list, partially dispensed

After successful dispensation the prescription is not any more visible on the list.

Received dispensation of Klexane 12x1 mL (Lovenox 100mg/1ml), remaining 0. Substitution false.

Dispensed Lovenox 100 mg/1 ml - 2 x 6 units - 1ml

Substitution false.

Workflow test id: WF-eP3

CTD references: eP-C7, eP-C8, eP-C11, eP-C13, eP-C16

Test target: Verify negative conditions: none of the prescriptions should be available for dispensation, although valid in Country A.

Actors involved: Country A (only for step 0, preparing CTD data), Country B.

Mandatory: yes, but not all steps may be supported by Country A.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country B

Get a list of prescriptions for the patient indicated in CTD definition. If the prescription is presented on the list, try opening the prescription and dispensing (even if not allowed in Country B).

Prescription: eP-C7 (drug affecting the central nervous system, but not necessarily classified as a narcotic).

Prescription valid in Country A, potentially visible on the prescription list returned to Country B

Prescription cannot be opened or dispensation data cannot be submitted

NB: for eP-C7 dispensation might be possible if supported both by Country A and Country B.

FINNCP-0001: central nervous system drugs are outside the service, the prescription cannot be dispensed abroad

Received: 'FINNCP-0001: central nervous system drugs are outside the service, the prescription cannot be dispensed abroad'

2

Country B

Repeat the same for eP-C8 (narcotic)

Same as above

Same as above

FINNCP-0002: narcotic drugs use are outside the service, the prescription cannot be dispensed abroadReceived: FINNCP-0002: narcotic drugs use are outside the service, the prescription cannot be dispensed abroad

3

Country B

Repeat the same for eP-C11 (ex tempore drug, prepared in pharmacy)

Same as above

Same as above

FINNCP-0006: the prescribed preparation is outside the service, the prescription cannot be dispensed abroadReceived: FINNCP-0006: the prescribed preparation is outside the service, the prescription cannot be dispensed abroad

4

Country BRepeat the same for eP-C13 (medicine prescribed for a certain time period, no other indication of prescribed amount)Same as aboveSame as aboveFINNCP-0007: prescriptions valid for defined time periods are outside the service, the prescription cannot be dispensed abroadReceived: FINNCP-0007: prescriptions valid for defined time periods are outside the service, the prescription cannot be dispensed abroad

5

Country B

Repeat the same for eP-C14 (iterated prescription not available for dispensation)

Same as above

Same as above

FINNCP-0008: iterated prescriptions are outside the service, the prescription cannot be dispensed abroadReceived: FINNCP-0008: iterated prescriptions are outside the service, the prescription cannot be dispensed abroad

6

Country B

Repeat the same for eP-C16 (combination package)

Same as above

Same as above

FINNCP-0010: combination packages are outside the service, the prescription cannot be dispensed abroadReceived: FINNCP-0010: combination packages are outside the service, the prescription cannot be dispensed abroad

Workflow test id: WF-eP4

CTD references: eP-C2, eP-C3, eP-C5, eP-C17

Test target: Verify dispensation of potentially challenging medicines: should result in successful dispensations despite possible differences in pharmaceutical databases of Country A and B or other pharmaceutically challenging conditions.

Actors involved: Country A (only for step 0, preparing CTD data), Country B.

Mandatory: yes.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country B

Try dispensing the prescription, using a minimum possible amount, so that prescription can be reused for other tests if allowed by Country A rules. Pay attention to Reason for inclusion in test in CTD definition.

Prescription: eP-C2.

Prescription not dispensed or partially dispensed

Dispensation can be performed, prescription is partially or fully dispensed

Received dispensation of Lantus 100 U/ml, 1x10 mL. Remaining 4x10ml.  Lantus dispensed, 1 unit - 10ml

2

Country B

Repeat the same for eP-C3

Same as above

Same as above

Received dispensation to Yasminelle, Arankelle 3 mg + 0.02 mg, 1x21 tablets. Remaining 5x21 tablets. Arankelle dispensed, 3 mg + 0.02 mg - 21 units

3

Country B

Repeat the same for eP-C5

Same as above

Same as above

Received dispensation of Ideos 1250 mg + 400 U.I, 1x60 tablets, remaining 30 tablets.  The original prescription was Calcichew D3 forte sitruuna 500mg/10mikrog, but PT didn't have the same, so the dispensation was made for testing purpose. 

Ideos dispensed, 1250 mg + 400 U.I. - 60 units

Only 1250 mg available in PT

4

Country BRepeat the same for eP-C17Same as aboveSame as aboveReceived dispensation to Maxitrol, Tobradex 1 mg/ml + 3 mg/ml, 1x5ml. Remaining 4x5ml. Tobradex dispensed,  1 mg/ml + 3 mg/ml - 1 unit - 5ml

Workflow test id: WF-eP6

CTD references: eP-C8

Test target: Verify that dispensation of narcotics prescriptions is prevented even if prescription is modified.

Actors involved: Country A, Country B.

Mandatory: yes if prescription modification is supported by Country A rules.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country A

Modify prescription

Prescription is not dispensed

Prescription is modified, not dispensed

Depolan slightly modified. 

2

Country B

Get a list of prescriptions for the patient indicated in CTD definition. If the prescription is presented on the list, try opening the prescription and dispensing (even if not allowed in Country B).

Prescription is modified, not dispensed

Prescription is modified, not dispensed

FINNCP-0002: narcotic drugs use are outside the service, the prescription cannot be dispensed abroadReceived: FINNCP-0002: narcotic drugs use are outside the service, the prescription cannot be dispensed abroad

3

Country A

Verify status of prescription

Prescription is modified, not dispensed

No changes to status, only report results of the check.

Depolan not dispensed. 

Workflow test id: WF-eP7

CTD references: eP-C6

Test target: Verify that dispensation of prescription with negative amount is prevented in Country B.

Actors involved: Country A, Country B.

Mandatory: yes

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country B

Try dispensing negative amount, without substitution.

Prescription is available on the list, not dispensed or partially dispensed

No changes to status, dispensation cannot be submitted


Received an error because negative amount is not allowed.

2

Country B

Try dispensing negative amount, with substitution.

Prescription is available on the list, not dispensed or partially dispensed

No changes to status, dispensation cannot be submitted


Received an error because negative amount is not allowed.

3

Country A

Verify status of prescription

Prescription is available on the list, not dispensed or partially dispensed

No changes to status, only report results of the check.



Workflow test id: WF-eP8

CTD references: eP-C10

Test target: Verify that dispensation of renewed prescription works properly in Country B, and prescription may be renewed after dispensation abroad.

Actors involved: Country A, Country B

Mandatory: yes, if prescription renewal is supported by Country A.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country A

Renew prescription

Prescription not renewed

Prescription renewed, not dispensed

-

2

Country B

Dispense fully with substitution

Prescription available on the list, not dispensed

Prescription fully dispensed.

Amorion is showing as fully dispensed: Amoxicilina Generis 250 mg/5 ml, 1X100 mL, 0 remaining. Substitution true.

Amoxicillin dispensed, 250 mg/5 ml - 1 unit - 100 ml.

Substitution true.

3

Country A

Verify status of prescription and renew.

Prescription fully dispensed

Prescription renewed, not dispensed.

Amorion renewed

4

Country B

Dispense fully with substitution

Prescription renewed, not dispensed.

Prescription fully dispensed

Amorion is showing as fully dispensed: Amoxicilina Generis 250 mg/5 ml, 1X100 mL, 0 remaining. Substitution true.

Amoxicillin dispensed, 250 mg/5 ml - 1 unit - 100 ml.

Substitution true.

5

Country B

Fetch the list of prescriptions and check that the prescription has disappeared from it.

Prescription fully dispensed

No changes to status, only report results of the check.


Prescription not found on prescription list

Workflow test id: WF-eP9

CTD references: eP-C12

Test target: Verify that a name and id change may be performed while dispensing a prescription for which substitution is prohibited.

Actors involved: Country A, Country B.

Mandatory: yes.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country B

Dispense smallest possible amount, without substitution but with product name and product id modification

Prescription available on the list, not dispensed or partially dispensed

Prescription partially or fully dispensed

Received dispensation of Renitec comp: Enalapril + Hidroclorotiazida Vitória 20 mg + 12.5 mg, 1X10 kpl, 88 fol remaining. Substitution false.

Dispensed Enalapril + Hidroclorotiazida, 20 mg + 12.5 mg, tablet, Blister - 10 units.

Substitution false.


1x10 was the smallest possible amount available. Name and id change not possible.

2

Country A

Verify that dispensation data includes the changed name and id.

Prescription partially or fully dispensed

No changes to status, only report results of the check.

-

Workflow test id: WF-eP10

CTD references: eP-C6

Test target: Verify that package type may be changed during dispensation.

Actors involved: Country A, Country B.

Mandatory: yes.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country B

Dispense smallest possible amount, changing package type (for example, blisteràjar)

Prescription available on the list, not dispensed or partially dispensed

Prescription partially or fully dispensed

Received partial dispensation of paracetamol: Ben-U-Ron 1000 mg, 1X18 kpl, 82 kpl remaining. Substitution true.

Strength is different than in original prescription (1000 mg instead of 500 mg).

Dispensed Paracetamol [Ben-U-Ron], 1000 mg, tablet, Blister - 18 unidade(s).


The 500mg option was not visible for selection in the PT system but it should be since it's available on the market. We are checking the problem.

2

Country A

Verify that dispensation data includes the changed package type.

Prescription partially or fully dispensed

No changes to status, only report results of the check.



Workflow test id: WF-eP11

CTD references: eP-C14

Test target: Verify that it is not possible to dispense an iterated prescription with interval range that has not passed yet for the next dispensation to be possible. Dispensation may become possible after the interval range, if allowed by Country A rules, and this is also tested.

Actors involved: Country A, Country B.

Mandatory: yes if iterated prescriptions are supported by Country A rules.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country A

Set an interval range for prescription. If dispensation of iterated prescriptions is supported by Country A after certain interval ranges, set the range to end on the next day, and indicate this in the test instance comments.

Prescription not dispensed or partly dispensed

Prescription not dispensed or partly dispensed

It shouldn't be possible to dispense any iterated prescriptions from Finland, interval range has no effect.

2

Country B

Try opening and dispensing the prescription, if the prescription is visible on the list returned from Country A.

Prescription not dispensed or partly dispensed. Not necessarily visible on the prescription list returned to Country B.

Prescription cannot be opened or dispensation data cannot be submitted


Not possible because of 1.

3

Country B

Wait for the next day if Country A has indicated that dispensation should be possible on the next day. Try dispensing. If Country A has not provided such indication, skip the step.

Prescription not dispensed or partly dispensed.

Prescription partly dispensed or fully dispensed.


Not possible because of 1.

4

Country A

Verify status of prescription

Prescription partly dispensed or fully dispensed.

No changes to status, only report results of the check.



Workflow test id: WF-eP12

CTD references: eP-C15

Test target: Verify that cancellation of prescription in Country A after the start of the dispensation process in Country B prevents the completion of the dispensation process.

Actors involved: Country A, Country B.

Mandatory: yes if cancellation of prescriptions is supported by Country A rules.

Step id

Actor

Operation

Status before

Expected status after

Report by FIReport by PT

1

Country B

Fetch prescription list, select and open the prescription. Do not dispense yet. Leave the prescription open, do not close it. Signal to Country A that the prescription is open.

Prescription not dispensed or partly dispensed

Prescription visible on screen


Prescription list retrieved. 


Selected: (ATC: S01EE05) - TAFLOTAN, 15 mikrog/ml, silmätipat, liuos, kerta-annospakkaus

2

Country A

Cancel the prescription.

Prescription not dispensed or partly dispensed

Prescription has been cancelled.

Cancelled Taflotan

3

Country B

Try submitting the dispensation of the prescription which is open in the portal or pharmacy system.

Prescription visible on screen

Dispensation submit results in an error.

FINNCP-0023: no document found with given parametersReceived: FINNCP-0023: no document found with given parameters.

4

Country B

Fetch prescription list again, ensure that the prescription has disappeared from it.

Prescription has been cancelled and should not be visible on the list.

No changes to status, only report results of the check.


Prescription not found on prescription list.
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