Receta Digital: National Control of Electronic Prescription and Medication Dispensing

Receta Digital is a national electronic prescription and medication dispensing platform, designed, implemented, and operated by SOIN for the Ministry of Health under a managed service model. The platform is highly configurable in terms of the medication catalog, the level of control per therapeutic family, and prescription and dispensing rules. • Receta Digital interoperates with the national database of legally approved medications (Regístrelo) to obtain the official list of authorized drugs for commercialization in the country. It relies on a structured and normalized medication database using international coding and classification standards. • The solution interoperates with the professional associations involved in the prescription and dispensing cycle—physicians, dentists, nurses, and pharmacists—to verify that all elements of the process are valid: an authorized medication with all active permits and a certified, active professional. It also integrates with the national Civil Registry and Costa Rica's customs database to ensure valid patient identification. • When all process elements are valid, the platform generates a unique electronic prescription code that can be used only once at any pharmacy in the country. • Receta Digital has its own electronic prescribing tool (web and mobile) and its own dispensing record module. It provides HL7 FHIR® services that enable integration with external electronic prescribing systems, electronic health records, and pharmacy point-of-sale systems. • The electronic prescribing tools can also provide information on the World Health Organization's AWaRe classification (Access, Watch, and Reserve), helping prevent antimicrobial misuse. • Receta Digital incorporates an advanced analytics module providing all the KPIs and reports required by the Ministry of Health, supporting the country's participation in health surveillance initiatives such as WHO's One Health and GLASS. • It includes a FHIR® Clinical Data Repository that stores all information in standard FHIR® format. All data is managed in strict compliance with current regulations and is registered with PRODHAB, aligned with GDPR and HIPAA standards.

Receta Digital currently manages all prescriptions and dispensing of psychotropic, narcotic, and systemic antimicrobial medications in Costa Rica, integrating data from over 6,000 prescribing professionals and 3,000 pharmacies, with approximately 2.5 million prescriptions per year. This has enabled the Ministry of Health to: • Implement and operate a unified, structured, and interoperable national medication database, incorporating SNOMED CT coding and WHO-ATC classification. • Implement national FHIR® interoperability guidelines for medication catalogs, prescriptions, and dispensing records. • Maintain comprehensive control over medication use, including inventory audits when regulations require it. • Combat the illegal medication market. • Obtain medication usage statistics and generate granular, georeferenced public health and pharmacovigilance reports. • Detect incorrect prescribing or dispensing patterns that do not align with best clinical practices. • Generate structured international reports on medication use, aligned with WHO standards and classified by drug and anatomical-therapeutic group. • Improve medication safety and reduce problems associated with misuse, such as addictions or antimicrobial resistance. • Contribute to improving public health outcomes in Costa Rica, reducing risks and costs for the healthcare system.

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