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The Problem: Fragmented Pharmacy Automation

Across Europe, fewer than one in three hospital pharmacies use automation. And even where robots or automated cabinets are installed, they rarely “talk” to each other.

This forces pharmacists to rely on complex manual steps, costly custom integrations, and fragile interfaces that delay projects and increase risks. The result? Automation delivers only a fraction of its potential for safer and more efficient medication management.

The EAHP’s Interoperability Initiative

Inspired by the success of the DICOM standard in radiology, the European Association of Hospital Pharmacists (EAHP) launched the Special Interest Group (SIG) on Interoperability in Pharmacy Automation in 2024.

Our goal is ambitious yet straightforward:  

👉 to define a vendor-neutral communication protocol that allows hospitals to combine automation equipment from different vendors in seamless workflows.  

In short, the SIG aims to create one language for all pharmacy robots — just as DICOM did for radiology.  

Led by Experienced Co-Chairs

The SIG is co-chaired by:

  • Francine de Stoppelaar – hospital pharmacist with 20+ years of experience, who led the UK’s first fully automated closed-loop medicines management model at Cleveland Clinic London.
  • Patrick Koch – international consultant in digital transformation of hospitals, radiology, and pharmacy automation, and founder of Peka Consulting.

Together, they bring both the clinical perspective and the interoperability expertise to drive this initiative forward.

A Unique Alliance of stakeholders

This is an unprecedented collaboration between hospital pharmacists and industry.

Hospital Pharmacists

14 pharmacists from 12 European countries form the core of the SIG. They bring hands-on experience of managing daily operations and automation projects, ensuring the protocol reflects real-world needs.

Participants include:
[…]

Leading Automation Vendors

10 of Europe’s leading pharmacy automation vendors — representing over 80% of the market — are working side by side under EAHP’s umbrella. Competitors have joined forces to solve a shared problem for the benefit of patients and healthcare systems.

Participating vendors: […]

Our Pragmatic Approach

Medication management is complex. Workflows differ not just between countries, but between hospitals in the same region. Attempting to standardize everything at once would be unrealistic.

That is why the SIG adopted a pragmatic, step-by-step methodology:

Phase 1: Defining the Blueprint and Building Blocks

  • Collecting use cases: More than 30 use cases were submitted by pharmacists and vendors.
  • Consolidating & prioritising: The group refined them into a subset of basic workflows common to most European hospitals.
  • Key findings:
    • Start simple. We began with non-patient-specific use cases. These represent the most basic workflows and are easiest to approach first.
    • A universal pattern. At their core, all workflows involved a storage unit communicating with a dispensing unit. One system requests: “I need x units of product Y. Do you have it?” The other replies: “Yes. I’ll send it.”
    • Building blocks for the future. This stripped-down “dispense order” exchange became the foundation layer of interoperability: reusable roles and profiles that can be applied across multiple workflows.

The result: a set of vendor-neutral Standard Operating Procedures (SOPs), written in natural language, step by step. These SOPs are the cornerstone for all future work.

Phase 2: Building the Protocol

Now underway, vendors are translating the SOPs into technical specifications.

  • Defining precise messages, datasets, and rules for communication.
  • Building on international standards like HL7, FHIR, IHE, GS1, and ISO IDMP.
  • Producing one harmonised protocol that all vendors can implement.

Open Documentation

The outcome will be a single, harmonised set of specifications that all vendors can implement.  SOPs, specifications, harmonised message libraries will be made available to hospital pharmacists, IT teams, and industry. The goal: a protocol that can be adopted, implemented, and required in tenders by anyone.

Our Journey So Far: Key Milestones

Transparency is central to the SIG. Our progress has been shared widely at EAHP events:

  • EAHP Boost 2024 (Florence, Italy): The official kick-off roundtable.
  • EAHP Congress 2025 (Copenhagen, Denmark): An interim report was presented on Phase 1.
  • EAHP Boost 2025 (Prague, Czech Republic): A session on “One Language for All Pharmacy Robots – How Interoperability Can Help Tackle Medicine Shortages”.

See It Live: The 2026 Interoperability Showcase

The journey will culminate at the EAHP Congress 2026 in Barcelona, with a live Interoperability Showcase.

For the first time, robots from different vendors will execute the agreed workflows together, proving that plug-and-play pharmacy automation is achievable.

Looking Ahead

This initiative is laying the foundation for a European standard for pharmacy automation interoperability.

Our ambition is clear: by 2026, hospital pharmacists will be able to require this protocol in procurement, and vendors will deliver equipment that is “plug-and-play” compliant.

This means:

  • Fewer custom and costly integrations
  • Faster, simpler automation project deployments
  • Safer, more reliable workflows
  • More flexibility and vendor choice for hospitals

And this is only the beginning. While the first SIG focuses on the automation layer, future SIGs will expand to include software vendors — progressively addressing prescribing, pharmacy management, and administration systems. Step by step, the framework will grow toward full closed-loop medication management.

Our ambition: leave a footprint in European hospital pharmacy, just as DICOM did for radiology !

Join the Journey

The EAHP Special Interest Group on Interoperability in Pharmacy Automation is shaping the future of medication management. Whether you are a hospital pharmacist, a healthcare IT professional, or a vendor, we invite you to be part of the change.

Want to learn more?

  • 📄 Request the SOPs to understand the foundational workflows.
  • 🤝 Register your interest to join future SIGs and help define the next phases.
  • 🎤 Join us at the EAHP 2026 Congress to see the future of pharmacy automation in action.

👉 Contact EAHP today to explore how you can benefit from this new standard.

Participants include:

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
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BOOST is where visionaries, innovators, and healthcare leaders come together to tackle one of the biggest challenges in hospital pharmacy — the shortage of medicine and medical devices.

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BOOST is where visionaries, innovators, and healthcare leaders come together to tackle one of the biggest challenges in hospital pharmacy—medicine shortages.