View source for Minutes - Medication WG 2023-04-25

===== '''Attendees''' ===== 
* Bart Decuypere
* Bart Rondou
* Hans De Keersmaeker  
* José Costa Teixeira
* Karlien Erauw 
* Lodewijk Sioen
* Pablo Christiaens
* Stephane Bouillon

===== '''Excused/Not present''' =====
* Annemieke Vergauwe
* Anne Nerenhausen
* Bruno Casneuf  
* Dieter Sauvillers
* Hanne Vuegen
* Jan Lenie
* Jean-Michel Polfliet 
* Jens Penny
* Katrien Thorré
* Lars Vanreppelen
* Richard Francken
* Marc Buckens
* Nick Hermans
* Nils Devos
* Thomas Van Langendonck
* Tom De Backer 
* Tom Henkens
* Walter Bollaert
* Will van Norel

===== '''Agenda''' =====
* Mapping from the current kmehr medication scheme into FHIR 
* Mapping of posology 
* Update of investigation of value sets

===== '''Minutes''' =====
* VIDIS project : functional equivalent of the kmehr MS 
::* some documentation on the kmehr MS is missing
::* cookbook's data elements have being analysed and have been mapped to FHIR resources
::* different valuesets came up: route of administration, adm unit, periodicity
::::* while migrating the goal is to clean up the valuesets
::::* update of valuesets : no update from Jens
::* plan is to land with a final draft of the FHIR MS in the upcoming months 
::::* medication lines can be part of a treatment
::::* one treatment can have multiple lines, is the treatment a parent or is it a group(er), can a line then have 2 parents (hierarchy doesn't seem a good idea)
::::* this and logical model and profile are still being discussed and under development
::* there will be a shift from treatment to prescription while currently the HCP starts with a prescription
::::* this is happening in Swiss (treatment=plan there)
::* need for FHIR profiling:
::::* medication dispense
::::* medication treatment & medication line incl links between them
::::* medication prescription: will recip-e move to FHIR ?
::::::* it would be ideal to have all in FHIR as otherwise you would have the posology in kmehr and valuesest in kmehr and in FHIR
::::::* what are the interaction and dependencies b/w the prescription and the MS 

::* We are looking to bring together IHE Pharmacy and discussion with Swiss, most probably beginning of July

* The kmehr cookbook has been converted into a big kmehr logical model, see here: https://hl7-be.github.io/kmehrms/StructureDefinition-KMEHRMS.html
::* assessment what is needed and not needed anymore for the VIDIS project (MS in FHIR)
::::* currently there are 2 transactions : medication line and treatment suspension line
::::* the treatment suspension line seems not needed anymore for VIDIS (MS in FHIR)

::* valueset mapping: some statistics have been made
::* where do we need unique identifiers: on medication line and on entire medication scheme
::* where do we need authors: on medication line and on entire medication scheme
::* a hospital, institution or pharmacy cannot be an author, should always be an individual ; the organisation could be added additionnally
::* more feedback is needed
::* catalog of used valuesets should be made (f.e. different versions of administration units are being used by reip-ce, SAMv2 ...): ideally as part of 

* We have to take the VIDIS brochure from RIZIV/INAMI into account: https://www.riziv.be/SiteCollectionDocuments/brochure-medicatieschema.PDF

* Action items:
::* consolidate current IG, remove items that are not needed
::* work on valuesets

'''Next meeting 16 May at 11AM'''