Difference between revisions of "Minutes - Medication WG 2021-04-27"

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===== '''Minutes''' =====
 
===== '''Minutes''' =====
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* Magistral preparations: Jan did not have time to work on it
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* Magistral preparations: no update
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* Definitions: http://build.fhir.org/ig/hl7-be/riziv-medication-record/toc.html
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* Definitions related to Medication Scheme: http://build.fhir.org/ig/hl7-be/riziv-medication-record/toc.html
 
::* not updated on https://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/medicationrecord-definitions.html yet
 
::* not updated on https://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/medicationrecord-definitions.html yet
 
::* treatment item is now treatment line
 
::* treatment item is now treatment line
 
::* treatment is not about allergies, is what the doctor prescribes, can be updated by someone else (optional)
 
::* treatment is not about allergies, is what the doctor prescribes, can be updated by someone else (optional)
 
::* treatment consists of treatment lines  
 
::* treatment consists of treatment lines  
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::* treatment lines  
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::* treatment lines: do we split this by indication ? TBC
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::::* do we split this by indication
 
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::::* is what the doctor prescribes
 
 
::* treatment summary: will have lines but different lines, different from what one doctor intended
 
::* treatment summary: will have lines but different lines, different from what one doctor intended
 
::* patient can have different treatments, a treatment can be updated by different doctors
 
::* patient can have different treatments, a treatment can be updated by different doctors
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::* Medication Record has all the data related to usage of medication of a person
 
::* Medication Record has all the data related to usage of medication of a person
 
::* who owns the treatment line ? the doctor but it can be updated by other doctors
 
::* who owns the treatment line ? the doctor but it can be updated by other doctors
 +
::* an indication might be linked to a treatment, it is not mandatory: none to multiple indications are possible
 +
::* use of word treatment is not correct in its scientific way but is linked to the usage of a medication
 
::* How does het Medication Scheme fit here ? José is showing data model of medication record: http://build.fhir.org/ig/hl7-be/riziv-medication-record/medicationrecord-data-model.html
 
::* How does het Medication Scheme fit here ? José is showing data model of medication record: http://build.fhir.org/ig/hl7-be/riziv-medication-record/medicationrecord-data-model.html
−
 
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::::* use case #1: http://build.fhir.org/ig/hl7-be/riziv-medication-record/medicationrecord-scenario-1.html : a medication for 3 different indications ; what does the summary have to show ? is this 3 or 1 treatments ?
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* Latest updates:
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::* José is showing the FHIR resources: http://build.fhir.org/ig/hl7-be/riziv-medication-record/medicationrecord-fhir-resources.html
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::* Medication Scheme : see [https://chat.fhir.org/#narrow/stream/179166-implementers/topic/Medication.20overview chat.fhir.org] with advice from Lloyd McKenzie
+
::::* Usage statement: here patient can indicate that he doesn't take the medication or that he only takes half of the dose
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::* Definitions, see [https://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/medicationrecord-definitions.html here] ; definition of medication scheme is missing
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::* Remark: the current implementation of the medication scheme is less complex but causes already plenty of issues in the field
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::::* treatment line vs treatment item: to be clarified, are they the same thing ?
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::* Question: do we need 1 central repository ? No, to be discussed in detail next meeting
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::::::* what is a medication line: a bundle of items on the same medication but with differences about the past and the future
 
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::::::* does it need to represented by different resources ?
 
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::::* diagram that shows the links between these concepts needs to be added
 
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::* requirements, see [https://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/medicationrecord-requirements.html here]
 
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::* treatment line should be next to summary, not under the summary, see [https://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/toc.html here]
 
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::* Scenario 1 - concurrent medications, see [https://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/medicationrecord-scenario-1.html here]: whatever we decide on grouping medications, there will be always another way to group them
 
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::* Scenario 2 - medication protocols, see [https://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/medicationrecord-scenario-2.html here]
 
−
 
 
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* José is sharing [https://build.fhir.org/medicationusage.html Medication usage]
 
  
 
'''Action items for next meeting'''
 
'''Action items for next meeting'''
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::* continue discussion on treatment lines
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::* each one of us to check offline and with his team to continue discussion on treatment lines
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::* please all: check all the definitions, requirements, scenarios that were presented today and provide us with your feedback
 
  
  
 
'''Next meeting May 11 at 11AM'''
 
'''Next meeting May 11 at 11AM'''

Latest revision as of 17:19, 27 April 2021

Attendees
  • Annemieke Vergauwe
  • Bruno Casneuf
  • Dieter Sauvillers
  • Elhassan Baazizi
  • Hanne Vuegen
  • Jan Lenie
  • Jean-Louis Maggetto
  • Jean-Michel Polfliet
  • Jens Penny
  • José Costa Teixeira
  • Karlien Erauw
  • Marc Buckens
  • Pablo Christiaens
  • Robin Bosman
  • Tom De Backer
  • Tom Henkens
Excused/Not present
  • Anne Nerenhausen
  • Jeroen De Wilde
  • Lars Vanreppelen
  • Nils Devos
  • Richard Francken
  • Will van Norel
Agenda
  • review of definitions
  • proposal of FHIR resources to use for medication scheme
Minutes
  • not updated on https://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/medicationrecord-definitions.html yet
  • treatment item is now treatment line
  • treatment is not about allergies, is what the doctor prescribes, can be updated by someone else (optional)
  • treatment consists of treatment lines
  • treatment lines: do we split this by indication ? TBC
  • treatment summary: will have lines but different lines, different from what one doctor intended
  • patient can have different treatments, a treatment can be updated by different doctors
  • Medication summary can be constructed by a system or by a person
  • Medication Record has all the data related to usage of medication of a person
  • who owns the treatment line ? the doctor but it can be updated by other doctors
  • an indication might be linked to a treatment, it is not mandatory: none to multiple indications are possible
  • use of word treatment is not correct in its scientific way but is linked to the usage of a medication
  • How does het Medication Scheme fit here ? José is showing data model of medication record: http://build.fhir.org/ig/hl7-be/riziv-medication-record/medicationrecord-data-model.html
  • Usage statement: here patient can indicate that he doesn't take the medication or that he only takes half of the dose
  • Remark: the current implementation of the medication scheme is less complex but causes already plenty of issues in the field
  • Question: do we need 1 central repository ? No, to be discussed in detail next meeting

Action items for next meeting

  • each one of us to check offline and with his team to continue discussion on treatment lines


Next meeting May 11 at 11AM

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