Difference between revisions of "Minutes - Medication WG 2021-02-02"
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===== '''Agenda''' ===== | ===== '''Agenda''' ===== | ||
| − | * | + | * magistral preparations |
| − | + | * first draft of logical datamodel medication record | |
===== '''Minutes''' ===== | ===== '''Minutes''' ===== | ||
| − | * | + | * '''Magistral preparations''': Jan has not been able to work on it due to some internal deadlines. Tom Henkens prepared some things on the magistral preparations. [https://drive.google.com/file/d/1P5kWeMCNl1ogeXeLaUN01c4B3blg13_d/view?usp=sharing See the summary here]. Recip-e can prescribe 3 things: |
| − | |||
::* pre-packed product | ::* pre-packed product | ||
::* INN | ::* INN | ||
| Line 33: | Line 32: | ||
::::* structure by defining one or more compounds | ::::* structure by defining one or more compounds | ||
::::::* substances | ::::::* substances | ||
| − | ::::::* | + | ::::::* formulary reference |
::::::* pre-packed product (as compound) | ::::::* pre-packed product (as compound) | ||
| − | ::::* structure: | + | ::::* structure: defined by formulary reference only |
::* How to translate this in a model ? | ::* How to translate this in a model ? | ||
| − | ::* magistral preparation | + | ::* How indicate that it is a magistral preparation: as a flag or derive it from one of the used codes, f.e. naming system = BE magistral preparation |
::* 1 CNK can point to multiple GTIN, 1 GTIN can never link to multiple CNK's | ::* 1 CNK can point to multiple GTIN, 1 GTIN can never link to multiple CNK's | ||
| − | ::* discussion on | + | ::* discussion on quantum satis : there seems no need to add this in our FHIR profile |
::* do we have to encode this in such a detail ? | ::* do we have to encode this in such a detail ? | ||
| − | * HL7 FHIR: offset is in minutes, so it could be resolved by changing the start date | + | * HL7 FHIR (international): offset is in minutes, so it could be resolved by changing the start date |
| − | ::* can we put an example on this ? So that we can point out the need for an extension for it | + | ::* can we put together an example on this ? So that we can point out the need for an extension for it |
::* Belgium can also make his own extension for it | ::* Belgium can also make his own extension for it | ||
| − | * Draft model for the medication record (we are not going to use the medication scheme as this is a reserved word in Belgium) | + | * '''Draft model for the medication record''' (we are not going to use the medication scheme as this is a reserved word in Belgium) |
::* from architectural update | ::* from architectural update | ||
| − | ::* José is using the use cases for the medication record - for which there were some challenges | + | ::* José is using the use cases for the medication record - for which there were some challenges... |
| − | ::::* very simple summaries vs complex summaries | + | ::::* Context: you can have very simple summaries vs complex summaries |
::::* medication scheme can be updated by GP, pharmacists, nurse, ... and updates are pushed to vaults | ::::* medication scheme can be updated by GP, pharmacists, nurse, ... and updates are pushed to vaults | ||
| − | ::::* what if dispenses are sent to the vault ? is vault handling the update ? at the vault update is put next to the current scheme and GP or pharmacist have to determine | + | ::::* what if dispenses are sent to the vault ? is the vault handling the update ? at the vault, the update is put next to the current scheme and GP or pharmacist have to determine which is the right one |
| − | ::::* a compiled summary step | + | ::::* a compiled summary step might be needed = the need for a process of automated reconciliation will have to be confirmed and if so, defined |
::::* would/could it be better to work from medication dispenses ? | ::::* would/could it be better to work from medication dispenses ? | ||
| − | ::::* medication record could have the medication summary + details (source data f.e. prescriptions, dispenses, vaccination records, ...) | + | ::::* medication record could have the medication summary + details/facts (source data f.e. prescriptions, dispenses, vaccination records, ...) |
::::::* not all the details would be relevant to the summary | ::::::* not all the details would be relevant to the summary | ||
::::::* all dispenses, even when not prescribed, should be part of the medication record | ::::::* all dispenses, even when not prescribed, should be part of the medication record | ||
| − | + | ::::* Will it be feasible to code all these "facts" ? Only medication related. | |
| + | ::::* could it be a solution for a "solid pot" = personal wallet with all information | ||
| + | ::::* goal is not to implement this right now, but to foresee the possibilities, to make our architecture ready for the future | ||
| + | ::::* see [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/StructureDefinition-be-model-medication-record.html draft proposal here] | ||
'''Next meeting Feb 16''' | '''Next meeting Feb 16''' | ||
| − | * examples of magistral preparations of ingredients/products with codes to distinguish the different types | + | * examples of magistral preparations of ingredients/products with codes to distinguish the different types (incl offset) |
| − | * first draft of logical model for the medication | + | * feedback on first draft of logical model for the medication record |
Latest revision as of 11:35, 2 February 2021
Contents
Attendees
- Anne Nerenhausen
- Annemieke Vergauwe
- Bruno Casneuf
- Elhassan Baazizi
- Hanne Vuegen
- Jan Lenie
- Jean-Louis Maggetto
- Jens Penny
- José Costa Teixeira
- Karlien Erauw
- Marc Buckens
- Richard Franken
- Tom De Backer
- Tom Henkens
- Will Van Norel
Excused
- Jeroen De Wilde
- Robin Bosman
- Nils Devos
Agenda
- magistral preparations
- first draft of logical datamodel medication record
Minutes
- Magistral preparations: Jan has not been able to work on it due to some internal deadlines. Tom Henkens prepared some things on the magistral preparations. See the summary here. Recip-e can prescribe 3 things:
- pre-packed product
- INN
- Compounded drugs/magistral preparation: text as well as structure is permitted
- structure by defining one or more compounds
- substances
- formulary reference
- pre-packed product (as compound)
- structure: defined by formulary reference only
- How to translate this in a model ?
- How indicate that it is a magistral preparation: as a flag or derive it from one of the used codes, f.e. naming system = BE magistral preparation
- 1 CNK can point to multiple GTIN, 1 GTIN can never link to multiple CNK's
- discussion on quantum satis : there seems no need to add this in our FHIR profile
- do we have to encode this in such a detail ?
- HL7 FHIR (international): offset is in minutes, so it could be resolved by changing the start date
- can we put together an example on this ? So that we can point out the need for an extension for it
- Belgium can also make his own extension for it
- Draft model for the medication record (we are not going to use the medication scheme as this is a reserved word in Belgium)
- from architectural update
- José is using the use cases for the medication record - for which there were some challenges...
- Context: you can have very simple summaries vs complex summaries
- medication scheme can be updated by GP, pharmacists, nurse, ... and updates are pushed to vaults
- what if dispenses are sent to the vault ? is the vault handling the update ? at the vault, the update is put next to the current scheme and GP or pharmacist have to determine which is the right one
- a compiled summary step might be needed = the need for a process of automated reconciliation will have to be confirmed and if so, defined
- would/could it be better to work from medication dispenses ?
- medication record could have the medication summary + details/facts (source data f.e. prescriptions, dispenses, vaccination records, ...)
- not all the details would be relevant to the summary
- all dispenses, even when not prescribed, should be part of the medication record
- Will it be feasible to code all these "facts" ? Only medication related.
- could it be a solution for a "solid pot" = personal wallet with all information
- goal is not to implement this right now, but to foresee the possibilities, to make our architecture ready for the future
- see draft proposal here
Next meeting Feb 16
- examples of magistral preparations of ingredients/products with codes to distinguish the different types (incl offset)
- feedback on first draft of logical model for the medication record
