Difference between revisions of "Minutes - Medication WG 2021-03-02"

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===== '''Attendees''' =====  
 
===== '''Attendees''' =====  
 +
* Anne Nerenhausen
 
* Annemieke Vergauwe  
 
* Annemieke Vergauwe  
 
* Bruno Casneuf  
 
* Bruno Casneuf  
−
* Dieter Sauvillers, Corilus
+
* Dieter Sauvillers
 
* Elhassan Baazizi  
 
* Elhassan Baazizi  
−
* Hanne Vuegen
 
 
* Jan Lenie  
 
* Jan Lenie  
−
* Jean-Louis Maggetto
 
 
* Jens Penny  
 
* Jens Penny  
 
* José Costa Teixeira  
 
* José Costa Teixeira  
 
* Karlien Erauw  
 
* Karlien Erauw  
−
* Lars Vanreppelen, Corilus
+
* Pablo Christiaens
−
* Pablo Christiaens, Corilus
 
−
* Richard Francken
 
 
* Robin Bosman  
 
* Robin Bosman  
 
* Tom De Backer  
 
* Tom De Backer  
−
* Tom Henkens
+
* Will van Norel
  
 
===== '''Excused/Nor present''' =====
 
===== '''Excused/Nor present''' =====
−
* Anne Nerenhausen
+
* Hanne Vuegen
 +
* Jean-Louis Maggetto
 
* Jeroen De Wilde
 
* Jeroen De Wilde
 +
* Lars Vanreppelen
 
* Marc Buckens  
 
* Marc Buckens  
 
* Nils Devos
 
* Nils Devos
−
* Will Van Norel
+
* Richard Francken
 +
* Tom Henkens
 +
 
  
 
===== '''Agenda''' =====
 
===== '''Agenda''' =====
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* feedback on vaccination FHIR profiling
 
* feedback on vaccination FHIR profiling
 
* feedback on medication record
 
* feedback on medication record
−
 
−
* examples of magistral preparations of ingredients/products with codes to distinguish the different types (incl offset)
 
−
* vaccination: logical model and Belgian FHIR profiling
 
−
* feedback on first draft of logical model for the medication record
 
  
 
===== '''Minutes''' =====
 
===== '''Minutes''' =====
−
* '''Magistral preparations''': no work on examples was done due to time constraints
+
* '''New model of Medication record: feedback'''
−
::* update from HL7 int'l on sufficient quantity: there will be a change in FHIR R5 adding a new concept on quantity: up to a quantity
+
::* see here: http://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/StructureDefinition-be-model-medication-record.html
−
 
+
::* medication is a snapshot
−
* '''Profiling for medication dispense''': has not been requested in the FHIR validation meeting
+
::* medication history is more complicated
−
::* new federal standards will be published in March (home care plan, allergy, vaccination, ...), dispense will not be included. It is ok to be included later in 2021. It can meanwhile be published at HL7 Belgium level
+
::* medication snapshot will contain several medication lines
−
 
+
::::* no universal definition of a medication line though...
−
* '''Vaccinations''' (part of RIZIV project) & international impact
+
::* is the treatment under the summary or on the top ?
−
::* José is showing the logical model : http://build.fhir.org/ig/hl7-be/riziv-inami/StructureDefinition-be-model-vaccination.html
+
::::* there is a link/connection between a treatment line and a medication ; there are next to each other with a link in between
−
::* once the logical model was composed, profiling has been done : http://build.fhir.org/ig/hl7-be/riziv-inami/StructureDefinition-be-vaccination.html
+
::* medication treatment line is not linked to an indication
−
::* plenty of FHIR resources were immature and plenty of extensions were needed to profile this in Belgium
+
::* indication is part of the treatmentLine in the model
−
::* there are everywhere initiatives on COVID vaccinations, there were discussions with IHE and HL7 - there will be a broad global profile that will be based on the Belgian one - IHE profile will come up soon, which will influence EC and WHO looks at the work
+
::* dosage, treatmentStartDate and treatmentEndDate are the possible differentiating factors in a medication line
−
::* is recorder extension necessary? can provenance resource be used? could have been a solution
 
−
::* lot number and expiration date: one possible change
 
−
::* vaccineCode:
 
−
::* there are many examples (nonCOVID and a couple of COVID ones): http://build.fhir.org/ig/hl7-be/riziv-inami/StructureDefinition-be-vaccination-examples.html
 
−
 
 
−
* '''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
 
−
::* medication record could have the medication summary + details/facts (source data f.e. prescriptions, dispenses, vaccination records, adverse events, maybe allergy intolerances...)
 
−
::::* all dispenses, even when not prescribed, should be part of the medication record
 
−
::::* 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]
 
−
::* feedback:
 
−
::::* medication dispenses are one source for the medication record, there are other sources
 
−
::::* what exactly is the treatment line: f.e. hypertension includes several prescribed medications - will be different treatment line
 
−
::::* aspirine can be taken on a regular basis (f.e. for blood thinning) and for ache (headache): treatment line gives the possiblity to have this in several treatment lines
 
−
::::* it will depend by region whether there will be several treatment lines
 
−
::::* if the treatment is exactly the same for several indications, no additional treatment line is needed
 
−
::::* maybe indication has to be 1-many
 
−
::::* this has a major impact on the medication scheme and the prescribing sources
 
−
::::* business rules will have to be defined
 
  
−
::::* medication record has the equivalent value of a care plan f.e. in Suisse
 
−
::* how does the medication scheme have to made up based on this: work item for next meeting
 
−
::::* bring your own proposal
 
−
::* relations with current way of working
 
  
 +
* '''Magistral preparations''': time did not permit to discuss this
  
−
'''Next meeting March 2'''
+
'''Next meeting March 16 at 11AM'''

Latest revision as of 10:49, 2 March 2021

Attendees
  • Anne Nerenhausen
  • Annemieke Vergauwe
  • Bruno Casneuf
  • Dieter Sauvillers
  • Elhassan Baazizi
  • Jan Lenie
  • Jens Penny
  • José Costa Teixeira
  • Karlien Erauw
  • Pablo Christiaens
  • Robin Bosman
  • Tom De Backer
  • Will van Norel
Excused/Nor present
  • Hanne Vuegen
  • Jean-Louis Maggetto
  • Jeroen De Wilde
  • Lars Vanreppelen
  • Marc Buckens
  • Nils Devos
  • Richard Francken
  • Tom Henkens


Agenda
  • examples of magistral preparations
  • feedback on vaccination FHIR profiling
  • feedback on medication record
Minutes
  • New model of Medication record: feedback
  • no universal definition of a medication line though...
  • is the treatment under the summary or on the top ?
  • there is a link/connection between a treatment line and a medication ; there are next to each other with a link in between
  • medication treatment line is not linked to an indication
  • indication is part of the treatmentLine in the model
  • dosage, treatmentStartDate and treatmentEndDate are the possible differentiating factors in a medication line


  • Magistral preparations: time did not permit to discuss this

Next meeting March 16 at 11AM

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