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