Minutes - Medication WG 2020-07-07

Attendees

• Tom Henkens
• José Costa Teixeira
• Elhassan Baazizi
• Marc Buckens
• Jens Penny
• Karlien Erauw

Excused

• Robin Bosman

Agenda

• medication dispense: move stage further
• NIHDI uniqueness issue
• remarks on updates on profiling

Meeting Minutes

• most recent updates on profiling (changes in medication dispense) are currently not available online as build is being done locally, should be available tomorrow
• question: actors - display is not part of identifier: has been clarified
• NIHDI identifier issue

• NIHDI presents a caregiver/professional or an organization/pharmacy, within professional/organization it is unique – what we need to do is adding 2 naming systems

• NIHDI for professional
• NIHDI for organisation

• Profile on medication dispense has 2 slices – performer-dispensingPerson and performer-dispensingOrganization

• at least one has to be there - this will be enforced (important also for traceability)
• Issue f.e. for bandagists as they don't have a NIHDI. Idea is that one performer is mandatory but a local identifier could be used

• Type of dispenser (f.e. intramuros pharmacy, extramuros pharmacy, physiotherapist, nurse, GP, doctor-specialist, ...)

• NIHDI professional will not specify the type of the professional (nurse, GP, specialists, …)
• Type of organization is vital information in Belgium f.e. regarding checking authorizations of dispenses
• Can this be looked up within our FHIR profiling if the lookup exists ;Look up can have an impact, do we want the dispense to fail ?
• Complexity should be solved at the origin, not at the client side
• Can we kick out GFD-pharmacy and use the eHealth numbering (metadata from eHealth)
• BePractioner should be common in Belgium
• BeMedicationDispense: will also be used by vending machine, hospitals, vaccination organization, pharmacy,…

• NIDHI of practioners can “evolve”: last 3 digits have speciliazation so the last 3 digits can change if his specialization changes – how we are going to tackle the evolution of NIHDI ?

• Dispense : only uses the id that is currently valid
• Catalog: same practioner will have several identifiers and the evolution of id in time, even indicating the validity period of the identifier
• Within HL7 Belgium we have to show the progress we make – notion of history of NIHDI – so that issues are solved in the future in the same way

• Goal is to publish the profile and include an example
• José will update the profiling and will send out an email on the 2 ways of how this can be done

Next meeting: Aug 4 - July 21 meeting is cancelled due to public holiday Karlien to send out cancellation and insist on revision of profiling by everyone & providing feedback