Minutes - Medication WG 2020-11-24

Attendees

• José Costa Teixeira
• Robin Bosman
• Jan Lenie
• Bruno Casneuf
• Tom De Backer
• Annemieke Vergauwe
• Elhassan Baazizi
• Jens Penny
• Tom Henkens
• Karlien Erauw
• Hanne Vuegen
• Richard Francken

Excused

• Nils Devos
• Jeroen De Wilde
• Lieven Peeters

Agenda

• Review examples & prepare publication
• New action items for this WG

Minutes

• Jens is showing his work on the examples

• we have to agree that this is a valid minimal dispense
• is name of performer mandatory ? we don't think so
• is name of patient mandatory ? we don't think so
• what about the quantity ? it is not mandatory ; is the default then 1 ? for clarity we should make it mandatory with a severity warning, not a severity error, ; we should start with the documentation, eventually maybe an invariant

• José will add this item to the backlog

• if this is a minimal profile, we should remove everything that is not mandatory

• one tablet a day example

• some assumptions were made

• dose and rate: which codesystem are we going to use ? ucum codes are used, Jan used kmehr admin units in other examples, we need to decide what we are going to use as a base
• only admin units kmehr are available at pharmacies, which are hard to map one a 1-2-1 basis

• there are different value sets f.e. CD rout, CD administration unit ; there are no constraints but we need to raise that we need value sets
• is there a naming system for administration units ? we should have one

• add a code system empty for kmehr administration unit
• have a dummy value set is a good idea
• what about the instructions to the patient, where to put them ? Jens uses additionalInstruction, Jan uses patientInstruction, all under dosageInstruction

• additionalInstruction is a codeable concept ; the other is not, is a string
• kmehr is patient oriented
• putting it in patientInstruction makes sense

• 2 tablets a day example

• timing is specific here, specifying ACM and ACV

• 3rd example

• 2 dosageInstruction blocks here
• check with Jan's example where morning and evening is in 2 blocks: "when": ["ACM"], "frequency": 2,"timeOfDay": ["20:00:00"] ; having it in 2 blocks is also confusing ; there is rule: If there's a timeOfDay, there cannot be a when, or vice versa it can't be compiled

Next steps / action items:

• Prepare vaccination profile that is under development under HL7, check where the vaccin'sserial number can be included
• Final review of the profiles
• receive FAGG mapping on kmehr and SAMv2 through RIZIV: Karlien to ask Jeroen about the status