Minutes - Medication WG 2021-05-11

From Health Level 7 Belgium Wiki
Attendees
  • Bruno Casneuf
  • Dieter Sauvillers
  • Elhassan Baazizi
  • Hanne Vuegen
  • Jean-Louis Maggetto
  • Jean-Michel Polfliet
  • Jens Penny
  • José Costa Teixeira
  • Karlien Erauw
  • Pablo Christiaens
  • Richard Francken
  • Robin Bosman
  • Tom De Backer
  • Tom Henkens
  • Will van Norel
Excused/Not present
  • Anne Nerenhausen
  • Annemieke Vergauwe
  • Jan Lenie
  • Jeroen De Wilde
  • Lars Vanreppelen
  • Marc Buckens
  • Nils Devos


Agenda
  • feedback on the model
Minutes
  • Magistral preparations: no update
  • What is the purpose and intent of the high level modelling towards the scope of the medication scheme project and exchange of the related MS information, including the outcome
  • the purpose of the logical model is having a common understanding what the data means apart from the FHIR modelling
  • logical model is perceived as a flow
  • What do we want to achieve here ? the MS, the careplan, ...
  • the purpose is to achieve the MS
  • are we going to translate kmehr to FHIR ? lots of risks
  • starting from something completely new: we risk to lose data fromo the past
can the care plan be left out from this WG ?
  • We miss the definition of the MS
  • currently the MS in kmehr is visualised in a document


*

  • not updated on https://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/medicationrecord-definitions.html yet
  • treatment item is now treatment line
  • treatment is not about allergies, is what the doctor prescribes, can be updated by someone else (optional)
  • treatment consists of treatment lines
  • treatment lines: do we split this by indication ? TBC
  • treatment summary: will have lines but different lines, different from what one doctor intended
  • patient can have different treatments, a treatment can be updated by different doctors
  • Medication summary can be constructed by a system or by a person
  • Medication Record has all the data related to usage of medication of a person
  • who owns the treatment line ? the doctor but it can be updated by other doctors
  • an indication might be linked to a treatment, it is not mandatory: none to multiple indications are possible
  • use of word treatment is not correct in its scientific way but is linked to the usage of a medication
  • How does het Medication Scheme fit here ? José is showing data model of medication record: http://build.fhir.org/ig/hl7-be/riziv-medication-record/medicationrecord-data-model.html
  • Usage statement: here patient can indicate that he doesn't take the medication or that he only takes half of the dose
  • Remark: the current implementation of the medication scheme is less complex but causes already plenty of issues in the field
  • Question: do we need 1 central repository ? No, to be discussed in detail next meeting

Action items for next meeting

  • each one of us to check offline and with his team to continue discussion on treatment lines


Next meeting May 11 at 11AM

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