Minutes - Medication WG 2021-02-16
From Health Level 7 Belgium Wiki
Contents
Attendees
- Anne Nerenhausen
- Annemieke Vergauwe
- Bruno Casneuf
- Dieter Sauvillers - Corilus
- Pablo - Corilus
- Lars -- Corilus
- Elhassan Baazizi
- Hanne Vuegen
- Jan Lenie
- Jean-Louis Maggetto
- Jens Penny
- José Costa Teixeira
- Karlien Erauw
- Marc Buckens
- Richard Franken
- Tom De Backer
- Tom Henkens
- Will Van Norel
Excused
- Jeroen De Wilde
- Robin Bosman
- Nils Devos
Agenda
- examples of magistral preparations of ingredients/products with codes to distinguish the different types (incl offset)
- feedback on first draft of logical model for the medication record
Minutes
- Magistral preparations: Jan has not been able to work on it due to some internal deadlines. Tom Henkens prepared some things on the magistral preparations. See the summary here. Recip-e can prescribe 3 things:
- pre-packed product
- INN
- Compounded drugs/magistral preparation: text as well as structure is permitted
- structure by defining one or more compounds
- substances
- formulary reference
- pre-packed product (as compound)
- structure: defined by formulary reference only
- How to translate this in a model ?
- How indicate that it is a magistral preparation: as a flag or derive it from one of the used codes, f.e. naming system = BE magistral preparation
- 1 CNK can point to multiple GTIN, 1 GTIN can never link to multiple CNK's
- discussion on quantum satis : there seems no need to add this in our FHIR profile
- do we have to encode this in such a detail ?
- HL7 FHIR (international): offset is in minutes, so it could be resolved by changing the start date
- can we put together an example on this ? So that we can point out the need for an extension for it
- Belgium can also make his own extension for it
- 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
- José is using the use cases for the medication record - for which there were some challenges...
- Context: you can have very simple summaries vs complex summaries
- medication scheme can be updated by GP, pharmacists, nurse, ... and updates are pushed to vaults
- what if dispenses are sent to the vault ? is the vault handling the update ? at the vault, the update is put next to the current scheme and GP or pharmacist have to determine which is the right one
- a compiled summary step might be needed = the need for a process of automated reconciliation will have to be confirmed and if so, defined
- would/could it be better to work from medication dispenses ?
- medication record could have the medication summary + details/facts (source data f.e. prescriptions, dispenses, vaccination records, ...)
- not all the details would be relevant to the summary
- all dispenses, even when not prescribed, should be part of the medication record
- Will it be feasible to code all these "facts" ? Only medication related.
- could it be a solution for a "solid pot" = personal wallet with all information
- goal is not to implement this right now, but to foresee the possibilities, to make our architecture ready for the future
- see draft proposal here
Next meeting March 2