Minutes - Medication WG 2021-04-27
From Health Level 7 Belgium Wiki
Attendees
- Annemieke Vergauwe
- Bruno Casneuf
- Dieter Sauvillers
- Elhassan Baazizi
- Hanne Vuegen
- Jan Lenie
- Jean-Louis Maggetto
- Jean-Michel Polfliet
- Jens Penny
- José Costa Teixeira
- Karlien Erauw
- Marc Buckens
- Pablo Christiaens
- Robin Bosman
- Tom De Backer
- Tom Henkens
Excused/Not present
- Anne Nerenhausen
- Jeroen De Wilde
- Lars Vanreppelen
- Nils Devos
- Richard Francken
- Will van Norel
Agenda
- review of definitions
- proposal of FHIR resources to use for medication scheme
Minutes
- Magistral preparations: no update
- Definitions related to Medication Scheme: http://build.fhir.org/ig/hl7-be/riziv-medication-record/toc.html
- 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
- use case #1: http://build.fhir.org/ig/hl7-be/riziv-medication-record/medicationrecord-scenario-1.html : a medication for 3 different indications ; what does the summary have to show ? is this 3 or 1 treatments ?
- José is showing the FHIR resources: http://build.fhir.org/ig/hl7-be/riziv-medication-record/medicationrecord-fhir-resources.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 repository ?
Action items for next meeting
- each one of us to check offline and with his team to continue discussion on treatment lines
- please all: check all the definitions, requirements, scenarios that were presented today and provide us with your feedback
Next meeting May 11 at 11AM
- status on patient information sheet - status balloting process
- review feedback on definitions & model