Minutes - Medication WG 2021-12-21

Attendees

• Bart Decuypere
• Jan Lenie
• Jean-Michel Polfliet
• Jens Penny
• José Costa Teixeira
• Karlien Erauw
• Pablo Christiaens
• Tom Henkens

Excused/Not present

• Annemieke Vergauwe
• Anne Nerenhausen
• Bruno Casneuf
• Dieter Sauvillers
• Elhassan Baazizi
• Hanne Vuegen
• Jean-Louis Maggetto
• Jens Penny
• Jeroen De Wilde
• José Costa Teixeira
• Katrien Thorré
• Lars Vanreppelen
• Marc Buckens
• Nick Hermans
• Nils Devos
• Richard Francken
• Thomas Van Langendonck
• Tom De Backer
• Will van Norel

Agenda

continue discussion of open questions

• is indication mandatory ?
• what with multiple indications in multiple therapeutic lines ?
• how to capture the history in the medication scheme ?

Minutes

• feedback of inquiry on same medication in multiple medication lines

• chronic back pain for which medication/painkiller x is taken twice a day
• twisted ankle: additional medication/painkiller y 3x a day with meals
• another doctor visit: stomach medicine has to be taken in addition and x and y are replaced by a higher dose of x

• do the previous medication lines have to be stopped/paused or not ? - who takes the responsability ? GP will do this, cardiologist f.e. not on previous treatment not related to his specialty
• there are 2 medication lines in system, only one is active, one can be reactivated at all time, patient only sees one line

• Demonstrate history of medication: use cases for display have not been worked on - how the patient sees it is a different use case
• What are the use cases ? ::*

OLD

• Multiple indications in multiple therapeutic lines

• where do you put the optional info, both solutions are possible now which is not a good solution, we prefer one indication for

• can you have 2 times the same medication in your medication scheme ?

• prescriber takes the ownership and it will result in one medication line
• prescriber does not interfere with the existing lines and creates a new medication line having a medication that exists in another medication line

• how will this been displayed in a view ?

• José will check

• How to capture the history in the medication scheme ?

• technically in FHIR everything has its history (tracking of who changed what into what at every level)
• how to keep track of history:e very json file can have a pointer to a past history

• José can put together an example to demonstrate this

Action items for next meeting

• use cases related to history of medication
• feedback of inquiry on same medication in multiple medication lines

Next meeting Jan 4 at 11AM