Difference between revisions of "Minutes - Medication WG 2020-11-24"

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* 3rd [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/MedicationDispense-posology-3-tablets-beforebreakfast-20PM.json.html example]  
 
* 3rd [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/MedicationDispense-posology-3-tablets-beforebreakfast-20PM.json.html example]  
 
::* 2 dosageInstruction blocks here
 
::* 2 dosageInstruction blocks here
::* check with Jan's [https://drive.google.com/drive/folders/1mW-p-cIPkYnysUJ_T7Fke5l9y5a1jc6w 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 that you can't have 2 when there is a time a day for dosage and it can't be compiled
+
::* check with Jan's [https://drive.google.com/drive/folders/1mW-p-cIPkYnysUJ_T7Fke5l9y5a1jc6w 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 [http://hl7.org/fhir/R4/datatypes.html#Timing rule]: If there's a timeOfDay, there cannot be a when, or vice versa  it can't be compiled
  
  

Revision as of 11:04, 24 November 2020

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
  • 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
  • timing is specific here, specifying ACM and ACV
  • 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