Minutes - Medication WG 2021-02-02

Attendees

• Anne Nerenhausen
• Annemieke Vergauwe
• Bruno Casneuf
• 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

• magistral preparations
• first draft of logical datamodel 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. 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
• sformulary reference
• pre-packed product (as compound)

• structure: only formulary reference

• How to translate this in a model ?
• magistral preparation: how to indicate: 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 quantium satis : there seems no need to add this in our FHIR profile
• do we have to encode this in such a detail ?

• HL7 FHIR: offset is in minutes, so it could be resolved by changing the start date

• can we put 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

• 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 vault handling the update ? at the vault update is put next to the current scheme and GP or pharmacist have to determine what is the right one
• a compiled summary step migth 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 (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

Next meeting Feb 16

• examples of magistral preparations of ingredients/products with codes to distinguish the different types
• first draft of logical model for the medication scheme