Difference between revisions of "Minutes - Medication WG 2021-02-02"

From Health Level 7 Belgium Wiki
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===== '''Minutes''' =====
 
===== '''Minutes''' =====
* magistral preparations: Jan has not been able to work on it due to some internal deadlines
+
* 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:
+
* Tom Henkens prepared some things on the magistral preparations. See the summary here. Recip-e can prescribe 3 things:
 
::* pre-packed product
 
::* pre-packed product
 
::* INN
 
::* INN
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::::* structure by defining  one or more compounds
 
::::* structure by defining  one or more compounds
 
::::::* substances
 
::::::* substances
::::::* sformulary reference
+
::::::* formulary reference
 
::::::* pre-packed product (as compound)   
 
::::::* pre-packed product (as compound)   
 
::::* structure: only formulary reference
 
::::* structure: only formulary reference
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::* magistral preparation: how to indicate: as a flag or derive it from one of the used codes, f.e. naming system = BE magistral preparation
 
::* 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
 
::* 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
+
::* 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 ?
 
::* do we have to encode this in such a detail ?
  
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::::::* not all the details would be relevant to the summary
 
::::::* not all the details would be relevant to the summary
 
::::::* all dispenses, even when not prescribed, should be part of the medication record
 
::::::* all dispenses, even when not prescribed, should be part of the medication record
 +
::::* see [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/StructureDefinition-be-model-medication-record.html draft proposal here]
  
  

Revision as of 10:50, 2 February 2021

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. 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: 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 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: 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