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

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===== '''Attendees''' =====
 
===== '''Attendees''' =====
 +
* Anne Nerenhausen
 
* Annemieke Vergauwe  
 
* Annemieke Vergauwe  
* Bruno Casneuf -
+
* Bruno Casneuf  
* Elhassan Baazizi  
+
* Elhassan Baazizi
* Jan Lenie -
+
* Hanne Vuegen
* Jean-Louis Maggetto
+
* Jan Lenie  
 +
* Jean-Louis Maggetto  
 
* Jens Penny  
 
* Jens Penny  
 
* José Costa Teixeira  
 
* José Costa Teixeira  
 
* Karlien Erauw  
 
* Karlien Erauw  
* Nils Devos
+
* Marc Buckens
* Richard Franken  
+
* Richard Franken  
* Robin Bosman
 
 
* Tom De Backer  
 
* Tom De Backer  
* Tom Henkens  
+
* Tom Henkens
 
* Will Van Norel
 
* Will Van Norel
  
 
===== '''Excused''' =====
 
===== '''Excused''' =====
 
* Jeroen De Wilde
 
* Jeroen De Wilde
 +
* Robin Bosman
 +
* Nils Devos
  
 
===== '''Agenda''' =====
 
===== '''Agenda''' =====
* compose logical datamodel
+
* magistral preparations
* magistral preparations by Jan
+
* first draft of logical datamodel medication record
  
 
===== '''Minutes''' =====
 
===== '''Minutes''' =====
* magistral preparations
+
* '''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. [https://drive.google.com/file/d/1P5kWeMCNl1ogeXeLaUN01c4B3blg13_d/view?usp=sharing See the summary here]. Recip-e can prescribe 3 things:
::* there are several types, described by recip-e
+
::* pre-packed product
::* Jan is sharing an example
+
::* INN
::::* magistral preparations is a codesystem : cd-magistralform
+
::* Compounded drugs/magistral preparation: text as well as structure is permitted
::::* strength: is using numerator and denumerator, Jan only uses numerator
+
::::* structure by defining  one or more compounds
::::* CNK is referenced
+
::::::* substances
::::* extension is added for quantity prefix as codesystem as it cannot be found in FHIR and it is common for magistral preparations - José will check
+
::::::* formulary reference
::::* is it necessary to add a TMF2 (the book that has the references, Technical) Magistral Formularium)
+
::::::* pre-packed product (as compound) 
::::* CNK should be unique - valueset points to a stable codesystem
+
::::* structure: defined by formulary reference only
::::* in the electronic prescription it is not mandatory to add a reference
+
::* How to translate this in a model ?
 +
::* How indicate that it is a magistral preparation: 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 (international): offset is in minutes, so it could be resolved by changing the start date
 +
::* can we put together 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
  
'''Next meeting'''
+
* '''Draft model for the medication record''' (we are not going to use the medication scheme as this is a reserved word in Belgium)
* examples of magistral preparations of ingredients/products with codes to distinguish the different types
+
::* from architectural update
* first draft of logical model for the medication scheme
+
::* José is using the use cases for the medication record - for which there were some challenges...
 +
::::* Context: you can have 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 the vault handling the update ? at the vault, the update is put next to the current scheme and GP or pharmacist have to determine which is the right one
 +
::::* a compiled summary step might 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/facts (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
 +
::::* Will it be feasible to code all these "facts" ? Only medication related.
 +
::::* could it be a solution for a "solid pot" = personal wallet with all information
 +
::::* goal is not to implement this right now, but to foresee the possibilities, to make our architecture ready for the future
 +
::::* see [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-medication/branches/master/StructureDefinition-be-model-medication-record.html draft proposal here]
 +
 
 +
'''Next meeting Feb 16'''
 +
* examples of magistral preparations of ingredients/products with codes to distinguish the different types (incl offset)
 +
* feedback on first draft of logical model for the medication record

Latest revision as of 11:35, 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: defined by formulary reference only
  • How to translate this in a model ?
  • How indicate that it is a magistral preparation: 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 (international): offset is in minutes, so it could be resolved by changing the start date
  • can we put together 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...
  • Context: you can have 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 the vault handling the update ? at the vault, the update is put next to the current scheme and GP or pharmacist have to determine which is the right one
  • a compiled summary step might 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/facts (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
  • Will it be feasible to code all these "facts" ? Only medication related.
  • could it be a solution for a "solid pot" = personal wallet with all information
  • goal is not to implement this right now, but to foresee the possibilities, to make our architecture ready for the future
  • see draft proposal here

Next meeting Feb 16

  • examples of magistral preparations of ingredients/products with codes to distinguish the different types (incl offset)
  • feedback on first draft of logical model for the medication record