Minutes - Medication WG 2021-06-08
From Health Level 7 Belgium Wiki
Attendees
- Anne Nerenhausen
- Annemieke Vergauwe
- Bruno Casneuf
- Jean-Michel Polfliet
- José Costa Teixeira
- Katrien Thorré
- Karlien Erauw
- Nick Hermans
- Pablo Christiaens
- Richard Francken
- Robin Bosman
- Thomas Van Langendonck
- Tom De Backer
- Tom Henkens
Excused/Not present
- Dieter Sauvillers
- Elhassan Baazizi
- Hanne Vuegen
- Jan Lenie
- Jean-Louis Maggetto
- Jens Penny
- Jeroen De Wilde
- Lars Vanreppelen
- Marc Buckens
- Nils Devos
- Richard Francken
- Will van Norel
Agenda
- review of SAMv1 to SAMv2 mapping
- review of the examples
Minutes
- Magistral
- FAGG has sent us through RIZIV a mapping SAMv1 to SAMv2, that was sent to all WG-members last week
- please collect feedback in your team and send it by email to Karlien
- feedback on the FHIR medication workshop that took place with a couple of WG-members last week
- “Stofnaam” aka “Substance” should be changed by VOS-cluster. Under a VOS-cluster we understand the following:
- Same substance(s)
- Same strength
- Comparable package size
- Form of administration
- Additional info:
- https://www.riziv.fgov.be/nl/themas/kost-terugbetaling/door-ziekenfonds/geneesmiddel-gezondheidsproduct/geneesmiddel-voorschrijven/Paginas/goedkoopste-geneesmiddelen.aspx
- https://www.riziv.fgov.be/nl/themas/kost-terugbetaling/door-ziekenfonds/geneesmiddel-gezondheidsproduct/geneesmiddel-voorschrijven/Paginas/voorschijven-stofnaam-regels-voorschrijver.aspx
- to check: Contramal 100 mg vs Contramal 100 mg retard
- comparable package sizes are not packaged in Belgium (was under discussion once)
- different VMP's are grouped in a cluster code, same administration code, not form of administration (disrriminiation of syrop vs pills is done through strength)
- During the workshop 12 scenario's have been defined:
- Prescribed branded medication is changed by another branded medication from the same VOS-cluster
- Prescribed medication is changed by another medication from a different VOS-cluster
- Different strength, different package size or different form of administration is dispensed
- Different substance(s) is dispensed
- Dispense medication before the prescription of the general practitioner
- e.g. stomach protector that is delivered to the patient
- Dispense of prescribed medication, and dispense of a product that can be done without a prescription
- Dispense of new brand medication that is given because the old is unavailable, so giving to continue the cure and not to replace it
- Refuse the dispense prescribed medication
- Dispense of medication that was prescribed, but not taken
- e.g. an antibiotic that is prescribed when doing international travel as a safeguard
- Dispense of medication that was prescribed, but not taken till the end
- e.g. an antibiotic that is prescribed but when using the patient had an allergic reaction
- might be connected to scenario 3, when the pharmacist gives an alternative
- The recording of anesthetic, contrast and similar medications in the medication scheme
- The recording of non-medication aka pharmaceutical products
- Food supplement
- Sunscreen
- ...
- The view and/or filters for
- a GP
- a nurse / caretaker
- a pharmacist
- a specialist
- a patient
- The patient is admitted to hospital and there the medication is changed to better help the patient.
- patient is admitted, hospital takes over the medication from the scheme
- patient is discharged, hospital reconciles the medication that was used with the medication scheme
- Do we have to extend the model to include individual prescriptions ?
- is the posology already sufficient as it is now in the model ?
- the regimen exists today and the model should foresee something similar
- for the pharmacist the time b/w the different intakes and with or without food is important
- José will be working on a use case for this
- Swiss approach of medication treatment plan
- doctor starts a medication treatment plan and everything afterwards is part of this plan
- Swiss documentation:
- In Belgium now we only have prescriptions, we don't have a starting point
- often a doctor starts with a prescription without it being part of a fixed plan (try-out)
- a medication can be part of multiple treatment plans
- this starting point (medication plan) does not seem to be mandatory, it can be optional
- Can we have a look at the Swiss documents and check what is useful for us (f.e. use cases)
Action items for next meeting
- José will work on a posology use case
- Review of Swiss documents
Next meeting June 22 at 11AM
