Minutes - Medication WG 2023-02-14

Attendees

• Annemieke Vergauwe
• Bart Decuypere
• Dieter Sauvillers
• Jan Lenie
• Jens Penny - NOT
• José Costa Teixeira
• Karlien Erauw
• Katrien Thorré
• Lodewijk Sioen
• Pablo Christiaens
• Tom Henkens
• Walter Bollaert

Excused/Not present

• Anne Nerenhausen
• Bruno Casneuf
• Dieter Sauvillers
• Hanne Vuegen
• Jean-Michel Polfliet
• Lars Vanreppelen
• Richard Francken
• Marc Buckens
• Nick Hermans
• Nils Devos
• Thomas Van Langendonck
• Tom De Backer
• Will van Norel

Agenda

• Mapping from the current kmehr medication scheme into FHIR
• Mapping of posology

Minutes

• Medication scheme is a document that is a snapshot of what a patient/person currently takes

• it has an author, date

• FHIR MS will also have an author

• it is confirmed that there is an author per line - we need to add this

• there is also an author for all

• FHIR: patient identifier --> NIS number
• gender: change of codes is needed as kmehr values are slightly different than the ones in FHIR
• transactions

• Update on work done value sets : see here

• NHS recommends UCUM if available
• Jens started with the kmehr codes (as we will need a mapping with kmehr as everything is in kmehr now and we don't want to lose functionality) and proposes to extend it to encompass ucum

• ucum provides endless combinations, where will be stop this ?
• kmehr was not complete

• Belgian Snomed CT is available from here, choosing the Belgian version
• how do we handle packaging ?
• here's a list that is currently used on the field
• all participants are asked to review the work done and the document that is referenced in the issue
• can the list be turned into 2 parts (one without questions, another one with questions to raise to eHealth platform-kmehr experts TBC) so that we can compile it to one list and afterwards we can ask feedback to NRC

• The current mapping from the current kmehr medication scheme (the parts that matter) to FHIR resources

• see https://build.fhir.org/ig/hl7-be/medication-record/medicationrecord-fhir-resources.html
• kmehr: see https://www.ehealth.fgov.be/standards/kmehr/en/transactions/medication-scheme-element
• there is some documentation missing on the kmehr medication scheme
• the FHIR medication scheme has to be at least functional as the current kmehr MS
• the current MS is around messages and as such sender & receiver - this will be different in FHIR
• FHIR MS will be a document that can be consulted many times
• author in kmehr context: the author that decides that the content is good enough to send the message

• we will recommend that in FHIR we need an "author" that is responsible for the whole of the MS
• FHIR has a lifecycle that currently does not exist

• the FHIR MS will be a bundle

Agenda items for next meeting

• feedback on presented valueset
• review mapping kmehr medication scheme to FHIR

Next meeting 7 Feb at 11AM