Pharm Tech Minutes 2011.10.04

"== Minutes done by Ana E, work in progress, not complete. =="

Attendees

• Bourquard, Karima (IN-SYSTEM)
• Brandstätter, Jürgen (CodeWerk Software Services and Development GmbH)
• Canu, Nicolas (Phast)
• Cocchiglia, Arianna (Arsenal IT)
• Costa Teixeira, Jose (AGFA)
• De Jong, Tom (Nova Pro)
• Demarmels, Marco (Lake Griffin, LLC)
• Estelrich, Ana (Phast)
• Gengler, Winfried (Epic)
• Géraud, Thierry (CareFusion)
• Gibaud, Isabelle (Syndicat Interhospitalier de Bretagne - SIB)
• Lefebvre, Nicolas (INRIA)
• Letellier, Simon (EAHP)
• Parisot, Charles (GE)
• Poiseau, Eric (INRIA)
• Rica, Charles (ASIP Santé)
• Robberecht, Marc (AGFA)
• Robertson, Scott (Kaiser Permanente)
• Rodrigues, Orlando (Glintt - Heatlhcare Solutions, S.A)
• Sprenger, Michiel (Nictiz)
• Surugue, Jacqueline (EAHP)
• Tzimis, Leonidas (EAHP)
• Zalunardo, Luca (Arsenal IT)

By WebEx:

• Peytchev, Vassil (Epic)
• Sebastião Silva (Coimbra University Hospital)

Overview of the Agenda

The Pharm Tech Agenda 2011.10.04 was reviewed.

Workitems: Status overview

A brief status overview was given by each of the main responsible person

Introduction of the Principles of Governance

The domain is undergoing a transition phase with the intention to align with the IHE International processes. Principles of Governance. Several Pharmacy Domain Operations must be decided upon.

Definition of a Change Proposal - an informative note

A Change Proposal (CP) is a formal way of proposing a change to a text published by an IHE Domain and which has been publishe as a Supplement. When a text is published as a supplement, the vendors have already implemented it and the changes requested will affect everybody who has implemented the text. A change in the formal text is proposed using the CP IHE format.

CP for CMPD to incorporate XDW

The discussion on how to use workflow management for the Pharmacy domain. The proposal consists of a new section of the CMPD with an option to use the workflow management. Luca Zalunardo (Arsenal IT) did an updated XDW presentation.

The following things were looked at:

• How a different action can update the different work
• How each task is related to each other
• What are the actors that can be related to the each other. An option was added to the profile instead of modifying the workflow manager. This will be describe in the introduction in the CMPD and discussed in the text of the profile.
• Review of the poposed changes to CMPD resulting in the Pharmacy CP018.

Question: is CP018 concerning the XDW profile as applied to Pharmacy is ready for the upcoming ballot?

• The prescription has prescription items and this must be reflected.
• The business rules must be integrated.

The workflow document is exchanged between different actors registered in the WF doc and each task has to be been done by each actor and can have a status. The structure of the workflow document was presented (see presentation). These profiles support any kind of identification – NAV for example. The insfrastructure in the XDS will support these functions. This will be tested in May at the Connectathon, and there will be a pilot implementation in January in Chicago.

Suggestions

• 3 weeks to prepare a second verion of the CP with 3 editors – Luca, Arianna, Jurgen, organize 1 hrs t-confs for 3 weeks, done by Nov 25th, approved by December 10th.
• Push it into the next cycle, not a CP, but a supplement – assigne it ressources

CP for PRE/PADV/DIS

The next change proposals concering the content profiles PRE, PADV and DIP were revised. The CPs are present at ftp://ftp.ihe.net/Pharmacy/TF_Maintenance-2011/CPs/Ballots/Ballot-1_v2/Ballot-1_v2.zip. Each CP was explained (see the fpt), schedules was discussed, decision to extend the deadline as per requested from Tom (30 days period, send out the new link after the meeting).

• CP001 - corrections with regards to
  • Patient Medication Instructions
  • Fulfillment Instructions
  • Changing from SHOULD to SHALL the Medication Code
  • Changing from SHOULD to SHALL the Medication Brand Name
    • SHOULD in IHE vocabulary is considered "must be filled in if available (R2), SHALL is mandatory and it must be present (R)
  • Changing from "form of the medication" to "pharmaceutical dose form"
  • <pharm:formCode> element represents the form of the package (e.g. tablet container, bottle, ...)
  • Suggest that the Active Ingredient should be ATC

• CP002
• CP003- Tom: for datatypes R1 only UCUM codes can be used. Tom to send HL7 link
• CP004 - changed proposed to the DIS profile
• CP005
• CP006
• CP007