Pharm Plan Minutes 2015.10.29
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Meeting details
Thursday, 29 October 2015, 10:00 CET
Bio Tech Center 9 Chemin des Mines 1202 Geneva Meeting room number G6-02
All the meeting details and directions are on the wiki: http://wiki.ihe.net/index.php?title=Pharm_Meeting_Geneve_October_2015
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Meeting number: 956 497 407
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10:00 - 10:30 Welcome
- Participants
- Simon Letellier
- Stephane Spahni
- Jacqueline Surugue
- Jürgen Brandstätter
- Marc Robberecht
- Leonidas Tzimis
- Jose Costa Texeira
- Michael Tan
- Stefan Buser (guest)
- Review and Approve Agenda
- Approved
- Approval of minutes of Planning Committee TCon on Sep 22
- Approved
10:30 - 10:45 Planning season 2015-2016, Pre-work
- Possible Joint meeting with HL7/ISO?
- Michael: They are positive, but it's a matter of funding.
- Jürgen: Possibility to group it with e-HealthWeek is unrealistic, because Mon Jun 6th will be a GDC meeting, Tue/Wed Jun 7-8 is IHE World Summit, Wed-Fri Jun 8-10 is e-HealthWeek
- We need an event to group with in Europe (or US?)
- Med-e-Tel conference, Luxembourg, Apr 6-8, 2016 -> Tuesday, Apr 5, 2016
- Connectathon EU, Bochum, Apr 11-15, 2016
- HIMSS US, Feb 29 - Mar 4, 2016, Las Vegas
- Action item: Survey the following questions with ISO / HL7 (Michael):
- 1) Do it on the Sunday before e-HealthWeek (Jun 5th, 2016) or after e-HealthWeek has ended?
- 2) Group it with Med-e-Tel or CAT Bochum?
- 3) Group it with an event in NA (Problem: few of IHE will come, ISO?)
- 3rd F2F meeting
- Date already fixed on Jun 28/29
- Vote for "Vienna" as location
- Approved
- Action item: Organize meeting (Jürgen)
10:45 - 11:15 Pending work items
- Pending changes to profiles CMPD / PML / MTP (Juergen)
- ftp://ftp.ihe.net/Pharmacy/TF_Maintenance-2015/CPs/Assigned
- No pressing changes at hand
- Austrian ELGA specification fixed -> no changes to profiles expected by that
- Implementation of MTP in Swiss Post will bring up some changes to MTP (to be seen)
- Medication Administration (in current CMPD landscape)
- Swiss (Stephane)
- right now uses PADV for comments on administration by nurses
- True documentation of administration is not planned right now
- Austria (Jürgen)
- No pressure right now from that side, all forces bound by implementation of the current specification (at least next few years)
- Netherlands (Michael)
- Administration not a topic at the moment
- HL7 (Jose)
- All their work to this is in FHIR
- Knowledge about Administration could be extracted from now on
- Pretty stable
- How to proceed in this season?
- Decision: we continue to work on it from a "functional perspective in the context of the work on the "Common Profile". A technical profile will be done once a concrete demand shows up
- Medication Statement (in current CMPD landscape)
- Swiss (stephane)
- Currently MTP will be used for documenting medication reported by the patient (because we don't have anything else right now)
- Austria (Jürgen)
- Same as for Medication Administration
- Netherlands (Michael)
- The topic is on the table in Netherlands. Medication Statements are about to be registered. Currently in the status of shaping the information model. Next step: "how to communicate this"
- IHE will probably not be a topic
- HL7 (Jose)
- All their work to this is in FHIR
- Development in progress, not yet mature
- How to proceed in this season?
- Decision: we continue to work on it from a "functional perspective in the context of the work on the "Common Profile". A technical profile will be done once a concrete demand shows up
- Review of profile names (Jürgen)
- Unfortunately it was missed the chance to introduce the name changes at the end of last season. Profiles are published with the old names now.
- Decision: Further proceeding:
- Name changes will be introduces in the beginning and NOT mixed up with any other change
- Once this is finished, Mary will be asked if a re-publishing is possible (with the new names)
- If yes -> republishing and then processing further changes on that basis
- Consequence: Profiles available with new names on the basis of current status
- If no, further changes will be collected and profiles will be published at the end of season
- Consequence: Profiles available with new names on the basis of next year's status
- Decision on new names:
- Pharmacy Prescription -> Medication Prescription
- Pharmacy Dispense -> Medication Dispense
- Pharmacy Pharmaceutical Advice -> Pharmaceutical Advice
- Pharmacy Medication List -> Medication List
- Problem: Acronym is PML -> simply let is like it is
- Medication Treatment Plan -> no change
- (not released yet): Pharmacy Administration -> Medication Administration
- (not released yet): Medication Statement -> no change
- Action item: Process the name changes (Jürgen)
11:15 - 11:30 Break
11:30 - 12:30 New Work Items - status update
Ongoing work items
- Catalogue/Formulary (Simon/José)
- Status: not changed since last time
- Topic is very big and complex, needs to be sliced in smaller pieces
- A new standard will be released by ISO soon ("Medicinal Product Dictionaries")
- OpenMedicine project has a demand on this topic
- How to proceed in this season?
- Decision: Low priority until a TCon is dedicated to define the scope of phase 1
- HMW review (Marc/José)
- Status: not changed since last time
- Discussion if it's worth putting energy into this
- Reasons of HMW having low uptake by vendors:
- Vendors already use the HL7 messages also used by HMW
- They seem not to see it from a "wider" perspective and thus don't invest in further standardisation by IHE
- It's NOT because of the quality of the profile -> improving HMW will not change this!
- FHIR is very much pressing into market, will be soon arriving in hospital systems
- Fully concentration on FHIR for uptake into hospital might be recommended
- How to proceed in this season?
- Decision: Work-item will be put on hold. Fully concentration on the development of the "Common profile". Once this is on track, reconsidering if shaping up HMW makes sense
12:30 - 13:30 - Lunch
13:30 - 15:30 What's up
- ISO (José)
- ISO / DTS 17523 "Requirements of e-Prescription"
- It's in FDIS state (final)
- No action required
- ISO / DTS 19256 "Requirements of e-Dispense"
- It's currently in creation but on hold, waiting on the result of openMedicine
- Lead: Christian Hay
- This work item shall be observed and assured that it is developed in alignment with our profiles
- Review should be done in an earlier stage
- Action item: Bridging this activity to IHE community for review (Jose)
- ISO IDMP "Identification of Medicinal Products"
- Identified task for IHE: Investigating, if and how we can declare conformity to IDMP.
- Formation of a work-item seems not to be pressing.
- Decision: We keep that in mind as a task for the future
- ISO MPD "Medicinal Product Dictionary"
- Influences the "Formulary" work-item
- HL7
- FHIR DSTU2 updates (Michael / José)
- DSTU2 means that certain resources are now frozen and will not be changed anymore
- Supply Resources
- Have been created, are now in the standard (still in progress)
- Managed by Orders and Observations group (OO)
- Medication Resources
- Frozen: Medication, Medication Statement
- Rest is still in progress (Order, etc.)
- Managed by HL7 Pharmacy
- Upcoming Workflow resources
- Medication resources are now separated from workflow
- Workflow resources are worked out by FHIR Management group (FMG)
- Impact on IHE:
- Development of "Common profile"
- Jose currently participating HL7 calls, any support welcomed!
- Possibility of influencing FHIR is still on
- Others
- openMedicine
- Short presentation about an informal overview of the project (José)
- Impact on IHE
- openMedicine has a dedicated problem to solve, which has not been tackled by IHE
- It goes not deeper than "Information element" layer, so the touching surface to IHE profiles is thin
- It relies on resources like "epSOS specification" and IHE profiles and once openMedicine has figured out a solution for the problem it might impact those specifications/profiles
- Decision: IHE would like to see openMedicine (combining strong forces like e.g. EMA) to solve this complex problem and is willing to react on resulting needed changes in our profiles
- Action item: Jose bridges from IHE to openMedicine and informs IHE about progress and results (Jose)
- Decision: IHE must take care that epSOS specification (now EXPAND specifications) are getting aligned again to IHE profiles by maintenance
- Stephane: IHE Services is responsible for maintenance
- Action item: Approach Karima Bourquard/Charles Parisot/Alexander Berler at next IHE-Europe meeting next weeks for details (Jürgen, Stephane)
15:30 - 15:45 - Presentation of "Medication Processes - Big picture"
- Short presentation of a first draft of the "big picture" (José)
- ISO is interested in this work
- It is also important for the development of the "Common profile"
- Question: To which extent does IHE Pharmacy want to be involved in that?
- Agreement: Work-item should be placed in ISO
- Will be eventually a Technical Report (TR)
- Work-item proposal maybe designed next week at ISO meeting in Bern
- Decision: IHE will observe this work-item
- Action item: Jose bridges from IHE to this work-item (Jose)
15:45 - 16:00 Medication Documentation
- Now officially an ISO work-item
- Layout changed to ISO style
- ISO comments already received
- Original Document "Medication Management Related Concepts and Definitions" (Michael/Stephen)
- New folder created on FTP server (old folder of former IHE work-item abandoned)
- Current version of the document (in ISO format)
16:00 - 16:15 Other work-items
- Harmonizing glossary between IHE and HL7 (Marco)
- Marco is not available anymore to drive this forward
- How to proceed in this season?
- Decision: IHE does not longer want to be the host for this work-item, because for us it has no priority -> this work-item will be abandoned
- Medication data collection - proposal review (José)
- Intended executive summary of the outcome of the whitepaper proposed
- Discussion
- Group discusses intensively how to proceed with this work-item
- Decision: Work-item is put on hold for now. Will be taken up again depending on capacity