Pharm Plan Minutes 2016.10.18

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Meeting details

Location

Dublin, Ireland


WebEx details:

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Agenda

09:00 - 09:30 Welcome

  • Participants
  • Jürgen Brandstätter
  • Michael Tan
  • Stephane Spahni
  • Jacqueline Surugue
  • Simon Letellier
  • Marc Robberecht
  • Leonidas Tzimis
  • Jose Costa Teixeira
  • Review and Approve Agenda
  • Agenda for Oct 18 is approved
  • Agenda for Oct 19 is preliminary approved
  • Approval of minutes of Sep 29
  • Approved


09:30 - 11:00 PHARM Strategy and Vision

Outlook, Visions

  • Status quo
  • PHARM is present since 2008 -> 8 years old (we are not a startup anymore!)
  • We have achieved a good set of profiles, where 3/4 of them have an uptake in real world
  • Nation-wide specifications in Austria and Switzerland are based on IHE PHARM Community profiles to a wide extent
  • Constant complaint: Low participation of vendors at CATs
  • Reasons:
  • Austria: One large vendor and a government agency created an API, which all others are using
  • Switzerland: Open-source "eHealth Connector" has been created as an API, everyone will use it
  • -> This explains the low participation
  • Current work-items: Mobile Medication Administration (FHIR), Supply chain
  • Short-term goal: Where do we want to be at the end of this season?
  • Supply chain
  • Whitepaper is 100% completed, public commented, balloted and published
  • At least the first concrete profile is defined and ready to be started
  • ... or more :-)
  • Mobile Medication Administration (FHIR)
  • The profile shall be 100% completed, public commented, balloted and published
  • Our outlook and vision for the next 3 - 5 years?
  • Vision: "An e-Medication landscape which is integrated and interoperable"
  • Mission: "All exchanging of medication-related information is enabled by leveraging profiles based on current and well-accepted standards"
  • Strategic goal 1: "We want to define a complete set of connectivity services for exchanging medication information based on FHIR (Prescribing, Dispensing, Administration, etc.)"
  • Strategic goal 2: "We want to define a complete set of connectivity services for medication supply information"
  • Identified threats and challenges
  • "Competition/Overlap" with HL7
  • Make sure to keep up with the high speed of HL7 FHIR Resource development!
  • Make sure to create profiles not too late (including also other standards if needed), to maintain "our part of the mile" towards interoperable systems on the market!
  • Resource problem
  • We should get support/funding from potential uptakers of profiles to be created!


Shaping up Roadmap, Wiki, etc.

  • Changes to Main page
  • Top of the page
  • Changes to introduction
  • Added Vision and Mission
  • Strategic Planning (new point before Roadmap)
  • Move up the link to Strategic Planning from below
  • Added little paragraph before the link
  • Roadmap
  • Moved content from sub-page to main page including current version of Roadmap
  • Older roadmaps will be put into a "Past roadmaps" sub-page
  • Current subpage "Roadmap" can be deleted
  • Current activity:
  • Supply of Healthcare products
  • A set of profiles for management of the supply of products in healthcare, including the integration between clinical and supply chain workflows - from ordering to traceability, including inventory management, ordering and resupplies, etc.
  • Mobile Medication Administration
  • Providing integration profiles for the management of medication administration in a mobile environment
  • Remove "Demonstrations"-table
  • Limit "Presentations" table to 5 lines, move everything else into a "Past presentations" sub-page
  • Limit "2015-2016 Development Cycle Milestone" table to the current season only, move everything else into "Past ..." sub-page
  • Changes to Strategic Planning page
  • Added GS1 to Strategic Priorities
  • Added "Strategic Goals"
  • Merged tables "Categories" and "Capabilities"
  • Updated Liaisons


Schedule 2016/2017

  • 2.F2F Meeting at Feb 7/8, 2017 in Italy
  • Dates are confirmed by Nancy Ramirez
  • Meeting place: Napoli/Naples, Italy
  • 3.F2F Meeting at Jun 15/16, 2017 in Chania
  • Meeting place is confirmed: Chania General Hospital "St. George" (same as last year)
  • Moyrnies Chania, Crete ΤΚ 73300, Greece
  • Dinner is sponsored by the Hospital Pharmacy Association of Greece (as last year)
  • Visit at the "local central warehouse of Pharmacists" (near to the hospital) is tried to be organized
  • Action item: "Issue a confirmation of that meeting to the group with the advice to book early" (Leonidas)
  • Recommendation: Let's all book in hotel "Kriti"
  • Decision: Schedule 2017/2018: First F2F meeting in autumn shall be in Bordeaux
  • Date: Mid of October, preferred days are Thu/Fri
  • Concrete proposal: Oct 19/20, 2017
  • Action item: Start organizing (Jacqueline)

Publication of profiles of last season 2015/2016

  • Status: Mary Jungers sent back commented versions. Confusion between the term "Integration profile" and "Content profile" lead to minor changes
  • Action item: Finalize the profiles and make sure that profiles are published (Stephane)


11:00 - 11:30 --- Coffee break ---

11:30 - 12:30 Current PHARM implementations (informational)

  • Current Implementations leveraging PHARM profiles
  • Austria
  • e-Medication Application on National Health Record structure
  • Switzerland
  • Medication Treatment Plan in Switzerland


  • Other references
  • SeHE project in Saudi Arabia
  • PHARM profiles fully leveraged into specification
  • Project put on hold by government due to changes in MOH
  • German Medikationsplan
  • CDA version of the Medikationsplan references PHARM profiles, but not clear to which extent they are leveraged in the Art-Decor modelling
  • epSOS
  • epSOS and IHE Pharmacy created the first profiles for PRE and DIS in a joint approach, but separated after epSOS did freeze their specifications
  • For Prescription and Dispense there is about 90% overlap between the two specifications
  • The other profiles CMPD, PADV, PML, MTP are not referenced by epSOS


  • Poster activity
  • IHE-EU CAT 2017 in Venice offers the opportunity to show posters for Pharmacy
  • Stephane and Jürgen will create two stand-alone posters describing the projects in Austria and Switzerland
  • Poster structure will be held similar to keep them comparable
  • Printing can be done by Stephane
  • Current government support status
  • Switzerland: Authority of Geneva given, IHE Suisse will be asked, eHealth Suisse declined
  • Austria: IHE-Austria and ELGA asked, but not decided yet


12:30 - 13:30 --- Lunch ---

13:30 - 15:00 Other SDO relationships and doings

Joint meeting in 2017 in Madrid

  • HL7 has a meeting in Madrid from May 6-12, 2017
  • Venue: Marriot Auditorium Hotel and Comfort Center (at the airport)
  • Proposal: Let's do a joint meeting day 2017 in Madrid
  • Friday May 5 (before HL7 meeting begins), preferred!
  • Friday May 12 (at the end of the HL7 meeting), problem with overlapping eHealthWeek in Malta (May 10-12)
  • Invited groups: IHE / HL7 / ISO
  • Meeting place should be at another place as the Marriot
  • Intention: Having a "working session" rather than an "information exchange session"
  • Proposal: Finding 2-3 questions, we would like to get answered in a common approach
  • e.g. Working on FHIR resources based on our own developments (common profile)
  • Decision: The group agrees to such a meeting
  • Action item: Check possibilities within AGFA Madrid for support in finding meeting space (Marc)
  • Action item: Approach HL7 and ISO to check, if they are willing to meet to such a meeting (Michael)


openMedicine

  • openMedicine project homepage: Homepage
  • Goal: Shall solve the problem of different identification of medicine in different countries (in prescriptions and dispenses)
  • Tool for resolving this issue: IDMP standard, taken up by European Medicines Agency (EMA)
  • Findings: Standards missing, see slide 7 of presentation
  • Current status:
  • Plenty presentations about openMedicine at eHealthForum in Athens
  • Project ongoing until end of year 2016


HL7 / FHIR

  • Continue participation of their work (mainly by Jose, briefly by Michael)
  • Key contact points are Pharmacy, Workflows and Orders&Observations
  • FHIR will be published as "STU 3" (standard for trial use) as of December
  • Each resource has a "maturity level"


ISO

  • Most important topic for us: Dispense record (including definition of "what a dispense is")


Other (informational)

  • eHealth Stakeholder Group
  • 2nd eHealth Stakeholder Group has been started
  • Very important group in Europe / EC
  • Jacqueline is representative of IHE-Europe in this forum (which is an official member)
  • Sub working groups have been formed, IHE is member of:
  • 2 - Care continuum
  • 3 - Interoperability and standards
  • 4 - New/shifting balances
  • eHealth Forum Athens


15:00 - 15:30 --- Coffee break ---

15:30 - 16:00 Finalize Educational material for Falsified Medicines Directive

  • Document "Educational material for Falsified Medicines Directive" has been reviewed
  • Action item: Deliver text to team until end of October (Jacqueline)
  • Publication process
  • Document is an "Educational article", a new document type approved by DCC
  • Publication on ihe.net webpage, already discussed in DCC, exact location to be determined
  • Action item: Take care of publishing (Jose)


16:00 - 17:00 Medication Documentation

  • Medication Management - recap, status in ISO, final closing (Michael)
  • ISO sent out the document for final comment
  • Almost 200 lines of comments returned, 80% editorial but also some fundamental issues
  • Discussion at next ISO meeting in Lillehammer, Nov 13-17, 2016
  • Michael not present, Jose will take over
  • Conclusion: Closed for IHE, but not for ISO
  • Decision: Medication Management is no longer an work-item in IHE. Will be shown as "informational" in the future


  • Medication Data collection (Jose)
  • Status of the Whitepaper: Although on the list for several years, work-item has actually not been started yet, apart of an executive summary
  • Location on the FTP: Medication Data collection folder
  • Urgency is not present, Jose has other priorities
  • Decision: Work-item will be put on hold. Until it is re-activated ...
  • ... it will NOT be shown on the work-item list anymore
  • ... folder on the FTP will NOT be forwarded to the next years


17:00 - Adjourn

Pharmacy Planning Committee