Pharm Tech Minutes 2020.05.15

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Agenda

Welcome

  • Participants
  • Jürgen Brandstätter
  • Stephane Spahni
  • Michael Tan
  • Jose Costa Teixeira
  • Karima Bourquard
  • Marc Robberecht
  • Oliver Egger
  • Harri Nurmi


Main topics to discuss

  • ) IHE Pharmacy logical information model (agnostic, shall be instantiated in CDA or FHIR)
  • Dimensions:
  • Content
  • Classic: CDA
  • FHIR: FHIR resources / FHIR documents
  • Transport
  • Classic: XDS/SOAP
  • FHIR: RestFul
  • Workflow
  • Same for both concepts


  • IHE Pharmacy FHIR resources
  • ) and relation with work of Oliver Egger for Switzerland
  • Current Medication Plan = Medication and clinics purpose
  • Based on CMPD, MTP, PRE, DIS, PADV, PML (CDA)
  • So it includes also eP and eD, but parallel to paper prescription
  • Paper-replacing ePrescription system at a later point (not scheduled yet)
  • Technical specification for the eMedication services shall include CDA and FHIR
  • FHIR-IGs created, which are equivalent to the Swiss CDA specifications for the content (less than IHE specification)
  • "FHIR Documents", but transported with classic XDS/SOAP transport
  • Swiss FHIR IGs
  • and relation with work of Jürgen in Austria
  • Fully operational eMedication system in place on Austrian eHealth Infrastructure ELGA, clinical purpose only
  • Based on CMPD, PRE, DIS, PADV, PML (CDA)
  • and relation with work of Harri in Finland
  • Fully operational eP system online since 2010
  • Content are Finish specifications based on CDA
  • Idea is to move this to FHIR
  • Project status: in consideration phase, survey among vendors, if they are willing to do it
  • and relation with work of Jose in Belgium
  • Dispense record already exists in a propriety Belgium standard
  • Projects on FHIR about to start:
  • Migrate Dispense record to FHIR
  • Medication scheme (clinical purpose)
  • Regarding transport: undecided, different groups vote for either Document / Restful / Messages
  • Logical model for a "Medication Treatment Record" created (model for MTP)
  • Conclusion
  • Options for transport:
  • 1) FHIR-document transported by CMPD (XDS/SOAP)
  • 2) FHIR-document transported by Restful method via MHD pluged to CMPD (server side is still XDS/SOAP)
  • 3) Pure RestFul transport
  • Analysis:
  • Advantages for (1) and (2):
  • FHIR-document specifications could be easily created based on the pre-work of Switzerland
  • CMPD does not have to changed
  • MHD must customized
  • Disadvantate of (1) and (2):
  • Countries like Austria, etc. would not buy in, because they don't want SOAP and/or CDA


Secondary topics to discuss

  • ) FHIR-CMPD (i.e. CMPD Actor working in a homogeneous FHIR environment, accessed through FHIR API and accessing FHIR servers)
  • ) Extended FHIR/XDS CMPD (not sure what is really possible - up to a CMPD actor being accessed either through FHIR or XDS API and accessing XDS repositories as well as FHIR servers)
  • ) MHD front-end to PHARM-1 (i.e. existing CMPD working with XDS repositories but accessed with a REST API)


Next meeting

  • tbd by doodle


Pharmacy Technical Committee