Pharm Plan Minutes 2015.10.29

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

WebEx details:

https://phastinternational.webex.com/phastinternational-en/j.php?MTID=m22260b2bd8cf88b30de82209e4cd0966

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)

11:30 - 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

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)

• ftp://ftp.ihe.net/Pharmacy/yr7_2015-2016/Technical_Committee/Other/openMedicine/IHE%20-%20OpenMedicine.pptx

• 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)

• ftp://ftp.ihe.net/Pharmacy/yr7_2015-2016/Technical_Committee/Other/Medication%20Processes%20-%20big%20picture/Medication%20Processes%20Overview.pptx (see slide 7)

• 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)

• http://wiki.ihe.net/index.php?title=File:MedicationManagementConcepts.docx

• New folder created on FTP server (old folder of former IHE work-item abandoned)

• ftp://ftp.ihe.net/Pharmacy/yr7_2015-2016/Technical_Committee/Other/ISO%20Medication%20Management,%20TR%2020831

• Current version of the document (in ISO format)

• ftp://ftp.ihe.net/Pharmacy/yr7_2015-2016/Technical_Committee/Other/ISO%20Medication%20Management,%20TR%2020831/ISO_TR_20831_Medication_Management_concept_1.docx

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

• ftp://ftp.ihe.net/Pharmacy/yr7_2015-2016/Technical_Committee/Whitepapers/MedicationDataCollection/Medication%20Documentation_summary.docx

• 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

17:30 - Adjourn

Pharmacy Planning Committee