Pharm Plan Minutes 2016.10.18

Meeting details

Location

Dublin, Ireland

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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"

• Hotel Kriti, Nikiforou Foka & Kiprou, 73100, Chania, Crete, Greece
• Link: Hotel Kriti webpage

• New version: Schedule v3

• 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)

11:30 - 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

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

• See presentation: 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

• Plenty presentations dedicated to IHE and IHE Pharmacy
• eHealthForum in Athens (Oct 25/26, 2016)

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

• Document "Educational material for Falsified Medicines Directive" has been reviewed

• Location on the FTP: Falsified Medicines Directive folder
• Document reviewed: Educational article: Falsified Medicines Directive
• Decision: Ready to publish with some extensions about WHO, delivered by Jacqueline

• 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