Difference between revisions of "Pharm Tech Minutes 2017.06.16"
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* The OTC medication is entered manually. The download of a product catalogue can be downloaded in future. | * The OTC medication is entered manually. The download of a product catalogue can be downloaded in future. | ||
* Identification of the nurse or patient is point of attention. Ask advice from ITI. | * Identification of the nurse or patient is point of attention. Ask advice from ITI. | ||
+ | * We have to look at the confirmation ( FHIR profile). | ||
Revision as of 07:04, 16 June 2017
Meeting details
Friday, 16th June 2017, 8:00-16:00 CET 9:00-17:00 EEST (Eastern European Summer Time)
Attendees:
- Juergen Brandstaetter
- Marc Robberecht
- Jacqueline Surugue
- Leonidas Tzimis
- Stephane Spahni
- Jose Costa Texeira
- Michael Tan
- Oliver Egger
Location
Chania General Hospital 4th floor, Room 300.B2.17
(Google maps: https://goo.gl/UMPwGd https://goo.gl/CpQXIk )
WebEx details:
https://phastinternational.webex.com/join/ihepharmacy | or go to https://phastinternational.webex.com and paste 956 796 372
Access code: 956 796 372
9:00 - 10:00 - Welcome with General Manager
Meeting with the general manager of Chania General Hospital. Discussion about IHE strategy ( due to Lower Austria).
10:00 - 10:20 Administration
- Work on MMA profile
- Rename other IHE profiles to Community or Hospital profiles.
- decision to leave MMA as it is for the time being.
- scoping is explained in the profile.
- Cross Check of the profile ADM with MMA.
- Summary key aspects - structure and data (for aligning with ADM)
10:20 - 12:30 CDA/Community Administration
- Work on ADM profile
- change proposal for renaming.
- CP 123: Editorial changes
- CP 126: Editorial changes
- CP 127: Editorial changes on validity period.
The abbreviation of Community Medication Administration is CMA.
- Issues discussed: vomitting ( to dealt thru adverse event).
- Align fulfillment notes on dispense to CMA ( CP 134).
- Adverse event can be documented in PADV.
- Status of PADV does not allow "note". It only has: OK, Change, Refuse etc. Would require a CP. To be discussed.
- Note added: not administered drug. Administration is set to completed with quantity on zero.
- The impact on administration not given on the workflow is left as open issues.
- Glossary terms:
- Medication Administration: circular reference with the verb "administering". Changed to applying.
- Point in time, instantaneous, or single point.
- further editorial changes in CMA document.
- With the use case of the simple interval administraton we leave out the exceptional cases.
- We need an example of a complex interval administration. Example could be chemotherapie where a pump is adjusted.
- Do we need to capture the completeness of the administration. For example 1 of 5 administrations and you are missing the last partial administration.
- The performer has no knowledge that the medication has been substituted, therefore we leave out the section on substitution.
- status code not only completed, but also aborted, in error etc. Look at the FHIR status.
- Internal review before publication.
- Patient medication instructions has been left out. The event has already happened and instructions have no purpose.
12:30 - 13:30 - Lunch
13:30 - 14h30: MMA profile - implementation
- the Actor diagram shows 2 actors:
- the MA performer and an MA informer. This could result in systems that only wants to develop an informer.
- Is it not a closed loop? The Consumer seems the same as the requester.
- Suggestion to make it into 1 actor.
- A use case could be that a informer just reports back what has been administered, looking at the Baxter strips that have instructions to administer without a request list. Add a note to add a use case.
- The numbering in the technical framework of Pharmacy should be sequential. Rename to Pharm-2, Pharm-3
- Rename interaction to report administration result.
- The names in the actors should match with the diagram.
- An actor should have at least one mandatory interaction. It makes no sense to only have optional interactions.
- Push or Pull: FHIR REST concept is now focussing on pull concepts. Leave the Push option for future use.
- In the case of reporting the tablet sets connection to the EHR server and pushes information back to the server.
- the arrow in the sequence diagram of the query has to be inverted in the other direction.
- Jurgen question whether an icon of a nurse should be in the diagram.
- The OTC medication is entered manually. The download of a product catalogue can be downloaded in future.
- Identification of the nurse or patient is point of attention. Ask advice from ITI.
- We have to look at the confirmation ( FHIR profile).
- How to express dosage on Administration (and request for Administration)
- As much as needed: Publication of FHIR profiles - Document or FHIR IG?
14:30 - 15:00 Break
== 15:00 - 17:30 AGII Apostoli