EPharmacy Workshop 9 June 2008-Minutes

Under Construction

Venue

Belgium : V. Hayen (KLAV)
France : J. Surugue (EAHP), F. Gener (Phast), S. Letellier (EAHP/Phast), J. Nies (Medasys), E. Serrot (Vidal), S. Juvin (GIP-DMP), C. Rica (GIP-DMP), K. Bourquard (Gmsih), J. Nies (Tedasys)
Greece : L. Tzimis (EAHP)
Netherlands : M. Sprenger(NICTIZ), R. Moss (EAHP)
Spain : Juan Nunez(Indra)
IHE Eur : G. Claeys (Agfa Healthcare)

Document : xxx
Assumption :
- Community pharmacy Use Cases and transactions will be aligned with IHE XDS Use Cases/ transactions :
- Document centric actors : prescripton provider
Feedback :
- Terminology : use IHE terms where appropriate : e.g. prescription repository instead of prescription registry); name an actor by their role and not by their implementation (e.g. IT infrastructure provider instead of college of pharmacists; prescription producer instead of prescription modules, …)
- Security : add security mechanisms (authentications, auditing, encryption) in the sequence diagrams
- Domain model :
  - Prescription attributes : Medication (dose, frequency, instruction), optional : symptions, diagnosis
  - Dispensed medication attributes: dispensed medication, link to original prescription.
- Future work (>2009)
  - Define the complete business process for e*pharmacy as a basis for identifying the critical use cases
  - Create Prescription (as part of CPOE) which contains transactions to drug database
- Actions :
  - All : send the minimal set of prescription/dispensed medication attributes that are required for a particular country to Juan Nunez

Document : xxx
Assumption :
- Hospital pharmacy Use Cases and transactions will be aligned with IHE Use Cases/ transactions of other hospital departments
- IHE/Scheduled Workflow centric actors : order filler = prescriber
Feedback :
Prioritize the Use Cases so that the realization fit in the 18 monts time interval of IHE. *** year1 priorities : basic prescription, simple substitution use case , exit medication (as consistency check between community and hospital pharmacy actors)
- year2+ priorities : complicated substitution use case, injectable follow*up use case,…
- Align terms with community pharmacy use cases :
  - Rename “picking and dose preparation” actor into dispenser actor
  - Rename Administration by “Medication administration manager”
- Add formulary = list of medication (+permission rules) in hospital; used for substitution
- Define the actor in terms of its responsibilities and need in terms of the actions that he performs. Include possible realizations for clarification

The current IHE Europe – Pharmacy workgroup will evolve to a new global IHE Pharmacy domain that will take ownership for creating the technical specifications with the current Use Cases as input.
The creation of the IHE Pharmacy domain will consists of the following steps :
- Identification of primarily users, vendors and sponsoring organizations (e.g. hospital pharmacy associations like xxx)
- Submission of application form that details scope, members/sponsors, roadmap ,,
  - Action : G. Claeys will circulate a 1st draft before mid July
- IHE International will review the application form and will make a go/no go decision : +* august
IHE follows a development heartbeat of 18 months * from initial use case to testing of implementations at connectathons
Timing :
- September 2008 : completion of Use Cases
- July 2009 : completion of Technical Framework
- Spring 2010 : test implementations at connectathons

Intellectual Property: according to the IHE Governance document (http://www.ihe.net/governance/) is IHE the owner of all of produced documents. Contributors/editors have to sign the IHE membership agreement.
In order to remain neutral, IHE forbids the publication of organization logos in their publications. However, many IHE documents contains a list of supporting organizations in their introduction section.
Potential new members : UK , Germany [hospital pharmacist]

Complete the Use Case descriptions, including actors and transactions.
- Target date : End september 2009
- Action :
  - Editors : incorporate feedback
  - Documents will be completed during the 2 days workshop in September