Pharm Tech Minutes 2010.06.07-08
Day 1 : Monday : HMW profile development
Day 1 Attendes
- Ana Estelrich
member of normalisation mission of GIP-DMP
co-chair of IHE QRPH (Quality, Research and Public Health) domain.
- Charles Rica
member of Normalisation mission of GIP-DMP
co-chair of HL7 France CDA group.
- Thierry Geraud
Pyxis cabinets, Carefusion.
- Geert Claeys
Agfa Healthcare, Belgium.
- Jürgen Branstätter
CodeWerk, Standardization, Austria
On behalf of Franz Pfeifer, Vendor Cochair (excused)
CMPD editor
- Jose Costa Teixeira
Agfa Healthcare, Portugal
HMW editor
- Orlando Rodrigues
Glintths, Portugal
- Michiel Sprenger
Nictiz, the Netherlands
- Simon Letellier
IHE Pharmacy secretary, Hospital Pharmacist, France
Introduction
Work on the Technical Framework :
- volume 1 Integration profiles & volume 2 Transactions
Jürgen introduce the structure of the TF documents in 3 parts . the table 1 is very important : link Volume 1 and Volume 2 , the detailled transactions.
8 transactions [PHARM-1] to [PHARM-8]
Transactions can be used by ( max. 7 ) differents actors.
1) CMPD discussion
Introduce the new actor Pharmacy document registry :
Glue together repository and registry.
XDS is eb-XML
Define the interface of the interface for the PR (prescription repository) if it's possible to query a "black box" : XDS or something else like a DB (database)
Blackbox have to support the complexity , to know how and where integrate datas.
Interfaces are the crucial point.
Registries are in a repository. Interface (XDS based or not) is at the entry of the repository.
Registries are databases.
Labelleing the document ? in order to do it (pharmaceutical advise) validated. Use status on prescription document.
Link between the different items ?
2)HWM profile
Status on documents are not necessary : messages based. Status are implicit. Messages are not send until validation, change of status in the workflow.
Postscription : prescription after administration use case usefull for Pyxis cabinet in ICU not present in the White Paper.
Addition of OMS : HL7v2 message request for refill cabinets. Not necessary against business /stock refill rules. Define triggers !
trigger from nurse report (stock order) Something the pharmacy already known the stock levels ans the needs for the next weeks (based on prescriptions).
Introduce administration report send to Pharmaceutical adviser to inform pharmacist (human actor) which medications are really administer to the patient.
Discussion on "medication aviability" ==> it's the dispense report It's what needed for cabinet management.
Check the IHE's "Security Cookbook" for security issues
Looking for a common Master Model for HMW.
3)Back to CMPD profile
Ref : volume 3 Content Specifications Discussion about page 13 of TF volume 3
Management of medication items inside each prescription:
How pharmaceutical advisor validate the prescription items links between prescription, pharmaceutical advise and dispense.
Looking for ITI specifications
Decisions
- Maintain prescription as a document
- Workflow will not be really defined (rules management)
- Rules to retrieve a single prescription item.
- "Define a proposal for ITI" ,
Day 2 : Tuesday : CMPD profile development
Day 2 attendes
- Jaqueline Surugue
IHE Pharmacy User Cochair, Hospital Pharmacist, France
- Ana Estelrich
member of normalisation mission of GIP-DMP
co-chair of IHE QRPH (Quality, Research and Public Health) domain.
- Charles Rica
member of Normalisation mission of GIP-DMP
co-chair of HL7 France CDA group.
- Thierry Geraud
Pyxis cabinets, Carefusion.
- Geert Claeys
Agfa Healthcare, Belgium.
- Jürgen Branstätter
CodeWerk, Standardization, Austria
On behalf of Franz Pfeifer, Vendor Cochair (excused)
CMPD editor
- Jose Costa Teixeira
Agfa Healthcare, Portugal
HMW editor
- Orlando Rodrigues
Glintths, Portugal
- Michiel Sprenger
Nictiz, the Netherlands
- Simon Letellier
IHE Pharmacy secretary, Hospital Pharmacist, France
- Viktor Hafner
Community Pharmacist, Austria
Discussions
Organization of a Skype call with Vassil from Epic
How to organize the Technical Framework documents ?
Community and Hospital are using the same Model.
A CDA definition use the Model to define the Community Medication Prescription and Dispense.
A HL7v2 messages definition use the Model to define the HMW profile.
The Model will be located in the TF itself, it's a Content profile, the base of the CDA specification as well as the message specifications, but not an implementable profile.
Work on the Technical Framework :
- volume 1 Integration profiles
- volume 2 Transactions
- ITI-18 Registry Stored Query, - ITI-41 Provide and Register Document Set-b & - ITI-43 Retrieve Document Set
for XDS query and retrieve datas, can be implemented either as : XDS or databases - volume 3 Content Specifications
IHE Pharmacy Planning committee
- Roadmap
- Communications
- IHE 2010 webinars serie