Pharm Tech Minutes 2023.03.02
Minutes
Meeting Venue
- Oude Middenweg 55
- 2491 AC Den Haag
- Virtual meeting room : Teams
10:00 Welcome, planning, approve agenda
- Participants
-
- Tie Tjee IHE NL vendor co-chair
- Sylvia Stein GS1
- Hernany Silva Costa Melo Nictiz
- Michael Tan Woxingtan
- Jose Costa Teixeira Path
- Stephane Spahni Univ.hospital Geneva
- Rutt Lindstroem ( Estonia)
- Anne van Berkel Meier GS1 (on line)
- Leonidas Tzimis EAHP( on line)
- Sofia Franconi ( on line)
- Marc Robberecht Dedalus (on line)
- Alexander Berler ( IHE Europe)
- Juergen Brandstaetter
Agenda topics
- Brief updates from ISO, HL7 (Logical models, FHIR releases)
- WHO Smart Guidelines and other work
- Refresh current work items / roadmap overview (5m)
- UNICOM (Alexander Berler & Sofia Franconi)
- eHDSI, Gravitate (ePI?) project, JA09
- Co-chair positions & elections, vacancy
- Secretary position and activities (open since Simon left)
- Call schedule (PATH can host future Teams calls)
- Update Planning of season 2022-2023
- Marketing and communication plan
- How to use the input of IHE international
- Financial topics of pharmacy (Sponsors)
- IHE and EU specification maintenance
- Repositories and change process (esp. for new authors)
- Review DCC report
- Approve NWI proposals?
- Incoming CPs ?
- Work items
- Prescription / Dispense
- Medication Record
- Catalog/Product discovery
Reflection on Strategy and role of IHE Pharmacy
- Reflection of organizations of the involved parties on the role of IHE Pharmacy
- Switzerland
- FHIR has resources but they are too much optionality.
- IHE Pharmacy should reduce the resources.
- Geneva will contribute to this effort
- Oliver Egger is willing to cooperate, but will not invest in IHE Pharmacy
- The government is thinking of enforcing regulations on the standards.
- IHE Europe
- Should align with European efforts
- Focus on tracks where Connectathons could help with testing and certifying interoperability
- For example Unicom. Should have a demonstration in September at the Connectathons in Rennes
- Gravitate project. See how we can adjust available profiles in a testable profile.
- IHE NL
- misses the users. But in the scope of pharmacy the users are still unaware of what they are missing.
- Netherlands do have a legal track called Wegiz. This could also lead to opportunities for Pharmacy.
- Marc looks at the different European countries. Dedalus would like to have one integrated set of profiles, because now they have to conform to different flavors of each country.
- Nictiz
- Where does IHE fit in the program of Nictiz.
- What can we do with the profiles.
- Is Nictiz willing to contribute and provide experts to write the technical specifications?
- Jurgen is will also contribute to e-P next generation.
- Unicom
- For UNICOM there are several milestones:
- Milestone 1 : Connectathon 2023 in Rennes with the UNICOM day: Conference + more hands-on/hackathon (with Gravitate)
- Milestone 2: Connectathon 2024 in Trieste (June 2024) UNICOM will be over so it will be more formally testable
- Milestone 3: Look at the XeHealth and eHDSI eP/eD specifications to adapt them to IHE Methodology, and planning a support to the EHDS regulation (the eP and eD documents will have to be certified in 2025 or 2026?)Establish a collaboration between EU-Affairs Committee and IHE Pharmacy to align on the work.
- Some specifications are already ready. Nno need to do everything from scratch
- That's why the collaboration between IHE Pharmacy and EU-Affairs, we have budget for UNICOM, but yes there is the need to have someone that can write the specifications
- EAHP
- The hospital pharmacists are keen on publishing the supply profiles and make it testable.
- Jose mentions that supply is also important for the supply in low income countries for example on the vaccinations.
12:30-12:45 Lunch
12:45 - 13:15 Planning
- F2F a summer meeting. Either Porto or Chania
- Call for elections for the position of IHE Pharmacy user co-chair in month of April.
- There is no user profile.
- Action Jose boradcast the call for co-chair
- Also a call for a secretary ( since Simon Letellier left).
13:15- 15:30 E-Prescription/ CMPDm
- eP/eD process in Austria (Jürgen) + Gemini project
- ePrescription in Belgium (José)
- CMPD is running in Austria
- In Switzerland they are transferring to FHIR in 2 stages.
- stage 1 intermediate fase (FHIR combined with CDA).
- Stage 2 Full blown FHIR with RESTful concept.
- The intent in Austria is a trial for stage 2, that will also include a HAPI server in the middel.
- The role of pharmceutical advisor will be reviewed in the new environment.
- Stephane argues that a medication treatment plan is necessary for the therapeutical evaluation.
- the Gemini project will involve HL7 Pharmacy, HL7 Workflow, Unicom
- Are there also transactions to request (for change) in a prescription? This is a requirement in some countries.
- Which version of FHIR will Austria use (R3, R4 or R5)? This has to be investigated still.
- You also need to think about the envelope and how you relate between prescriptions, dispense.
- Is administration also in the picture? Not yet,
- In Estonia a patient centric medication treatment platform is already available. This is used by hospital and community prescribers and it is called a medication schema. Belgium also calls this a medication schema.
- The medication treatment ( as used in Switzerland) is actually a level higher. This is more or less comparable with Netherlands where they call the treatment a therapeutical component.
- Proposition to start with 2 actors: an order placer and dispense placer.
- If you have placer than you should have also consumer/filler. The business actor and the technical actor must be distinct.
- we will finalize these naming conventions in the next call of this topic, combined with a diagram.
- The intention is not to dictate strict workflows. Rather we will call the use case as patterns.
- Next call will be on Monday 20th March 10:00-12:00.
- Juergen will act as project manager and taking care of actions, minutes, agenda.
- Juergen will organize the call.
Supply
- The supply profile is available. Leonidas has reviewed the content.
- See supply profile.
- What we still need are capability statements.
- Jose suggests to release the transactions without the inventory counting. This is only possible with FHIR R5.
- The group agrees to proceed with the material that is now already published.
- The next step is to make testable profiles, that could be used in a Connectathon. This is the tasks of IHE Catalysts. They will prepare the testmaterial.
- We should think of demo material. The FHIR IG and profiles are suitable for internal orders.
- It should not replace the existing GS1 standards. Action Anne, Sylvia, Jose.
- The question is which user group are willing to implement these transactions?
Unicom/ eHDSI
- UNICOM and eHDSI prescription work and specifications (José, João, Rutt)
- Catalog / Product discovery - align with IDMP and recent FHIR evolution
- Narrow the scope to implementable scenario's. An example could be the cross border exchange of Medication data ( IDMP).
- In practiable sense: How do I identify the product.
- Proposition to focus on 2 transactions
- Update the master product tables.
- Lookup of a comparable medication corresponding with certain parameters.
- In Unicom examples have been set up using FHIR resources.
- You can find the link her.
- The problem is that the IDMP data is scattered over different FHIR resources.
- A logical model has been set up for the IDMP data model. The link can be found here.