EPharmacy Workshop 11-12 September 2008-Minutes

h1 Draft

Venue

• Brussels, 11***12 September 2008

Participants

J. Surugue (EAHP, France) F. Gener (Phast, France) N. Camu (Phast, France) S. Letellier (EAHP/Phast, France), S. Juvin (GIP***DMP, France) C. Rica (GIP***DMP, France) A. Estelrich (GIP***DMP, France) F. Macay (Gmsih, France) K. Bourquard (Gmsih, France), I. Gibaud (SIB, France) M. Sprenger (NICTIZ, Netherlands), T. de Jong (Nictiz, Netherlands) Juan Nunez (Indra, Spain) A. Slee (NHS CfH, UK) L. Tzimis (EAHP, Greece) G. Mancarella (PGEU) G. Claeys (Agfa Healthcare)

All Documents

• Ftp site :

[ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting11Septe mber2008/ ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting11Septe mber2008/]

• Zip archive:

Use cases *** hospital/community (feedback)

• The different Use Cases for hospital pharmacy and community pharmacy were

reviewed. The editors will update the documents with the received feedback.

• Some general comments :
  • Include outpatient actors in all Use Cases
  • Add a story board (scenario) to each Use Case to describe the Use Cases with

"real world"concepts. The HL7 storyboards (here ??) provide good examples.

• • Countries have to provide extensions to the generic Use Cases in order to

cover local needs. Example: in Uk, the community pharmacist and hospital pharmacist workflows are tightly integrated (e.g. medication disposal at community pharmacist); monthly medication disposal (no unit dose)

• Next steps :
  • Consolidate all documents (glossary, use case documents, actor document) into 1

document

• • Document Structure : see ??

• • Scope & Assumptions (GC)
  • Pharmacy business process (Michiel S)
    • High level workflow of pharmacy activities (hospital+community)
      • Positioning of individual use cases
        • Community Prescription / dispensation process
        • Admission process
        • Hospital prescription / dispensation
          • Special case : substitution
        • Discharge process
  • Use Case Prioritization (GC)
  • Actor description (Juan N, Frank G)
  • Pharmacy Use cases (Community and Hospital)
    • Story board (verbal) (JN, FG)
    • Sequence diagrams with actors/transactions (JN, FG)
  • Implementation architecture *** examples
    • Mapping to country specific architecture :
      • Community :
        • Centralised :Spain (Juan N)
        • /decentralised : The Netherlands (Tom DJ)
      • Hosptial
        • France : Francois M
        • UK : Ann S.
    • Mapping to XDS technical architecture (Isabelle G, Francois M, Charles R)
  • Relevant standards (GC)
• Action : Geert distribute document template
• Editors :
  • Overall document : G. Claeys
  • Section editors : see ??
• Timing :
  • 1st draft : next tcon

Related activities

• Phast : masterdocument
• epSOS project :
  • see ??
  • AP :? Contact memberstate reps to inform them on the ihe pharmacy

activties

Standards

• HL7v3 debrief (Tom)

• • Pharmacy DMIM (domain message information model ) :
    • describes Medication Dispense, Prescription (=medication order) ;
    • cda implementation guide : in france (contact Nicolas camu)
  • Drug DMIM : product description (entity)
  • Stronger on community level than on hospital level
  • Still in trial implementation phase; normative expected end 2009
• Community pharmacy
  • No real standards (primarily obsolete standards like edifact, pg13? In france)
  • intererst to adopt hl7 v3; Only if in normative state
  • Note : USA adopted NCDP (CCHIT for ambulatory care)

• hospital pharmacy

• • The use of HL7 v2 is wide***spread; difficult to migrate to v3

IHE Pharmacy Application

• Focus to expand in europe (e.g. danmark, ..); less important to involve USA
  • AP Geert : contact uk rep (Melissa.frewin@intellectuk.org) *** via ann s.
• Urgent need to involve industry so that they are involved in the technical framework

development

• Action points :
  • Phast, Nictiz : promote ihe pharmacy with the industry***members
  • Geert : contact pharmacy it vendors via share4health
  • Geert : contact siemens
  • Geert : contact Agfa Hexagon/pharmamcy (bernard Deregnaucourt)
  • Via users

Next steps

• Establish IHE Pharmacy domain
  • Submit application form to IHE International
    • Identify additional members (especially vendors)
• Publish use cases
  • Incorporate feedback workshopin existing proposals + circutlate
  • consolidate in 1 document
• Start development of technical framework
  • Establish technical team -> identify new members
  • Start development