Difference between revisions of "EPharmacy Workshop 17 March 2008-Minutes"
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==Venue== | ==Venue== | ||
*Brussels, 17 March 2008 from 10-17hr | *Brussels, 17 March 2008 from 10-17hr | ||
Line 5: | Line 4: | ||
==Participants== | ==Participants== | ||
*Belgium : P. Houben (APB) | *Belgium : P. Houben (APB) | ||
− | *France : J. Surugue ( | + | *France : J. Surugue (EAHP), F. Gener (Phast), T. Mitouard (Mc.Kesson), N. Canu (Phast), S. Letellier (EAHP/Phast), J. Nies (Medasys), E. Serrot (Vidal), A. Estelrich (DMP) |
*Greece : L. Tzimis (EAHP) | *Greece : L. Tzimis (EAHP) | ||
*Netherlands : A. Blom (KNMP), M. Sprenger(NICTIZ), R. Moss (EAHP) | *Netherlands : A. Blom (KNMP), M. Sprenger(NICTIZ), R. Moss (EAHP) | ||
Line 13: | Line 12: | ||
==All Documents== | ==All Documents== | ||
− | *Ftp site : [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/ | + | *Ftp site : [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/ ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/] |
+ | *Zip archive: [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/_ePharmacy%20workshop%2017032008%20Archive.zip here] | ||
==Update on e-pharmacy activities== | ==Update on e-pharmacy activities== | ||
− | * ASHP (American Society of | + | * ASHP ([http://www.ashp.org American Society of Health-System Pharmacists]) |
− | ** | + | ** Debriefing of HIMSS meeting : [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/ASHP.ppt summary] |
− | ** ASHP is open to co-operate; initially | + | ** ASHP is open to co-operate; initially to review the proposed use cases; in a later phase as member/sponsor of the global IHE Pharmacy domain. Primary focus is hospital pharmacy |
− | * HITSP | + | * HITSP [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/USA-HITSP%20Technical%20Committee%20Orientation%20Session%203%2013%2008.pdf overview] : |
− | **HITSP is an initiative of the USA government to develop healthcare IT standards for different clinical domain, incuding e-pharmacy | + | **HITSP is an initiative of the USA government to develop healthcare IT standards for different clinical domain, incuding e-pharmacy. A draft specification for medication management is available [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/USA-HITSP-IS07%20-%20Medication%20Management-V.0.0.2-Draft.pdf here] which focuses on workflow among hospital/consumers/pharmacists and health insurances. |
− | **Action : Identify the sections in the proposal that can be re-used for our community pharmacy Use Cases. | + | **Action : Identify the sections in the [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/USA-HITSP-IS07%20-%20Medication%20Management-V.0.0.2-Draft.pdf proposal] that can be re-used for our community pharmacy Use Cases. |
==Use Cases :== | ==Use Cases :== | ||
− | *Overview : | + | [[Image:EPharmacy_workshop_17-03-2007.JPG|ePharmacy Use Cases]] |
− | *Scope : the | + | *Overview : [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/ePharmacy%20workshop%2017-03-2007.mmp mindmap] |
− | *Use Case priorities are re-confirmed | + | *Scope : the initial Use Cases will be developed for drug related workflow. In a later phase, additional Use Cases will be developped for handling sterialized medical supplies (e.g. catheders) and chemicals/regents (e.g. acetone) |
− | *Hospital Pharmacy | + | *Use Case priorities are re-confirmed : |
− | **Use Case Team : F. Gener/N. Canu (principal editors), T. | + | **Prio 1: Electronic transfer of prescriptions (community & hospital pharmacy), medication management (community pharmacy) |
− | **High level proposal : here . | + | **Prio 2: Medication management for hospital pharmacy (intake&discharge medication) |
− | **Proposal | + | *Hospital Pharmacy Use Cases : |
− | **Feedback | + | **Use Case Team : F. Gener/N. Canu (principal editors), T. Mitouard, S. Letellier , R. Moss , L. Tzimis, S. Cozzolino , J. Surugue, I. Gibaud, V. Mary |
+ | **High level proposal : [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/20080316_IHE_Pharmacy_hospital_use_cases.04.doc here] . | ||
+ | **Proposal is a generalization/simplification of hospital pharmacy use cases for France and defines 4 main use cases | ||
+ | **Feedback : | ||
***Add actor “Prescription validator” who analysis and validates the prescription | ***Add actor “Prescription validator” who analysis and validates the prescription | ||
− | ***Add new transaction between “Prescriber and Prescription validator” to propose alternative prescription | + | ***Add new transaction between “Prescriber and Prescription validator” to propose alternative prescription when the initial prescription is rejected |
***Add actor (“Medication Publisher/Subscribers”) and transactions to publish medication information to multiple Medication Subscribers (e.g. to include mediation history in the patient’s EHR) | ***Add actor (“Medication Publisher/Subscribers”) and transactions to publish medication information to multiple Medication Subscribers (e.g. to include mediation history in the patient’s EHR) | ||
**Updated document will be presented at the next ftf meeting | **Updated document will be presented at the next ftf meeting | ||
*Community Pharmacy use cases : | *Community Pharmacy use cases : | ||
**Use Case Team : Juan Suarez (principal editor), P. Houben, E. Serrot, A. Estelrich, A. Blom, M. Sprenger, | **Use Case Team : Juan Suarez (principal editor), P. Houben, E. Serrot, A. Estelrich, A. Blom, M. Sprenger, | ||
− | **High level proposal : | + | **High level proposal : [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/ePharmacy%20ePrescription%20use%20cases%20Spain.doc Use Cases Spain] and [ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/20080308_IHE_Bruxelles_medication_sharing.doc Use Cases France] (briefly discussed by absense of the author) |
− | **Focus on medication | + | **Focus on medication management and prescription management |
**Feedback | **Feedback | ||
− | ***Use cases must support a document centric architecture (e-prescriptions are handled as persistent documents) which is complementary to message centric architecture of hospital pharmacy. | + | ***Use cases must support a document centric architecture (e-prescriptions are handled as persistent documents) which is complementary to message centric architecture of hospital pharmacy. This is in line with the other IHE domains where extra-hospital workflow is document centric (e.g. XDS) and intra-hospital workflow is message centric (e.g. IHE scheduled workflow) |
− | ***Use Cases support a push model (direct transmission of e-prescription between GP and Pharmacist) and a push-pull model (e-prescription is stored in an intermediate repository). | + | ***Use Cases should support a push model (direct transmission of e-prescription between GP and Pharmacist) and a push-pull model (e-prescription is stored in an intermediate repository). |
*** Add XDS actors (document repository/registry) | *** Add XDS actors (document repository/registry) | ||
*** Add actor (“Medication Publisher/Subscribers”) and transactions to publish dispensed medication information to multiple Medication Subscribers (e.g. to include dispensed mediation in the patient’s EHR) | *** Add actor (“Medication Publisher/Subscribers”) and transactions to publish dispensed medication information to multiple Medication Subscribers (e.g. to include dispensed mediation in the patient’s EHR) | ||
− | *** Medication history only | + | *** Medication history should only contain dispensed medication, not information about contra-conditions, alergies |
*** Align the actor definition with hospital pharmacy actors | *** Align the actor definition with hospital pharmacy actors | ||
***Add actor “Prescription validator” who analysis and validates the prescription | ***Add actor “Prescription validator” who analysis and validates the prescription | ||
− | ***Add new transaction between “Prescriber and Prescription validator” to propose alternative prescription | + | ***Add new transaction between “Prescriber and Prescription validator” to propose alternative prescription when the initial prescription is rejected |
*** Add actor (“Medication Publisher/Subscribers”) and transactions to publish medication information to multiple Medication Medication Subscribers (e.g. an EHR document producer) | *** Add actor (“Medication Publisher/Subscribers”) and transactions to publish medication information to multiple Medication Medication Subscribers (e.g. an EHR document producer) | ||
**Updated document will be presented at the next ftf meeting | **Updated document will be presented at the next ftf meeting | ||
==Next steps == | ==Next steps == | ||
− | *Involve other countries : Germany and UK ( | + | *Involve other countries : Germany and UK (J. Surugue) |
− | * | + | *And in the future, the drug agencies (e.g. EMEA) |
==Timing== | ==Timing== | ||
− | *June 2008 : Finalise main Use Case; submit to IHE Development committee | + | |
− | *Mid 2008 – Mid 2009 : profile development (as IHE | + | Comment: Should submit application to form IHE Pharmacy Domain to the IHE Board in Mid-2008 |
− | *2010 : Test implementations at connectathons | + | |
+ | *June 2008 : Finalise main Use Case; submit to global IHE Development committee | ||
+ | *Mid 2008 – Mid 2009 : profile development (as global IHE Pharmacy committee) | ||
+ | *2010 : Test IHE Pharmacy implementations at connectathons |
Latest revision as of 08:54, 22 April 2008
Venue
- Brussels, 17 March 2008 from 10-17hr
Participants
- Belgium : P. Houben (APB)
- France : J. Surugue (EAHP), F. Gener (Phast), T. Mitouard (Mc.Kesson), N. Canu (Phast), S. Letellier (EAHP/Phast), J. Nies (Medasys), E. Serrot (Vidal), A. Estelrich (DMP)
- Greece : L. Tzimis (EAHP)
- Netherlands : A. Blom (KNMP), M. Sprenger(NICTIZ), R. Moss (EAHP)
- Italy : S. Cozzolino (EAHP)
- Spain : Juan Suarez (Indra)
- IHE Eur : G. Claeys (Agfa Healthcare), C. Parisot (GE Healthcare)
All Documents
- Ftp site : ftp://ftp.ihe.net/International/Europe/Development/Pharmacy/Meetings/Meeting17March2008/
- Zip archive: here
Update on e-pharmacy activities
- ASHP (American Society of Health-System Pharmacists)
- Debriefing of HIMSS meeting : summary
- ASHP is open to co-operate; initially to review the proposed use cases; in a later phase as member/sponsor of the global IHE Pharmacy domain. Primary focus is hospital pharmacy
- HITSP overview :
- HITSP is an initiative of the USA government to develop healthcare IT standards for different clinical domain, incuding e-pharmacy. A draft specification for medication management is available here which focuses on workflow among hospital/consumers/pharmacists and health insurances.
- Action : Identify the sections in the proposal that can be re-used for our community pharmacy Use Cases.
Use Cases :
- Overview : mindmap
- Scope : the initial Use Cases will be developed for drug related workflow. In a later phase, additional Use Cases will be developped for handling sterialized medical supplies (e.g. catheders) and chemicals/regents (e.g. acetone)
- Use Case priorities are re-confirmed :
- Prio 1: Electronic transfer of prescriptions (community & hospital pharmacy), medication management (community pharmacy)
- Prio 2: Medication management for hospital pharmacy (intake&discharge medication)
- Hospital Pharmacy Use Cases :
- Use Case Team : F. Gener/N. Canu (principal editors), T. Mitouard, S. Letellier , R. Moss , L. Tzimis, S. Cozzolino , J. Surugue, I. Gibaud, V. Mary
- High level proposal : here .
- Proposal is a generalization/simplification of hospital pharmacy use cases for France and defines 4 main use cases
- Feedback :
- Add actor “Prescription validator” who analysis and validates the prescription
- Add new transaction between “Prescriber and Prescription validator” to propose alternative prescription when the initial prescription is rejected
- Add actor (“Medication Publisher/Subscribers”) and transactions to publish medication information to multiple Medication Subscribers (e.g. to include mediation history in the patient’s EHR)
- Updated document will be presented at the next ftf meeting
- Community Pharmacy use cases :
- Use Case Team : Juan Suarez (principal editor), P. Houben, E. Serrot, A. Estelrich, A. Blom, M. Sprenger,
- High level proposal : Use Cases Spain and Use Cases France (briefly discussed by absense of the author)
- Focus on medication management and prescription management
- Feedback
- Use cases must support a document centric architecture (e-prescriptions are handled as persistent documents) which is complementary to message centric architecture of hospital pharmacy. This is in line with the other IHE domains where extra-hospital workflow is document centric (e.g. XDS) and intra-hospital workflow is message centric (e.g. IHE scheduled workflow)
- Use Cases should support a push model (direct transmission of e-prescription between GP and Pharmacist) and a push-pull model (e-prescription is stored in an intermediate repository).
- Add XDS actors (document repository/registry)
- Add actor (“Medication Publisher/Subscribers”) and transactions to publish dispensed medication information to multiple Medication Subscribers (e.g. to include dispensed mediation in the patient’s EHR)
- Medication history should only contain dispensed medication, not information about contra-conditions, alergies
- Align the actor definition with hospital pharmacy actors
- Add actor “Prescription validator” who analysis and validates the prescription
- Add new transaction between “Prescriber and Prescription validator” to propose alternative prescription when the initial prescription is rejected
- Add actor (“Medication Publisher/Subscribers”) and transactions to publish medication information to multiple Medication Medication Subscribers (e.g. an EHR document producer)
- Updated document will be presented at the next ftf meeting
Next steps
- Involve other countries : Germany and UK (J. Surugue)
- And in the future, the drug agencies (e.g. EMEA)
Timing
Comment: Should submit application to form IHE Pharmacy Domain to the IHE Board in Mid-2008
- June 2008 : Finalise main Use Case; submit to global IHE Development committee
- Mid 2008 – Mid 2009 : profile development (as global IHE Pharmacy committee)
- 2010 : Test IHE Pharmacy implementations at connectathons