EPharmacy Workshop 17 March 2008-Minutes
Revision as of 11:10, 27 March 2008 by Simon.letellier (talk | contribs) (→Update on e-pharmacy activities)
Under Construction
Venue
- Brussels, 17 March 2008 from 10-17hr
Participants
- Belgium : P. Houben (APB)
- France : J. Surugue (EAHP), F. Gener (Phast), T. Mitouarzo (Mc.Kesson), N. Canu (Phast), S. Lettellier (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. Mitouarzo, S. Lettellier , R. Moss , L. Tzimis S. Cozzolino , J. Surugue
- 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 (Jacqueline) and in the future the drug agencies (e.g. MIA)
Timing
- 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