Pharm Meeting Minutes 2021.03.17

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Meeting details

Location

Session 1 Login for Teams
Session 2 Login for Teams

Minutes

Q1 13:00- 14:30 Change proposals & Medication Lists

  • Participants:
    • Leonidas Tzimis
    • Stephane Spahni
    • Jose Costa Teixeira
    • Michael Tan
    • Jurgen Brandstatter
    • Jacqueline Surugue


Change Proposals

  • Switzerland has recently organized a projectathon. A third projectathon is planned. This includes CDA and FHIR profiles.

Overview: CP Overview

  • CP-PHARM-142 Proofreading / clarifications on CMPD, MTP, PADV profiles
    • Fixes something we have forgotten when we introduced COMMENT.
    • there are 2 definitions on XDS DocumentEntryType as a parameter.
  • CP-PHARM-143 Align definitions of doseQuantity & rateQuantity (PRE profile)
    • Dose and rate quantity is herited from PCC. Is it a quantity or a range. Which unit is allowed.There is a difference with PCC definition.
  • CP-PHARM-144 Forbid the use of ContextConductionInd (CMPD, MTP, PRE, DIS, PADV profiles)
    • Context conduction code. Relationships are inherited along to addtional attributes. There has been a lot of discussion within HL7. Proposed to discourage the use of context conduction
  • CP-PHARM-145 Cross-community PHARM-1 (CMPD profile)
    • A patient could live in another community. Need to forward the information to another community. Can reuse ITI38 and ITI18, but patient ID must be known.
  • CP-PHARM-146 New MHD-based transaction PHARM-5 (CMPD profile)
    • Need to support also RESTbased concepts which is then PHARM-5. Do we need to position it as a new approach to CMPD and not as temporarily solution? Is this a Swiss solution or an International approach? Jose is in a favor to keep low profile.
    • 3 possible solutions.
  • CP-PHARM-147 moodCode for patient-reported medications (MTP, PRE, DIS, PADV, CMA profiles)
    • In case a patient reports medication then it should be a event as mood code. In other cases it will be INT, whcih stands for intent.
  • OID Tree
    • Decide to leave the errors unchanged. Too much risk because of referenced chapters.

For information only:

  • CP-ITI-xxx "RegistryStoredQueryResponse_Message" versus "RegistryStoredQuery_Response_Message" spelling
  • CP-PCC-xxx Order of approachSiteCode, doseQuantity and rateQuantity varies --> may impact IHE PRE & MTP profiles

Medication lists

  • In Belgium there is understanding that there are different needs for a medication list.
  • We cannot force one formula for a medication list.
  • The patient records accumulates all the information from different resources.
  • Medication as a grouping item. It is more like a drill down mechanism.

14:30- 15:00 Break

Q2 15:00- 16:30 Vaccination Topics

Participants

  • Michael Tan
  • Jose Costa Teixeira
  • Jurgen Brandstaetter
  • Leonidas Tzimis
  • Jacqueline Surugue
  • Marc Robberecht
  • Stéphane Spahni

Work items

Logical Model

  • WHO model
  • European Model
  • Belgian Model
  • German Model
  • The IHE Pharmacy material can be found here:

https://github.com/IHE/pharm-vaccination

and

http://build.fhir.org/ig/IHE/pharm-vaccination/branches/master/StructureDefinition-ihe-pharm-vaccination.html

  • the WHO FHIR material can be found in Github.

https://github.com/who-int/svc

https://github.com/gcangioli/vaccineCertificate

  • The Swiss model:

http://fhir.ch/ig/ch-vacd/index.html


Issue to be discussed:

  • Site or route to be administered. Do we need to add site?
  • Protocol and where to store number of vaccinations. Protocol in the IHE model is a reference. The standard resources is not.
  • How to register that a patient only needs one injection.
  • What value list do we use for status reason?
  • Action:
    • Jose to contact Giorgio for the WHO model
    • Michael Contact Line Saele and Sylvia Thun
    • Stephane to contact HL7 Roeland Luyckx
    • Jose to contact HL7 PHER for Gemini

Any other business

  • Schedule for IHE activities is not clear. Should use the Calendar.

Pharmacy Technical Committee