Pharm Plan Minutes 2017.10.31

Meeting details

Location

Groupe Hospitalier Pellegrin

Bordeaux, France

https://www.chu-bordeaux.fr/CHU-de-Bordeaux/H%C3%B4pitaux-et-sites-du-CHU/Groupe-hospitalier-Pellegrin/

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Agenda

09:00 - 09:30 Welcome

• Participants
  • Marc Robberecht
  • Stephane Spahni
  • Joao Almeida
  • Jose Costa Teixeira
  • Michael van der Zel
  • Michael Tan
  • Juergen Brandstaetter
  • Leonidas Tzimis
  • Jacqueline Surugue
  • Simon Letellier

• Review and Approve Agenda
  • The agenda has been adjusted and approved.

09:30 - 10:30 "Mobile Medication Administration"

• Review of MMA supplement
  • The scope is the administration process which starts with a medication request.
  • These are the individual requests of each administration.
  • There are differences between CMA. Issue about infusion about intervals.
  • Action item: Marc and Juergen will submit a public comment, about changing this explanation.
  • This can be discussed in a seperate TCON.
  • The link between MMA and UBP is intentionally left weak, because we do not force people to use barcoding.
  • The profile is written now in the IHE standard way. What do we want to facilitate the Connectathon.

1. Testscenario's for a Connectathon
2. Conformance profiles for FHIR
3. Possibilities of funding
4. Marketing for finding interested parties

• Testing in Connectathon is done in Gazelle. Eric Poiseau makes the testing itself.
• You need a server that has the conformance statement for prevalidation.
• How to deal with the publication of Vendor. FHIR vendors will search for FHIR publication information.
• Action items:

1. Approach Eric Poiseau to ask what is needed for FHIR testing. Action Stephane.
2. Continue with the FHIR publication method endeavour between John Moerkhe and Jose. This is a temporary publication method, where in future you might need to migrate. Action Jose.
3. Write testscenarios. Action: Jose, Michael

• Suggestion from Michael Z. to elaborate this supplement in the HL7 Netherlands WGM from GS1 and make FHIR profiles including the UBP.
• Plan a closing Tcon to discuss any submitted comment.
• 21 November 12:00 CET.
• Jose will introduce the IHE supplement to the HL7 Pharmacy group.
• Michael T. should delete the old MMA profile in Simplifier.net

11:00 - 12:00 "UBP Barcode supplement"

• The IHE profiles are neutral wether you use barcodes or not. You might want to use RFID als alternative.
• The transaction is simple.
• Michael Z. suggests to add extra information to the supplement.
• This information has been sent to Jose.
• GS1 should provide the FHIR server.
• Vendors are also interested in V2 transactions, but do we provide this version?
• There is no common v2 query to handle this transaction.
• But the initiave should come from parties interested in V2.
• A V2 service will not function as a public service.
• Are multiple resource allowed in a single scan?
• The reply is a bundle and does not prevent multiple resources.
• An example is where the medication and the patient are combined in a single barcode. The nurse has to scan the patient and the second patient medication combination.
• We handle the comment in the same call as MMA.
• We ask Eric Poiseau if he can handle this in a Connectathon.
• Ask GS1 at the HL7 NL WGM how GS1 can reply the FHIR response.
• The actual implementation should take the special seperator in consideration.
• These are control characters in the Barcode string.

14:00 - 14:30 Vision & Strategy

• New work items for 2017-2018
  • Medication documentation whitepaper
  • Medication list FHIR version
    • Medication list for Emergency use cases. Jacqueline will verify if this a requirement for DP.
  • Adverse Medication Event reporting.
    • Reporting of one single event at the moment of capture. There is an existing standard in the PCC. In our work item we focus on the adverse event reaction.
    • the adverse event reporting is related to the administration reporting, when the nurse visits the patient.
  • Workitem on contra-indications checking.
    • The flow is to send a prescription to medication checking. The outcome is a list of warnings on issues.
• Regarding the F2F in November 2018 Jacqueline will inform at the hospitals of Lyon and Annecy if they are willing to host IHE F2F.
• On ISO on of the projects on their program is the Clinical Decision Support requirements. There are actually 2 projects:
  • Korean Project on the infrastucture
  • European project on the structure and contents.

15:00 - 15:15 Supply Chain

• Status, Roadmap: To be divided in separate subprojects:
  • Profile sequence:
    • Order management
    • Delivery management
    • Inventory management

15:15 - Adjourn

• The meeting is adjourned at 15:15.
• Marc and Juergen will discuss MMA on Friday.

Pharmacy Planning Committee