Pharm Plan Minutes 2020.10.23

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Minutes

10:00 - 10:05 Welcome

• Participants
  • Oliver Egger (Adhis) (before break)
  • Annatina Foppa (e-Health Suisse)
  • Pero Grgic (e-Health Suisse)
  • Juerg Bleuer (e-Health Suisse)
  • Marc Robberecht (Dedalus)
  • Stephane Spahni ( Geneva University)
  • Michael Tan (Nictiz) (scribe)
  • Esther Peelen (GS1)
  • Jose Costa Teixeira ( Zeora)
  • Trudy Hagg (Nictiz) (after break)

10:05 - 11:00 Medication Lists

• Medication Lists FHIR profiles Maintenance
  • Switzerland has had a projectathon in September, where medication list was the focus (modification of a medication list through PADV and MTP documents).
  • Presentation from Oliver Egger can be found here
  • There are different possibilities to convert the data in both directions.
  • Discussion about retaining the original ID or the converted output. Does each document have an unique ID?

• We need to clear up the models of CDA and FHIR.The EPR should support both standards.
  • Gazelle tools need to be able to validate FHIR as well as CDA.
  • Oliver Egger explains the mapping between CDA and FHIR.

• Change proposals for the current IHE profiles:
  • One new transaction has to be introduced, which will be Pharm-5.
  • This will be almost like Pharm-1, but will be using MHD instead of XDS.
  • PHARM-1 could also use on-line document generation.
  • MHD does not support on-demand document generation.
  • Stephane will write a proposal for PHARM-5, which will use ITI-65, ITI-67, ITI-68, instead of ITI-18, ITI-43- ITI-45.
  • Context conduction has been deprecated within HL7, but this has also to be discussed in Switzerland.

• Jose proposes to start with a logical model and the group agrees.
• In Switzerland they started with the dataset in ART-DECOR which is also a data model.
• We will need a task force to have more meetings biweekly.
• Start biweekly calls on even weeks starting on 27 November. Time slot: 13:00-14:00.

11:15 - 12:10 Immunisation

• Projects in Europe
  • Belgian project on Child Health Immunization
    • This project will focus on the child health funded by RIZIV. ONE is also involved
    • The first workflow is the registration of the vaccination of the Child.
    • Currently the Implementation Guide is available.
    • Next is a reference implementation. And after that vendor will have to implement this standards.
    • It is replacing an existing implementation and moving from a Belgian standard to FHIR.
    • Flanders, Brussels, Wallonie and the German part of Belgium have different implementation and the new implementation should be the standard for all regions.
  • European project on European Vaccination Card Chafea.
    • This is a European Commission program to produce a common digital Vaccination registration to replace the yellow paperbased vaccination cards.
    • An initial track has been started, but the current status is not formally known.
  • Dutch project on logical model of vaccinations.
    • The Dutch Youth Health Program is in production and uses HL7v3 transactions to register the vaccination of children.
    • recently the PHR would like to download their data into their own local PHR system. Therefore Trudy is assigned to project to redesign the logical model of vaccinations.
  • Switzerland : has a common architecture for vaccinations. But cantons can decide to implement their own solution.
    • Should have the same architecture as medication which will incorporate the existing architecture in the new configuration.
    • Exchange format already exists.

• Starting point is to reviewing the logical modelsof the different countries. We could start with the Belgian model.
• Comparison of the conceptual models of the different countries:

FHIR immunizations

Belgium

Swiss exchange format

Switzerland

Austria

• the Dutch model is being reconsidered. We could look at the Dutch Model in December.
• Michael will ask Simon or Jacqueline are familiar with any French initiatives.
• Will discuss this topic in the IHE Pharmacy technical committee call of December 4th 2020 at 13:30 hour CET

12:10 - 12:15 Any other business

• We need to find some topics for presenting in IHE Europe.
• This could be work in progress to find more backing for IHE Pharmacy.

12:15 Adjourn

Pharmacy Planning Committee