Pharm Tech Minutes 2012.02.03

Attendees

• Brandstätter, Jürgen (CodeWerk Software Services and Development GmbH, co-chair IHE)
• Cocchiglia, Arianna (Arsenal.IT)
• de Jong, Tom (Nova Pro)
• Demarmels, Marco (Lake Griffin, LLC)
• Géraud, Thierry (CareFusion)
• Letellier, Simon (EAHP)
• Parisot, Charles (GE Healthcare)
• Robberecht, Marc (Agfa Healthcare)
• Surugue, Jacqueline (EAHP)
• Zalunardo, Luca (Arsenal.IT)
• Peytchev, Vassil (Epic)

9:15-10:00 CMPD Exceptional cases

• This work item will be combined with work item "Refinement CMPD workflow". New name: "CMPD exceptional cases and concept of Therapeutic prescription" (the current prescription is ment to be a "logistic prescription")

• Exceptional cases shall be collected for scenario 1 + 2

• Dedicated TCons to this topic. Schedule will be proposed by Jürgen
• Volunteers:

• Jürgen, Tom, Marco, Jacqueline, Charles, Marc, Viktor should be

• HL7 Pharmacy works on the same topic, joint work intended by IHE and HL7
• Objective: Know what to change in Community Pharmacy profiles at the end of the season

• Do the changes in next season

10:00-11:00 Refinement CMPD workflows

• Was combined with work item "CMPD Exceptional cases"

11:00-12:00 CMPD: XDW at CPM

• Problem 1: Maintaining XDW Document cross-domain

• Publishing documents in foreign domains should be solved by ITI.

• Problem 2: Does proxying the managment of XDW make sense?

• Evaluate the whole usage of XDW at client-side in both scenarios and weight the amount of work which could be proxied.
• The extensions by work item "CMPD exceptional cases and concept of Therapeutic prescription" shall be considered

• Decision

• First work item "CMPD exceptional cases and concept of Therapeutic prescription" will be worked out
• Then this work item will be taken up again

12:30-13:30 Use-case: Community – Hospital

• Link: ftp://ftp.ihe.net/Pharmacy/yr2_2010-2011/Technical%20Committee/WhitePapers/Hospital&CommunityWP/Use%20case%20for%20Hospital%20and%20Community%20Pharmacy%20v1.3.doc
• Objective of the whitepaper should be to identify, if there is information missing or inconsistent in the Hospital or Community Pharmacy domain, which avoids smooth transition of information between them
• The use-cases should be splitted into short and distict pieces

• Each of these should be evaluated if the border-system (attached to both domains) has enough information to perform the transition of information either way

• The longer versions shall be preserved for the detailed prescription
• Use-case "Hospital Dispense for inpatients and outpatients" combines too many things, seems inconsistent
• Jacqueline will inform Orlando about this

13:00-13:15 Monitoring and Syncing with PCD: (Perfusion administration)

• Work item is accepted as a IHE Pharmacy work item.
• Main contact: Jürgen at first (change possible if it makes sense)
• Interested people

• Vassil, Marc, Jacqueline, Thierry (+ others from CareFusion)
• Chris Courville (EPIC and part of PCD group)

13:15-13:30 Joint meeting with HL7 Pharmacy

• HL7 Pharmacy schedule

• Next out of cycle meeting: March 6.-7., Oslo
• WG meeting in May 13.-18., Vancouver
• WG meeting in Sep 9.-14., Baltimore

• Tom checks if IHE F2F at 2012.06.19-20 in Brussels/DenHaag is possible for HL7
• Otherwise date it for autumn

• IHE schedule
• Good date: End of October (would be the a technical meeting at IHE)

• either Oct 23/24 or 30/31 2012

• Vassil/Charles will send ITI/PCC/QRPH schedule when available

13:30-15:15 Medication Documentation

• News

• Jose is not in the list of authors anymore
• New lead authors: Marc, Julie

• Abstract

• Medication profile = Medical History + Clinical information
• Solving divided into two parts:

• Additional to "Bottom-Up" approach a Top-Down approach is added because of HL7 EHR WG, which deals with that topic by a "requirements"-driven approach, HL7 and IHE Pharmacy align to that

• Collecting guidelines of different countries

• Australia, Canada, Netherlands (shall be set up there)

• Involved work groups:

• IHE Pharmacy
• HL7 Pharmacy
• HL7 EHR Functional group
• IHE PCC

• Risks and questions

• Overlap between "Medication profile" and "Patient summary"

• Don't re-invent the wheel or invent it twice in parallel

• Size of a Medication profile
• What is different between the MP and the Med-Recon of PCC
• Word "profile" might cause confusion with "IHE profiles"

• Discussion: "What is a Medication profile"

• The components of a "Medication record" have been discussed
• Shall be expressed in the "Top-down" chapter of the document

• Next steps

• We need to ensure a togrough understanding of the requirements for information input and output into a Medication profile.
• For this the first step is to document requirements such as scope statement and goals in terms of clinical decision support and how an EHR functional profile and as a subset of it a Medication profile serves the clinical decision process

• The primary focus will be on the perspective of a Pharmacist giving a Pharmaceutical Advice

• The end goal is to assess which information we have and what we miss to ensure that medication related information is available and recorded as needed
• Dedicated TCons to this topic. Schedule will be proposed by Marc/Tom

• Further schedule

• Whitepaper is unlikely to be finished this season
• Schedule will be relaxed according to availability of the contributors

15:00-16:00 Glossary work item

• Link: https://bit.ly/sdk2u7

• Current goal restricted to finding a common glossary between IHE Pharmacy and HL7 Pharmacy

• Target audience of this glossary: Implementors, Software architects, Consultants, ... (domain experts know definitions anyway)
• Other sources (ISO TC215 WG6, CEN TC251, WHO, EMEA, ...) are considered to retrieve definitions, but no contribution to these other bodies yet

• Exception: Definitions in column "Nictiz-definitions" were the starting point of the work (currenlty still in the spreadsheet, will be merged in and removed in the end)

• Once completed, the result will be handed over too ISO TC215 WG6
• Note: Definitions of other sources sometimes do not serve the purposes our two groups (e.g. two precice, too complicated, ...)

• Review by Pharmacists intended

• Julie for HL7 Pharmacy
• Jacqueline for IHE Pharmacy

• Special topic "Definition of Prescription"

• Jacqueline will check the professional definitions

• General procedure

• Step 1: HL7 and IHE fill their columns with its definition
• Step 2: Agreement between HL7 and IHE per column by the working group
• Step 3: General agreement by the committees
• Step 4: If necessary, CPs to affected profiles to align glossaries
• Step 5: Hand over result to ISO 215

• Further schedule

• Intended to finish until end of season
• Reason: Time pressure because a common glossary is fundamental for all profile development and cross-domain work to avoid confusion. It should be harmonized and stable as soon as possible.

16:45-17:00 Other business

• Tom informs that in the Netherlands the local HL7 Pharmacy and IHE Pharmacy do e joint comparison of the HMW profile to the national HL7v2.4 guidelines to that topic. Goal is to shift to IHE Pharmacy profiles

• Maybe some involved vendors are thereby anchoraged to step into HMW

• Make CMPD better readable

• Profile seem very complex at first sight, this might discourage people from using it
• Thoughts on better presentation

• Simplify actor diagram and remove parts which are just necessary in multi-domain
• Keepp first part of profile just single-domain, add multi-domain capabilities at the very end