Pharm Tech Minutes 2023.03.02

Minutes

Meeting Venue

Oude Middenweg 55

2491 AC Den Haag

Virtual meeting room : Teams

10:00 Welcome, planning, approve agenda

Participants

• Tie Tjee IHE NL vendor co-chair
• Sylvia Stein GS1
• Hernany Silva Costa Melo Nictiz
• Michael Tan Woxingtan
• Jose Costa Teixeira Path
• Stephane Spahni Univ.hospital Geneva
• Rutt Lindstroem ( Estonia)
• Anne van Berkel Meier GS1 (on line)
• Leonidas Tzimis EAHP( on line)
• Sofia Franconi ( on line)
• Marc Robberecht Dedalus (on line)
• Alexander Berler ( IHE Europe)
• Juergen Brandstaetter

Agenda topics

• Brief updates from ISO, HL7 (Logical models, FHIR releases)
• WHO Smart Guidelines and other work
• Refresh current work items / roadmap overview (5m)
• UNICOM (Alexander Berler & Sofia Franconi)
• eHDSI, Gravitate (ePI?) project, JA09

• Co-chair positions & elections, vacancy
• Secretary position and activities (open since Simon left)
• Call schedule (PATH can host future Teams calls)
• Update Planning of season 2022-2023
• Marketing and communication plan
• How to use the input of IHE international
• Financial topics of pharmacy (Sponsors)
• IHE and EU specification maintenance

• Repositories and change process (esp. for new authors)
• Review DCC report
• Approve NWI proposals?
• Incoming CPs ?
• Work items

• Prescription / Dispense
• Medication Record
• Catalog/Product discovery

Reflection on Strategy and role of IHE Pharmacy

• Reflection of organizations of the involved parties on the role of IHE Pharmacy
• Switzerland
  • FHIR has resources but they are too much optionality.
  • IHE Pharmacy should reduce the resources.
  • Geneva will contribute to this effort
  • Oliver Egger is willing to cooperate, but will not invest in IHE Pharmacy
  • The government is thinking of enforcing regulations on the standards.
• IHE Europe
  • Should align with European efforts
  • Focus on tracks where Connectathons could help with testing and certifying interoperability
  • For example Unicom. Should have a demonstration in September at the Connectathons in Rennes
  • Gravitate project. See how we can adjust available profiles in a testable profile.
• IHE NL
  • misses the users. But in the scope of pharmacy the users are still unaware of what they are missing.
  • Netherlands do have a legal track called Wegiz. This could also lead to opportunities for Pharmacy.
  • Marc looks at the different European countries. Dedalus would like to have one integrated set of profiles, because now they have to conform to different flavors of each country.
• Nictiz
  • Where does IHE fit in the program of Nictiz.
  • What can we do with the profiles.
  • Is Nictiz willing to contribute and provide experts to write the technical specifications?
  • Jurgen is will also contribute to e-P next generation.
• Unicom
  • For UNICOM there are several milestones:
  • Milestone 1 : Connectathon 2023 in Rennes with the UNICOM day: Conference + more hands-on/hackathon (with Gravitate)
  • Milestone 2: Connectathon 2024 in Trieste (June 2024) UNICOM will be over so it will be more formally testable
  • Milestone 3: Look at the XeHealth and eHDSI eP/eD specifications to adapt them to IHE Methodology, and planning a support to the EHDS regulation (the eP and eD documents will have to be certified in 2025 or 2026?)Establish a collaboration between EU-Affairs Committee and IHE Pharmacy to align on the work.
• Some specifications are already ready. Nno need to do everything from scratch
• That's why the collaboration between IHE Pharmacy and EU-Affairs, we have budget for UNICOM, but yes there is the need to have someone that can write the specifications
• EAHP
  • The hospital pharmacists are keen on publishing the supply profiles and make it testable.
  • Jose mentions that supply is also important for the supply in low income countries for example on the vaccinations.

12:45 - 13:15 Planning

• F2F a summer meeting. Either Porto or Chania
• Call for elections for the position of IHE Pharmacy user co-chair in month of April.
• There is no user profile.
• Action Jose boradcast the call for co-chair
• Also a call for a secretary ( since Simon Letellier left).

13:15- 15:30 E-Prescription/ CMPDm

• eP/eD process in Austria (Jürgen) + Gemini project
• ePrescription in Belgium (José)
• CMPD is running in Austria
• In Switzerland they are transferring to FHIR in 2 stages.
  • stage 1 intermediate fase (FHIR combined with CDA).
  • Stage 2 Full blown FHIR with RESTful concept.
• The intent in Austria is a trial for stage 2, that will also include a HAPI server in the middel.
• The role of pharmceutical advisor will be reviewed in the new environment.
• Stephane argues that a medication treatment plan is necessary for the therapeutical evaluation.
• the Gemini project will involve HL7 Pharmacy, HL7 Workflow, Unicom
• Are there also transactions to request (for change) in a prescription? This is a requirement in some countries.
• Which version of FHIR will Austria use (R3, R4 or R5)? This has to be investigated still.
• You also need to think about the envelope and how you relate between prescriptions, dispense.
• Is administration also in the picture? Not yet,
• In Estonia a patient centric medication treatment platform is already available. This is used by hospital and community prescribers and it is called a medication schema. Belgium also calls this a medication schema.
• The medication treatment ( as used in Switzerland) is actually a level higher. This is more or less comparable with Netherlands where they call the treatment a therapeutical component.
• Proposition to start with 2 actors: an order placer and dispense placer.
• If you have placer than you should have also consumer/filler. The business actor and the technical actor must be distinct.
• we will finalize these naming conventions in the next call of this topic, combined with a diagram.
• The intention is not to dictate strict workflows. Rather we will call the use case as patterns.
• Next call will be on Monday 20th March 10:00-12:00.
• Juergen will act as project manager and taking care of actions, minutes, agenda.
• Juergen will organize the call.

Supply

• The supply profile is available. Leonidas has reviewed the content.
• See supply profile.
• What we still need are capability statements.
• Jose suggests to release the transactions without the inventory counting. This is only possible with FHIR R5.
• The group agrees to proceed with the material that is now already published.
• The next step is to make testable profiles, that could be used in a Connectathon. This is the tasks of IHE Catalysts. They will prepare the testmaterial.
• We should think of demo material. The FHIR IG and profiles are suitable for internal orders.
• It should not replace the existing GS1 standards. Action Anne, Sylvia, Jose.
• The question is which user group are willing to implement these transactions?

Unicom/ eHDSI

• UNICOM and eHDSI prescription work and specifications (José, João, Rutt)
• Catalog / Product discovery - align with IDMP and recent FHIR evolution
• Narrow the scope to implementable scenario's. An example could be the cross border exchange of Medication data ( IDMP).
• In practiable sense: How do I identify the product.
• Proposition to focus on 2 transactions
  • Update the master product tables.
  • Lookup of a comparable medication corresponding with certain parameters.
• In Unicom examples have been set up using FHIR resources.
• You can find the link her.
• The problem is that the IDMP data is scattered over different FHIR resources.
• A logical model has been set up for the IDMP data model. The link can be found here.