2012-10 Out of Cycle Meeting - Paris

Related Links Pharmacy Home Page

Action Items

Action: schedule work on teleconferences in advance of OOC meeting (Melva) - COMPLETE
Action: Invite Marco to upcoming call to review IHE paper (Tom) 
Action: Work group members to review IHE paper and Stephen's paper - email sent to list with link - Sept 14, 2012 - COMPLETE
Action: post White Paper and Stephen's presentation and link to our Wiki page - email sent to list with link - Sept 14, 2012 - COMPLETE

Day 1 - Joint with IHE Pharmacy

• Introductions
• Attendees
  • IHE
    • Juergen Brandstaetter
    • Jacqueline Surugue
    • Michael Tan
    • Marc Robberecht
    • Eric Poiseau
    • Leonidas Tzimis
    • Simon Letellier
    • Jose Costa Teixeira
    • Stephen Chu
  • HL7
    • Tom de Jong
    • Melva Peters
    • Jean Duteau
    • Nicolas Canu
    • Hugh Glover
    • Julie James

• Review agenda
• Strategies for increasing adoption and deployment of both IHE and HL7*
  • Tom presents the layers of interoperability
    • TRANSPORT
      • XDS, AORTA, ...

• • PACKAGING
    • Messages, CDA

• • CONTENT
    • Data model, Terminology

• • CONCEPTS (hard to standardize by HL7 or IHE)
    • Semantics, Glossary
  • Action Items:

New Joint work-item: "Standardized content"- Agree on a common data model for e.g. Prescription and subsequently decide if to change/enhance profiles - Jürgen, Tom

• Medication Profile
  • Review of Stephen's presentation
    • Terms have to harmonized in a glossary in context of their usage
    • Glossary will be done during shaping the definitions
    • Use-cases shall be created and shall come from a wide community
    • Parallel to the work on the hierarchy/definitions a second work-item will be worked our bottom-up and which describes data-sources and the according nature of the data as well as related aspects necessary to provide the data needed by the other work-item
    • The term "reconsiliation" has two meanings:
      • 1) Matching data with reality (e.g. by asking the patient) = MEDICATION RECONCILATION
      • 2) Finding the right future medication by considering the past medication and clinical situation of the patient = MEDICATION REVISION

Stephen will consolidate the slide deck and combines the terms in the hierarchy with the definitions formerly sent. Will send to both groups when done (within 2 weeks)

Jacqueline, Stephen, Melva, Leonidas will provide use-cases, Michael reviews - Will determine if Teleconference is needed before use cases are created

Jose takes the lead of the second work-item. Approved that work on this work-item may start immediately.

• Pharmacy CDA Mapping Project
  • Introduction of project
    • Primary goal: Mapping of HL7 Pharmacy Message Types information elements to suitable CDA R2 information elements
    • Second goal: Stylesheet for automatic generation
  • Interest in following or participating?
    • Collaborative work implicitly given by work-item "Standardized content" and following work-items
    • Extend CDA Schema (for IHE Pharmacy) will be provided to Tom and Michael

Michael will check if NICTIZ could provided resources for doing the mapping

• • • Suggested tool for mapping: Altova MapForce (or similars)

• Status of Glossary Project
  • Marco and Derrek Evans have worked on it
  • No information about the current status
  • Expected end of the work-item can not be estimated because work on it is on hold at the moment
  • Discussion of use of SKMT - should be used as a source of terms and definitions, but not necessarily as a tool to capture glossary at this point.

• ISO plans a new work item "Drug dictionary" - what is our standpoint?
  • A small group will prepare a proposal for the "Requirements of a drug dictionary"

• Not clear if an international or national drug dictionary?

• Discussion

• Hugh: It's inapproriate to begin such a piece of work when the IDMP standard (referred by the new item) is not yet finalized.
• Jacqueline: The requirements differ a lot even within countries.

• Decision

• Wait for the actual proposal

• Frank Gener sends PHAST document: "The Functional Interoperability Framework for Automated Systems Integration in Electronic Medication Management Processes"

• IHE identifies this document to be related to HMW and Supply Chain

• Mostly already covered by the Supply Chain Whitepaper, because of synchronized work in the past
• Document will be put to FTP in subfolder "Resources" to folder "Supply Chain" whitepaper

• HL7

• Document will be published internally
• Will be evaluated in the future

Next meetings

• IHE

• F2F meeting in March 18-19, 2013 at Arsenal-IT, Treviso, Italy
• IHE offer to HL7:

• Join our meeting on the 19th and HL7 adds 2 days for you own
• Is expected not to be problem for Arsenal-IT

• Todo Jürgen: Will contact Claudio if it's possible and inform HL7 co-chair

• F2F meeting in June 11-12, 2013 at Nictiz, Den Haag, Netherlands
• IHE offer to HL7:

• Join our meeting on the 12th and HL7 adds 2 days for you own
• Nictiz confirms this possibility

• No F2F meetings are defined for season yet

• IHE would be willing to plan March's and October's meeting together with HL7 in order to do a joint day on both
• IHE also has access to quite some locations (sponsored) which could also be extended to HL7 group

• HL7

• No future out-of-cycle meetings planned
• March could be possible
• Decision most likely not before Jan 2013

• Regulary meetings:

• Jan 13-18, 2013, Phoenix
• May 5-10, 2013, Atlanta
• Sep 22-27, 2013, Camebridge/Massachussets

Day 2

• Q1: Ballot issues and withdrawal of negatives
  • Medication Order
  • Medication Dispense and Supply Event
• Q2: Medication profile - current position
• Q3: Ballot layout / draft for Medication Profile
• Q4: Work on content

Day 3

• Q1 & Q2: Pharmacy CDA Mapping Project
• Q3 & Q4: FHIR Medication Administration Resource model in UML