2012-10 Out of Cycle Meeting - Paris

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Pre OOC 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
    • Suggested tool for mapping: Altova MapForce (or similar)

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

• 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?
  • it was decided that we would wait for the proposal to be published

• Automation Document (France)
  • Frank Gener sends PHAST document: "The Functional Interoperability Framework for Automated Systems Integration in Electronic Medication Management Processes"
  • Document has been put on Wiki page and on SVN for future reference

• Next meetings
  • IHE
    • F2F meeting in March 18-19, 2013 at Arsenal-IT, Treviso, Italy
      • Pharmacy WG will consider joining IHE and meet on March 19th - space will likely be available for subsequent OOC meeting - Jürgen: Will contact Claudio if it's possible and inform HL7 co-chairs
    • F2F meeting in June 11-12, 2013 at Nictiz, Den Haag, Netherlands
      • Pharmacy will consider if OOC meeting is necessary in June
    • No F2F meetings are defined for Fall yet for IHE
    • Invitation extended to IHE Pharmacy to join in HL7 Working Group Meetings

Day 2 Pharmacy Workgroup OOC

• Q1 and Q2: Ballot issues and withdrawal of negatives
  • Medication Order
  • Medication Dispense and Supply Event

Review Domain Model walk through - Tom
put the pickup request pair back - Jean
Trigger events - to be updated - Melva
Review interaction - Jean
Encoded order model - Hugh
Check storyboard numbers - Hugh
Detected medication issue to be republished as a CMET - Jean

• Q3: Medication profile
  • Need ability to retrieve distinct building blocks/elements (or combination)
    • Rx
    • dispenses
    • statements
    • administrations
  • Ability to update records
    • status changes
    • new rxs
    • statements
    • Need to confirm if there are things we don't support
      • link of statements of rxs, dispenses, etc
      • assertion of "truth" or validity
  • Ability to create a point in time snapshot
    • data structure with a context
    • List class - Med List
      • author
      • date/time
      • location
      • Id
  • Ability to query "snapshot"

Tom to document introduction/discussion

Need to look at previously balloted Medication Query (May 2007) to determine if we could use 

• Q4: Ballot Preparation
  • Need to close down 5 JIC projects - Hugh
  • Submission of NIBs - done
    • Pharmacy CMETs
    • medication Order
    • Dispense and Supply Event

Confirm with Scott - CDA MTM
Confirm with Gerald - SOA

Day 3 Pharmacy Workgroup OOC

• Q1: Review of Medication Dispense Material
  • see action items under medication order

• Q2: Pharmacy CDA Mapping Project
  • Hugh and Tom worked on a mapping using Altova MapForce
  • it was agreed that this would be useful to continue doing this work
• Q3 & Q4: FHIR Medication Administration Resource model in UML