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Difference between revisions of "2017-04-17 Rx Conf Call"
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=Attendees= | =Attendees= | ||
| − | * Melva Peters (Chair) | + | * Melva Peters (Chair and Scribe) |
| + | * Steve Emrik | ||
| + | * Jose Costa Teixeira | ||
| + | * Michelle Miller | ||
| + | * John Hatem | ||
=Agenda Items and notes= | =Agenda Items and notes= | ||
| Line 27: | Line 31: | ||
==Madrid Agenda== | ==Madrid Agenda== | ||
* [http://wiki.hl7.org/index.php?title=May_2017_Pharmacy_WGM_Agenda Madrid Agenda] | * [http://wiki.hl7.org/index.php?title=May_2017_Pharmacy_WGM_Agenda Madrid Agenda] | ||
| − | ** Jose: need to have time to discuss SPL/FHIR/IDMP "BR&R" | + | ** Jose: need to have time to discuss SPL/FHIR/IDMP "BR&R" |
| − | + | ** April 17 Update: Melva to reach out to BR&R to see if there is a time we can meet in Madrid | |
| − | Action: | + | Action: Melva to send an email to BR&R Co-Chair inviting them to join us in Madrid |
| − | |||
==CIMI Project (TBC)== | ==CIMI Project (TBC)== | ||
* US realm. CIMI modeling Federal Information Model with FHIR | * US realm. CIMI modeling Federal Information Model with FHIR | ||
* no questions or updates on 4/10 | * no questions or updates on 4/10 | ||
| + | * April 17 Update: Will discuss in Madrid | ||
==Compounded meds== | ==Compounded meds== | ||
| − | + | * Steve Emrik from USP | |
** USP has monographs for compounded products/process - how to make the product | ** USP has monographs for compounded products/process - how to make the product | ||
| − | ** example [http://www.mipedscompounds.org/sites/default/files/standard-formulations/Atenolol.pdf] | + | ** example [http://www.mipedscompounds.org/sites/default/files/standard-formulations/Atenolol.pdf Atenolol Example] |
| − | ** add to future agenda for need to identify medications as compounded in FHIR Medication, necessary metadata, and possibly the directions for compounding | + | ** add to future agenda for need to identify medications as compounded in FHIR Medication, necessary metadata, and possibly the directions for compounding |
| + | * April 17 Update: there is not great support in Health IT space for sending/receiving information about compounded information | ||
| + | ** regulations coming out in the US - California to use USP monographs when compounding | ||
| + | ** What types of metadata would be useful? | ||
| + | ** perhaps a URI to the instructions for compounding | ||
| + | ** receiver: anyone who needed to compound | ||
| + | ** sender: not sure who would send | ||
| + | *** will be working on a code that could be included in RxNorm - URL would be a property of the USP code or RxNorm code | ||
| + | *** Open Medicine - has done some work on this | ||
| + | *** there are pieces of metadata that could be included | ||
| + | Action: Add a tracker item as a placeholder for changes to medication | ||
==Tracker Items== | ==Tracker Items== | ||
| Line 48: | Line 62: | ||
** Michelle M: an extension does exist to reference Goal - pertainsToGoal | ** Michelle M: an extension does exist to reference Goal - pertainsToGoal | ||
***see tracker 10460. supposedly resolved and applied. still doesn't show "global" extensions work | ***see tracker 10460. supposedly resolved and applied. still doesn't show "global" extensions work | ||
| − | Action: | + | **April 17 Update: should use the Goal - pertainsToGoal |
| + | *** tracker item has been added regarding tooling for use of extension | ||
| + | *** Motion: To point to use of extension - John/Michelle - "resolved no change" - 4/0/0 Carried | ||
| + | Action: add note to 12667 to add information to use the extension | ||
* 13182 [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13182&start=0 numberofRepeatsAllowed cannot be Zero] | * 13182 [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13182&start=0 numberofRepeatsAllowed cannot be Zero] | ||
| + | ** can you assume that the absence of data equates to "no refills" are allowed? | ||
| + | ** we should support "0" refills - need to change datatype to "unsignedInt" and add explicit guidance | ||
| + | ** Motion: John/Jose: change data type to "unsignedInt" and add guidance - 4/0/0 Carried | ||
* Guidance on using Event History | * Guidance on using Event History | ||
| + | ** | ||
* 13043 [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13043&start=0 Fix performer on MedicationDispense - update description and add role back in with appropriate value set] | * 13043 [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13043&start=0 Fix performer on MedicationDispense - update description and add role back in with appropriate value set] | ||
| Line 58: | Line 79: | ||
* 13044 [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13044&start=0 Fix performer on MedicationAdministration - update description and add role back in with appropriate value set] | * 13044 [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13044&start=0 Fix performer on MedicationAdministration - update description and add role back in with appropriate value set] | ||
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| − | |||
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** | ** | ||
Latest revision as of 21:01, 17 April 2017
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Related Links |
Attendees
- Melva Peters (Chair and Scribe)
- Steve Emrik
- Jose Costa Teixeira
- Michelle Miller
- John Hatem
Agenda Items and notes
Madrid Agenda
- Madrid Agenda
- Jose: need to have time to discuss SPL/FHIR/IDMP "BR&R"
- April 17 Update: Melva to reach out to BR&R to see if there is a time we can meet in Madrid
Action: Melva to send an email to BR&R Co-Chair inviting them to join us in Madrid
CIMI Project (TBC)
- US realm. CIMI modeling Federal Information Model with FHIR
- no questions or updates on 4/10
- April 17 Update: Will discuss in Madrid
Compounded meds
- Steve Emrik from USP
- USP has monographs for compounded products/process - how to make the product
- example Atenolol Example
- add to future agenda for need to identify medications as compounded in FHIR Medication, necessary metadata, and possibly the directions for compounding
- April 17 Update: there is not great support in Health IT space for sending/receiving information about compounded information
- regulations coming out in the US - California to use USP monographs when compounding
- What types of metadata would be useful?
- perhaps a URI to the instructions for compounding
- receiver: anyone who needed to compound
- sender: not sure who would send
- will be working on a code that could be included in RxNorm - URL would be a property of the USP code or RxNorm code
- Open Medicine - has done some work on this
- there are pieces of metadata that could be included
Action: Add a tracker item as a placeholder for changes to medication
Tracker Items
- 12667 Referencing Goal from MedicationRequest: extension or supportingInformation?
- pending more information (Rick on upcoming call)
- Michelle M: an extension does exist to reference Goal - pertainsToGoal
- see tracker 10460. supposedly resolved and applied. still doesn't show "global" extensions work
- April 17 Update: should use the Goal - pertainsToGoal
- tracker item has been added regarding tooling for use of extension
- Motion: To point to use of extension - John/Michelle - "resolved no change" - 4/0/0 Carried
Action: add note to 12667 to add information to use the extension
- 13182 numberofRepeatsAllowed cannot be Zero
- can you assume that the absence of data equates to "no refills" are allowed?
- we should support "0" refills - need to change datatype to "unsignedInt" and add explicit guidance
- Motion: John/Jose: change data type to "unsignedInt" and add guidance - 4/0/0 Carried
- Guidance on using Event History
FHIR Maturity
- Medication, MedicationRequest and MedicationStatement = FMM 3
- MedicationDispense and MedicationAdministration - FMM 2
Order Service Catalogue Project
- To follow the Order Catalog work, use the following listserv: ordercatalog@lists.hl7.org
- 3/13 - no recent activity
- 3/20 - no recent activity
- 3/27 - discussion of activities
- 4/3 - no update
- discussion of the scope of catalog
- discussion of medication related work
- to define a project to move the project forward
Action from 4/3/2017: draft an initial PSS to update medication Action from 4/3/2017: schedule time in Madrid to discuss jointly
International Chemotherapy Implementation FHIR IG
- John attended the kick off meeting, others are welcome to attend
- March 27 Update: no meetings have held - may be tomorrow
- April 3 Update: Meeting was held on March 28th - minutes was published
- next meeting 4/11/2017
AOB
Next meeting
- Monday, April 24, 2017 at 4pm Eastern
