2013-11-25 Rx Conf Call

Related Links Pharmacy Home Page Conference call minutes

Attendees

• Hugh Glover (Scribe)
• John Hatem (Chair)
• Julie James
• Scott Robertson
• Stephen Chu
• Tom de Jong
• Jose Costa Teixeira

List Serv Discussions - Compounded medications

• Discussion of importance of having a "proper" code such as an NDC
• For these examples, we may or may not have a code
• These are all examples that pharmacy models or Structured Docs have to be able to cope woith these.
• These are test cases
• Need to give example of how to define material
• Should be single substance admin with a set of ingredients not a set of substance admins
  • This should be our response
• Jose concerned about preserving the attributes of the ingredients - Julie confirmed this is done
• Steven pointed out the Struct Doc model doesn't support multiple ingredients
• Tom points out there has to be an extension to the CDA model
  • To be discussed on a future call

List Serv Discussions - PRN Medication Orders - how to do them in CDA

• Tom - this has been discussed before but hasn't been documented
  • One possibility is Priority Code - but there is agreement that this is incorrect
  • Better solution is to use a pre-condition with or without specifying it
    • How to do this in CDA R2?
      • the CDA r2 precondition->Criterion is sufficient - leave the Criterion empty if you do not want to specify the precondition in detail
      • Not sure if the current CCDA template supports this
      • Jose asking about maximum daily dose or other pre-conditions. The discussion centered around that some of these examples are not pre-conditions but instead are dosing instructions.
      • Scott - can have multiple pre-conditions
      • All - but many of these are actually administration instructions
  • Steven asking question if it's always pre-condition of flavour of null
    • John can be with or without explicit pre-condition

January 2014 Ballot

• Scott all is OK
• Preview site is open

FHIR

• Hugh - some work but not too pressed

FHIR Immunization and Medication Administration Task Force

• John - no progress but will happen in the next 10 days

Joint IHE Meeting

• Nothing required at present