2013-11-25 Rx Conf Call

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  • 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


  • 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

Next meeting - December 2, 2013 4pm Eastern - Scott to Chair