2014-01-06 Rx Conf Call

Related Links Pharmacy Home Page Conference call minutes

Attendees

• John Hatem (Chair)
• Melva Peters (Scribe)
• Julie James
• Scott Robertson
• Lisa Nelson
• Stephen Chu

List Serve Discussions

Compounded medications

• from 12/2 call: agreed cannot describe compounds in a structured way in CDA R2. Describe in text. Scott to advise Gaye/SDWG.
• summary sent to Gaye/Bob. some further discussion but no response from Gaye/Bob
• Deferred from December 16th meeting

Action: Scott to followup with SDWG
Action:  Scott will add Tom's email to the discussion (email from January 1, 2014 from Tom)

PRN Medication Orders - how to do them in CDA

• from 11/25 email: Tom will send summarization
• 12/9: Discussion continues on the list, mostly about the need for an explicit code

Action: Scott will connect with Tom about a final summarization of the issue

• Lisa asked Pharmacy to develop an xml snippet example for prn with condition and without condition (and possible others) for how to handle - Lisa will take the content and get it into the tool or post on to the Wiki
  • examples need to speak to "prn codes"

Action:  Scott to send snippet example to the list
Action:  Add agenda item to next weeks call

January 2014 Ballot

• MTM CDA Template
  • Request for OOC ballot - Scott has submitted the request - Scott needs to complete this week.

January 2014 Agenda - San Antonio=

January_2014_Pharmacy_WGM_Agenda

• Review and update draft agenda
  • Co-Chairs to update their availability and topics
    • Add FHIR Immunization and Medication Harmonization
    • Add FHIR Session - additions and edits to Pharmacy resources

Action:  Reach out to PHER group -Melva
Action:  John to reach to Tom on the Pharmacy Template project
Action:  Co-Chairs to update their availability 
Action:  Change publication request and edits to Thursday

Publication Status

• Med Order
  • Publication Request Status - Scott to confirm status - not submitted
  • Scott to work on what he can
  • Discuss on next call
• Med Dispense
  • Publication Request Status - Scott to confirm status - not submitted
  • Scott to work on what he can
  • Discuss on next call
• Medication CMETs
  • Publication Request Status - Scott to confirm status - not submitted
  • Scott to work on what he can
  • Discuss on next call
• Pharmacy CMETs
  • Publication Request Status - submitted to HQ on December 19, 2013

Clinical Decision Support Virtual Medical Record

• Melva voted negative on behalf of Pharmacy, Pharmacy needs to review CDS' response.
• File:Recon hl7 cds vmr lm r2 i1 2013sep.xlsx
  • Need to see the models to see how they have modelled - the reconciliations are okay, but need to see the models

Action:  Melva to request the models from CDS - complete
Action: Melva to ask Jean to review models

FHIR Ballot disposition

• Results of e-Vote
  • Approved 7/0/0

Poll "e-Vote: Pharmacy-FHIR Ballot Comments"	'	'
http://doodle.com/fqurzd2th5b6k8cm
	Affirmative	Negative
Melva Peters	OK
Jean Duteau	OK
Grahame grieve	OK
John Hatem	OK
Sundar Kalai Nath	OK
Lloyd McKenzie	OK
Xenos Dimitrios	OK
Count	7	0

FHIR Immunization and Medication Administration Task Force

• Status - PHER and Pharmacy resources met to discuss - will continue discussion in San Antonio
  • Mapping of Immunization attributes and definitions to Medication Administration has been completed and reviewed with PHER - some gaps
  • Divided in phases
    • 1st phase by December 24th - trying to harmonize "like" attributes - will forward to Joginder - 8 attributes have been mapped - need to harmonize names and definitions
      • Lot Number - should add to Medication Resource
      • Expiration Date - should add to Medication Resource
      • Explanation Reason - reason why vaccine administered - could this be mapped to indication - need more information
      • Explanation Refusal Reason - reason why vaccine not administered - we have a similar attribute in medication administration
      • Immunization Protocol - may be unique to Immunization
      • Immunization.date - in Medication Admin - called "whenGiven" - can we simplify to "date" - FHIR names are supposed to be more "human friendly" - so maybe "date when given"
      • Immunization.subject - we both point to patient resource, but need to harmonize name/definitions - recommend "patient"
      • Immunization.performer - both reference Practitioner resource - need to harmonize name/definitions
      • Immunization.site - same as MedicationAdministration.dosage.site - harmonize name/definitions
      • Immunization.route - same as MedicationAdministration.dosage.route - harmonize name/definitions
      • Immunization.doseQuantity - same as MedicationAdministration.doseQuantity - harmonize name/definitions
    • 2nd phase - won't be complete before Christmas - need to look at "similar concepts" but where they are modelled differently to determine how to represent consistently

Joint IHE Meeting

• confusion of proposed dates

Action: Melva to email Michael Tan to confirm dates

Next meeting - January 13, 2014 - 4pm Eastern

• Status of IDMP PSS

Action:  Melva to re-foward PSS to Hugh and Julie to complete