Attendees

Agenda

Action:  Tom will add to Hot Topics page - there is an issue with the pages Tom added so he is following up with HQ

Tom has made comments directly to Lisa and these have been incorporated into the documentation
For Structured Docs Brian Weiss is maintaining a blog CDAPRO with details of their guidance on use of CDA
Discussion then turned to nature and use of Medication Lists
- Lisa pointed out that there will soon be a CCDA definition of a Medication list and now is a good time to get this correct
  - Lists may be for Physician to Physician communications others are for Physician to Patient or Patient to Physician
  - Its important to distinguish between actual as opposed to intent
- There was agreement that lists only usefully exist in a context of use
- This would be a good topic for discussion at the OOC
review of John's document

Action: John will clean up his document and share to the List

Review May 2014 Agenda
Based on availability/attendance of co-chairs, will only meeting Monday, Tuesday and Wednesday in Phoenix

Action:  Melva to notify Lillian and HQ

Action:  Work on agenda in Phoenix

I am looking for the correct resource to use that can capture something like "daily aspirin use" with possible values of: taking as recommended, taking but not as recommended (maybe the patient is taking half dose daily), not taking, unable to obtain, etc. I also need the date when that patient told the provider of their compliance in case we need to reconcile across multiple sources. This seems like it could fit in a couple different places -- such as an Observation, Questionnaire, MedicationStatement (or List) -- each with their own pros and cons. Which resource and attributes are recommended for this medication compliance information?
- compliance question rather than a medication statement
- could be done by putting an extension on medication statement - code for compliance and actual dose that could be taken.

Action:  Hugh to post a response asking for clarification on the use case and suggest that an extension on medication statement resource might work.

Action:  Melva to post this to the Pharmacy List

discussion of the harmonization proposal to create a new code within control act reason - CLINMOD.
- This needs to be reviewed by Julie
- There is a plan to review an an OOC Harmonization meeting in Phoenix so we need to review this and vote on it before it goes to that meeting

Action:  Melva to forward to Julie for review
Action:  Melva asked Wendy to ensure that Brad Fonseca joins the call when it is reviewed