2014-08-18 Rx Conf Call

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  • Melva Peters (Chair)
  • Marla Albitz (Scribe)
  • Jean Duteau
  • Christof Gessner
  • Scott Robertson

Draft Agenda

WGM Agenda & Planning

  • Review Scott's survey - only 4 responses so far
    • Wednesday - good planned attendance
    • Thursday - limited attendance

Action: Scott to send email reminder - Completed

  • As of 8/1/8 - Scott reported that nine people provided attendance information
    • Thursday has light attendance, but will reserve a room in case room can be used for making progress on WG tasks. FHIR related work could be tackled on Thursday.
    • Christoff will be ready to work on ISO work. Melva will work to schedule time for it on Wednesday for half a quarter.

Content in Ballot (John)

  • Medication Order - there is no link
Action:  John will send pharmacy content and then send Don Lloyd an email with all of the identified issues with the links
  • No update from John on action item.

ISO eRx Requirements

  • John/Melva
  • defer to August 25
  • Melva and John have comments underway and plan to have it ready for Sept meeting.
Action: Melva to review the content.

List Serve Discussion

Sending orders to pharmacies - Rob Savage - August 6, 2014

  • HL7 v2 is used in the inpatient setting and NCPDP SCRIPT e-prescribing standards are used in the ambulatory care setting and a measure of meaningful use. They both could be ordered for vaccinations, depending upon the location of the prescriber and the immunizer. For example the patient’s PCP could order an immunization not carried in his office to be administered by a community pharmacy and would send the NCPDP standard to the patient’s community pharmacy.
Action:  John to respond to Rob to confirm if he received the answer he needed
  • ICH - dosing information question - July 10, 2014
    • ICH continues its work to implement the ISO/HL7 ICSR 27953 specification and we need to revisit the appropriate answer for the following item in order to remain consistent with pharmacy best practices for electronic order/prescription and dispensing records. In the case of 30mg t.i.d, which data entry is preferable A, B or is there another option (based upon existing specifications/best practices) that ICH should consider?
      • A:
        • Dose (number): 30
        • Dose (unit): mg
        • Number of Units in the Interval : 0.33
        • Definition of the Time Interval Unit: day
      • B:
        • Dose (number): 30
        • Dose (unit): mg
        • Number of Units in the Interval: 8
        • Definition of the Time Interval Unit: hours
    • this has not been answered - need A or B seem to be correct - 3 times per day is not the same as every 8 hours

Action Completed: Scott drafted a response for review on the August 11th teleconference. Question answered with no acknowledgement person asking the question.

FHIR DSTU Updates and Resources

  • Review List of DSTU updates
  • FHIR Profile webinar concerns - Timing not ideal for deliverable, but there is a formal class offered at the next WG meeting. Marla has registered for class.
  • John Deteau posted updated comments on Dropbox - includes PHER harmonization.
  • Plan to continue to work on DSTU items at the WG meeting.

PHER/Pharmacy Harmonization

  • will include this work in the DSTU changes
Action:  Jean will include these changes in DSTU changes
Action:  John to provide list to Jean

Pharmacy Template Project

  • Mood Code Discussion - will be included
  • John and Melva to continue the work
  • Scott reached out to other co-chairs about the push to promote alignment between HL7 Rx templates and NCPDP for the structured sig work.

Pharmacy WG Teleconferece

  • September 1st - Canceled due to US and Canadian holiday, reschedule for the following week, 9/8/2014

Next meeting - 2014-08-25 at 1600hr Eastern - John to chair