2015-12-14 Rx Conf Call

Related Links Pharmacy Home Page Conference call minutes

Attendees to be updated

• Lee Supernate
• John Hatem (Chair/Scribe)
• Marla Albitz
• Michelle Miller
• Jose Texiera
• Chris Nickerson

FHIR Workflow Meetings Status

ACTION:  Scott - find / asked for / create(?) a 1-pager explanation of what the business need and proposed solution.

• Update from Scott: Team meet 11/23, did not meet last week, will not be meeting next week - team has been working on identifying use cases.
• Update from Scott: has been attending, but many meetings have been cancelled.
• Update from Marla: Marla, Jose and Michelle attended this week - Dec 14, 2015.
  • General discussion on 'task' - units of work was raised by Kieth B. Issue is still open.
  • Discussion will be continued next week in the Workflow meeting.

FHIR Ballot Discussion Items

• GROUPING ADDED
  • A = Dosage Related
  • B = Terminology
  • C = Misc
  • D =
  • E = Examples
  • F = Multiple indications/reason for order
  • G = Status
  • H = Medication Related
  • I = Mappings

8778 – dosage based on body surface area

• December 7, 2015 Update
  • chemotherapy order templates - PDF format for chemotherapy schedule, regimen, etc
  • Trying to define a fhir server that could serve this data in a FHIR resource
  • These are not patient specific, but the content could be used to create an order for a patient
  • Templates themselves are closest to a care plan - includes a cycle a definition
  • Timeframe - needed by the end of March
• /December 4, 2015 Upate

Action: Maxdose - Chris and Lee discussed options.  will post link to Lee's suggested options and Chris's options.  discuss on next available call.  
Action:  Updated 8778 with link to Lee's options.  
Action:  Melva:  Need to update Pharmacy WG agenda. Note that Lee s. will attend Q1 or Q3 on Tuesday, January 12th to discuss in more detail.  

8442 – MedicationPrescription – clarify datewritten and prescriber – group discussed final decision noted in GForge item

 Completed Action item: Jose will take a look at this off-line (8442). Concerned about one-to-many relationship implied in solution. Will bring investigation conclusions back to group. Jose’s findings could impact 5827, 8276, 8378, 8526, 8783

• Discussion of versioning resulted in a group understanding that this issue is an infrastructure issue, not Rx specific.
• Also can be remedied with additional documentation

Action: Jose to create new change request to address the documentation work only and separate from the infrastructure issue.

• 11/16 - When changes are applied, the original resource is not altered, the changes are incoproated into a clone of the original resource (with a relationship to the the original resource). From the FHIR resource perspective, these are separated resources. From the system perspective, there may only be a single "database entry" which is modified. Getting difficult to keep track of the constructs and proposed solution.

 Action item:  Jose will develop a resolution for consideration at the next call. Principly 8442, could impact 5827, 8276, 8378, 8526, 8783 .   Jose created 9087, need confirmation if this is the item that addresses the above request.  I believe it is.  

• 12/14 - discussion on this issue did not result in any changes to item 8442. Needs further discussion.

Other FHIR Items

• Mappings of HL7 v2 to Pharmacy FHIR

Action item: Marla to complete 7830 - consult with Mike Henderson

• PSS for FHIR content

Action:  Melva has sent draft to list - please review and provide comments.  Plan is to approved this in Orlando Pharmacy WGM. 

5925 & 8021 (grouping A)

Action item: Tom to review spreadsheet John forwarded on 11/9 .  Tom volunteered on the 11/2 call to look at this.

Completed Action item: John will review spreadsheet to see which resource elements/attributes may be affected.

• John started presenting his review/work on the call.
• Will continue reviewing and vote (if applicable) on the next call.
• 12/4 - no discussion this week.

ListServ

• Medication.form discussion.

Action Item: discussed on 12/14, Michelle will create a new tracker item regarding the new documentation requirements that address this issue. No changes, other than documentation, were identified for this new item. Completed. Michelle created 9142.

ARB Project

• ARB update
• Link to meeting minutes: [1]
• Update from John - no meeting last week, next meeting is planned for Dec 17, 2015

Other business

• These two action items are being addressed by Marla, and she will inform us of their progress week to week as they progress.

Action Item: Marla to enter change request for RXA-25 v2 FHIR mapping issue.
Action Item: Marla Reach out to Mike Henderson and Jose about final touches to the v2-FHIR mappings (perhaps even outside of the FHIR resources)

Next meeting

• Monday, Dec 21st