2016-11-02PC DrugAllergySubstance Call Minutes

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Meeting Information

HL7 Negation Requirements Meeting Minutes Location: Phone		Date: 2016-11-02 Time: 9:00-10:00 ET
Facilitator	Jay Lyle	Note taker(s)	Jay Lyle
Attendee	Name	Affiliation
y	Jay Lyle	JP Systems / VA
y	Froukje Harkes-Idzinga	Nictiz
y	Rob Hausam	Hausam Consulting
y	Serafina Versaggi	Versaggi Consulting
y	Rob McClure	MD Partners
y	Susan Loucks
y	Larry McKnight	Cerner
y	Michael Tan	Nictiz

Agenda

Agenda Topics

1. overview of Dutch system
2. overview of Cerner dataset

Minutes

Minutes/Conclusions Reached:

• Froukje Harkes-Idzinga gave an overview of the Dutch system (see G-system)
  • File
  • The system has concepts that seem to line up with RxNorm: Basic Substance to Ingredient & Substance to Precise Ingredient
  • The system provides (or will provide) scope for users to record "policy" for a sensitivity; i.e., whether they find the substance safe to administer in the future
• Larry McKnight gave an overview of his work on the Cerner dataset
  • ~40MM records
  • SNOMED CT encodings clearly best for foods; pretty good for drugs, too, with some exceptions (esp. MIN)
  • Some discussion of splitting MIN records (e.g., Percocet). Proposal: record the MIN (what is known) and let the CDS engine determine which ingredients to check against.
• Very brief look at G-SRS demo
  • as with other regulatory registries, this seems too specific, but as a metathesaurus it may be very useful.

Meeting Outcomes

Actions Jay to invite contributors

Next Meeting/Preliminary Agenda Items get those who have mapped to describe process become familiar with candidate systems

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