2017-02-13 Rx Conf Call

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Attendees

• Melva Peters (Chair)
• John Hatem
• Sara Cohen
• Marla Albitz (Scribe)
• Scott Robertson
• Stephen Chu
• Daniel Zhang

Agenda Items and notes

US Meds Ballot Reconciliation

• Feb 9, 2017 - Stephen agreed to follow up with FHIR Workflow team regarding his concerns. Note that this issue is larger than just status, but also includes the use of the Intent element and the Status element.

Action: Melva will make an update to the ballot reconcillation

FHIR Tracker Items

TR#12802 -change name to singular to meet QA guidelines

• AdditionalInstructions
  • Feb 9, 2017 - After brief discussion. Suggestion was to reach out to MnM to get an exception for changing the name from plural to singular. No vote today, to be discussed on Monday, Feb 13, 2017.
  • Feb 13, 2017 - John motioned to change to singular, Marla seconded Voted 5:2:0

TR#12789 - Derived From on MedicationStatement - cardinality and constraint on type of reference

• Derived From
  • Feb 9, 2017 - Michelle Miller stated that currently their FHIR implementation has a cardinality of 0..1, and they only support deriving Medication Statement from Medication orders. However in the Cerner system they also derive Medication Statements from claims (this is not implemented in FHIR). There was not a consensus that the cardinality could be constrained to 0..1. There were several examples proposed that would require cardinality 0..5 to 0..1. Action Item: John H to review list of FHIR resources to come up with a candidate list of resources that the Medication Statement can be derived from. No vote today, to be discussed on Monday, Feb 13, 2017.
  • Feb 13, 2019 - discussed further, John motioned, Jose second to leave cardinality to 0..*, will change the wording only. Add clarification about common use cases. Voted- 7:1:0

TR#12758 - Consider whether batch/lot should be on product or package

• Batch/Lot
  • Feb 9, 2017 - Discussion centered around to right fit for batch/lot. One suggestion was to move it under Package, and change cardinality of Package to 0..*. Action Item: Scott to investigate lot number and batch information and bring that information to next Monday's call.
  • Feb 13, 2017 - Scott brought research results back to the group. Scott could not find an example of a use case using a batch concept. John Motion to move backbone of batch to be under Package and cardinality to 0..*, Scott to second. Voted 7:1:0.

TR#12733 Add search parameters for Encounter to MedicationStatement

• Search Parameter for encounter
• Feb 13, 2017 - John motioned to add a search parameter to medication statement and dispense for encounter, Seconded by Jose Voted 7:1:0

TR#12412 - Need a better name for Medication.product

• Better name for medication.product
• need to confirm with Scott if this can be withdrawn
  • Feb. 13, 2017 - John motioned to redraw tracker item. Carried to withdraw.

 Action: Scott withdraw TR#12412

TR#12396 - Medication package and product

• Medication Product and Package

Action:  Confirm if the changes to medication help to clarify

• Feb 13, 2017 - Jose motion to defer this TR#12175, TR# 12395and TR#12395, Scott seconded - Voted 7:1:0

TR#12395 -Basis of Strength Substance

• Basis of Strength
• Feb 13, 2017 - Jose motion to defer this one and TR#12175, Scott seconded - Voted 7:1:0

TR#12347 - Adjust Medication.package.container value set to SNOMED CT Physical object hierarchy

TR#12347

• December 15 - IDMP - could look at using
  • Scott thinks NCPDP may have looked at using SNOMED-CT
  • could use a US centric value set if can't find anything else
  • EDQM example - container list - Jose has found and will provide to the list if there is no copyright issue
  • See updated followup in tracker for recommendation
• Feb 13, 2017 - John motion to include exemplar value set using values Jose provided and listing the source of the valueset in the description. Jose seconded. Voted 7:1:0

TR#12175 - MedicationOrder special authorization - In Australia a Warrant number

• Special Authorization

Action: Scott to determine if there is a US requirement for this

• Feb 13, 2017 - Jose motion to defer this one, TR#12396 and TR#12395, Scott seconded - Voted 7:1:0

FHIR Maturity

• Current Maturity status
  • spreadsheet has been submitted - MedicationOrder, MedicationStatement and Medication - MM2
  • review of MedicationStatement Maturity
  • no further need for the resources to get them to MM2
• Update on MedicationDispense implementations

Order Service Catalogue PSS

• Feb 9, 2017 - John Hatem reported that the catalog work is investigating whether one or more new resources ( catalog, entity) can support the requirements and whether one or more existing resources (composition, bundle,

AOB

• none

Next meeting

• Monday, February 20, 2017 at 4pm Eastern