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2017-04-17 Rx Conf Call
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Attendees
- Melva Peters (Chair and Scribe)
- Steve Emrik
- Jose Costa Teixeira
- Michelle Miller
- John Hatem
Agenda Items and notes
Madrid Agenda
- Madrid Agenda
- Jose: need to have time to discuss SPL/FHIR/IDMP "BR&R"
- April 17 Update: Melva to reach out to BR&R to see if there is a time we can meet in Madrid
Action: Melva to send an email to BR&R Co-Chair inviting them to join us in Madrid
CIMI Project (TBC)
- US realm. CIMI modeling Federal Information Model with FHIR
- no questions or updates on 4/10
- April 17 Update: Will discuss in Madrid
Compounded meds
- Steve Emrik from USP
- USP has monographs for compounded products/process - how to make the product
- example Atenolol Example
- add to future agenda for need to identify medications as compounded in FHIR Medication, necessary metadata, and possibly the directions for compounding
- April 17 Update: there is not great support in Health IT space for sending/receiving information about compounded information
- regulations coming out in the US - California to use USP monographs when compounding
- What types of metadata would be useful?
- perhaps a URI to the instructions for compounding
- receiver: anyone who needed to compound
- sender: not sure who would send
- will be working on a code that could be included in RxNorm - URL would be a property of the USP code or RxNorm code
- Open Medicine - has done some work on this
- there are pieces of metadata that could be included
Action: Add a tracker item as a placeholder for changes to medication
Tracker Items
- 12667 Referencing Goal from MedicationRequest: extension or supportingInformation?
- pending more information (Rick on upcoming call)
- Michelle M: an extension does exist to reference Goal - pertainsToGoal
- see tracker 10460. supposedly resolved and applied. still doesn't show "global" extensions work
- April 17 Update: should use the Goal - pertainsToGoal
- tracker item has been added regarding tooling for use of extension
- Motion: To point to use of extension - John/Michelle - "resolved no change" - 4/0/0 Carried
Action: add note to 12667 to add information to use the extension
- 13182 numberofRepeatsAllowed cannot be Zero
- can you assume that the absence of data equates to "no refills" are allowed?
- we should support "0" refills - need to change datatype to "unsignedInt" and add explicit guidance
- Motion: John/Jose: change data type to "unsignedInt" and add guidance - 4/0/0 Carried
- Guidance on using Event History
FHIR Maturity
- Medication, MedicationRequest and MedicationStatement = FMM 3
- MedicationDispense and MedicationAdministration - FMM 2
Order Service Catalogue Project
- To follow the Order Catalog work, use the following listserv: ordercatalog@lists.hl7.org
- 3/13 - no recent activity
- 3/20 - no recent activity
- 3/27 - discussion of activities
- 4/3 - no update
- discussion of the scope of catalog
- discussion of medication related work
- to define a project to move the project forward
Action from 4/3/2017: draft an initial PSS to update medication Action from 4/3/2017: schedule time in Madrid to discuss jointly
International Chemotherapy Implementation FHIR IG
- John attended the kick off meeting, others are welcome to attend
- March 27 Update: no meetings have held - may be tomorrow
- April 3 Update: Meeting was held on March 28th - minutes was published
- next meeting 4/11/2017
AOB
Next meeting
- Monday, April 24, 2017 at 4pm Eastern
