2017-04-24 Rx Conf Call

Related Links Pharmacy Home Page Conference call minutes

Attendees

• Melva Peters (Chair and Scribe)
• Michelle Miller
• Scott Robertson
• John Hatem
• Jose Costa Teixera
• Kent Bui

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-Chairs inviting them to join us in Madrid - complete

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 - complete

Tracker Items

FHIR Tracker

• Dosage.text vs Dosage.additionalInstruction - Tracker #13222
  • Link to tracker
  • concerns have been raised from Chemotherapy Guide project

Action:  Melva to followup with Lee
Action:  Melva to draft changes for review

• TranscribedBy
  • see Tracker #12770
  • no change - recorder attribute exists in STU3

• Special Authorization - 12175
  • many countries will need something similar but might not be standard enough
  • not likely that this is core - suggest creating an extension
  • see tracker 12175

• Tracker 13044 and 13043 - add performer role
  • discussion of change requested by Grahame

Action:  Melva to review change requested and actions needed

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
• 4/24 - no update

Action from 4/3/2017: draft an initial PSS to update medication
Action from 4/3/2017:  schedule time in Madrid to discuss jointly - reach out to Lorraine

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
  • Chemotherapy IG Wiki Page
• next meeting 4/11/2017
• 4/24 - no update

AOB

• none

Next meeting

• Monday, May 1, 2017 at 4pm Eastern - John to chair