2015-11-02 Rx Conf Call

Related Links Pharmacy Home Page Conference call minutes

Attendees

• John Hatem (Chair)
• Marla Albitz (Scribe)
• Michelle Miller
• Nick Nickerson
• Jose
• Tom De Jong

FHIR workgroup meeting

• Occurring on Monday and Wednesday (12pm) of each week. Scott will be attending for us. If Scott cannot attend, Melva asked Scott to let the co-chairs know.
• Status update:

==FHIR Ballot Discussion Items== this section will need to be updated for Nov 2

• Updated and closed four v2 mapping ballot comments.
• Worked through ballot items that Melva has grouped into categories.
  • 8012, 8569 update with "need guidance", group will seek assistance.

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

• 8050 - Scott to make NCPDP updates for DSTU 2.1.
  • motion to complete the mappings for NCPDP for DSTU 2.1. Motion Scott Marla Seconded Vote:7:0:0
• 8690, 8691, 8689 approved in Atlanta - resolution - provide example to example that a denominator for a ratio can be a '1'.

 Action item: Melva to update GForge to reflect Atlanta vote/approval.

• 8688 - Approved in Atlanta

 Action item: Melva to update Gforge 8688

• 5925 - request to add free text SIG. We stated that we would update the description for dosage.text

 Action item: to compare the text attribute across all resources. John will pull the values into a spreadsheet for comparison at the next meeting.

• 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

• Timing discussion
  • how to represent "to be taken 10 minutes before meal"
  • DSTU2 guidance still incorrect (verified during call)
  • handled by change request # 8697
    • adding new offset guidance to handle this.
    • targeted for DSTU 2.1

Action item: Melva to enter change request to change examples to reflect this new timing data type change.

ListServ

• MedicationOrder.timing - there is an issue in the Timing datatype - waiting for changes to the datatype and then there may be an update needed once completed
  • This issue remains open
• No other listserv Pharmacy issues came up this past week.

ARB Project

• Update from John on 11/2/2015
  • Meeting work was focused mapping the HL7 CD/CE datatype and how it maps to the FHIR CodableConcept data type.
  • This datatype mapping would be useful in all of the Pharmacy resources where codes can be expressed. And the mapping may also have use in non Pharmacy resource areas too.
  • No decision or specific discussions on any 'tool' were held in this meeting.
  • No action needed from Pharmacy at this point.

Harmonization Proposals

• Discuss whether Pharmacy input is needed

Other business

Action Item: Melva to reach out to Kai on his Art Décor v3 entries.
Action Item: Marla to enter change request for RXA-25 v2 FHIR mapping issue.

Next meeting

• Monday November 2, 2015 at 4pm Eastern
• Agenda Items
  • Harmonization Proposal Review
    • look at harmonization proposals for needed Rx involvement.
    • vote on our involvement with projects.
• Joint out of cycle meeting with ISO and IG Rx group