2015-12-21 Rx Conf Call

Related Links Pharmacy Home Page Conference call minutes

Attendees to be updated

• John Hatem
• Marla Albitz (Scribe)
• Scott Robertson (Chair)
• Shelly Spiro
• Sue Thompson
• Zabrina Gonzaga
• Jose Costa Teixeira
• Tricia Lee

FHIR Workflow Meetings Status

update on Action item:  Scott - find / asked for / create(?) a 1-pager explanation of what the business need and proposed solution.

• update on discussions:
  • Continued discussion on 'task'
  • units of work was raised by Keith B.
  • Discussion will be continued next week in the Workflow meeting.

• 12/21 meeting did not occur today, no one from Rx attended last wednesday

FHIR Ballot Discussion Items

• 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

8778 – dosage based on body surface area

• December 7, 2015 Update
  • chemotherapy order templates - PDF format for chemotherapy schedule, regimen, etc
  • Trying to define a fhir server that could serve this data in a FHIR resource
  • These are not patient specific, but the content could be used to create an order for a patient
  • Templates themselves are closest to a care plan - includes a cycle a definition
  • Timeframe - needed by the end of March
• /December 4, 2015 Upate

Action: Maxdose - Chris and Lee discussed options.  will post link to Lee's suggested options and Chris's options.  discuss on next available call.  
Action:  Updated 8778 with link to Lee's options.  
Action:  Melva:  ask is to find a quarter to discuss these requirements in Orlando.  Inform Lee of the time.  

8442 – MedicationPrescription – clarify datewritten and prescriber – group discussed final decision noted in GForge item

update on Action item: Jose to create new change request to address the documentation work only and separate from the infrastructure issue.
update on Action item:  Jose will develop a resolution for consideration at the next call. Principly 8442, could impact 5827, 8276, 8378, 8526, 8783 .   Jose created 9087, need confirmation if this is the item that addresses the above request.  I believe it is.  

• 12/14 - discussion on this issue did not result in any changes to item 8442. Needs further discussion.

Other FHIR Items

• Mappings of HL7 v2 to Pharmacy FHIR

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

• PSS for FHIR content

Update on Action item:  Melva has sent draft to list - please review and provide comments.  Plan is to approved this in Orlando Pharmacy WGM. 

5925 & 8021 (grouping A)

update on Action item: Tom to review spreadsheet John forwarded on 11/9 .  Tom volunteered on the 11/2 call to look at this.

Completed Action item: John will review spreadsheet to see which resource elements/attributes may be affected.

• John started presenting his review/work on the call.
• Will continue reviewing and vote (if applicable) on the next call.
• 12/4 - no discussion this week.

ListServ

• Medication.form discussion.

update on Action Item:  discussed on 12/14, Michelle will create a new tracker item regarding the new documentation requirements that address this issue.  No changes, other than documentation, were identified for this new item. 

PSS for Pharmacy Care Plans

• introduction and first reactions

ARB Project

• ARB update?
  • meeting is planned for Dec 17, 2015

Other business

• These two action items are being addressed by Marla, and she will inform us of their progress week to week as they progress.

Update on Action Item: Marla to enter change request for RXA-25 v2 FHIR mapping issue.
Update on Action Item: Marla Reach out to Mike Henderson and Jose about final touches to the v2-FHIR mappings (perhaps even outside of the FHIR resources)

Next meeting

• Monday, Dec 28th ??
• Monday, Jan 4th