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Difference between revisions of "2014-12-08 Rx Conf Call"

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=Attendees=
 
=Attendees=
−
* Melva Peters
+
 
−
* Jean Duteau
 
 
* Marla Albitz (Scribe)
 
* Marla Albitz (Scribe)
−
* Scott Robertson (Chair)
+
* Scott Robertson  
 
* Stephen Chu
 
* Stephen Chu
−
* John Hatem
+
* John Hatem (Chair)
 
* Hugh Glover
 
* Hugh Glover
−
* Julie Glover
+
* Tom de Jong
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* José Costa Teixeira
+
 
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* Matthew Graham
 
  
 
=Minutes=
 
=Minutes=
  
 
==FHIR==
 
==FHIR==
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==CDA Template work
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* Jean's 12/8/2014 email about his time availability for this work and his current status.
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==Listserv traffic
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* Profiles for C-CDA will not be balloted until May, which gives more time.
−
==Jose 2.9 issue
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* Per Lloyd, only spelling changes can be made.  This will give us a chance to regroup at the next WG. We can decide who can do the work and how we will divide the tasks.  Tom may have time to work on this at the time of January meeting.
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==Agenda for January WG meeting
 
−
 
 
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==Discussion of FHIR Timelines==
 
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* confusion on the timelines for the content for the upcoming ballots
 
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* there was discussion on the TSC call this morning
 
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* may need to have placeholders for new content
 
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* CCDA profiles for medication related content are not due until the May 2015 ballot cycle
 
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* Use case - medication regimen - managing a pill box
 
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** prescribed and over the counter medication
 
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** creation of the schedule for management of medications
 
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** could be a profile on medication administration
 
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** there is a PSS being created in Mobile Health to define this including use cases
 
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==Master File Profiles==
 
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* 11/24/2014: Discussion occurred about the lack of WG group bandwidth for the FHIR Rx needs.
 
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* Motion was made by John and Hugh to delay master file profile work until the next DSTU.
 
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* Seconded by Marla Albitz
 
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* Voted to approve - 9:0:0
 
−
 
 
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==Proposed DSTU changes==
 
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* 11/24/2014: Jean led group through a discussion about an option to combine the Medication Administration and Medication Statement. The idea is the create optionality for elements and express the two use cases through the constraints imposed at the profile level.
 
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** Group discussed aspects of this issue such as, if properties of a resource are the same should they be combined?  Is there any risk to leave as is for now?
 
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** Group decided to leave the two concepts as separate resource and not combine into one resource at this time.  May revisit when resources are re-evaluated.
 
−
 
 
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* Reviewed additional items - team agreed conclusions made for each DSTU item that Jean reviewed.
 
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** Group agreed we need to add examples and rationale for multiple dosage instructions.
 
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Action: Scott will provide examples of complex dosage examples.  
 
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  Action: The group will add to Scott's examples
 
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Action: Jean will send spreadsheet to group for individual review for next meeting's discussion.
 
−
 
 
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* Commenter requested a way to convey more than one reason for the prescription to be written. Group felt that this was outside the 80/20 rule.  Decision: to leave as an extension.
 
−
 
 
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==FHIR Status==
 
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* No update on 11/24: discussion of tasks
 
−
 
 
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==CDA Template work with Melva==
 
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*John is working on the CDA Template work with Melva.  Next step is to take this to put it into the FHIR tool that will then allow profiles to be created.
 
−
 
 
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*Update 10/27/14: John has started the profile creation work.  John would like to work with Melva on the first profile. John suggests that we start with the Medication Dispense profile.  Will proceed with profile work until we run into an issue.  When we do we address issues with the StructuredDocs workgroup. 
 
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*Update Nov 10, 2014 - 10% through the work - John working on CCDA Medication Dispense profile - had a call with Melva and Lloyd and will have a followup call
 
−
 
 
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*Update 11/24/2014 - 30% through work - not update for the group
 
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==List serve traffic==
 
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No Updates on 11/24
 
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===Pharmacy Resources===
 
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* See attached email [[File:Pharmacy Resources.pdf]]
 
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===Rates of administration for medicines===
 
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*Long thread on description for rates of administration for medicines – e.g. for dopamine to keep urine output at a particular level.  Various sub-threads have emerged, including a syntax for free text (!) and critically where a free text dosage instructions should be put in the CDA.
 
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*Various folk are not able to join the CDA call on Thursday, but we feel that the correct pattern would be to use the component act relationship on the MedicationOrder SBADMRQO class to clone a second SBADMRQO class that carries the Dosage Instructions information. 
 
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*The text attribute of that class can correctly carry the text of the Dosage Instructions.  This is how the Dose Syntax Implementation Guidance for V3 describes this should be done too.
 
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ACTION COMPLETED: Hugh/Julie will post something about this to the List.
 
−
 
 
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*Update - The result of the Thursday meeting is not known.  
 
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* Response from Brett:  A few folks agreed to finalize a design offline and present to SDWG on October 30th.  The initial draft is very similar to what Julie proposed.
 
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Action: Melva to see if this was discussed on SDWG - don't know what the outcome was
 
−
 
 
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==Pharmacy on-line tutorial==
 
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11/24 no updates
 
  
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*Should we put that together – and if we do, would that help with issues from CDA, mobile health etc.
+
==CDA Template work==
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*Suggest this is based on the V3 principles (particularly as FHIR still a moving target)
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* John reported:  Work has not advanced since last meeting.
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*Who has time and resources to do this?  Is it something that could be developed during two quarters at a WGM? 
 
  
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ACTION: Add to WGM Agenda for San Antonio.
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==Listserv==
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* No listserv traffic to address.
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Action: Develop PSS for a tutorial project. Determine scope and breathe of possible artifact developed.
 
  
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*Suggest that we should put the outline for a course together in advance of the WGM (many of us have training that we have done that we can blend together to give a good outline).
+
==Jose 2.9 issue==
 +
* Scott interacted with Jose on this subject through email.
 +
* Jose requested to use RDS(Dispense) without patient specific information, Scott agreed this can be done, but noted this was not the original intent of the message construct.
 +
* Scott's input provides Jose with the information he needed to move his work forward.
 +
* No action items on this issue.
  
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==AOB==
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==Agenda for January WG meeting==
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===Discussion of Jose's v2.9 issue===
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* John took the group through the tentative agenda.
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* Jose explained the project
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* No meetings on Friday, January 23rd.
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[[File:811_Final.pdf]]
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* Scott will be there Monday and Thursday.
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* Will give the group a chance to review for the next meeting in two weeks.
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* John, Hugh will be there all four days.
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* Scott will review the document and provide a review to the Rx work group.
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Action Item: Group will update wiki with their available each day of the January WG meeting.
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* will cover this topic as an agenda item for the next meeting.
 
  
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  Action item: Add this item to the next agenda
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  Action Item: Stephen Chu to send group a project/initiative description for work group consideration. (Limited distribution for now, only Rx Group, not general listserv)
  
−
==Next meeting - December 8, 2014 at 1600hr Eastern ==
+
==Next meeting - December 22, 2014 at 1600hr Eastern ==

Latest revision as of 21:33, 8 December 2014

Attendees

  • Marla Albitz (Scribe)
  • Scott Robertson
  • Stephen Chu
  • John Hatem (Chair)
  • Hugh Glover
  • Tom de Jong


Minutes

FHIR

  • Jean's 12/8/2014 email about his time availability for this work and his current status.
  • Profiles for C-CDA will not be balloted until May, which gives more time.
  • Per Lloyd, only spelling changes can be made. This will give us a chance to regroup at the next WG. We can decide who can do the work and how we will divide the tasks. Tom may have time to work on this at the time of January meeting.

CDA Template work

  • John reported: Work has not advanced since last meeting.

Listserv

  • No listserv traffic to address.

Jose 2.9 issue

  • Scott interacted with Jose on this subject through email.
  • Jose requested to use RDS(Dispense) without patient specific information, Scott agreed this can be done, but noted this was not the original intent of the message construct.
  • Scott's input provides Jose with the information he needed to move his work forward.
  • No action items on this issue.

Agenda for January WG meeting

  • John took the group through the tentative agenda.
  • No meetings on Friday, January 23rd.
  • Scott will be there Monday and Thursday.
  • John, Hugh will be there all four days.
Action Item: Group will update wiki with their available each day of the January WG meeting.

Action Item:  Stephen Chu to send group a project/initiative description for work group consideration. (Limited distribution for now, only Rx Group, not general listserv)

Next meeting - December 22, 2014 at 1600hr Eastern

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