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Difference between revisions of "2016-11-02PC DrugAllergySubstance Call Minutes"

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===Agenda===
 
===Agenda===
 
'''Agenda Topics''' <br/>
 
'''Agenda Topics''' <br/>
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# confirm goals
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# overview of Dutch system
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# address open questions
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# overview of Cerner dataset
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# identify gaps & tasks
 
  
 
===Minutes===
 
===Minutes===
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'''Minutes/Conclusions Reached:'''<br/>
 
'''Minutes/Conclusions Reached:'''<br/>
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* Netherlands working with ISO on drug safety db [https://www.knmp.nl/producten-en-diensten/gebruiksrecht-g-standaard/informatie-over-de-g-standaard/the-g-standaard-the-medicines-standard-in-healthcare here]
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* Froukje Harkes-Idzinga gave an overview of the Dutch system (see [https://www.knmp.nl/producten-en-diensten/gebruiksrecht-g-standaard/informatie-over-de-g-standaard/the-g-standaard-the-medicines-standard-in-healthcare G-system])
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* Note: use case is patient safety, not adverse event reporting
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** [[Media:Presentatie.2016 HL7 allergy and intolerance drug sub-project ZONDER NOTITIES.ppt | File]]
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* Record what you know; so if Percocet is the trigger, record "acetaminophen and oxycodone." You can't choose one.
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** The system has concepts that seem to line up with RxNorm: Basic Substance to Ingredient & Substance to Precise Ingredient
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* Confirm: inactive ingredient reactions are very rare; our list will only include active ingredients
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** The system provides (or will provide) scope for users to record "policy" for a sensitivity; i.e., whether they find the substance safe to administer in the future
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* A clinician may record a specific product, but the substance is what goes in the allergy list
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* Larry McKnight gave an overview of his work on the Cerner dataset
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* Questions on site discussed. Most are TBD.
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** ~40MM records
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* How do we map?
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** SNOMED CT encodings clearly best for foods; pretty good for drugs, too, with some exceptions (esp. MIN)
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** Ask VA/DoD team to present
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** Some discussion of splitting MIN records (e.g., Percocet). Proposal: record the MIN (what is known) and let the CDS engine determine which ingredients to check against.
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* What system?
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* Very brief look at [https://ginas.ncats.nih.gov/ginas/app G-SRS demo]
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** SCT does not have MINs in substance hierarchy
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** as with other regulatory registries, this seems too specific, but as a metathesaurus it may be very useful.
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** Ask Larry to present IDMP
 
  
 
===Meeting Outcomes===
 
===Meeting Outcomes===

Latest revision as of 17:53, 2 November 2016

Back to Allergy_&_Intolerance_Drug_Sub-project

Minutes Template

Meeting Information

HL7 Negation Requirements Meeting Minutes

Location: Phone

Date: 2016-11-02
Time: 9:00-10:00 ET
Facilitator Jay Lyle Note taker(s) Jay Lyle
Attendee Name Affiliation


y Jay Lyle JP Systems / VA
y Froukje Harkes-Idzinga Nictiz
y Rob Hausam Hausam Consulting
y Serafina Versaggi Versaggi Consulting
y Rob McClure MD Partners
y Susan Loucks
y Larry McKnight Cerner
y Michael Tan Nictiz

Agenda

Agenda Topics

  1. overview of Dutch system
  2. overview of Cerner dataset

Minutes

Minutes/Conclusions Reached:

  • Froukje Harkes-Idzinga gave an overview of the Dutch system (see G-system)
    • File
    • The system has concepts that seem to line up with RxNorm: Basic Substance to Ingredient & Substance to Precise Ingredient
    • The system provides (or will provide) scope for users to record "policy" for a sensitivity; i.e., whether they find the substance safe to administer in the future
  • Larry McKnight gave an overview of his work on the Cerner dataset
    • ~40MM records
    • SNOMED CT encodings clearly best for foods; pretty good for drugs, too, with some exceptions (esp. MIN)
    • Some discussion of splitting MIN records (e.g., Percocet). Proposal: record the MIN (what is known) and let the CDS engine determine which ingredients to check against.
  • Very brief look at G-SRS demo
    • as with other regulatory registries, this seems too specific, but as a metathesaurus it may be very useful.

Meeting Outcomes

Actions
  • Jay to invite contributors


Next Meeting/Preliminary Agenda Items
  • get those who have mapped to describe process
  • become familiar with candidate systems

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