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Difference between revisions of "2014-04-07 Rx Conf Call"

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=Attendees=
 
=Attendees=
* Scott Robertson (Chair)
+
* Melva Peters (Chair and Scribe)
 
+
* Scott Robertson
 +
* Hugh Glover
 +
* Katherine Duteau
 +
* Lisa Nelson
 +
* John Hatem
  
 
=Agenda=
 
=Agenda=
Line 29: Line 33:
 
  Action:  Tom will add to Hot Topics page
 
  Action:  Tom will add to Hot Topics page
 
* Immunization questions from Bonnie McAllister - no progress
 
* Immunization questions from Bonnie McAllister - no progress
 +
Action:  Find the details of the questions - document on Hot Topics - MELVA
 +
Action:  Add to discussion for next week
  
 
==Pharmacy's use of mood codes==
 
==Pharmacy's use of mood codes==
* John has not had time to progress
 
 
* Tom has made comments directly to Lisa and these have been incorporated into the documentation
 
* Tom has made comments directly to Lisa and these have been incorporated into the documentation
 
* For Structured Docs Brian Weiss is maintaining a blog [http://www.cdapro.com CDAPRO] with details of their guidance on use of CDA
 
* For Structured Docs Brian Weiss is maintaining a blog [http://www.cdapro.com CDAPRO] with details of their guidance on use of CDA
Line 40: Line 45:
 
** There was agreement that lists only usefully exist in a context of use
 
** There was agreement that lists only usefully exist in a context of use
 
** This would be a good topic for discussion at the OOC
 
** This would be a good topic for discussion at the OOC
 +
* review of John's document
 +
Action: John will clean up his document and share to the List
 +
Action:  Include as agenda on upcoming meeting
  
 
==OOC Agenda==
 
==OOC Agenda==
* Jose would like to discuss pharmacy workflow in FHIR
+
* Attendees:  Melva will attend; Hugh will try to dial in
** This may be difficult given lack of FHIR experience at the OOC
+
Action:  Work on agenda in Phoenix
** Workflow for orders is an OO topic - Pharmacy is concerned about payload
 
  
==FHIR Question==
+
==FHIR DSTU Question==
 
* I am looking for the correct resource to use that can capture something like "daily aspirin use" with possible values of: taking as recommended, taking but not as recommended (maybe the patient is taking half dose daily), not taking, unable to obtain, etc. I also need the date when that patient told the provider of their compliance in case we need to reconcile across multiple sources. This seems like it could fit in a couple different places -- such as an Observation, Questionnaire, MedicationStatement (or List) -- each with their own pros and cons. Which resource and attributes are recommended for this medication compliance information?
 
* I am looking for the correct resource to use that can capture something like "daily aspirin use" with possible values of: taking as recommended, taking but not as recommended (maybe the patient is taking half dose daily), not taking, unable to obtain, etc. I also need the date when that patient told the provider of their compliance in case we need to reconcile across multiple sources. This seems like it could fit in a couple different places -- such as an Observation, Questionnaire, MedicationStatement (or List) -- each with their own pros and cons. Which resource and attributes are recommended for this medication compliance information?
 +
** compliance question rather than a medication statement
 +
** could be done by putting an extension on medication statement - code for compliance and actual dose that could be taken.
 +
Action:  Hugh to post a response asking for clarification on the use case and suggest that an extension on medication statement resource might work.
  
 
==Request for review of ISO definitions==
 
==Request for review of ISO definitions==
 
[https://docs.google.com/forms/d/1AdAzFZaeuAuNBEm7wO7GxvyzOE8hzBY5wc2YdZNCdcM/viewform PHARMACY TERMS]
 
[https://docs.google.com/forms/d/1AdAzFZaeuAuNBEm7wO7GxvyzOE8hzBY5wc2YdZNCdcM/viewform PHARMACY TERMS]
 +
Action:  Melva to post this to the Pharmacy List
 +
Action:  include on the agenda for next weeks call
  
 
==AOB==
 
==AOB==
 +
* Next week's call is cancelled as all co-chairs are unavailable.
  
 
+
==Next meeting - 2014-04-21 @ 1600 ET ==
==Next meeting - 2014-04-14 @ 1600 ET ==
 
 
* Agenda
 
* Agenda
 
** List serve discussion
 
** List serve discussion
 
*** Frequency
 
*** Frequency
*** Immunization questions
+
**Immunization questions
*** Pharmacy use of Mood code etc.  
+
**Pharmacy use of Mood code etc.  
 
** Medication/Immunization FHIR Harmonization
 
** Medication/Immunization FHIR Harmonization
 
** Out of Cycle Meeting - Planning - Joint meeting and HL7 Pharmacy meeting
 
** Out of Cycle Meeting - Planning - Joint meeting and HL7 Pharmacy meeting
 
** Pharmacy Template project/work
 
** Pharmacy Template project/work
 
** Pharmacy WGM Agenda
 
** Pharmacy WGM Agenda
 +
** FHIR DSTU question - compliance
 +
** ISO definition review

Latest revision as of 21:06, 7 April 2014

Attendees

  • Melva Peters (Chair and Scribe)
  • Scott Robertson
  • Hugh Glover
  • Katherine Duteau
  • Lisa Nelson
  • John Hatem

Agenda

List Serve Discussions

  • "Frequency" update requested. No discussion on today's call
Action:  Tom will add to Hot Topics page
  • Immunization questions from Bonnie McAllister - no progress
Action:  Find the details of the questions - document on Hot Topics - MELVA
Action:  Add to discussion for next week

Pharmacy's use of mood codes

  • Tom has made comments directly to Lisa and these have been incorporated into the documentation
  • For Structured Docs Brian Weiss is maintaining a blog CDAPRO with details of their guidance on use of CDA
  • Discussion then turned to nature and use of Medication Lists
    • Lisa pointed out that there will soon be a CCDA definition of a Medication list and now is a good time to get this correct
      • Lists may be for Physician to Physician communications others are for Physician to Patient or Patient to Physician
      • Its important to distinguish between actual as opposed to intent
    • There was agreement that lists only usefully exist in a context of use
    • This would be a good topic for discussion at the OOC
  • review of John's document
Action: John will clean up his document and share to the List
Action:  Include as agenda on upcoming meeting

OOC Agenda

  • Attendees: Melva will attend; Hugh will try to dial in
Action:  Work on agenda in Phoenix

FHIR DSTU Question

  • I am looking for the correct resource to use that can capture something like "daily aspirin use" with possible values of: taking as recommended, taking but not as recommended (maybe the patient is taking half dose daily), not taking, unable to obtain, etc. I also need the date when that patient told the provider of their compliance in case we need to reconcile across multiple sources. This seems like it could fit in a couple different places -- such as an Observation, Questionnaire, MedicationStatement (or List) -- each with their own pros and cons. Which resource and attributes are recommended for this medication compliance information?
    • compliance question rather than a medication statement
    • could be done by putting an extension on medication statement - code for compliance and actual dose that could be taken.
Action:  Hugh to post a response asking for clarification on the use case and suggest that an extension on medication statement resource might work.

Request for review of ISO definitions

PHARMACY TERMS

Action:  Melva to post this to the Pharmacy List 
Action:  include on the agenda for next weeks call

AOB

  • Next week's call is cancelled as all co-chairs are unavailable.

Next meeting - 2014-04-21 @ 1600 ET

  • Agenda
    • List serve discussion
      • Frequency
    • Immunization questions
    • Pharmacy use of Mood code etc.
    • Medication/Immunization FHIR Harmonization
    • Out of Cycle Meeting - Planning - Joint meeting and HL7 Pharmacy meeting
    • Pharmacy Template project/work
    • Pharmacy WGM Agenda
    • FHIR DSTU question - compliance
    • ISO definition review