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Difference between revisions of "2013-11-25 Rx Conf Call"

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==Attendees==  This ENTIRE PAGE will be updated after the call today.  
 
==Attendees==  This ENTIRE PAGE will be updated after the call today.  
* Hugh Glover  
+
* Hugh Glover (Scribe)
 
* John Hatem (Chair)
 
* John Hatem (Chair)
* Eric Larson
 
 
* Julie James
 
* Julie James
* Terri Meredith
 
 
* Scott Robertson
 
* Scott Robertson
 
* Stephen Chu
 
* Stephen Chu
 
* Tom de Jong
 
* Tom de Jong
 +
* Jose Costa Teixeira
  
==List Serve Discussions==
+
==List Serv Discussions - Compounded medications==
* No discussions this week
+
*Discussion of importance of having a "proper" code such as an NDC
 
+
*For these examples, we may or may not have  a code
==Joint Meeting with IHE==
+
*These are all examples that pharmacy models or Structured Docs have to be able to cope woith these.
* Melva has notified Jurgen / IHE that June is the preferred date and there is a reasonable chance that there will be participation by HL7 Pharmacy
+
*These are test cases
* Melva has also asked if ISO will be participating.
+
*Need to give example of how to define material
 
+
*Should be single substance admin with a set of ingredients not a set of substance admins
 +
**This should be our response
 +
*Jose concerned about preserving the attributes of the ingredients - Julie confirmed this is done
 +
*Steven pointed out the Struct Doc model doesn't support multiple ingredients
 +
*Tom points out there has to be an extension to the  CDA model
 +
**To be discussed on a future call
 +
 +
==List Serv Discussions - PRN Medication Orders - how to do them in CDA==
 +
*Tom - this has been discussed before but hasn't been documented
 +
**One possibility is Priority Code - but there is agreement that this is incorrect
 +
**Better solution is to use a pre-condition with or without specifying it
 +
***How to do this in CDA R2?
 +
****the CDA r2 precondition->Criterion is sufficient - leave the Criterion empty if you do not want to specify the precondition in detail
 +
****Not sure if the current CCDA template supports this
 +
****Jose asking about maximum daily dose or other pre-conditions.  The discussion centered around that some of these examples are not pre-conditions but instead are dosing instructions.
 +
****Scott - can have multiple pre-conditions
 +
****All - but many of these are actually administration instructions
 +
**Steven asking question if it's always pre-condition of flavour of null
 +
***John can be with or without explicit pre-condition
 +
 
==January 2014 Ballot==
 
==January 2014 Ballot==
* MTM material - Scott R reported that this work is in the process of being submitted.
+
*Scott all is OK
* FHIR Content - Hugh reported that amendments must be submitted by early December.
+
*Preview site is open
 
+
==September 2013 WGM Action Items==
+
==FHIR==
* [http://wiki.hl7.org/index.php?title=Pharmacy_Projects Pharmacy Project Review]
+
*Hugh - some work but not too pressed
* Melva has updated the Projects and created a wiki page - see link above.
+
   
* Melva reviewed all project changes/edits and there was a motion to accept the changes by Stephen Chu, seconded by John Hatem. For 7, Against 0, Abstain 0
+
==FHIR Immunization and Medication Administration Task Force==
 
+
*John - no progress but will happen in the next 10 days
==Summary of Template Discussion==
+
   
* Melva made some minor edits to the Pharmacy Template PSS document. Tom de Jong suggested this be sent to the list (done by Melva on November 18th) for discussion during next Pharmacy conference call. See link to document below.
+
==Joint IHE Meeting==
[[File:Pharmacy WG PSS - Pharmacy Templates.doc]]
+
*Nothing required at present
 
 
== FHIR Ballot Reconciliation==
 
* Ballot Reconciliation - Hugh lead a review of Clem's ballot comments.  The ballot dispositions for all three issues 801 (John entered the motion, Eric seconded), 802 (Stephen, Julie) and 803 (Stephen, John) were all voted and passed.  For 8, Against 0, Abstain 0.
 
* Immunization/Medication Administration harmonization - No discussion this week. John H stated he would send out updated document to Eric, Hugh and Joginder.
 
 
 
==Medication Profile Project==
 
* Stephen will send out the latest white paper. 
 
* There was a suggestion to put this work on our 3 year plan and the group accepted this suggestion. 
 
  
 
==Next meeting - December 2, 2013 4pm Eastern - xxxx to Chair==
 
==Next meeting - December 2, 2013 4pm Eastern - xxxx to Chair==

Revision as of 22:08, 25 November 2013

==Attendees== This ENTIRE PAGE will be updated after the call today.

  • Hugh Glover (Scribe)
  • John Hatem (Chair)
  • Julie James
  • Scott Robertson
  • Stephen Chu
  • Tom de Jong
  • Jose Costa Teixeira

List Serv Discussions - Compounded medications

  • Discussion of importance of having a "proper" code such as an NDC
  • For these examples, we may or may not have a code
  • These are all examples that pharmacy models or Structured Docs have to be able to cope woith these.
  • These are test cases
  • Need to give example of how to define material
  • Should be single substance admin with a set of ingredients not a set of substance admins
    • This should be our response
  • Jose concerned about preserving the attributes of the ingredients - Julie confirmed this is done
  • Steven pointed out the Struct Doc model doesn't support multiple ingredients
  • Tom points out there has to be an extension to the CDA model
    • To be discussed on a future call

List Serv Discussions - PRN Medication Orders - how to do them in CDA

  • Tom - this has been discussed before but hasn't been documented
    • One possibility is Priority Code - but there is agreement that this is incorrect
    • Better solution is to use a pre-condition with or without specifying it
      • How to do this in CDA R2?
        • the CDA r2 precondition->Criterion is sufficient - leave the Criterion empty if you do not want to specify the precondition in detail
        • Not sure if the current CCDA template supports this
        • Jose asking about maximum daily dose or other pre-conditions. The discussion centered around that some of these examples are not pre-conditions but instead are dosing instructions.
        • Scott - can have multiple pre-conditions
        • All - but many of these are actually administration instructions
    • Steven asking question if it's always pre-condition of flavour of null
      • John can be with or without explicit pre-condition

January 2014 Ballot

  • Scott all is OK
  • Preview site is open

FHIR

  • Hugh - some work but not too pressed

FHIR Immunization and Medication Administration Task Force

  • John - no progress but will happen in the next 10 days

Joint IHE Meeting

  • Nothing required at present

Next meeting - December 2, 2013 4pm Eastern - xxxx to Chair