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Difference between revisions of "2014-04-28 Rx Conf Call"

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(Created page with " {| style="width:100%; background-color:transparent;" |- | style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --> __TOC__ | style="vertical-align:top; width:35%" | <!...")
 
 
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=Attendees=
 
=Attendees=
−
<!--
+
* Hugh Glover  (Chair)
−
* Melva Peters (Chair and Scribe)
+
* Brad Fonseca
 +
* Melva Peters (Scribe)
 
* Wendy Huang
 
* Wendy Huang
−
* Marla Albitz
+
* John Hatem
−
* Scott Robertson
+
* Julie James
−
*  
+
* Tom de Jong
−
-->
+
 
 
=Agenda=
 
=Agenda=
 +
==Harmonization Request==
 +
[http://gforge.hl7.org/gf/project/pharmacysig/scmsvn/?action=browse&path=%2Fpharmacysig%2FDocuments%2FHarmonization%2520Proposals%2FHL7%2520PHARM-CA201405-01%2520Revised%2520prescription%2520terminology.doc&sortby=date&view=log Pharmacy Harmonization Proposal]
 +
* Brad provided background on the proposed changes
 +
** model that should be referenced in the Harmonization proposal - Medication Order
 +
** Canadian requirement for a revision of a medication order - decision was to send the original order with all information with the changes and a reason code
 +
*** 2 use cases - error correction and clinical modification
 +
**** this attribute is not in Universal model so not sure how to add a concept domain
 +
*** Canadian requirement - have added reason code as an attribute that is not in Universal.  What is being requested is a concept domain that is Universal.  No specific request that a change is made to the Universal model.
 +
*** if this is taken to Harmonization meeting in Phoenix it must not be represented as approved by Pharmacy.
  
−
<!--
+
==OOC Agenda - DEFERRED==
−
==List Serve Discussions - DEFERRED==
+
* Attendees:  Melva will attend; Hugh will try to dial in; John
 +
Action:  Work on agenda in Phoenix
 +
 
 +
==WGM Agenda==
 +
* Review [http://wiki.hl7.org/index.php?title=May_2014_Pharmacy_WGM_Agenda May 2014 Agenda]
 +
* Based on availability/attendance of co-chairs, will only meeting Monday, Tuesday and Wednesday in Phoenix
 +
 
 +
==List Serve Discussions==
 +
* FHIR list serve questions - Tom has responded to one of the issues.
 +
** question related to an attribute to distinguish a medication order that is inpatient, outpatient or other medication
 +
*** could use an extension to add an attribute
 +
*** need to pull the requester into any further discussions
 +
* Immunization questions from Bonnie McAllister - [[File:Immunization Issues for Immunoglobulins 21414.docx]]
 +
** Include as a discussion in Phoenix
 
* "Frequency" update requested. No discussion on today's call
 
* "Frequency" update requested. No discussion on today's call
 
  Action:  Tom will add to Hot Topics page - there is an issue with the pages Tom added so he is following up with HQ
 
  Action:  Tom will add to Hot Topics page - there is an issue with the pages Tom added so he is following up with HQ
−
* Immunization questions from Bonnie McAllister - [[File:Immunization Issues for Immunoglobulins 21414.docx]]
+
* Name of "when given" attribute on Medication Administration resource - request to change name
 +
** Plan to submit a change request to change name - need to confirm what the plan to deal with this is
 +
Action: Tom to forward all outstanding email related to FHIR
  
−
==Pharmacy's use of mood codes - DEFERRED==
+
==Pharmacy's use of mood codes==
 
* 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 47: Line 73:
 
  Action: John will clean up his document and share to the List
 
  Action: John will clean up his document and share to the List
  
−
==WGM Agenda==
+
==PHARMACY-PHER HARMONIZATION==
−
* Review [http://wiki.hl7.org/index.php?title=May_2014_Pharmacy_WGM_Agenda May 2014 Agenda]
+
* Will be discussed in Phoenix - John will participate
−
* Based on availability/attendance of co-chairs, will only meeting Monday, Tuesday and Wednesday in Phoenix
 
−
Action:  Melva to notify Lillian and HQ
 
−
 
 
−
==OOC Agenda - DEFERRED==
 
−
* Attendees:  Melva will attend; Hugh will try to dial in; John
 
−
Action:  Work on agenda in Phoenix
 
  
−
==FHIR DSTU Question - DEFERRED==
+
==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  
 
** compliance question rather than a medication statement  
Line 62: Line 82:
 
  Action:  Hugh to post a response asking for clarification on the use case and suggest that an extension on medication statement resource might work.
 
  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 - DEFERRED==
+
==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
+
* will review in Phoenix. Skype Julie in if possible
−
 
 
−
==Harmonization Request==
 
−
[http://gforge.hl7.org/gf/project/pharmacysig/scmsvn/?action=browse&path=%2Fpharmacysig%2FDocuments%2FHarmonization%2520Proposals%2FHL7%2520PHARM-CA201405-01%2520Revised%2520prescription%2520terminology.doc&sortby=date&view=log Pharmacy Harmonization Proposal]
 
−
* discussion of the harmonization proposal to create a new code within control act reason - CLINMOD. 
 
−
** This needs to be reviewed by Julie
 
−
** There is a plan to review an an OOC Harmonization meeting in Phoenix so we need to review this and vote on it before it goes to that meeting
 
−
  Action:  Melva to forward to Julie for review
 
−
Action:  Melva asked Wendy to ensure that Brad Fonseca joins the call when it is reviewed
 
  
 
==AOB==
 
==AOB==
 
* none
 
* none
  
−
==Next meeting - 2014-04-28 @ 1600 ET ==
+
==Next meeting - 2014-05-19 @ 1600 ET ==
 
* Agenda
 
* Agenda
−
-->
 
−
 
 
** List serve discussion
 
** List serve discussion
 
**Pharmacy use of Mood code etc.  
 
**Pharmacy use of Mood code etc.  

Latest revision as of 20:59, 28 April 2014

Attendees

  • Hugh Glover (Chair)
  • Brad Fonseca
  • Melva Peters (Scribe)
  • Wendy Huang
  • John Hatem
  • Julie James
  • Tom de Jong

Agenda

Harmonization Request

Pharmacy Harmonization Proposal

  • Brad provided background on the proposed changes
    • model that should be referenced in the Harmonization proposal - Medication Order
    • Canadian requirement for a revision of a medication order - decision was to send the original order with all information with the changes and a reason code
      • 2 use cases - error correction and clinical modification
        • this attribute is not in Universal model so not sure how to add a concept domain
      • Canadian requirement - have added reason code as an attribute that is not in Universal. What is being requested is a concept domain that is Universal. No specific request that a change is made to the Universal model.
      • if this is taken to Harmonization meeting in Phoenix it must not be represented as approved by Pharmacy.

OOC Agenda - DEFERRED

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

WGM Agenda

  • Review May 2014 Agenda
  • Based on availability/attendance of co-chairs, will only meeting Monday, Tuesday and Wednesday in Phoenix

List Serve Discussions

  • FHIR list serve questions - Tom has responded to one of the issues.
    • question related to an attribute to distinguish a medication order that is inpatient, outpatient or other medication
      • could use an extension to add an attribute
      • need to pull the requester into any further discussions
  • Immunization questions from Bonnie McAllister - File:Immunization Issues for Immunoglobulins 21414.docx
    • Include as a discussion in Phoenix
  • "Frequency" update requested. No discussion on today's call
Action:  Tom will add to Hot Topics page - there is an issue with the pages Tom added so he is following up with HQ
  • Name of "when given" attribute on Medication Administration resource - request to change name
    • Plan to submit a change request to change name - need to confirm what the plan to deal with this is
Action:  Tom to forward all outstanding email related to FHIR

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

PHARMACY-PHER HARMONIZATION

  • Will be discussed in Phoenix - John will participate

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

  • will review in Phoenix. Skype Julie in if possible

AOB

  • none

Next meeting - 2014-05-19 @ 1600 ET

  • Agenda
    • List serve discussion
    • Pharmacy use of Mood code etc.
    • Harmonization Request
    • 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
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