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Difference between revisions of "2014-05-19 Rx Conf Call"
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| Line 22: | Line 22: | ||
=Attendees= | =Attendees= | ||
* John Hatem (Chair) | * John Hatem (Chair) | ||
| + | * Melva Peters (Scribe) | ||
| + | * Marla Albitz | ||
| + | * Michelle Miller | ||
| + | * Scott Robertson | ||
| + | * Jean Duteau | ||
| + | * Lisa Nelson | ||
=Agenda= | =Agenda= | ||
==OOC Agenda== | ==OOC Agenda== | ||
| − | * | + | * no further work |
==FHIR List Serve Discussions== | ==FHIR List Serve Discussions== | ||
* Review current list questions | * Review current list questions | ||
| − | * Question related to an attribute to distinguish a medication order that is inpatient, outpatient or other medication | + | ** Question related to an attribute to distinguish a medication order that is inpatient, outpatient or other medication - Michelle Miller |
| − | ** | + | *** there is a reference to the encounter that can be "typed" |
| − | * | + | *** intent of what was requested - who is the intended dispenser type (e.g. inpatient pharmacy vs community pharmacy, etc) and who is the intended administrator of the medications |
| − | * Name of "when given" attribute on Medication Administration resource - request to change name | + | **** may not have a place holder for this in our resource - would likely be an extension to the resource |
| + | Action: Discuss further with Hugh on how these requirements should be handled - either as an extension or add as attributes to Medication Order resource | ||
| + | Action: Look at the FHIR resource to see what is included or if it should be included | ||
| + | * Need to look at names of resource attributes - some additional ones related to PHER WG work | ||
| + | **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 | ** Plan to submit a change request to change name - need to confirm what the plan to deal with this is | ||
| − | Action: | + | * PSS for FHIR work |
| + | ** Need to create a PSS to do the updates and to develop a new resource | ||
| + | Action: John will confirm with Hugh if he has availability. FHIR group indicated that if we didn't have the bandwidth they will assign a resource | ||
| + | Action: John to develop PSS for FHIR work | ||
==List Serve Discussions== | ==List Serve Discussions== | ||
| − | + | * Immunization questions from Bonnie McAllister - [[File:Immunization Issues for Immunoglobulins 21414.docx]] - this is a V2 issue | |
| − | * Immunization questions from Bonnie McAllister - [[File:Immunization Issues for Immunoglobulins 21414.docx]] | + | Action: Scott will review the request and propose what is required for this change - he will respond to Bonnie and PHER WG |
==Pharmacy's use of mood codes== | ==Pharmacy's use of mood codes== | ||
| Line 51: | Line 64: | ||
** 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 | * review of John's document | ||
| − | Action: John will | + | Action: John will share to the list serve |
| + | |||
| + | ==Pharmacy Template Work== | ||
| + | * have started the work of mapping V3 to V2 to CCDA medication templates | ||
| + | * will continue this work in Portugal | ||
==FHIR DSTU Questions== | ==FHIR DSTU Questions== | ||
| Line 59: | Line 76: | ||
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== | + | ==Request for review of ISO definitions - Deferred== |
[https://docs.google.com/forms/d/1AdAzFZaeuAuNBEm7wO7GxvyzOE8hzBY5wc2YdZNCdcM/viewform PHARMACY TERMS] | [https://docs.google.com/forms/d/1AdAzFZaeuAuNBEm7wO7GxvyzOE8hzBY5wc2YdZNCdcM/viewform PHARMACY TERMS] | ||
* continue review | * continue review | ||
==AOB== | ==AOB== | ||
| − | * | + | * None |
==Next meeting - 2014-05-26 @ 1600 ET == | ==Next meeting - 2014-05-26 @ 1600 ET == | ||
* Agenda | * Agenda | ||
** List serve discussion | ** List serve discussion | ||
| + | ** FHIR DSTU question - compliance | ||
**Pharmacy use of Mood code etc. | **Pharmacy use of Mood code etc. | ||
| − | ** | + | ** ISO Definitions |
** Pharmacy Template project/work | ** Pharmacy Template project/work | ||
| − | |||
Latest revision as of 21:03, 19 May 2014
|
Related Links |
Attendees
- John Hatem (Chair)
- Melva Peters (Scribe)
- Marla Albitz
- Michelle Miller
- Scott Robertson
- Jean Duteau
- Lisa Nelson
Agenda
OOC Agenda
- no further work
FHIR List Serve Discussions
- Review current list questions
- Question related to an attribute to distinguish a medication order that is inpatient, outpatient or other medication - Michelle Miller
- there is a reference to the encounter that can be "typed"
- intent of what was requested - who is the intended dispenser type (e.g. inpatient pharmacy vs community pharmacy, etc) and who is the intended administrator of the medications
- may not have a place holder for this in our resource - would likely be an extension to the resource
- Question related to an attribute to distinguish a medication order that is inpatient, outpatient or other medication - Michelle Miller
Action: Discuss further with Hugh on how these requirements should be handled - either as an extension or add as attributes to Medication Order resource Action: Look at the FHIR resource to see what is included or if it should be included
- Need to look at names of resource attributes - some additional ones related to PHER WG work
- 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
- PSS for FHIR work
- Need to create a PSS to do the updates and to develop a new resource
Action: John will confirm with Hugh if he has availability. FHIR group indicated that if we didn't have the bandwidth they will assign a resource Action: John to develop PSS for FHIR work
List Serve Discussions
- Immunization questions from Bonnie McAllister - File:Immunization Issues for Immunoglobulins 21414.docx - this is a V2 issue
Action: Scott will review the request and propose what is required for this change - he will respond to Bonnie and PHER WG
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
- 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
- review of John's document
Action: John will share to the list serve
Pharmacy Template Work
- have started the work of mapping V3 to V2 to CCDA medication templates
- will continue this work in Portugal
FHIR DSTU Questions
- 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 - Deferred
- continue review
AOB
- None
Next meeting - 2014-05-26 @ 1600 ET
- Agenda
- List serve discussion
- FHIR DSTU question - compliance
- Pharmacy use of Mood code etc.
- ISO Definitions
- Pharmacy Template project/work
