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Difference between revisions of "2015-12-14 Rx Conf Call"

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=Attendees to be updated=
 
=Attendees to be updated=
 
* Lee Supernate
 
* Lee Supernate
* John Hatem (Chair)
+
* John Hatem (Chair/Scribe)
 
* Marla Albitz
 
* Marla Albitz
 
* Michelle Miller
 
* Michelle Miller
Line 49: Line 49:
  
 
===8778 – dosage based on body surface area===
 
===8778 – dosage based on body surface area===
* Update from John - response to John's question of what 'mustunderstand' means?  - response: "mustUnderstand" is that if we do use an extension for this concept, then we would mark it as Must-Support (because a system not understanding the max dose properly would be extremely bad) and also as a Modifier Extension (because it changes the interpretation of the dose element).
 
 
* December 7, 2015 Update
 
* December 7, 2015 Update
 
**chemotherapy order templates - PDF format for chemotherapy schedule, regimen, etc
 
**chemotherapy order templates - PDF format for chemotherapy schedule, regimen, etc
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**Templates themselves are closest to a care plan - includes a cycle a definition
 
**Templates themselves are closest to a care plan - includes a cycle a definition
 
**Timeframe - needed by the end of March
 
**Timeframe - needed by the end of March
  Action: Maxdose - Chris and Lee to look at options on how to handle - discuss on next weeks call
+
* /December 4, 2015 Upate
  Action:  Lee to put together some other requirements and submit a change request
+
  Action: Maxdose - Chris and Lee discussed options.  will post link to Lee's suggested options and Chris's optionsdiscuss on next available call
  Action:  Look at scheduling a quarter in Orlando to review the requirements
+
  Action:  Updated 8778 with link to Lee's options. 
 +
  Action:  Melva:  ask is to find a quarter to discuss these requirements in Orlando.  Inform Lee of the time. 
  
 
===8442 – MedicationPrescription – clarify datewritten and prescriber – group discussed final decision noted in GForge item===
 
===8442 – MedicationPrescription – clarify datewritten and prescriber – group discussed final decision noted in GForge item===
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  Action: Jose to create new change request to address the documentation work only and separate from the infrastructure issue.
 
  Action: Jose to create new change request to address the documentation work only and separate from the infrastructure issue.
 
*11/16 - When changes are applied, the original resource is not altered, the changes are incoproated into a clone of the original resource (with a relationship to the the original resource).  From the FHIR resource perspective, these are separated resources.  From the system perspective, there may only be a single "database entry" which is modified.  Getting difficult to keep track of the constructs and proposed solution.
 
*11/16 - When changes are applied, the original resource is not altered, the changes are incoproated into a clone of the original resource (with a relationship to the the original resource).  From the FHIR resource perspective, these are separated resources.  From the system perspective, there may only be a single "database entry" which is modified.  Getting difficult to keep track of the constructs and proposed solution.
   Action item:  Jose will develop a resolution for consideration at the next call. Principly 8442, could impact 5827, 8276, 8378, 8526, 8783
+
   Action item:  Jose will develop a resolution for consideration at the next call. Principly 8442, could impact 5827, 8276, 8378, 8526, 8783 .  Jose created 9087, need confirmation if this is the item that addresses the above request.  I believe it is. 
 +
* 12/14 - discussion on this issue did not result in any changes to item 8442.  Needs further discussion. 
  
 
===Other FHIR Items===
 
===Other FHIR Items===
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* PSS for FHIR content  
 
* PSS for FHIR content  
 
  Action:  Melva has sent draft to list - please review and provide comments.  Plan is to approved this in Orlando Pharmacy WGM.  
 
  Action:  Melva has sent draft to list - please review and provide comments.  Plan is to approved this in Orlando Pharmacy WGM.  
 
===Timing discussion===
 
*how to represent "to be taken 10 minutes before meal"
 
*DSTU2 guidance still incorrect (verified during call)
 
*handled by change request # 8697
 
**adding new offset guidance to handle this.
 
** targeted for DSTU 2.1
 
Action: Melva to confirm if changes to be made will support "take one tablet 3 times day, 30 minutes before meals.
 
  
 
===5925 & 8021 (grouping A)===
 
===5925 & 8021 (grouping A)===
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* John started presenting his review/work on the call.
 
* John started presenting his review/work on the call.
 
* Will continue reviewing and vote (if applicable) on the next call.
 
* Will continue reviewing and vote (if applicable) on the next call.
 +
* 12/4 - no discussion this week.
  
 
==ListServ==
 
==ListServ==
 
* Medication.form discussion.   
 
* Medication.form discussion.   
 +
Action Item:  discussed on 12/14, Michelle will create a new tracker item regarding the new documentation requirements that address this issue.  No changes, other than documentation, were identified for this new item.
  
 
==ARB Project==
 
==ARB Project==
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==Other business==
 
==Other business==
 
+
* These two action items are being addressed by Marla, and she will inform us of their progress week to week as they progress. 
 
  Action Item: Marla to enter change request for RXA-25 v2 FHIR mapping issue.
 
  Action Item: Marla to enter change request for RXA-25 v2 FHIR mapping issue.
 
 
  Action Item: Marla Reach out to Mike Henderson and Jose about final touches to the v2-FHIR mappings (perhaps even outside of the FHIR resources)
 
  Action Item: Marla Reach out to Mike Henderson and Jose about final touches to the v2-FHIR mappings (perhaps even outside of the FHIR resources)
  
 
==Next meeting==
 
==Next meeting==
 
* Monday, Dec 21st
 
* Monday, Dec 21st

Revision as of 22:13, 14 December 2015

Attendees to be updated

  • Lee Supernate
  • John Hatem (Chair/Scribe)
  • Marla Albitz
  • Michelle Miller
  • Jose Texiera
  • Chris Nickerson

FHIR Workflow Meetings Status

ACTION:  Scott - find / asked for / create(?) a 1-pager explanation of what the business need and proposed solution.
  • Update from Scott: Team meet 11/23, did not meet last week, will not be meeting next week - team has been working on identifying use cases.
  • Update from Scott: has been attending, but many meetings have been cancelled.
  • Update from Marla: Marla, Jose and Michelle attended this week - Dec 14, 2015.
    • General discussion on 'task' - units of work was raised by Kieth B. Issue is still open.
    • Discussion will be continued next week in the Workflow meeting.

FHIR Ballot Discussion Items

  • GROUPING ADDED
    • A = Dosage Related
    • B = Terminology
    • C = Misc
    • D =
    • E = Examples
    • F = Multiple indications/reason for order
    • G = Status
    • H = Medication Related
    • I = Mappings

8778 – dosage based on body surface area

  • December 7, 2015 Update
    • chemotherapy order templates - PDF format for chemotherapy schedule, regimen, etc
    • Trying to define a fhir server that could serve this data in a FHIR resource
    • These are not patient specific, but the content could be used to create an order for a patient
    • Templates themselves are closest to a care plan - includes a cycle a definition
    • Timeframe - needed by the end of March
  • /December 4, 2015 Upate
Action: Maxdose - Chris and Lee discussed options.  will post link to Lee's suggested options and Chris's options.  discuss on next available call.  
Action:  Updated 8778 with link to Lee's options.  
Action:  Melva:  ask is to find a quarter to discuss these requirements in Orlando.  Inform Lee of the time.  

8442 – MedicationPrescription – clarify datewritten and prescriber – group discussed final decision noted in GForge item

 Completed Action item: Jose will take a look at this off-line (8442). Concerned about one-to-many relationship implied in solution. Will bring investigation conclusions back to group. Jose’s findings could impact 5827, 8276, 8378, 8526, 8783
  • Discussion of versioning resulted in a group understanding that this issue is an infrastructure issue, not Rx specific.
  • Also can be remedied with additional documentation
Action: Jose to create new change request to address the documentation work only and separate from the infrastructure issue.
  • 11/16 - When changes are applied, the original resource is not altered, the changes are incoproated into a clone of the original resource (with a relationship to the the original resource). From the FHIR resource perspective, these are separated resources. From the system perspective, there may only be a single "database entry" which is modified. Getting difficult to keep track of the constructs and proposed solution.
 Action item:  Jose will develop a resolution for consideration at the next call. Principly 8442, could impact 5827, 8276, 8378, 8526, 8783 .   Jose created 9087, need confirmation if this is the item that addresses the above request.  I believe it is.  
  • 12/14 - discussion on this issue did not result in any changes to item 8442. Needs further discussion.

Other FHIR Items

  • Mappings of HL7 v2 to Pharmacy FHIR

Action item: Marla to complete 7830 - consult with Mike Henderson

  • PSS for FHIR content
Action:  Melva has sent draft to list - please review and provide comments.  Plan is to approved this in Orlando Pharmacy WGM. 

5925 & 8021 (grouping A)

Action item: Tom to review spreadsheet John forwarded on 11/9 .  Tom volunteered on the 11/2 call to look at this.
Completed Action item: John will review spreadsheet to see which resource elements/attributes may be affected.
  • John started presenting his review/work on the call.
  • Will continue reviewing and vote (if applicable) on the next call.
  • 12/4 - no discussion this week.

ListServ

  • Medication.form discussion.

Action Item: discussed on 12/14, Michelle will create a new tracker item regarding the new documentation requirements that address this issue. No changes, other than documentation, were identified for this new item.

ARB Project

  • ARB update
  • Link to meeting minutes: [1]
  • Update from John - no meeting last week, next meeting is planned for Dec 17, 2015

Other business

  • These two action items are being addressed by Marla, and she will inform us of their progress week to week as they progress.
Action Item: Marla to enter change request for RXA-25 v2 FHIR mapping issue.
Action Item: Marla Reach out to Mike Henderson and Jose about final touches to the v2-FHIR mappings (perhaps even outside of the FHIR resources)

Next meeting

  • Monday, Dec 21st