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Difference between revisions of "2017-02-06 Rx Conf Call"
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=Attendees= | =Attendees= | ||
* Melva Peters (Chair) | * Melva Peters (Chair) | ||
| + | * Sara Cohen | ||
| + | * Scott Robertson | ||
| + | * John Hatem | ||
| + | * Marla Albitz | ||
| + | * Eric Haas | ||
| + | * Michelle Miller | ||
| + | * Mary V | ||
| + | * Daniel Zhang | ||
=Agenda Items and notes= | =Agenda Items and notes= | ||
| Line 66: | Line 74: | ||
**** discussed at Connectathon - "prescribed or consumed" for all - so it would not include "entered in error" or "intended" | **** discussed at Connectathon - "prescribed or consumed" for all - so it would not include "entered in error" or "intended" | ||
**** may need to re-define the med list - for medicationRequests - that are orders or proposals (not instance-orders) from "intent" | **** may need to re-define the med list - for medicationRequests - that are orders or proposals (not instance-orders) from "intent" | ||
| + | * February 6 Update - see updated ballot reconciliation spreadsheet | ||
==FHIR Tracker Items== | ==FHIR Tracker Items== | ||
===12751 QA Updates to Pharmacy resources=== | ===12751 QA Updates to Pharmacy resources=== | ||
| − | * Medication Statement - mostly clean up | + | ** Medication Statement - mostly clean up |
| − | ** includes adding W5 category - which changes the order of the attributes | + | ** includes adding W5 category - which changes the order of the attributes - agreed to have this change made |
| − | ** change datatype for "taken" - to CodeableConcept rather than code | + | *** Motion to add W5 category to all pharmacy resources - Scott/Melva - 8/0/0 |
| + | ** change datatype for "taken" - to CodeableConcept rather than code - discussion to leave this as "code" - no change | ||
| + | ===12764 = Remove product backbone element on Medication=== | ||
| + | * may help to resolve the issues with a different name for product and the confusion between product and package | ||
| + | * Moved by Scott/Mary: 8-0-0 Carried | ||
===12399 - Medication reference to more abstract medication=== | ===12399 - Medication reference to more abstract medication=== | ||
* Resolved in San Antonio, but submitted doesn't agree with decision | * Resolved in San Antonio, but submitted doesn't agree with decision | ||
| − | |||
===12758 Consider whether batch/lot should be on product or package=== | ===12758 Consider whether batch/lot should be on product or package=== | ||
=== 12733 Add search parameters for Encounter to MedicationStatement=== | === 12733 Add search parameters for Encounter to MedicationStatement=== | ||
| Line 91: | Line 103: | ||
==FHIR Workflow Meetings Status== | ==FHIR Workflow Meetings Status== | ||
| + | * no meetings held - nothing to report | ||
==FHIR Maturity== | ==FHIR Maturity== | ||
| Line 101: | Line 114: | ||
== Order Service Catalogue PSS== | == Order Service Catalogue PSS== | ||
* Update on project meetings | * Update on project meetings | ||
| + | ** John has been attending the meetings - he will post more detailed updates to the pharmacy list serve | ||
==AOB== | ==AOB== | ||
| Line 106: | Line 120: | ||
==Next meeting== | ==Next meeting== | ||
| − | * Monday, February | + | * Monday, February 9, 2017 at 4pm Eastern |
Revision as of 22:01, 6 February 2017
Attendees
- Melva Peters (Chair)
- Sara Cohen
- Scott Robertson
- John Hatem
- Marla Albitz
- Eric Haas
- Michelle Miller
- Mary V
- Daniel Zhang
Agenda Items and notes
ListServ Discussions
Zulip
- Long Term vs Short Term Conditions
- [Link to Zulip Chat]
- Melva and Lloyd have responded - suggested adding a TR item.
- Medications not to be discontinued
- Medications not to be discontinued
- Melva and Lloyd have responded
- MedicationStatement
- related to "do not do" - as in patient not to be given a certain medication
- may come out of Negation project from Patient Care
- a number of items included in this Zulip chat
- patient not to be given medication
- not likely a medicationStatement - is this a negative order?
- has not come up for Cerner - may infer something like this from an allergy
- doctor recommends that GP prescribes drug ABC
- patient not to be given medication
Action: Melva to reach out to Philip to post tracker item
US Meds Ballot Reconciliation
- Consolidated Ballot Spreadsheet File:Ballotcomments FHIR MEDICATION R1 D1 2017JAN.xls
- Updated Ballot Spreadsheet File:Ballotcomments FHIR MEDICATION R1 D1 2017JAN (updated 2017-01-30).xls
- Block Vote 1 - see spreadsheet
- Reviewed comments from Michelle
- Row 9 -- should be persuasive since agreeing to add content/clarification - agree - will change to Persuasive with Mod
- Row 11 -- should be persuasive since agreeing to add content/clarification - agree - will change to Persuasive with Mod
- Row 38 -- should be persuasive since agreeing to add content/clarification - agree - will change to Persuasive with Mod
- Row 29 -- triage note said "At this point implementers are not supporting MedicationRequest" – just wanted to clarify the note (not necessarily change the disposition)
- clean up the triage note to reflect that we don't have enough information about workflow patterns that will be used in order to provide guidance
- remove the question and add a comment that "don't have enough information and will be considered for future release
- change to persuasive with mod
- this should not be under medicationStatement
- Moved by John - Michelle - change disposition of line item 9, 11, 38 and 29 to persuasive with Mod and Line 29 will update triage note
- 7/0/1 Carried
- Motion to accept disposition of all Block Vote Items except line 46 - John - Daniel - 7/0/1 - Carried
- Reviewed comments from Michelle
- Items for Discussion - 6 comments - see spreadsheet
- Row 46 - would like to discuss (whether intended/future orders should be included)
- Change to "discuss"
- discussed at Connectathon - "prescribed or consumed" for all - so it would not include "entered in error" or "intended"
- may need to re-define the med list - for medicationRequests - that are orders or proposals (not instance-orders) from "intent"
- Row 46 - would like to discuss (whether intended/future orders should be included)
- February 6 Update - see updated ballot reconciliation spreadsheet
FHIR Tracker Items
12751 QA Updates to Pharmacy resources
- Medication Statement - mostly clean up
- includes adding W5 category - which changes the order of the attributes - agreed to have this change made
- Motion to add W5 category to all pharmacy resources - Scott/Melva - 8/0/0
- change datatype for "taken" - to CodeableConcept rather than code - discussion to leave this as "code" - no change
12764 = Remove product backbone element on Medication
- may help to resolve the issues with a different name for product and the confusion between product and package
- Moved by Scott/Mary: 8-0-0 Carried
12399 - Medication reference to more abstract medication
- Resolved in San Antonio, but submitted doesn't agree with decision
12758 Consider whether batch/lot should be on product or package
12733 Add search parameters for Encounter to MedicationStatement
12412 - Need a better name for Medication.product
12396 - Medication package and product
12395 Basis of Strength Substance
TR#12347 - Adjust Medication.package.container value set to SNOMED CT Physical object hierarchy
- December 15 - IDMP - could look at using
- Scott thinks NCPDP may have looked at using SNOMED-CT
- could use a US centric value set if can't find anything else
- EDQM example - container list - Jose has found and will provide to the list if there is no copyright issue
Action: Melva to review EDQM
12175 MedicationOrder special authorization - In Australia a Warrant number
10738 Review naming of all attributes to ensure meet QA guidelines
FHIR Workflow Meetings Status
- no meetings held - nothing to report
FHIR Maturity
- Current Maturity status
- spreadsheet has been submitted - MedicationOrder, MedicationStatement and Medication - MM2
- review of MedicationStatement Maturity
- no further need for the resources to get them to MM2
- Update on MedicationDispense implementations
Order Service Catalogue PSS
- Update on project meetings
- John has been attending the meetings - he will post more detailed updates to the pharmacy list serve
AOB
Next meeting
- Monday, February 9, 2017 at 4pm Eastern
