2018-03-05 Rx Conf Call

Related Links Pharmacy Home Page Conference call minutes

Attendees

• John Hatem
• Melva Peters
• Scott Robertson
• Stephen Chu
• Tim McNeil
• Christof Gessner

Agenda Items and notes

• Pharmacy WGM Minutes are now linked from Pharmacy Wiki page. Thanks to Melva Peters.

MedicationKnowledge and Medication Pattern PSS

• Review and approval of the draft PSS
  • Review of project
    • update PSS - will develop draft resources (Pharmacy and BR&R) and will create logical model once resources are created
    • update dates
    • clean up the use of pattern vs logical model - be consistent - use FHIR Logical Model
    • add Project number in 3h for BR&R project
    • considered including out of scope
  • File:HL7 Pharmacy MedicationKnowledge and Medication Pattern PSS 20180220.docx

Action:  Melva to update the PSS for review on next weeks teleconference

• Plan for March 5 meeting: review updated PSS, and approve PSS
  • Reviewed the updated version and made minor updates
    • File:HL7 Pharmacy MedicationKnowledge and Medication Pattern PSS 20180226.docx
    • minor updates were made
  • Motion to accept the updated PSS - Melva/John - 5-0-0

Action:  Melva to forward PSS through approval process

FHIR

The following tracker items were resolved:

FHIR Tracker Items

• 15105 - MedicationStatement - alignment with WorkFlow
  • notTaken was removed
  • need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?
  • Lloyd believes should be using a MedRequest with a "plan" status
  • Choices:
    • take MedStatement back to the way it was
    • US Core - embrace List
    • follow Lloyd's suggestion to use MedRequest with "Plan" status
    • use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow

Action:  Michelle to reach out to Epic to see if this is also a concern for them

• 14455 - Workflow report - File:Workflow pharmacy issues Jan 2018.xlsx

Action:  Melva to get Workflow report re-run

• 15136 - Change Dosage to support conditional doses
• 15589 - Pharmacy missing isModifierReason
• 15509 - Create example scenarios for Pharmacy
• 13392 - Enhance Medication resource for alignment with the IDMP
• 12396 - Medication package and product

Action Item List

• March 5, 2018: No action this week

MedicationKnowledge Resource

• Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.
• Feb 26, 2018: no discussion

Joint Meeting with IHE Pharmacy and ISO TC215 WG 6

• Feb 26, 2018: no discussion

Catalogue Project

• March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.

Blood Products/Transfusion/Tissue Update

• Feb 26, 2018: no discussion

Updates from Workflow

• March 5, 2018: no discussion - no Workflow meetings this week

Next meeting

• March 12, 2018 - (4pm Eastern)