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2014-04-07 Rx Conf Call
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Attendees
- Melva Peters (Chair and Scribe)
- Scott Robertson
- Hugh Glover
- Katherine Duteau
- Lisa Nelson
Agenda
List Serve Discussions
- "Frequency" update requested. No discussion on today's call
Action: Tom will add to Hot Topics page
- Immunization questions from Bonnie McAllister - no progress
Action: Find the details of the questions - document on Hot Topics - MELVA Action: Add to discussion for next week
Pharmacy's use of mood codes
- John has not had time to progress
- 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
Action: John to finish documenting notes and circulate Action: Include for discussion next week
OOC Agenda
- Attendees: Melva will attend; Hugh will try to dial in
Action: Work on agenda in Phoenix
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.
- could be used as part of a Care Plan -
- Care Plan Simple - overlaps with medication statement
Request for review of ISO definitions
AOB
Next meeting - 2014-04-14 @ 1600 ET
- Agenda
- List serve discussion
- Frequency
- Immunization questions
- Pharmacy use of Mood code etc.
- Medication/Immunization FHIR Harmonization
- Out of Cycle Meeting - Planning - Joint meeting and HL7 Pharmacy meeting
- Pharmacy Template project/work
- Pharmacy WGM Agenda
- List serve discussion