Attendees

Agenda

Action:  Tom will add to Hot Topics page

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

Jose would like to discuss pharmacy workflow in FHIR
- This may be difficult given lack of FHIR experience at the OOC
- Workflow for orders is an OO topic - Pharmacy is concerned about payload

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?