2014-04-07 Rx Conf Call

Related Links Pharmacy Home Page Conference call minutes

Attendees

• Melva Peters (Chair and Scribe)
• Scott Robertson
• Hugh Glover
• Katherine Duteau
• Lisa Nelson
• John Hatem

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

• 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
• review of John's document

Action: John will clean up his document and share to the List
Action:  Include as agenda on upcoming meeting

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.

Action:  Hugh to post a response asking for clarification on the use case and suggest that an extension on medication statement resource might work.

Request for review of ISO definitions

PHARMACY TERMS

Action:  Melva to post this to the Pharmacy List 
Action:  include on the agenda for next weeks call

AOB

• Next week's call is cancelled as all co-chairs are unavailable.

Next meeting - 2014-04-21 @ 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
  • FHIR DSTU question - compliance
  • ISO definition review