Attendees

Agenda

Review current list questions
Question related to an attribute to distinguish a medication order that is inpatient, outpatient or other medication
- could use an extension to add an attribute
- need to pull the requester into any further discussions
Name of "when given" attribute on Medication Administration resource - request to change name
- Plan to submit a change request to change name - need to confirm what the plan to deal with this is

Action:  Tom to forward all outstanding email related to FHIR

questions from Clem re: multiple dosage lines
Immunization questions from Bonnie McAllister - File:Immunization Issues for Immunoglobulins 21414.docx

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

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.