Attendees

Minutes

confusion on the timelines for the content for the upcoming ballots
there was discussion on the TSC call this morning
may need to have placeholders for new content
CCDA profiles for medication related content are not due until the May 2015 ballot cycle
Use case - medication regimen - managing a pill box
- prescribed and over the counter medication
- creation of the schedule for management of medications
- could be a profile on medication administration
- there is a PSS being created in Mobile Health to define this including use cases

John is working on the CDA Template work with Melva. Next step is to take this to put it into the FHIR tool that will then allow profiles to be created.

Update 10/27/14: John has started the profile creation work. John would like to work with Melva on the first profile. John suggests that we start with the Medication Dispense profile. Will proceed with profile work until we run into an issue. When we do we address issues with the StructuredDocs workgroup.
Update Nov 10, 2014 - John working on CCDA Medication Dispense profile - had a call with Melva and Lloyd and will have a followup call

Long thread on description for rates of administration for medicines – e.g. for dopamine to keep urine output at a particular level. Various sub-threads have emerged, including a syntax for free text (!) and critically where a free text dosage instructions should be put in the CDA.
Various folk are not able to join the CDA call on Thursday, but we feel that the correct pattern would be to use the component act relationship on the MedicationOrder SBADMRQO class to clone a second SBADMRQO class that carries the Dosage Instructions information.
The text attribute of that class can correctly carry the text of the Dosage Instructions. This is how the Dose Syntax Implementation Guidance for V3 describes this should be done too.

ACTION COMPLETED: Hugh/Julie will post something about this to the List.

Response from Brett: A few folks agreed to finalize a design offline and present to SDWG on October 30th. The initial draft is very similar to what Julie proposed.

Action: Melva to see if this was discussed on SDWG - don't know what the outcome was

Should we put that together – and if we do, would that help with issues from CDA, mobile health etc.
Suggest this is based on the V3 principles (particularly as FHIR still a moving target)
Who has time and resources to do this? Is it something that could be developed during two quarters at a WGM?

ACTION: Add to WGM Agenda for San Antonio.

Action: Develop PSS for a tutorial project. Determine scope and breathe of possible artifact developed.

Suggest that we should put the outline for a course together in advance of the WGM (many of us have training that we have done that we can blend together to give a good outline).