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Difference between revisions of "2014-03-10 Rx Conf Call"

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(minutes for call)
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* Lisa Nelson
 
* Lisa Nelson
  
* John Hatem
+
==Agenda Revision==
* Hugh Glover
+
Since most of the agenda items required key individual who were not available for the call, the attendees were polled for topics of interest.
* Julie James
+
* Planned agenda
* Claude Nanjo
+
** List serve discussion
 
+
** Medication/Immunization FHIR Harmonization
==Publication Status==
+
** Review Harmonization proposals and vote
* IDMP - Status
+
** Out of Cycle Meeting - Planning - Joint meeting and HL7 Pharmacy meeting
** Ballot Reconciliation Spreadsheet to be posted - complete
+
* Revised agenda
** 5 publication requests to be finalized and submitted - Hugh has reviewed and Melva has submitted
+
** MTM CDA Imp Guide Status
** No discussion on the call.  
+
** MTM EHR-S Profile companion document status
 
+
** CDA Nutrition - thoughts on kinds of medication lists in CDA/CCDA
==Clinical Decision Support Virtual Medical Record (CDS vMR)==
 
* Review model and examples
 
** Claude reviewed multiple examples and discussed how the content would be represented in the XML/models. His examples covered:
 
*** Diet orders represented with "diet types"
 
*** "Nutrition modifiers" and "Texture modifiers"
 
*** "food types"
 
*** "frequency and cycle timing"
 
** Lisa N asked how the CDS vMR model would represent 'what was consumed'.  the current model does not represent this type of information.
 
** John H asked how the CDS vMR will be used.  Claude described a use case where the model would be used to aggregrate the dietary/nutrition information and provide a place where dietary/nutrition knowledge could be represented and applied.
 
** John H also asked how the CCDA content was representing nutrition information.  Lisa N stated should would bring a summary of the type of information that is currently being represented in CCDA to Pharmacy WG for evaluation where they may be overlap with some of the Pharmacy content. 
 
  
==Out of Cycle Meeting Planning==
 
* Dates - June 11 (Joint with IHE), 12, 13
 
** Agenda - need agenda planned by end of February to allow for planning purposes
 
** Proposed HL7 Pharmacy Agenda Topics
 
*** FHIR Resources - source is in SVN - need to work on examples and formulary related content; consider impact of architectures
 
*** Pharmacy Templates
 
** Joint meeting
 
*** Could include some status of projects
 
***Pharmacy Templates - could use to gather requirements from IHE from Community Profile as input to our project - Prescriptions
 
**** European cross border prescription or transfer of medication summaries
 
*** Medication Profile - could look at the constructs - hope to be able to publish the White Paper before Portugal meeting
 
***** could focus on Medication List -
 
Action: Get a list of templates that might be in scope for the templates
 
Action:  Christof to followup with IHE to see if they have topics to be discussed
 
* No discussion on today's call.  We will continue to monitor the agenda each work.
 
  
==List Serve Discussions==
+
==MTM CDA Imp Guide status==
*Order Workflows (Tom and Jose)
+
This IG is on the May 2014 ballot as HL7 Implementation Guide for CDA® R2: Medication Therapy Management (MTM) Templates, Release 1 – US Realm (CDAR2_IG_MTMTEMP_R1_I2_2014MAY).  This IG addresses US CMS (Center for Medicaid and Medicare Services) requirements for patient take-away documents following an MTM Complete Medication ReviewScott R continues to edit the document
** Jose referred folks to the document he put together with examples for the ordering processThis document has been sent to the Pharmacy listserv.
+
Action: Scott will send a preliminary copy to key individuals (in particular, Shelly) as soon as possible.
* CDA Example taskforce
 
**No known medications
 
**Bonus: One-time administered medications; Z-Pak. (assuming pharmacy rep is available to join us)
 
[http://wiki.hl7.org/index.php?title=CDA_Example_Task_Force CDA Example Task Force Wiki]
 
  
* Immunization - John H will forward discussion/question to the list within the next two weeks.  
+
==Pharmacist/Pharmacy Provider EHR-S Functional Profile - Companion Document status==
* Frequency - include the question from Brett/Mamatha on hot topics list and raise on future call - Claude may be able to contribute some examples - he will send to Pharmacy list serve
+
The Pharmacy HIT Collaborative has produced "HL7 EHR-System for a Pharmacist/Pharmacy Electronic Health Record Implementation Guide for Community Practice." This is a companion to the HL7 Pharmacist/Pharmacy Provider EHR-S Functional Profile. The P/PP Functional Profile was designed to be used in multiple business scenarios, but this resulted in some ambiguity for specific implementation in any one practice typeThe companion document addresses these ambiguities specifically to community practice.
Action: John to followup with Tom about action items for snippets discussed during San AntonioJohn has reached out to Tom.  No response yet.  
 
  
==Pharmacy Template Work==
+
The Collaborative offered HL7 the companion document, as-is, to be distributed with the P/PP Function Profile.  The document is available on the [[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=262| P/PP Functional Profile page at hl7.org]], and noted as "pending endorsement."  HL7 endorsement requires an Informative Ballot. The deadline for the 2014MAY ballot was not met, and this will be on the 2014SEPT ballot.
* Review PSS
 
[[File:Pharmacy WG PSS - Pharmacy Templates (updated).doc]]
 
** no discussion
 
   
 
==FHIR==
 
*Immunization and Medication Administration Task Force
 
  
==Endorsement of External Document (Scott)==
+
The file is also available here [[File:PSS Pharmacy Community Practice EHR Profile Guidance.pdf]]
* HL7 EHR-System for a Pharmacist/Pharmacy Electronic Health Record Implementation Guide for Community Practice
 
[[File:13-294_HITSbook_HL7_Web.pdf]]
 
  
[[File:PSS Pharmacy Community Practice EHR Profile Guidance.pdf]]
+
==CDA Nutrition==
 +
Lisa Nelson distributed an analysis of potential "kinds" of medication profiles which could be present in a CDA document.  (Sent to the HL7 Pharmacy list on (received time stamp on my computer) Mon, 10 Mar 2014 13:22:32 -0700 from "Lisa Nelson" <LisaRNelson@cox.net>).  Discussion:
 +
* part of Lisa's analysis for the CDA Nutrition work. 
 +
* The lists reflect differing intents and perspectives
 +
** Does not suggest that these differentiations currently exit.  Should they?
 +
** Lisa shows how these could be differentiated based upon template type, moodCode, and author
 +
** discussion on the "reality" of all of these lists.  agreement that there are different types of medication lists
 +
** Suggested that this should be tied into the Pharmacy CDA template review work
 +
** Jose noted that this crosses over into work that IHE Pharmacy is doing. 
 +
Action: Scott will send a note to the IHE Pharmacy list on this topic.  Asking that both lists be notified if this topic is on any upcoming teleconference agenda.
  
==AOB==
 
  
  
==Next meeting - 2014-03-10 @ 1600 ET ==
+
==Next meeting - 2014-03-17 @ 1600 ET ==
 +
'''NOTE: The US is now on Daylight Saving Time (Summer Time).  ET is now EDT or UTC-4hr'''
 
* Agenda
 
* Agenda
 +
** Publication status
 +
** Ballot status
 
** List serve discussion
 
** List serve discussion
 
*** Frequency
 
*** Frequency
 
** Medication/Immunization FHIR Harmonization
 
** Medication/Immunization FHIR Harmonization
 +
** Clinical Decision Support Virtual Medical Record (CDS vMR)
 
** Review Harmonization proposals and vote
 
** Review Harmonization proposals and vote
 +
** Pharmacy Template work
 
** Out of Cycle Meeting - Planning - Joint meeting and HL7 Pharmacy meeting
 
** Out of Cycle Meeting - Planning - Joint meeting and HL7 Pharmacy meeting

Revision as of 02:27, 11 March 2014

Attendees

  • Scott Robertson (Chair)
  • Shelly Spiro
  • Katherine Duteau
  • Jose Costa Teixeira
  • Marla Albitz
  • Lisa Nelson

Agenda Revision

Since most of the agenda items required key individual who were not available for the call, the attendees were polled for topics of interest.

  • Planned agenda
    • List serve discussion
    • Medication/Immunization FHIR Harmonization
    • Review Harmonization proposals and vote
    • Out of Cycle Meeting - Planning - Joint meeting and HL7 Pharmacy meeting
  • Revised agenda
    • MTM CDA Imp Guide Status
    • MTM EHR-S Profile companion document status
    • CDA Nutrition - thoughts on kinds of medication lists in CDA/CCDA


MTM CDA Imp Guide status

This IG is on the May 2014 ballot as HL7 Implementation Guide for CDA® R2: Medication Therapy Management (MTM) Templates, Release 1 – US Realm (CDAR2_IG_MTMTEMP_R1_I2_2014MAY). This IG addresses US CMS (Center for Medicaid and Medicare Services) requirements for patient take-away documents following an MTM Complete Medication Review. Scott R continues to edit the document

Action: Scott will send a preliminary copy to key individuals (in particular, Shelly) as soon as possible.

Pharmacist/Pharmacy Provider EHR-S Functional Profile - Companion Document status

The Pharmacy HIT Collaborative has produced "HL7 EHR-System for a Pharmacist/Pharmacy Electronic Health Record Implementation Guide for Community Practice." This is a companion to the HL7 Pharmacist/Pharmacy Provider EHR-S Functional Profile. The P/PP Functional Profile was designed to be used in multiple business scenarios, but this resulted in some ambiguity for specific implementation in any one practice type. The companion document addresses these ambiguities specifically to community practice.

The Collaborative offered HL7 the companion document, as-is, to be distributed with the P/PP Function Profile. The document is available on the [P/PP Functional Profile page at hl7.org], and noted as "pending endorsement." HL7 endorsement requires an Informative Ballot. The deadline for the 2014MAY ballot was not met, and this will be on the 2014SEPT ballot.

The file is also available here File:PSS Pharmacy Community Practice EHR Profile Guidance.pdf

CDA Nutrition

Lisa Nelson distributed an analysis of potential "kinds" of medication profiles which could be present in a CDA document. (Sent to the HL7 Pharmacy list on (received time stamp on my computer) Mon, 10 Mar 2014 13:22:32 -0700 from "Lisa Nelson" <LisaRNelson@cox.net>). Discussion:

  • part of Lisa's analysis for the CDA Nutrition work.
  • The lists reflect differing intents and perspectives
    • Does not suggest that these differentiations currently exit. Should they?
    • Lisa shows how these could be differentiated based upon template type, moodCode, and author
    • discussion on the "reality" of all of these lists. agreement that there are different types of medication lists
    • Suggested that this should be tied into the Pharmacy CDA template review work
    • Jose noted that this crosses over into work that IHE Pharmacy is doing.
Action: Scott will send a note to the IHE Pharmacy list on this topic.  Asking that both lists be notified if this topic is on any upcoming teleconference agenda.


Next meeting - 2014-03-17 @ 1600 ET

NOTE: The US is now on Daylight Saving Time (Summer Time). ET is now EDT or UTC-4hr

  • Agenda
    • Publication status
    • Ballot status
    • List serve discussion
      • Frequency
    • Medication/Immunization FHIR Harmonization
    • Clinical Decision Support Virtual Medical Record (CDS vMR)
    • Review Harmonization proposals and vote
    • Pharmacy Template work
    • Out of Cycle Meeting - Planning - Joint meeting and HL7 Pharmacy meeting