2014-03-24 Rx Conf Call

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Attendees

• John Hatem
• Hugh Glover (Chair)
• Julie James
• Melva Peters (Scribe)
• Jose Costa Teixeira
• Hans Buitendijk
• Jeff Rinda
• Lisa Nelson
• Marla Albitz

Agenda

HL7 v2.9 questions from O&O

• Hans did a review of the proposed change to RGV - to update continuous administration
  • has been reviewed in O&O
    • in IHE - use RGV to send order to an infusion pump
      • if there is a rate change - want to send an update of administration rate to an infusion already running
      • propose wording change to the introduction to the transaction
        • want to allow order control of XO (change of the order) in addition to RE (start of the infusion) for RVG
  • neither Scott or Tom are on the call to provide adequate feedback.
  • Motion that this proposal is accepted pending a 1 week review on the Pharmacy List and no issues are raised will be considered approved.
    • Moved by John - seconded by Hans - Approved (6/2/0)

Discussion of dynamic model

• Discussion that needs to start in O&O and will bring back to pharmacy if needed
• Suggested that the specific questions/use cases that need to be answered could be developed - can be reviewed by O&O
• If specific topics need to be discussed - asked O&O to bring them back to Pharmacy
  • can pull out pharmacy uses cases that are appropriate

List Serve Discussions

• "Frequency" update requested. No discussion on today's call
  • should document how frequency should be documented

Action:  Check Pharmacy Hot Topics areas to see if we have added the question from Brett/Mamatha related to frequency.  Also to check and seed if we have documented examples sent by Claude.  
Action:  Ask Tom for update

• Immunization questions - John H will forward discussion/question to the list.
  • Question from Bonnie McAllister - should raise these with PHER

Action:  John to forward some of the question to the List
Action:  include on agenda for next week's call

• Pharmacy's use of mood codes.
  • John H described a very high level description of how mood codes are used in the Pharmacy materials; order, admininistration, dispense and statements of use.
  • Lisa referred Pharmacy to an email that included a document that summarized the CDA use of act class, mood code, etc for Pharmacy relevant topics.

Action: John to finish the work he has started - use of Mood Codes - may need to consider the role of architecture in the use of Mood Codes.  There may be some mood codes that are not appropriate to be used.  
Action:  Include on agenda for next weeks call - discuss collaboration with work IHE has done.

AOB

• none

Next meeting - 2014-03-24 @ 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
  • Endorsement of External Document - Pending confirmation that Scott will attend