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2015-12-21 Rx Conf Call

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Attendees to be updated

  • John Hatem
  • Marla Albitz (Scribe)
  • Scott Robertson (Chair)
  • Shelly Spiro
  • Sue Thompson
  • Zabrina Gonzaga
  • Jose Costa Teixeira
  • Tricia Lee

FHIR Workflow Meetings Status

update on Action item:  Scott - find / asked for / create(?) a 1-pager explanation of what the business need and proposed solution.
  • update on discussions:
    • Continued discussion on 'task'
    • units of work was raised by Keith B.
    • Discussion will be continued next week in the Workflow meeting.
    • 12/21 meeting did not occur today, no one from Rx attended last wednesday

FHIR Ballot Discussion Items

  • GROUPING ADDED
    • A = Dosage Related
    • B = Terminology
    • C = Misc
    • D =
    • E = Examples
    • F = Multiple indications/reason for order
    • G = Status
    • H = Medication Related
    • I = Mappings

8778 – dosage based on body surface area

  • December 7, 2015 Update
    • chemotherapy order templates - PDF format for chemotherapy schedule, regimen, etc
    • Trying to define a fhir server that could serve this data in a FHIR resource
    • These are not patient specific, but the content could be used to create an order for a patient
    • Templates themselves are closest to a care plan - includes a cycle a definition
    • Timeframe - needed by the end of March
  • /December 4, 2015 Upate
Action: Maxdose - Chris and Lee discussed options.  will post link to Lee's suggested options and Chris's options.  discuss on next available call.  
Action:  Updated 8778 with link to Lee's options.  
Action:  Melva:  ask is to find a quarter to discuss these requirements in Orlando.  Inform Lee of the time.  

8442 – MedicationPrescription – clarify datewritten and prescriber – group discussed final decision noted in GForge item

update on Action item: Jose to create new change request to address the documentation work only and separate from the infrastructure issue.
update on Action item:  Jose will develop a resolution for consideration at the next call. Principly 8442, could impact 5827, 8276, 8378, 8526, 8783 .   Jose created 9087, need confirmation if this is the item that addresses the above request.  I believe it is.  
  • 12/14 - discussion on this issue did not result in any changes to item 8442. Needs further discussion.

Other FHIR Items

  • Mappings of HL7 v2 to Pharmacy FHIR
Update on Action item: Marla to complete 7830 - consult with Mike Henderson
  • PSS for FHIR content
Update on Action item:  Melva has sent draft to list - please review and provide comments.  Plan is to approved this in Orlando Pharmacy WGM. 

5925 & 8021 (grouping A)

update on Action item: Tom to review spreadsheet John forwarded on 11/9 .  Tom volunteered on the 11/2 call to look at this.
Completed Action item: John will review spreadsheet to see which resource elements/attributes may be affected.
  • John started presenting his review/work on the call.
  • Will continue reviewing and vote (if applicable) on the next call.
  • 12/4 - no discussion this week.

ListServ

  • Medication.form discussion.
update on Action Item:  discussed on 12/14, Michelle will create a new tracker item regarding the new documentation requirements that address this issue.  No changes, other than documentation, were identified for this new item. 

PSS for Pharmacy Care Plans

  • introduction and first reactions

ARB Project

  • ARB update?
    • meeting is planned for Dec 17, 2015

Other business

  • These two action items are being addressed by Marla, and she will inform us of their progress week to week as they progress.
Update on Action Item: Marla to enter change request for RXA-25 v2 FHIR mapping issue.
Update on Action Item: Marla Reach out to Mike Henderson and Jose about final touches to the v2-FHIR mappings (perhaps even outside of the FHIR resources)

Next meeting

  • Monday, Dec 28th ??
  • Monday, Jan 4th