2018-03-14PC DrugAllergySubstance Call Minutes

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Meeting Information

HL7 Negation Requirements Meeting Minutes Location: Phone		Date: 2018-03-14 Time: 5:00-6:00 ET
Facilitator	Jay Lyle	Note taker(s)	Jay Lyle
Attendee	Name	Affiliation
y	Jay Lyle	JP Systems / VA
y	Russ Leftwich
y	Elaine Ayres
y	Stephen Chu
y	George Dixon
y	Sue Kent
y	Lindsey Hoggle
y	Yanyan Hu

Agenda

Agenda Topics

1. VSAC text
2. Publication of ballot document
3. Maintenance; liaison with CCDA & FHIR

Minutes

Minutes/Conclusions Reached:

1. We will continue our meetings at the biweekly Wednesday time until the agenda items are resolved.
2. Re VSAC stewardship: Jay and Elaine to talk to HL7 HTA about appropriate path. This includes maintenance plans.
3. VSAC text in process. Note guidance from NLM.
4. Similar value sets are published by other groups. Check for overlap.
5. publish in VSAC, using roles (2) and text (3) defined above.
6. Document publication process steps
   1. Jay finish applying changes, circulate document
   2. After VSAC publication publish, include OIDs
7. FHIR & CCDA adoption
   1. CCDA: Emma, Lisa
   2. FHIR: Michelle

element	text
Drug substances
OID	NLM-assigned
Name	Common Drug Substances for Allergy and Intolerance Documentation
Author
Steward
Clinical focus	Documentation of a medication substance commonly suspected of causing an allergy or intolerance reaction in an individual
Date element Scope	Reactant element of allergy or intolerance record
Inclusion criteria	RxNorm substances of term type ingredient (IN) or multiple ingredient (MIN)
Exclusion criteria	Other RxNorm term types
Drug classes
OID	NLM-assigned
Name	Common drug classes for allergy and intolerance documentation
Author	TBD
Steward	TBD
Clinical focus	Documentation of a class of medication substances suspected of causing an allergy or intolerance reaction in an individual
Date element Scope	Reactant element of allergy or intolerance record
Inclusion criteria	NDF-RT drug classes commonly relevant to allergy or intolerance cross-reactivity
Exclusion criteria	NDF-RT drug classes not commonly relevant to allergy or intolerance cross-reactivity
Foods
OID	NLM-assigned
Name	Common dietary substances for allergy and intolerance documentation
Author	TBD
Steward	TBD
Clinical focus	Documentation of a class of foods and dietary substances suspected of causing an allergy or intolerance reaction in an individual
Date element Scope	Reactant element of allergy or intolerance record
Inclusion criteria	SNOMED-CT dietary substances ingested by patients, both specific (e.g., strawberry) and general (e.g., crustaceans); Substances that may be either foods or drugs (e.g., ethanol)
Exclusion criteria	SNOMED-CT prodcuts; environmental substances; expressions asserting absence of conditions; Actual conditions caused by exposure (reactions, allergies)

Meeting Outcomes

Actions Please review questions Please review ballot outline

Next Meeting/Preliminary Agenda Items Review draft list Review draft ballot

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