Page History

Q3

Not Meeting - Plenary

• Agenda
  
  • Quarter to discuss FHIR IGs → Wed Q2
• Reps to other WGs
  • Monday Q4 - FHIR Workflow - Scott will attend
  • Tuesday Q2 - O&O - Jean
  • Tuesday Q4 - EHR - Podiatry FP project - 
  • Tuesday Q4 - PH - check with John if we need to attend
  • Wednesday Q3 - SDWG - CDA Medication Activity entry to FHIR MedicationRequest - topic to be discussed in SDWG - Scott and others to attend
  • Thursday Q1 - PC -Scott will attend
• Assign Roles for Quarters
• If we have new attendees, review
  • Overview of Pharmacy material - V2, V3, FHIR
  • Overview of Template work
• Hot Topics
• Prep for Joint FHIR meeting

Melva

(John not available)

Joint Meeting with BR&R

• Rep to FHIR-I (Scott)

Melva

(John, Jean not available)

Scott (Melva not available)

Joint Meeting with FHIR-I

• Rep to O&O - (appears that O&O is hosting PH + BR&R + Rx + FHIR-I + HCD) - Jean

John

(Melva /Jean not available)

FHIR Tracker items

US Core - Graham

Participation - Graham

FHIR Tracker items

• Rep to EHR

Scott

(Melva, Jean not available)

Catalogue Project

Medication List IG Project

VA Discussion (Jay Lyle)

• Some issues:
  • There is a distinction between the order placed by the clinician and the order processed by the pharmacy. They have different identifiers and different properties.
  • There are distinctions between inpatient IV, inpatient ‘unit dose,’ and outpatient orders
  • There are distinctions between pending and final orders.
  • Sometimes renewals have new identifiers and sometimes they don’t.
  • We capture an ordered med and a dispensed med. DSTU2 handles that nicely, but not R4.
• Some questions for an agenda:
  • I think we have at least 5 and possibly 7 cases. Should they be supported by different profiles? Or should a single profile support all cases, letting application logic manage differences?
  • Should the different files be treated as states, with the original order # used as an immutable id? Or should I be able to make distinct queries for the clinical order and the pharmacy order?
  • What are the assumptions around the term “dispense”? I always thought that was a physical transfer of medication, but I seem to be mistaken.

Medication List IG Project

Review FHIR IGs

Joint Meeting with CDS - CDS hosting

Rep to Structured Documents (John)

Question from Lisa Nelson - how to represent a Compound Medication using the UV Realm Medication Statement template

Melva

FHIR Resource QA

Conditional Dose examples

Formulary Ballot Reconciliation (when Jean arrives)

• Rep to Patient Care (Scott)

FHIR Resource QA

Q3

Nutrition - use of resources

FHIR Resource QA

FHIR Resource QA

FHIR Tracker items