Date: 23-09-2021

Quarter: 1

CDS hosts CQI and Pharmacy

Chair: Bryn Rhodes

Scribe:  Bryn Rhodes

Minutes Approved as Presented 

This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


This meeting will be a full joint meeting with CDS, CQI and Pharmacy. Previous WGMs, 2 Pharmacy representatives joined the CDS and CQI Was on Fridays. Starting September 2021, this session will be a joint meeting among the 3 WGs.

Discussion items


Medication List Guidance (including patient-reported)

Medication usage period (especially as it relates to cumulative medication duration and tapered dose)

Potential Drug-Drug Interaction (PDDI)


  • Medication List Guidance (including patient-reported)
    • Planning not to create a separate implementation guide, but to incorporate guidance into the core specification, some of it in the Medication resource pages directly, some of it in the Medication module
    • Plan to use Confluence pages to support collaborative development and review
    • Potential issue is that the guidance applies across versions, so it's not that it's specific to R5
    • Adding a date to MedicationUsage adherence
      • Could potentially use structured information in MedicationUsage and MedicationAdministration to impact CMD calculation
      • Would require systems to enable capture of that information in a structure way (typically is unstructured if captured at all)
  • MedicationKnowledge
    • Definitional elements have either been moved out to MedicinalProductDefinition or a definitional backbone element
    • Indications can be referenced to ClinicalUseDefinition
  • ClinicalUseDefinition
    • BR&R have agreed to co-manage MedicationKnowledge/Medication, ClinicalUseDefinition and IDMP-related resources
    • Driven by IDMP definition
    • Consider adding discussion of this resource to the next BR&R/Pharmacy/CDS/CQI agenda
      • Add this to the Agenda for January Bryn Rhodes (was Tuesday Q1 this time, will be Wednesday Q1 next time)
  • Medication usage period (especially as it relates to cumulative medication duration and tapered dose)
  • January WGM confirm Friday Q1
    • Confirmed for January