Pharm Tech Minutes 2016.12.08

FHIR discussions

1. Dispense vs SupplyDelivery to support "Nurse brings the medication to the patient and does not administer"
   1. Jose Asked this in Pharmacy - response was initially "doesn't seem like dispense" but when discussing with Workflow (incl. John H) there was an agreement that this would go back to being Dispense.
   2. Result: We expect this will be updated in the FHIR documentation
      1. Consequence: We need a status modifier to differentiate Dispensed from Delivered. This will surely be an extension. => IHE extension.

1. How do we capture that the patient will have taken the medication the next day?
   1. We need to support "administered, but stated by patient" <-- medicationAdministration.performer? To be discussed.
   2. How to register in one system? (not our concern, since we are handling interoperability)
   3. How to communicate across systems? (that is what we will discuss)

Discussion: does the online/offline aspect change the resources to be used? No.

1. Should we also document "while delivering, i DID NOT administer"?
   1. e.g. if the patient is feeling bad and will take it later --> This is not a dispense case anymore, this is a normal "non-administration" case.

Changes proposed to FHIR