Weekly Conference Call


(Robert Down, BSN, RN) #327

I have a shift on Sunday night so I may or may not be on the call, depends on if I’m awake.


(Brady Miller) #328

Agenda for November 17th 2018 call:

  1. Chatting / new caller introductions
  2. Daniel E’s security updates
  3. Victor’s PAC project updates
  4. Zbig UI updates
  5. Asher’s Cloud updates
  6. Robert’s Non-profit Strategy updates
  7. Daniel E’s docker madness updates
  8. Matthew’s API updates
  9. Stephen’s updates
  10. Brady’s MU updates
  11. Everything else / new topics

Reminder for the call tomorrow. This call is open to all and call in details can be found here:
https://www.open-emr.org/wiki/index.php/OpenEMR_Weekly_Conference_Call_Details


(Stephen Waite) #329

anyone going to :phone: in today?


(Brady Miller) #330

@stephenwaite , I just called in :slight_smile:


(Stephen Waite) #331

old school :chat :slight_smile:


(Jerry P) #332

If you guys ever put fishing on the agenda, I might call in:)


(Brady Miller) #333

Agenda for December 8th 2018 call:

  1. Chatting / new caller introductions
  2. Jerry’s fishing 101 (@sjpadgett)
  3. Daniel E’s security updates
  4. Victor’s PAC project updates
  5. Zbig UI updates
  6. Asher’s Cloud updates
  7. Robert’s Non-profit Strategy updates
  8. Daniel E’s docker madness updates
  9. Matthew’s and Jerry’s API/FHIR updates
  10. Stephen’s billing updates
  11. Brady’s MU updates
  12. Everything else / new topics

Reminder for the call tomorrow. This call is open to all and call in details can be found here:
https://www.open-emr.org/wiki/index.php/OpenEMR_Weekly_Conference_Call_Details


(Brady Miller) #334

Agenda for December 15th 2018 call:

  1. Chatting / new caller introductions
  2. Jerry’s fishing 101 (@sjpadgett)
  3. Daniel E’s security updates
  4. Victor’s PAC project updates
  5. Zbig UI updates
  6. Asher’s Cloud updates
  7. Robert’s Non-profit Strategy updates
  8. Daniel E’s docker madness updates
  9. Matthew’s and Jerry’s API/FHIR updates
  10. Stephen’s billing updates
  11. Brady’s MU updates
  12. Everything else / new topics

Reminder for the call tomorrow. This call is open to all and call in details can be found here:
https://www.open-emr.org/wiki/index.php/OpenEMR_Weekly_Conference_Call_Details


(Brady Miller) #335

btw @sjpadgett , note that we now have a standing item entitled Jerry's fishing 101 on our agendas :slight_smile:


(Jerry P) #336

Yep I saw. I’ll try to be on this weeks call.


(Brady Miller) #337

Agenda for January 5th 2019 call:

  1. Chatting / new caller introductions
  2. Jerry’s fishing 101 (@sjpadgett)
  3. Daniel E’s security updates
  4. Victor’s PAC project updates
  5. Zbig UI updates
  6. Asher’s Cloud updates
  7. Robert’s Non-profit Strategy updates
  8. Daniel E’s docker madness updates
  9. Matthew’s and Jerry’s API/FHIR updates
  10. Stephen’s billing updates
  11. Brady’s MU updates
  12. Everything else / new topics

Reminder for the call tomorrow. This call is open to all and call in details can be found here:
https://www.open-emr.org/wiki/index.php/OpenEMR_Weekly_Conference_Call_Details


(Brady Miller) #338

Agenda for January 12th 2019 call:

  1. Chatting / new caller introductions
  2. Jerry’s fishing 101 (@sjpadgett)
  3. Daniel E’s security updates
  4. Victor’s PAC project updates
  5. Zbig UI updates
  6. Asher’s Cloud updates
  7. Robert’s Non-profit Strategy updates
  8. Daniel E’s docker madness updates
  9. Matthew’s and Jerry’s API/FHIR updates
  10. Stephen’s billing updates
  11. Brady’s MU updates
  12. Everything else / new topics

Reminder for the call in 2 hours :slight_smile:
This call is open to all and call in details can be found here:
https://www.open-emr.org/wiki/index.php/OpenEMR_Weekly_Conference_Call_Details


(Stephen Waite) #339

hope to have a new caller, Waseem, introduce himself this coming Saturday :slight_smile:


(Stephen Waite) #340
  1. chatted with Waseem about HL7 compliant medical device flowing through the air to the emr
  2. discussed out of date vendor list and lack of follow up upon contact and willingness to help flesh this out for the benefit of the community

(Robert Down, BSN, RN) #341

Let’s add the vendor list clean up to the todo for the website migration to drupal. It’ll be a good opportunity to address it


(Brady Miller) #342

Thanks for the update @stephenwaite .
The vendor list is less of a presentation issue and more of a roll up sleeves and verify vendors. See here for instructions on doing this along with tracking scheme:
https://www.open-emr.org/wiki/index.php/Talk:Professional_Support
(haven’t been able to spend much time on this since 2016 or so, so would be great if somebody took this on :slight_smile: )


(Stephen Waite) #343

will share with @waseem :slight_smile:


(Robert Down, BSN, RN) #344

Some highlights from this week’s call. I spoke with David Vu and Beju Shah who are both Pharmacist Informaticists. I gave them an overview of the project and the plan for the inpatient modules. They have a lot of insight into the pharmacy modules for inpatient hospitals and I think they will prove invaluable doing the development of this module.

We’re anticipating another call next week to demo the current workflows of the system to help them better understand everything.

Beju may also have some insight in bringing awareness to the project, he is a content creator


(Brady Miller) #345

2/23/19 meeting summary by Kevin Lan

Attendees

Asher, Brady, David, Kevin, Stephen

Summary

Inpatient Module Discussion

  • Pharmacy Team brainstormed and came up with a list of items that they have in their EHR or wished that had Google Doc found here: https://docs.google.com/document/d/1S_hHvQwsTAsFo-1ThSzpJleWdkvLCJgJHC52zO8hGpw/edit
  • First question was: For the inpatient module, are we thinking about splitting off the module into inpatient and another for outpatient OR are we layering the inpatient module on top of the outpatient
    • Concluded: At the moment, we can use the things from outpatient and develop from there
  • Discussed if others get openEMR and customize it
    • Open for building additional modules
    • Its open source – we welcome all development

Inpatient Infrastructure Breakdown

  • Pharmacy team discussed the development process can be broken down into four basic components: Creating a drug database, inpatient ordering function, pharmacist verification, medication administration record (MAR)
  • Research Drug database (dictionary) - with service of NDC, manufacture code
    • Check RxNorm API export/import – it has NDC and drug data and DDI
      • Package size, preservative free or not
      • Drug alert, DDI is hard to do, because its limited ability to detection.
    • Having a drug database would also be beneficial for inventory management
  • Inpatient Ordering function
    • May be set as the priority of the four basic components because of its complexity
    • Discussed incorporation of order sets, formulary availability, clinical decision support, etc.
  • Pharmacist verification function
    • Thought about if there is a current pharmacy workflow in the application. Currently, it seems It is like shipping the script to outside pharmacy to get verified for remote usage. Potential putting the function into dispensary
    • Inpatient formulary item
      • Item that we talked about getting: lab, outpatient imaging, orders, procedures, med orders, free text field limit the chance of medication safety issue, bed placement, admission encounter
      • Pharmacy team asked about possibility of blockchain and incorporating OpenEMR and retail pharmacy together. Problem was that, in retail pharmacy, pharmacists do not know the patient medical/full drug history when dispensing medications. It would be helpful to include that information when making clinical based decisions when dispensing medication.
        • The security for patient medical record access would be biggest hurdle
        • Pharmacist point of view: medication list, problem list
          • Blockchain: Sharing the patient medical information and medication recognition process
  • Medication Administration Record
    • Discussed that Robert could mock up a draft of what the MAR would look like and then we could discuss data endpoints

Cloud

  • Asher and Brady discussed the cloud packages.

Security

  • Brady discussed ongoing security improvement projects.

Billing

  • Stephen discussed ongoing billing projects. Jerry’s has been doing a lot of work and is currently working on real time eligibility which will be a big help to practices by making sure their patients are eligible with the insurance card that they present. Also noted that Jerry has done the first ever non-Brady patch :slight_smile: - Stephen’s note

Action Items

  1. In regards to clinical decision support and drug-drug-interaction alerts, we can see if someone can research with RXNorm would provide the information needed to create these alerts.
  2. Create/find a Github Issue about broken drug look API. Here is an issue: Fix online drug lookup · Issue #2156 · openemr/openemr · GitHub
  3. See if Robert could come up a potential draft of what the MAR would look like

(Brady Miller) #346

3/16/19 Meeting Minutes by David

Attendees

Aaron, Asher, Beju, Brady, David, Robert, Sherwin, Tigran

Meeting Minutes

Security Discussion

  • Addressing security
  • Background: Software had discovered to have security vulnerabilities in the past. Since then OpenEMR has prioritized resolve to address security. Major problems have been discussed and no current critical issues.
  • Multiply ways to do Multi-factor Authentication:
    • TOTP
      • ex. like using Authy
    • U2F
  • Encrypting on documents too
    • Ex. Uploading patient document will be encrypted also
  • OpenEMR’s security work will be big in the upcoming release
  • Robert had mentioned that there will be a blog post that will be pushed over the weekend to address why open source software provides MORE security
    • Breaches are going to happen
    • Why address with open source causes more productivity
    • Net benefit

MAR Discussion

  • Still work to be done. Once it is about 80% to completion, it would be available to demo and access on the Drive. ETA – 3/22
  • For the MAR, decided with Robert that we are going to add onto the outpatient layer as opposed to creating two modules.
  • Also, Robert has reached out to the core PHP team because we are looking to modernized and our code will be future proof

OpenEMR Demo for the New Participants

  • Showed ‘Search/Add’ Patient functions, which meetings Meaningful Use standards
    • Customizable for practitioner needs
  • Showed Medication Reconciliation
    • Currently, has limitations on adding dosing information because it is the same database element
      • Perhaps we could review FHIR resource
      • Look into Bluebutton
      • Pharmacy Team discussed the need for good medication reconciliation because it provides the decision making for a patient’s inpatient stay
      • Action item will be listed at end
  • Showed Medication Order List
    • Hits external – uses NIH API
    • Discussed about pulling in values from NIH to autofill. Pharmacy to research.

Robert’s Content Creation Topic

  • Wanted to ramp up content creation
  • Post more on the blog at least once a month
    • Topics could be about open source or OpenEMR. Improving healthcare. Essentially anything in the radar of OpenEMR
  • Also, wanted to add to the YouTube space
    • Geared towards new users
    • Wants to create how-to videos

Action Items

  • Admin team to set up a persistent demo (but can also download to local machine if no demo)
  • Robert to finish MAR draft
  • Pharmacy to research about NIH values you can pull to auto-fill in medication reconciliation