Date: January 18

Quarter: Q1


Agenda Topics

  • Review of Agenda
  • Review Chair/Scribe Quarters
  • Introductions
  • Approval of Sept 2021 WGM Minutes
  • Project Proposal Review
  • Project Scope Statement Review
  • Pharmacy FHIR Core Tracker Review

Minutes/Conclusions Reached

  • Review of Agenda
    • Added Pharmacy CDA IG JIRA Issue Review to Wed Q3
  • Approval of Sept 2021 WGM Minutes
    • Motion to approve minutes - John Hatem / Scott Robertson - 9-0-1
  • No Project Proposals or Project Scope Statements to review
  • Pharmacy FHIR Core Tracker Review

Adjourned at 10:25

Date: January 18

Quarter: Q2


Agenda Topics

  • Formulary Item Resource discussion

Minutes/Conclusions Reached

  • FormularyItem
  • Discussion of Formulary Item resource proposal 
    • reviewed PSS - don't believe that we need to update the PSS - related to Project 1239
    • resource proposal - created a new resource proposal
  • There were 3 ballot issues that were submitted that is relevant to this topic
  • See draft resource proposal
    • Scope - will add Francois slide to the proposal
    • Will need to review MedicationKnowledge to determine which attributes need to be removed as they will be in FormularyItem
    • could be broader than drugs - need to confirm with Francois if needed for lab tests
    • Resource proposal completed -
      • Motion to approve - John Hatem - Corey Spears - 6-0-0 - Carried
    • Next steps
      • send to FMG before January 21st

Date: January 18

Quarter: Q3


Agenda Topics

  • Formulary Ballot Reconciliation

Minutes/Conclusions Reached

  • Reviewed Formulary Ballot/Tracker items
    • FHIR - 34758
    • FHIR - 35196
    • FHIR - 35197
    • FHIR - 35198
    • FHIR - 35366
    • FHIR - 34756
    • No votes on any of the above items.  Many will require additional conversations with the submitter or others to resolve. 
    • Next steps for Corey:  Continue to review items, create dispositions, identify block votes and communicate with Pharmacy WG
    • Timeline: targeting January 31, 2022, for block vote(s).  Not all issues will be resolved at that time. 
  • Adjourned at 12:35pm (Pacific)

Date: January 18

Quarter: Q4


Agenda Topics

  • Joint with BR&R - BR&R Hosting - Unicom Project

Minutes/Conclusions Reached

  • See BR&R minutes

Date: January 19

Quarter: Q1


Agenda Topics

  • Joint with BR&R, CDS and CQI

Minutes/Conclusions Reached

  • See BR&R minutes


Date: January 19

Quarter: Q2


Agenda Topics

  • Joint with FHIR-I

Minutes/Conclusions Reached

  • See FHIR-I minutes

Date: January 19

Quarter: Q3


Agenda Topics

  • CDA Issues
  • CCDA Issues from Matt                     
  • FHIR QA for Normative

Minutes/Conclusions Reached

  • Discussed 3 trackers presented by Georgio and/or Chirstof
    • CDA-2075 - After discussion, found to be persuasive, but asking for a review by Jean Duteau before we vote on this issue. 
      • Add Marketing Authorization Holder as per Extension created in Europe.  
    • CDA-2068 - Persuasive.  Technical correction, no vote required.
    • CDA-20314 - Persuasive See details in Jira.  Vote passed:  6-0-1
  • Melva proposed that we submit a NIB to get the fixed CDA issues into May ballot. Motion by John Hatem, seconded by Christof G.  Vote passed:  7-0-1  
    • Action item:  Melva will create and submit the NIB for this work - complete
  • Matt provided an overview of his issues about how to address some pharmacy specific issues that are not currently possible in CDA.  There was a discussion that resulted in a brief review of the Pharmacy templates and after the discussion and an expected follow up discussion with Jean D, he expects he will be able to solve his issues.
  • Melva provided an overview of FHIR QA for Normative process and displayed the spreadsheet we update to support our work in moving our resources to Normative.  She sought help with completing the work.  Any help is appreciated, but a specific ask was to help us identify any vendors who have implemented Pharmacy resources in a Production environment.  

Date: January 19

Quarter: Q4


Agenda Topics

  • Meet the new HL7 executives
  • FHIR Issues

Minutes/Conclusions Reached

  • Dan introduced himself and discussed the new role
  • FHIR Issues - see trackers for votes and discussion
    • FHIR-32858 - resolved
    • FHIR-35827 - duplicate
    • FHIR-33991 - waiting for input
    • FHIR-32006 - will discuss with CQI
    • FHIR-34000 - resolved
    • FHIR-35847 - resolved
    • FHIR-32865 - discuss with John H.

Date: January 20

Quarter: Q1


Agenda Topics

  • Project Review
  • Vocab Facilitator
  • Public Health Meeting
  • USCDI 

Minutes/Conclusions Reached

Date: January 20

Quarter: Q2

Cancelled:  Not Meeting


Date: January 20

Quarter: Q3


Agenda Topics

  • Pharmacist Consultant Consult Note - Project Kickoff

Minutes/Conclusions Reached

  • Pharmacist Consultant Consult Note - Project Kickoff
    • Consultant Pharmacist Consultation Note Update
    • For reporting review reports to physician for the facility and for the facility
    • C-CDA guidance document published at NCPDP on how to use consult report - no adoption
      • not published at HL7
    • Guidance document has been updated with C-CDA and FHIR
    • Tasks to be completed
      • need people to review the mapping for both FHIR and CCDA - Scott has done initial mapping
        • mapping from C-CDA to FHIR - using C-CDA 
      • discussion of the format - currently have updated the mapping/guidance document
        • discussion that a FHIR IG should be created rather than trying to update the guidance document - if goal is to get adoption by EHR vendors - IG would be a better format
      • Next steps:
        • Scott will go to Structured Documents to get input on the CCDA content/mapping
        • will discuss with FMG - to get guidance if this is a FHIR IG and not a guidance document
        • Will report back

Date: January 20

Quarter: Q4


Agenda Topics

Ballot Reconciliation - Withdrawal Ballot - Electronic Prescribing Mapping

FHIR Issues

Minutes/Conclusions Reached

Ballot Reconciliation - Withdrawal Ballot - Electronic Prescribing Mapping

  • Margaret already withdrew
  • Motion to withdraw - Melva Peters / Margaret Weiker : 5-0-0
  • Action item: Melva Peters to withdraw Electronic Prescribing Mapping

FHIR Core progress

  • Jean Duteau reporting from FHIR Core session
  • see FHIR Core Progress Dashboard 
    • Total open issues across all WGs 1438
    • Pharmacy has fewer open issues compared to other groups. 

Question:  is there any training available to be a FHIR submitter?

  • not really, 
  • first need to set up your environment

FHIR Issues 

  • Pharmacy's US Core Issues
    • action item: Jean Duteau to look into what we need to do with US Core issues
  • FHIR-33986 - Getting issue details... STATUS
    • started in Sept 2021 WGM
    • John has been working on it, he'll put in some updated text
  • FHIR-35826 - Getting issue details... STATUS
    • title is about "gestation age" but description is about drug abuse.
    • have to add to R5, cannot make changes in R4
    • Adding MedicationUsage.relatedClinicalInfo 0..* reference(Observation | Condition)
    • Motion: Melva Peters / John Hatem : 5-0-0
  • All of the Description-related issues
    • all waiting for input
    • This is work that we do anyway
    • Action: Melva Peters to ask if/how the description-related issues can be removed  


Date: January 21

Quarter: Q1


Agenda Topics

  • Joint with CQI - CQI hosting

Minutes/Conclusions Reached

  • See CQI meeting minutes

Date: January 21

Quarter: Q2


Agenda Topics

  • FHIR Tracker Items

Minutes/Conclusions Reached

Definition and Usage Tracker Items

Remaining Tracker Items

We also discussed  FHIR-33991 - Getting issue details... STATUS

Date: January 21

Quarter: Q3


Agenda Topics

  • Joint with O&O and FHIR-I - Identifiers for Supply Chain - O&O hosting

Minutes/Conclusions Reached

  • See O&O meeting minutes

Date: January 21

Quarter: Q4

Cancelled:  Not Meeting

Action Items