Dial-in Number
| Web session
|
Attendees
| Name | Organization |
|---|---|
| John Hatem (Chair) | Independent Consultant |
| John Hatem (Chair) | Independent Consultant |
| Melva Peters (Scribe) | Jenaker Consulting |
| Margaret Weiker | NCPDP |
| Jean Duteau | Duteau Design |
| Tim McNeil | Surescript |
| Dave Hill | Mitre |
| Shelly Spiro | Pharmacy HIT Collaborative |
| Pooja Babbrah | POCP |
| Maggie Buchinger | Surescript |
| Frank McKinney | POCP |
| Catherine Hosage Norman | |
| Vivek Desai | |
| Scott Robertson | Kaiser Permanente |
Agenda Items and Notes
Minutes
Catalog Updates (John Hatem)
- October 26, 2020
- no updates still working on ballot reconciliation
- October 19, 2020
- working on ballot reconciliation
- October 5, 2020 - Discussion with Catalogue Project Team
- 20201005_Pharmacy_WG_catalogs.pptx
- FHIR IG Project
- see slide deck for more information
- Pharmacy is a co-sponsor for this project
- Guidance for implementing catalogues
- labaoratory services - PlanDefinition
- drugs - MedicationKnowledge
- devices - DeviceDefinition
- Order sets - PlanDefinition
- Balloted in September as STU - lab content only - passed
- working on ballot reconciliation
- Tested in last 2 connectathons on lab content
- lab service is like a plan of activity - supported by PlanDefinition
- also uses other resources - use PlanDefinition to connect these resources
- lab service is like a plan of activity - supported by PlanDefinition
- so far, the scope has been for use by practitioners, may need to be updated when we start with medications
- for lab it is practitioners
- Next steps -
- resolve ballot comments
- specify other kinds of catalogues - use cases, specification, artifacts, examples
- devices, medications, order sets
- PHAST - Medication content
- Use Case 1 - Master catalog of medications for jurisdiction
- all drugs that can be ordered within a country
- catalogue provided to each organization - all applications can import into their own dictionary
- Use Case 2 - Healthcare organization drug formulary
- healthcare organization maintains its drug formulary and shares it to the applications used by practitioners
- could also be from outside of the organization
- Use Case 3 - Combination of use cases 1 and 2
- synchronize the 2
- MedicationKnowledge plus ClinicalUseIssue - seem to fulfill the 3 uses cases in terms of content
- Question - will MedicationKnowledge and ClinicalUseIssue will be in R4B?
- want current state
- R4B will be a technical correction of R4 plus MedicationDefinition and Evidence Resources
- will not include updates to MedicationKnowledge
- Should MedicationKnowledge be included in R4B?
- If there is urgency for this, suggest a tracker be created - separate issue for the 2 different resources
- Use Case 1 - Master catalog of medications for jurisdiction
- segmentation of formulary is a requirement
- we have a patient perspective on the use cases
- Pharmacy has worked on use cases - Melva will send the use cases to Francois
- PDex - built to support ONC rules - allowing patient the capability to see what the drugs will be covered
- there may be use cases coming out of Unicom
- Next steps
- consolidate use cases
- Will come back to Pharmacy once ballot reconciliation is complete for lab
- September 14, 2020 - no meeting today
- September 4, 2020
- Prep for upcoming Connectathon discussed
- Confirmed attendance at upcoming Pharmacy WGM
- Rob H shared he had a contact (no name mentioned) that was interested in working on a Medication catalog. Rob did state he told them to reach out to Pharmacy for follow up.
- August 24, 2020 - no meeting
- August 10, 2020 - no meeting
Workflow Update (John Hatem)
- October 26, 2020
- nothing related to Pharmacy
- October 19, 2020
- discussed contract
Healthcare Product Update (John Hatem)
- October 26, 2020
- discussed substance and instance changes
- John will bring more details forward
- other discussion packageProductDefinition resource - still needs more discussion
- use case for medicinal product
- October 19, 2020
- discussion about identifier on Substance as well as new attribute "instance"
- there may need to look at it for Medication, but not clear yet
NCPDP Updates (NCPDP Members)
- Specialty Medication Prescribing PSS update - Specialty Medications
- October 26, 2020
- NIB Approval - https://www.hl7.org/Special/committees/tsc/ballotmanagement/EditNIB.cfm?ballot_document_sdo_id=1109&Action=Edit
- Motion to approve NIB - Tim McNeil - Pooja Babbrah - 10-0-2 CARRIED
- Melva will submit the NIB
- DERF(Data element request form) at NCPDP - voting piece for NCPDP for this project
- October 19, 2020
- NIB needs to be submitted
- Melva will work on the draft with Maggie
- October 5, 2020
- Presentation http://build.fhir.org/ig/HL7/fhir-specialty-rx/branches/master/index.html
- transaction to convey additional information
- working to gather requirements
- participated in connectathons
- looking for additional implementer feedback
- users of this guide - pharmacy systems involved in fulfilling a specialty prescription; a specialty hub; other party
- data source system would be an EHR associated with system that generated the prescription
- Using Messaging
- Next steps
- Plans to submit to NCPDP to get feedback from stakeholders in November
- will drive next steps
- NIB deadline for HL7 is November 1, 2020
- will come back to Pharmacy WG on next weeks call
- Presentation http://build.fhir.org/ig/HL7/fhir-specialty-rx/branches/master/index.html
- September 14, 2020
- Connectathon last week
- had pharmacies, EHR and hubs represented
- didn't get as much technical feedback as was hoped
- didn't have participation with a mock application or an actual implementation to validate
- Balloting in January 2021 is to be determined
- August 24, 2020
- hoping to submit voting item for November voting cycle at NCPDP
- hope to incorporate comments in January HL7 ballot
- hope to bring to HL7 after Connectathon
- need to bring content to Pharmacy WG for review
- August 10, 2020
- Implementation Guide - making progress
- plan to participate in September Connectathon
- schedule a review of IG when ready
- August 3, 2020
- no updates
- July 27, 2020
- have Connectathon track for September
- October 26, 2020
- Finished external code system requirements for HTA - signed off on this by NCPDP
- will be added to hl7.Terminology.org
- Standardized Medication List - Standardized Medication Profile
- October 26, 2020
- Confluence page has been updated with November Task Group details
- White paper not completed, but it is getting close
- October 19, 2020
- Still working on white paper
- Scott will look into it
- October 5, 2020
- no discussion
- September 14, 2020 - no update
- August 24, 2020
- still writing the White Paper
- you need to have an account
- will come back to Pharmacy after completing the White Paper
- Action: need to determine plans for the project at HL7 with respect to ballot
- August 10, 2020
- meeting in August is cancelled
- next meeting September 2
- August 3, 2020
- next meeting is August 19 - working on White Paper
- July 27, 2020
- next meeting will be in August
- October 26, 2020
- MTM - create FHIR IG
- October 26, 2020
- project on hold waiting for MCC e-Care plan
- believe this can be used for this project so will wait
- October 19, 2020
- still on hold with NCPDP
- October 5, 2020
- no discussion
- September 14, 2020
- may do a project proposal but still to be determined
- August 24, 2020
- Scott to connect with Shelly about next steps for this
- PSS is not ready to be submitted - Scott will work with NCPDP to complete
- May ballot cycle at the earliest - won't likely make that time
- August 10, 2020
- draft PSS - Scott
- Scott will talk to group about expectation - Aug 23 deadline for approval for TSC - not enough time to get sponsor, co-sponsor, FMG, USRSC and Steering Division before this date.
- August 3, 2020
- outstanding to get PSS finished for MTM - Scott to reach out to Shelly
- next task group meeting is August 27th
- July 27, 2020
- Scott to look at the status of the PSS
- deadline for approval by WG is August 28th
- October 26, 2020
DaVinci PDex Formulary Project
- October 26, 2020 - Publication Request (if received from Dave)
- Changes have been completed
- Some changes have not been pushed
- CMS wanted this published by the end of October
- Dave will send updated IG
- Publication Request has been created
- will include on next weeks agenda
- October 19, 2020
- Technical Correction Items (Dave Hill)
- there are 4 Jira issues for discussion
- in current IG - daVinci is capitalized and not capitalized
- converted all to lower case to be consistent with other daVinci IGs
- conversion to new FHIR IG template -
- error in index page for search queries - spelling mistake to be fixed
- Zip files - use of upper case "D" on daVinci
- converted to lower case
- Motion to approve the disposition of the 4 Jira Issues: FHIR-28361, 23127, 28362, 28494
- Moved by Scott - seconded by Dave Hill - 10-0-0 Carried
- Need approval from Pharmacy and then FMG and TSC
- Will need to vote on a publication - Dave will create and then come back to Pharmacy
- Technical Correction Items (Dave Hill)
NHSN Inpatient Medication Administration Reports (FHIR IG) - Sarah Gaunt
- October 26, 2020
- Public Health has agreed to be a co-sponsor
- October 19, 2020
- Request for Pharmacy to become a co-sponsor - Sarah Gaunt
- NHSN Inpatient Medication Administration Reports (NHSN-Medication-Administration-FHIR) (HL7 Implementation Guide for FHIR® Release 4)
- plan for ballot in May 2021
- Connectathon in January 2021
- asking Pharmacy to be a co-sponsor
- interested in knowing what medications patients who are hospitalized with Covid are on - inpatient medications
- name
- formulation and route
- start/stop date
- Dose
- medication identifier
- Pharmacy was not asked to be a sponsor - there was a push to get the PSS submitted
- Discussion of mapping of fields needed
- Motion to approve Pharmacy as a sponsor - Sarah Gaunt - John Hatem - 10-0-0 Carried
Medication List guidance project
- next call is October 29 at 4pm Eastern
- Patient Medication List Guidance
- http://build.fhir.org/ig/HL7/fhir-med-list-guidance/
FHIR (Group)
Trackers - link to pharmacy unresolved Jira trackers
- Discussion of Medication instance
- reviewed changes to substance as proposed by O&O
- no concept of Batch/Lot number which an instance of a substance would have
- reviewed changes to substance as proposed by O&O
- FHIR-29270 - John will take to Workflow and discuss since this value set was inherited from WorkFlow
AOB
- Changes proposed for PQ/CMC
- asked for more details - Catherine will add
- May be acceptable to create as core extensions
Next meeting
- November 2, 2020 at 4pm Eastern
Action Items
- John Hatem- will take FHIR-29270 to Workflow discussions