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NameOrganization
Melva Peters (Chair)

HL7 Canada/Jenaker Consulting

John Hatem


Corey Spears
Scott Robertson
David Hill
Christof Gessner
Danielle Bancroft
Jean Duteau
Peter Sergent
Phung Matthews
Shelly Spiro

Agenda Items and Notes

Table of Contents
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Meeting Notes from previous meeting

  • 2021-07-12 Agenda/Meeting Notes

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  •  Scott to fix dates: 7/13 should be 7/12

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  • - accepted by general consent

Administrative

  • vote on WG representatives to TSC - vote for 3;

Gora Datta profile 

Anthony Julian FHL7 profile

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AbdulMalik Shakir profile

  •  one more week for email ballot.  send your selections to Jean

  •  - Jean will submit vote today based on the input - Riki, Abdul Malik Shakir, David Pyke.

Project Review

Project Proposals

Project Scope Statements

NHSN Inpatient Medication Administration Reports (FHIR IG) - Sarah Gaunt

Discussion of MedicationKnowledge and possible issues for CDS

  •  - Jean 
    • overlap between MedicationKnowledge and MedicinalProductDefinition
    • proposal to remove the "definitional" elements from MedicationKnowledge
    • new MedicationKnowledge
      • not in the current build yet
      • adds .definitional backbone element for those (fewer) elements to retain in MedicationKnowledge
      • simplified .ingredient
      • .amount is still strange.  Needed in Canada.  may become a Canadian extention.
    • Jean will check with BR&R and then move the new MedicationKnowledge into the current build
  •  - jean
    • responses from Francois Macary and Rick
    • issues about if MedicationKnowledge to Medication Definition violates the "back pointer" restriction
  •  
    • will move into the main build 

Catalog Updates (John Hatem)

  •  - no updates
  •  - not reviewed
  •  - no updates

Workflow Update (John Hatem)

  •  - no updates
  •  - not reviewed
  •  - FHIR-29962 - will evaluate once it is in the build

Healthcare Product Update (John Hatem)

  •  - no updates
  •  - not reviewed
  •  - no updates

NCPDP Updates (NCPDP Members)

  • NCPDP Task Group working on Patient Consent - for specialty prescribing -  Frank McKinney
    •  - meeting on Thursdays - looking at the way to convey the consent needed (with attachment)
      • looking at a means to inform prescriber about a patient program being available that would require consent from patient to be involved
    •  - no update
    •  - no update
    •  - no update
  • Standardized Medication Profile - Standardized Medication Profile Jean Duteau
    •  - at NCPDP Standardization Committee for review - looking at word smithing 
      • will bring back to HL7 - to see if they can be incorporated or if held for Version 2
    •  - no update
    •  - Scott to check status of publication
    •  - Melva and Scott to look at the new version and do a publication request
  • MTM - create FHIR IG Scott M. Robertson
    •  - not reviewed
    •  - no update
    •  - on hold - linked to MCC eCare Plan work
  • RealTime Pharmacy Benefit Check for Consumers (Tim McNeil/Frank McKinney)
    •  - not reviewed
    •  - no update
    •  - no update
  • Consultant Pharmacist Task Force - will be creating a guidance document for consultant note on the FHIR IG - Scott/Shelly
    •  - not reviewed
    •  - drafting

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    • an update to the Guidance Document on using the CCDA Consult Note for Pharmacist Consults.  Will include CCDA on FHIR.
    •  - needs a project proposal if it is coming in to HL7 - Scott

Global Supply Chain Project (Scott)

  •  - not reviewed
  •  - no update
  •  - there has not been a call

Medication List guidance project

  •  - to be discussed during next call July 12, 2021. 
  •  - not reviewed
  •  - John Hatem has been working on this, but is not on today's call
  •  - will get back to this in late August

PDex Formulary

  •  - Corey
    • working from email from Corey to Jean
    • query for resources related in PDex (e.g., Lists, MedicationKnowledge) uses _profile. 
      • Not a preferred method. 
      • retooled to use List.code.
      • MedicationKnowledge?PlanID:missing=false (assuming the serversupports it)
      • Retrieve all PlanIDs by querying the CoveragePlan (List profile) then query MedicationKnowledgee with the retrieved PlanIDs
      • Image ModifiedFHIR-31683 - Can't query Lists that are CoveragePlan Profiles TRIAGED
        • motion to accept (Jean/Corey) 6-0-0 passes
      • Image ModifiedFHIR-31684 - Can't query MedicationKnowledge instances that are FormularyDrugs TRIAGED
        • motion to accept (David/Corey) 6-0-0 passes (get Corey's email)
    • RxNorm search concerns
      • current recommendation focuses on SCD
      • difficult to find specific product, dose form, etc
      • need to expand the guidance on RxNorm, but need a pharmacist with RxNorm knowedge
        •  Scott will send a query to list, will assist until someone is available
    • this will wrap up the STU update. 
      • Will not be voting next week on the STU update
      • Expect to projected date completion (for WG vote) at next call
  •  emailed message, nothing to discuss today.  Working on issues/wording
  •  - 2 remaining tickets to address
    • will start STU update process
    • review Issues that will be included next week

FHIR (Group)

Trackers - link to pharmacy unresolved Jira trackers 

Any Other Business

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Next meeting

  • August 2, 2021 - 4pm Eastern