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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

Meeting Notes from previous meeting

  • 2021-07-12 Agenda/Meeting Notes


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


  • - accepted by general consent


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

Gora Datta profile 

Anthony Julian FHL7 profile


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


    • 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


Next meeting

  • August 2, 2021 - 4pm Eastern