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    Meeting ID: 323 199 8494
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Web session


Melva Peters Jenaker Consulting
John Hatem (Chair)Independent Consultant
Tim McNeilSurescript
Joe Quinn
Frank McKinneyPOCP
Peter MuirPJM Consulting
Maggie BuchingerSurescript
Corey SpearsMITRE
Dave HillMITRE
Jean DuteauDuteau Design
Peter SergentHL7 New Zealand
David deRoodeLantana
Shelly SpiroPharmacy HIT Collaborative
Nadine ShehabLantana
Scott RobertsonKaiser Permanente
Gary SchoettmerNetRx

Agenda Items and Notes


Meeting Notes from previous meeting

Project Review

Project Proposals

  • LHS Care Plan DAM - John will participate
    • will review next week to determine if Pharmacy should be involved

Project Scope Statements

  • None to review

Work Group Meeting Planning

  • Prep for May 2021 meeting
    • room requests have been made - Q1 to Q4 Monday to Thursday
      • we may cancel the Q1 sessions
    • Joint Meetings accepted
      • EHR WG - Monday Q3 and Q4 - 1 rep- Mega Report out
      • II - Wed Q4 - 1-2 RepsRadiation Dose Summary for Diagnostic Procedures on FHIR review
      • BR&R - accepted 2 quarters
      • CDS/CQI - Friday
      • Patient Care and Cross Group Projects - MedList Guidance
      • Public Health
      • FHIR-I - rep to be sent
      • Patient Care - CareTeam Report out
    • joint meetings - Melva to reach out to groups
      • O&O - Common Product Model - John to raise on Health Care Product meetings
    • Reach out to HTA - new UCUM group - what is the plan for HL7 to be involved?
  •  - no discussion
  •  - no discussion

Catalog Updates (John Hatem)

  •  - no specific issues for Pharmacy
    • there is an open tracker item - need Jean for the discussion
  •  - no meeting to discuss

Workflow Update (John Hatem)

  •  - no meeting
  •  - no Pharmacy specific content discussed.  Meeting was focused on BPMN related issues

Healthcare Product Update (John Hatem)

  •  - no meeting
  •  - very short meeting, discussed updates to Device Definition.  No votes and no Pharmacy specific issues. 

MedicationDefinition Parking Lot Discussion

  • nothing to discuss
  • remove from meeting

NCPDP Updates (NCPDP Members)

  • NCPDP Task Group working on Patient Consent - for specialty prescribing
    •  - no updates since last update
    •  - no updates
  • Specialty Medication Enrolment PSS update - Specialty Medications
    •  - completed 
      • ballot reconciliation spreadsheet uploaded and withdrawals requested
      • when team is ready to publish, will complete publication request
  • Standardized Medication Profile - Standardized Medication Profile Jean Duteau
    •  - need to update front matter with cover sheet
      • need to talk to Lynn to find out what to do about the HL7 logo
      • content is complete - 
      • Motion by Jean Duteau - seconded by Shelly Spiro - approve to go to ballot - 13-0-2 Carried
      • final content must be sent to Lynn by April 11
      • this will be a pilot for Jira Balloting
  • MTM - create FHIR IG Scott M. Robertson
    • on hold waiting for MCC eCare Summary to be completed
  • RealTime Pharmacy Benefit Check for Consumers (Tim McNeil/Frank McKinney)
    •  - NCPDP Task Group
      • Consumer focused - nothing new - identify use cases and requirements - Carin IG - will be looking at this to see if this IG meets requirements
    •  - no updates

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

  • Project Update
    •  - approved last week to go to ballot
    •  - no comments
      • ready for ballot

Global Supply Chain Project (Scott)

  •  - did not meet last week
  •  - expected to meet - Jose is leading the work

Medication List guidance project

    • will cancel calls for April 1 and 8
    • John working on document to summarize where we are and what is left to be done
  •  - John working on a summary document
    • have cancelled meeting for this week
    • hope to have summary document for review next week

PDex Formulary

  •  - 
    • discussion regarding HIOS id and uniqueness - will followup with PBMs to see if there is a requirement for a unique identifier
      • following up with NCPDP to see if RXBIN to see if this could be used as a unique code
      • Pharmacy uses BIN and PCN to do routing - in order to know what the BINS - are maintained by the switches - would have to get number through PBM or processer or payers
        • contact RelayHealth and Change Health Care - 2 largest 
      • RXBIN codes - guaranteed to be unique across health care as long as you also look at PCIN to ensure uniqueness
      • send email to Margaret to get contacts
    • still discussing behaviour for authenticated access - will bring back decisions to Pharmacy
    • Other issues raised - will be pushed off to STU2 ballot
    • hope to have definitive list of issues for an STU Update
    • FHIR-30924 - cost sharing options
      • selections for copay option and co-insurance options if deductible is $0
      • proposed resolution - provide additional guidance in the IG - 
      • needs further discussion - could consider adding a new code to the value set
        • the value set is required so adding a value would be a breaking change
        • may need to provide an example if using the proposed guidance
        • QHP formulary uses "NA" with guidance, but this is a breaking change
        • Will take feedback back to project team
    • FHIR-30933 - email plan contact
      • currently a string - 
      • change to URL from string - 
      • Motion to approve this change as a technical correction - Melva - Dave Hill - 13-0-0 Carried
    • FHIR-31073 - clarification on how authenticated pharmacy works
      • Proposed adding guidance to describe how authenticated formulary endpoint behaves
      • Motion to approve this issue as an STU Update - Melva - seconded by Scott - 13-0-0 Carried

FHIR (Group)

Trackers - link to pharmacy unresolved Jira trackers 

  • Motion by Melva - seconded by Scott to approve FHIR-31632 and FHIR-31633
    • Carried 13-0-0
  • See Jira


  • None

Next meeting

  • April 12, 2021 at 4pm Eastern
    • LHS Care Plan DAM

Action Items