Attendees

Agenda Items and Notes

Agenda

Meeting Notes from previous meeting

• 2021-03-29 Agenda/Meeting Notes - approved by general consent

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?
• 15 Mar 2021 - no discussion
• 05 Apr 2021 - no discussion

Catalog Updates (John Hatem)

• 29 Mar 2021 - no specific issues for Pharmacy
  • there is an open tracker item - need Jean for the discussion
• 05 Apr 2021 - no meeting to discuss

Workflow Update (John Hatem)

• 29 Mar 2021 - no meeting
• 05 Apr 2021 - no Pharmacy specific content discussed.  Meeting was focused on BPMN related issues

Healthcare Product Update (John Hatem)

• 29 Mar 2021 - no meeting
• 05 Apr 2021 - 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
  • 29 Mar 2021 - no updates since last update
  • 05 Apr 2021 - no updates

• Specialty Medication Enrolment PSS update - Specialty Medications
  • 05 Apr 2021 - 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
  • 05 Apr 2021 - 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)
  • 29 Mar 2021 - 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
  • 05 Apr 2021 - no updates

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

• Project Update
  • 29 Mar 2021 - approved last week to go to ballot
  • 05 Apr 2021 - no comments
    
    • ready for ballot

Global Supply Chain Project (Scott)

• 29 Mar 2021 - did not meet last week
• 05 Apr 2021 - expected to meet - Jose is leading the work

Medication List guidance project

• 29 Mar 2021 
  • will cancel calls for April 1 and 8
  • John working on document to summarize where we are and what is left to be done
• 05 Apr 2021 - John working on a summary document
  • have cancelled meeting for this week
  • hope to have summary document for review next week

PDex Formulary

• 29 Mar 2021 - 
  • 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
• 05 Apr 2021 
  
  • 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

AOB

• None

Next meeting

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

Action Items