Attendees

Agenda Items and Notes

Meeting Notes from previous meeting

• 2021-07-12 Agenda/Meeting Notes

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

• approved by consensus

Administrative

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

Gora Datta profile 

Anthony Julian FHL7 profile

Ulrike Merrick profile

David Pyke profile

AbdulMalik Shakir profile

• 19 Jul 2021 one more week for email ballot.  send your selections to Jean

Project Review

Project Proposals

• Project Proposals in Review
• 19 Jul 2021
  
  • Medicolegal Death Investigation (MDI) - no direct pharmacy interest
  • Maternal and Infant Health Care - no sponsoring WG.  no direct pharmacy interest, we previous said we would reassess as project proceeds

Project Scope Statements

• Project Scope Statements
• 19 Jul 2021 
• PSS-1807 - Getting issue details... STATUS
  
  • better management and consistency for IG
  • will be reaching out to pharmacy, but as a cross-group project
  • don't need to be sponsor or interested party
• PSS-1811 - Getting issue details... STATUS
  
  • US Realm, although mappings will not always be to US Core

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

Discussion of MedicationKnowledge and possible issues for CDS

• 12 Jul 2021 - 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
• 19 Jul 2021 - jean
  
  • responses from Francois Macary and @rick Francious and Rick
  • issues about if MedicationKnowledge to Medication Definition violates the "back pointer" restriction

Catalog Updates (John Hatem)

• 28 Jun 2021 - no updates
• 13 Jul 2021 - not reviewed

Workflow Update (John Hatem)

• 28 Jun 2021 - no updates
• 13 Jul 2021 - not reviewed

Healthcare Product Update (John Hatem)

• 28 Jun 2021 - no updates
• 13 Jul 2021 - not reviewed

NCPDP Updates (NCPDP Members)

• NCPDP Task Group working on Patient Consent - for specialty prescribing -  Frank McKinney
  • 21 Jun 2021 - 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
  • 28 Jun 2021 - no update
  • 19 Jul 2021 - no update

• Standardized Medication Profile - Standardized Medication Profile Jean Duteau
  • 21 Jun 2021 - 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
  • 28 Jun 2021 - no update
  • 19 Jul 2021 - Scott to check status of publication

• MTM - create FHIR IG Scott M. Robertson
  • 12 Jul 2021 - not reviewed
  • 19 Jul 2021 - no update

• RealTime Pharmacy Benefit Check for Consumers (Tim McNeil/Frank McKinney)
  • 12 Jul 2021 - not reviewed
  • 19 Jul 2021 - no update
• Consultant Pharmacist Task Force - will be creating a guidance document for consultant note on the FHIR IG - Scott/Shelly
  • 12 Jul 2021 - not reviewed
  • 19 Jul 2021 - drafting a update to the Guidance Document on using the CCDA Consult Note for Pharmacist Consults.  Will include CCDA on FHIR.

Global Supply Chain Project (Scott)

• 12 Jul 2021 - not reviewed
• 19 Jul 2021 - no update

Medication List guidance project

• 28 Jun 2021 - to be discussed during next call July 12, 2021. 
• 12 Jul 2021 - not reviewed
• 19 Jul 2021 - John Hatem has been working on this, but is not on today's call

PDex Formulary

• 12 Jul 2021 - Corey
  
  • working from email from Corey to Jean
    • FW Da Vinci Formulary IG - Query for resources in scope of IG.txt
  • 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
    • FHIR-31683 - Can't query Lists that are CoveragePlan Profiles TRIAGED
      • motion to accept (Jean/Corey) 6-0-0 passes
    • FHIR-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
• 19 Jul 2021 emailed message, nothing to discuss today.  Working on issues/wording

FHIR (Group)

Trackers - link to pharmacy unresolved Jira trackers 

See updates in Jira for the following

FHIR-32960 - Getting issue details... STATUS

• consistency issue in MedicationAdministration
• Scope says includes vaccines.  Boundaries says to use Immunization resource
  • noted in Boundaries that there may be a MedicationAdministration for workflow purposes
• need to fix Scope and Usage, see Jira for details
• Motion to accept resolution ( Christof Gessner/Peter Sergent ) 6-0-0 Passed

FHIR-32825 - Getting issue details... STATUS

• valuesets for med usage admin, and med useage location are the same
• an example binding, so no secondary effects on having a single valueset
• Will refer to a single valueset (see Jira ticket for exact wording)
• Motion (Peter Sergent / Christof Gesssner) 6-0-0 Passed

Other Jira tickets are pending work

Any Other Business

• Christof - EU work on complex packaging
  • some progress on kits, package layers, packages, etc.
  • may be useful in MedicationKnowledge ... or MedicationDefinition
  • discussion on differences between countries, impact when multiple saleable units are involved (1 saleable kit contains 2 items which could be sold individually), 

Next meeting

• July 26, 2021 - 4pm Eastern