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    Meeting ID: 323 199 8494
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Web session


Jean Duteau (Chair)

Duteau Design Inc

Scott Robertson (Scribe)

Kaiser Permanente

Peter SergentHL7 NZ
Phung MatthesPOCP
Joe QuinnHSX
Christof GessnerHL7 Germany
Michelle BarryOregon Public Health

Agenda Items and Notes

Meeting Notes from previous meeting

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


  • 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

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

Project Review

Project Proposals

  • Project Proposals in Review

    • 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
  • 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

  •  - 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 Francious and Rick
    • issues about if MedicationKnowledge to Medication Definition violates the "back pointer" restriction

Catalog Updates (John Hatem)

  •  - no updates
  •  - not reviewed

Workflow Update (John Hatem)

  •  - no updates
  •  - not reviewed

Healthcare Product Update (John Hatem)

  •  - no updates
  •  - not reviewed

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
  • 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
  • MTM - create FHIR IG Scott M. Robertson
    •  - not reviewed
    •  - no update
  • RealTime Pharmacy Benefit Check for Consumers (Tim McNeil/Frank McKinney)
    •  - not reviewed
    •  - no update
  • Consultant Pharmacist Task Force - will be creating a guidance document for consultant note on the FHIR IG - Scott/Shelly
    •  - not reviewed
    •  - 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)

  •  - not reviewed
  •  - no update

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

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
      • 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
  •  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