Dial-in Number
| Web session
|
HL7 Antitrust Policy
Professional Associations, such as HL7, which bring together competing entities are subject to strict scrutiny under applicable antitrust laws. HL7 recognizes that the antitrust laws were enacted to promote fairness in competition and, as such, supports laws against monopoly and restraints of trade and their enforcement. Each individual participating in HL7 meetings and conferences, regardless of venue, is responsible for knowing the contents of and adhering to the HL7 Antitrust Policy as stated in §05.01 of the Governance and Operations Manual (GOM).
Attendees - this list will be edited during the meeting
| Name | Organization |
|---|---|
| John Hatem (Chair) | Independent Consultant |
| Melva Peters (Scribe) | Jenaker Consulting |
| Margaret Weiker | NCPDP |
| Tim McNeil | Surescripts |
| Christof Gessner | HL7 Germany |
| Peter Sergent | HL7 New Zealand |
| Brad Wise | Humana |
| Stephen Chu | Australian Digital Health Agency (ADHA) |
| Scott Robertson | Kaiser Permanente |
| Corey Spears | Mitre |
| Jean Duteau | Duteau Design |
| Shelly Spiro | Pharmacy HIT Collaborative |
| Dave Hill | MITRE |
Agenda Items and Notes
Meeting Notes from previous meeting
- 2021-10-25 Agenda/Meeting Notes - deferred to next week pending updates from Scott
Project Review
Project Proposals
- Project Proposals in Review
- PSS-1891 - Getting issue details... STATUS - FHIR IG for Intra-procedural Anesthesia records - should Pharmacy be at least an interested party
Project Scope Statements
September WGM Agenda
- Outstanding Tasks
- FHIR R5 is now confirmed for May 2022 Ballot Cycle - need to determine what work is needed to move resources to higher maturity and/or normative
- New Resource - FormularyItem - need to draft resource proposal
Discussion of MedicationKnowledge changes (Jean Duteau)
Catalog Updates (John Hatem)
- - no meeting last week
Workflow Update (John Hatem)
- - discussed Contract resource. No Pharmacy issues
Healthcare Product Update (John Hatem)
- - John H reported that Pharmacy will use the Device to Device parent approach for supporting the requirement for representing the lumen or port, and the triple lumen catheter.
NCPDP Updates (NCPDP Members)
- NCPDP Task Group working on Patient Consent - for specialty prescribing - Frank McKinney
- no updates
- MTM - create FHIR IG Scott M. Robertson
- clarification of what this FHIR project would be: The MTM project updated the C-CDA CMR document in 2012. We’re waiting for MCC eCare Plan care summary to be complete to see if we can repurpose the MCC care summary for a FHIR version of the MTM CMR.
- no updates
- RealTime Pharmacy Benefit Check for Consumers (Tim McNeil/Frank McKinney)
- no updates
- Consultant Pharmacist Task Force (Shelly Spiro/Scott Robertson)
- no updates
- Specialty Enrolment PSS (Frank/Maggie)
- no updates
Global Supply Chain Project (Scott)
- no update - Scott to check once more with Wayne Kubick
Medication List Guidance project (John)
- - updates are being made to the material. You can access the content in Confluence here: Proposed Medication List Guidance - Pharmacy - Confluence (hl7.org)
Projects
Pharmacy Templates
- Unballoted STU Update
- Giorgio to work on updates
- once done will put out for a STU update
- Christof to add additional requirements and information - not done yet
- waiting for requirements for European project re: combination products
- Christof to look at MedicationKnowledge in FHIR
- Giorgio to work on updates
PDex Formulary (Corey)
- Block Vote 1:
- no request to remove issues from the discussion
- Motion: Corey moved to accept the issues in Block Vote #1 - seconded by Scott Robertson - 12-0-0 Carried
The new structure resolves a number of issues. All below directly involve the new structure.
Ticket | Description | Proposed Resolution | Disposition |
Change CoveragePlan profile from using a List resource to InsurancePlan | Persuasive with Mod | New Structure using InsurancePlan profiles (one for payer insurance plan and one for formulary) | |
Create a resource profile to link a drug with a formulary plan | Persuasive with Mod | New Structure creating FormularyItem profile on basic representing line items on a formulary including non-drug attributes moved from FormularyDrug to FormularyItem. | |
FormularyDrug profile can only reference one plan | Duplicate (FHIR-30923) | ||
Matching QHP Formulary: per-plan information on a Formulary Drug should be 1..* | Persuasive with Mod | New Structure, change CoveragePlan List to InsurancePlan profile. creating FormularyItem profile on basic representing line items on a formulary enabling linking multiple formulary drugs with multiple insurance plans through multiple FormularyItems pointing to a formulary Insurance Plan. | |
Create a profile to represent subscribable Insurance plan | Persuasive with Mod | Add Payer Insurance Plan profile on InsurancePlan with an extension pointing the Formulary profile on InsurancePlan in an extension under coverage. Include cost sharing under plan | |
Not Possible to Query by CoveragePlanID or CoveragePlanType, or all CoveragePlans | Persuasive with Mod | New Structure using InsurancePlan profiles with search parameters on identifier, plan type, and coverage formulary | |
Change name of EmailPlanContact field to "SupportContact" | Not Persuasive with Mod | New structure, use Contact structure native to InsurancePlan | |
MS Flag on List.identifier is missing, and cardinality probably wrong | Persuasive with Mod | New structure. Requiring identifier, linking between resources can also now be handled through FHIR resource references. | |
Create Endpoint Profile for an InsurancePlan for more information | Not Persuasive (use contact) | Use InsurancePlan.contact instead of adding a new profile |
- Block Vote 2:
- Motion to accept the issues in Block Vote #2 - Corey Spears - seconded by Melva Peters - 12-0-0 Carried
Other tickets that need addressing
Ticket | Description | Proposed Resolution | Disposition |
Create Location Profile for an InsurancePlan to support geolocation | Persuasive with Mod | Create profile on Location with geolocation extension and address as Must Support | |
Remove requirement to support 410 response code (deleted resources) from CapabilityStatement Requirements | Persuasive | Approved | |
Improve drug searching ability | Persuasive with Mod | Make MedicationKnowledge.doseForm MS and add SHOULD dose-form search parameter | |
Change binding to RxNorm to extensible to accommodate new drugs | Not Persuasive | ||
Boolean fields in FormularyDrug should be changed to support multiple choices (Step Therapy, Prior Authorization, Quantity Limit) | Persuasive with Mod | Add extensions to provide additional details |
FHIR (Group)
BR&R managed resources review
- current block votes in BR&R
- no impact on Pharmacy resources at this point
- ingredient resources no longer usable from our resources
- no impact on Pharmacy resources at this point
- statement on status of MedicationKnowledge
- dashboard
- https://jira.hl7.org/secure/Dashboard.jspa?selectPageId=13501
- need to triage the BR&R issues and add a label to those issue that Pharmacy needs to review and vice versa
- fix dashboard
- Christof raised a new topic about possible changes to dose form
- will add Jira issues when more information is needed
New Resource - FormularyItem
- Resource proposal - target for May 2022
- need update to current PSS -
- deadline for May 2022 - January 21, 2022 deadline
Preparation for Normative
- QA Conformance Tracker Updates
- Reach out to Sarah - NHSN IG - implementers of MedAdmin
Trackers - link to pharmacy unresolved Jira trackers
Any Other Business
Next meeting
- November 8, 2021