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Attendees

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Agenda Items and Notes

Outstanding Action Item List

WGM Planning

Fixed up the quarters.  Jean will communicate with Mary Ann on the quarters we will not be meeting.

Meeting Notes from previous meeting

• 2022-12-19 Agenda/Meeting Notes - Accepted by general consent

Project Proposals

Project Proposals in Review 

• None to review

Project Scope Statements

Project Scope Statements

• [PSS-2145] Data exchange industry – Pharmaceutical Quality (dX-PQ) PSS - Jira (hl7.org) - indicated we want to be an interested party since previous PQ/CMC project affected the Medication resource

External Meeting Review

Catalog Updates (John Hatem)

• 09 Jan 2023 no meeting last week

Workflow Update (John Hatem)

• 09 Jan 2023 - no pharmacy impact due to latest meeting

Healthcare Product Update (John Hatem)

• 09 Jan 2023 - discussed BiologicallyDerivedProduct dispensing - John asserted they should create their own dispense/supply resources and not reuse Pharmacy resources. Nutrition trackers were also discussed and the distinction between Vitamin products being ordered was noted my me to be different than being able to document what vitamin substance was in a food product.  

EHR conformant reconciled medication list (cRML) (Scott Robertson / John Hatem / Jimmy Tcheng)

• 19 Dec 2022 - John H met with Jimmy T to discuss project proposal process.  
  • There looks like there will be two Projects - one to create a Functional EHR specification for the Medication Reconciliation list and a second one may involve a FHIR IG to specify the resources and elements required to support an EHR Medication Reconciliation List.
  • The work is focused on the outpatient setting where patients and clinicians are using the MRL
• 09 Jan 2023 - There was a meeting on January 4, 2023.  They meet 1st Wednesday of each month at 5pm Eastern.

Potential Drug-Drug Interaction (PDDI) CDS IG

• 19 Dec 2022 - No one from Pharmacy attended.  Melva to check email and followup if meetings are still planned
• 09 Jan 2023  - they balloted and are moving forward

NCPDP Updates (NCPDP Members)

Projects

Pharmacist Consult Note (Scott)

• 12 Dec 2022 - Scott has final version and version with revision markers
  • believe all reconciled comments have been voted on 
  • followup with Scott
• 19 Dec 2022 - Reconciliation spreadsheet has been posted.  Next step is the publication request.
• 09 Jan 2023 - Publication Request will be soon

Pharmacy Templates

• 09 Jan 2023 - Need to sync up with Giorgio at WGM if he is attending.  John did have an email exchange with Giorgio prior to the holidays.  No scheduled follow up activities at this time. 

Specialty Medication Enrolment IG

• 28 Nov 2022 - Jean Duteau will be scheduling calls:
  • Reconciliation calls to be held for the Specialty Medication Enrollment STU2 ballot
    • Thurs Dec 1 at 12 ET
    • Thurs Dec 15
    • Thurs Dec 22 (If required)
  • IG available at https://build.fhir.org/ig/HL7/fhir-specialty-rx/index.html
  • Comments at https://jira.hl7.org/issues/?filter=19560 
• 12 Dec 2022 - had public reconciliation call - made it through 14 of 16 comments
  • 2 remaining still under review - expect to be completed this week
  • reached out to Ioana on one final one
  • aim to resolve last couple on Thursday - block vote to be presented next week
  • will likely cancel Dec 22nd meeting - not in calendar
• 09 Jan 2023  - block vote after the WGM

Trackers - Pharmacy Tracker Dashboard (see trackers for details / resolutions)

• FHIR-39319 - Getting issue details... STATUS  
  
  • discussion tended to not agree with Rik, but the description for Dosage.text needs to be clarified.  Persuasive with Modification.  
  • considerable discussion on what the appropriate description is, what is the intent of Dosage.text
  • an interim definition included in comment, although we are not in full agreement 
  • 12 Dec 2022 - John and Melva to work on wording and present at upcoming meeting
• Conditional dose extension - needs to be more prominent - add a tracker (Melva) - added 
• 09 Jan 2023 

Any Other Business

• discussion on MedicationAdministration.performer.device.  who set the parameters, when set, when changed.
  • Stephen will follow up with Orders
    • still to be done
• ONC HITAC voted for 2023 to create Pharmacy Interoperability Task Force - stay tuned for more information
  • https://www.healthit.gov/sites/default/files/facas/2022-11-10_HITAC_2023_Planning.pdf

Next meeting:

• 30 Jan 2023