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Date

 

Chair
StatusComplete
CommentsScribe Scott M. Robertson

Dial-in Number

Web session

Attendees

NameOrganization

John Hatem (Chair)

Independent Consultant

Kaiser Permanente

Surescripts
Cerner
NCPDP




972-955-1196not sure if this is a listed attendee
240-221-2086not sure if this is a listed attendee


Agenda Items and Notes

Outstanding Action Item List

Catalogue Project

  • no updates - no meeting last week

Updates from Workflow

  • no updates - no meeting last week

Healthcare Product

  • discussion to eliminate Substance as a resource 
    • current thinking is that they will not eliminate this resource
    • there will be a call to discuss in the future
    • John will send out information when the call is scheduled
  • August 19, 2019 - no updates this week, 

NCPDP Updates

  • Pharmacist Care Plan - being ballot - CDA and FHIR IG
    • will be undergoing ballot at NCPDP in August
  • Formulary and Benefit - da Vinci
    • Ballot has closed
  • Joint project - Standardized Medication Profile
    • Task Group at NCPDP working on it
    • Scott will find out more information this week
    • Melva is interested in finding out how we are working together on this project with NCPDP
    • NCPDP has completed their analysis - 
      • will send to NCPDP and HL7 Pharmacy list
  • Real Time Benefit Check - using the NCPDP format - has been approved for ballot - xml format and telecom format
    • different from da Vinci and Carin - different technologies
    • focuses on provider and payer
  • Jean will schedule a call to do our analysis - done on August 19, 2019, also to NCPDP task group

WGM Planning

  • FHIR trackers
  • Medication List IG - 2 quarters
  • John will not be available Monday Q3 and Q4
  • Work on QA for our resources with intent to move to Normative
  • Melva Petersto send out request for agenda topics to pharmacy list and Zulip

Projects

  • Real Time Benefit Check - Pooja
    • mapping of data elements
    • NCPDP is working on the B2B transaction
    • trying to mirror on patient facing side as closely as possible to those fields
    • Have started to do the mapping between NCPDP transaction and FHIR resources
    • Meeting with FM to make sure have what is needed on response side
      • Request from EHR from their system to payer PBM - payer id, BIN #, date, etc
      • There are some elements that are part of the MedicationRequest or Dispense 
    • Working on this over next couple of weeks
    • Looking to see if they can get a track at Connectathon - have reached out to a mobile app vendor
    • Balloting - target is January
  • Melva Peters to confirm PSS has been approved and forward to the TSC
  • August 19, 2019
    • TSC discussion today - concerns about having NCPDP content in HL7/CARIN project
      • Margaret Weiker - NCPDP has discussed with CARIN.  NCPDP is satisfied that the IG will reference NCPDP documents

Pharmacy Templates

  • July 8, 2019: Melva to reach out to Kai - complete
    • Forwarded Kai the ballot reconciliation spreadsheet - he will work on the updates
  • August 4, 2019
    • Kai to produce final version
  • August 12, 2019 - no update
    • Melva has emailed Kai to get an update
  • August 19, 2019
    • Melva has been in contact with Kai.  Will get update on next call

Outstanding Action Item List

Active Medication List

  • Discussion/Collaboration page - Active Medication List
  • US Meds needs to be updated for R4  
    • June 24, 2019 - not discussed 
  • Do we need multiple Ids - US Realm vs others?  
    • June 24, 2019 - not discussed
  • Will join in a few weeks to discuss
  • August 5, 2019 - IG Planning and Contexts for Medication Lists
    • Contexts for Medication List
      • Medications that the patient says they are taking (NZ) - statements - includes OTCs and herbal remedies
      • Meds reconciliation on admission - matching on what national system says they are on vs what the patient says they are on
        • National system includes everything that has been dispensed in the country
        • Dispensed and prescribed (not dispensed)
          • do not include OTCs and herbals
          • if an OTC is on a script, then it is on a dispense
      • Discharge medications - from inpatient setting
        • would write new orders for all medications they want the patients to stay on
      • Status specific contexts for Medication Lists
        • Orders that are active for a patient
        • Orders that have been discontinued, stopped or on hold
      • All dispensed medications for a patient - included all status
      • Medication Profile
        • Orders with associated dispenses
        • Over the counter meds 
        • Statements about medication use
      • Query for use of a particular medication use by a patient - would potentially look at all types of records
      • Query based on drug classification
    • May need to consider confidentiality codes
    • IG
      • section on use cases
      • For each use case - types of use cases and query parameters
      • General guidance section
      • Context/uses
        • explain how to use existing resources
        • not likely terminology
      • Query parameters
    • Jean to start a draft an IG
      • we may have to create some draft profiles to include 
    • Will use Confluence to start capturing material
      • John Hatem will start to capture material that can be used

US Meds Approach Discussion (Brett)

FHIR

Gforge Trackers - Link to Gforge Tracker

Triaged Trackers

  • #22148 - MedicationDispense.performer.actor
    • CareTeam doesn't fit (80/20) into the current actor roles
    • but does point out that the person counseling the patient should be able to be recorded
    • will wait until John H is available as this originates from Workflow
    •  waiting for a response from Lloyd
  • #19913 - Valueset for Dosage.method

    • This issue is related to the Zulip chat related to "infusions".  Once we have improved the value set to support "IV Push" and "IV Bolus", it should be possible to query for all medications who have a route of Intravenous, and exclude in the query those medications who have a method of IV Push or IV Bolus.
    • See Pharmacy List Topic where this same issue is discussed.   
    • Melva to reach out to Julie about how we can pick specific codes from the hierarchy
  • #19365 - Definition for Medication List 

  • #16095 - Medication Knowledge Resource 
  • #15509 - Example Scenarios for Pharmacy
  • #15136 - Conditional Dosages
    • Reach out to CDS to see if they have done any work in this space
    • Melva Peters Create examples from Oncology, NCPDP and GF19694

Waiting for Input

  • #22933 - Make MedicationStatement Status extensible

    • Melva to reach out to requester for more information
    • Status now Waiting for Input
  • #20184 - binding for site in Dosage
  • #17222  this tracker is about the assessment of whether Medication Request resource could support anesthesia gas orders.  We did receive a document from Anesthesia and will follow up with them about their use cases.  

    • John Hatem will follow up with anesthesia regarding pharmacy feedback and to assess next steps
  • #20673 MedAdmin category CodeableConcept
    • reach out to John Silva with a time limit for response - otherwise we will close
    • Status now Waiting for Input

Any Other Business

Next meeting

  • August 26, 2019 - 4pm Eastern
    • Agenda Items