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ChairMelva Peters

Dial-in Number

Web session


Melva Peters (Chair)

HL7 Canada/Jenaker Consulting

Becky Costello


Margaret WeikerNCPDP
ElizabethWolters Kluwer
Peter SergentHL7 New Zealand
Shelly SpiroPharmacy HIT
Gary Schoettmer


Jean DuteauDuteau Design
Tim McNeilSurescripts
Pooja BabbrahPOCP
Hugh Janus
Scott RobertsonKaiser Permanente
Frank McKinney

Agenda Items and Notes

Outstanding Action Item List

Out of Cycle Meeting - Joint ISO/Pharmacy

  • Melva provided some background on joint meetings in the past
  • March 30 - April 3 - Washington
  • Ask Christian if it could be done as a video conference instead of F2F
  • Ask about specific agenda topics
  • Scott will be in attendance because he is in attendance for ISO meeting
  • Will proposed some specific topics

Catalogue Project

  • January 6, 2020 - no update

Updates from Workflow

  • January 6, 2020 - no update

Healthcare Product

  • January 6, 2020 - no update

NCPDP Updates

  • January 6, 2020
    • Pharmacist e-Care Plan - Shelly
      • planning for Normative publication
      • will be presenting to Pharmacy once published - Zabrina and Rick
      • will send publication request

V2-FHIR Mapping

  • January 6, 2020 - 
    • Scott has started the review
    • Will continue work 

Sydney WGM

  • draft agenda posted
  • looking for agenda topics


  • Real Time Pharmacy Benefit Check -
    • January 6, 2020 - ballot has opened

Medication List

DaVinci PDeX Formulary Project

  • January 6, 2020
    • URI associated with fields within complex extensions - change to current pre-publication
    • Here is how an extension looks in the current IC build:

You have to follow the link to see the definition of, for example, usdf-DrugTierID-extension, which is a first-class extension.

Here is how it could look:  Everything is in-line, and the urls of the extension fields are humane and short (drugTierID instead of   I think it is a significant improvement.   It eliminated 7 of 20 (trivial) extensions from the extension table.

  • Discussion - would have to do a re-build of the IG publication
    • new IG changes the URLs of the extensions - anyone who has implemented would need to make a change to their implementation
    • would need to let implementers know
    • Jean will reach out to Lloyd to see about the rules for this type of change


Trackers - link to pharmacy unresolved Jira trackers 

Key Summary T Created Updated Assignee Reporter P Status

Triaged Trackers

FHIR-25295 - Getting issue details... STATUS

  • see vote in JIRA

FHIR-24937 - Getting issue details... STATUS

  • most are documenting in some way 
  • not sure if Epic and Cerner support this functionality
  • Have tagged Epic and Cerner in Zulip chat for feedback.
  • November 18, 2019
    • response from Danielle - currently a "waste" dispense type.  
    • different situations for insulin or morphine.  
    • need to define some use cases
    • ran out of time, continue on next call
  • January 6, 2020
    • no way to support the requirement
    • would be an extension
    • see vote in JIRA

FHIR-24700 - Getting issue details... STATUS

  • Melva to followup with Grahame

FHIR-24690 - Getting issue details... STATUS

  • Jean and Melva will review to see what was being asked for

FHIR-24651 - Getting issue details... STATUS

FHIR-24101 - Getting issue details... STATUS

FHIR-24100 - Getting issue details... STATUS

FHIR-24099 - Getting issue details... STATUS

FHIR-24098 - Getting issue details... STATUS

FHIR-24097 - Getting issue details... STATUS

FHIR-24096 - Getting issue details... STATUS

FHIR-24095 - Getting issue details... STATUS

FHIR-24091 - Getting issue details... STATUS

  • approved 2019-01-06 see JIRA

FHIR-20184 - Getting issue details... STATUS  

  • Melva Petersto look for better hierarchy in SCT
  • November 18, 2019
    • found after call:  Julie James provided feedback on SCT

FHIR-19913 - Getting issue details... STATUS  

  • 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
  • November 18, 2019
    • found after call:  Julie did respond

FHIR-16095 - Getting issue details... STATUS   

FHIR-15509 - Getting issue details... STATUS  

FHIR-15136 - Getting issue details... STATUS

  • Reach out to CDS to see if they have done any work in this space
  • Melva Peters Create examples from Oncology, NCPDP and #19694

Waiting for Input

FHIR-22933 - Getting issue details... STATUS   

  • Melva to reach out to requester for more information
  • Status now Waiting for Input

FHIR-17222 - Getting issue details... STATUS  

  • 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
  • November 18, 2019
    • no response to date from Anesthesia WG.  

FHIR-24831 - Getting issue details... STATUS   

  • discuss when Jean is on the call
  • November 18, 2019
    • came up during last connectathon.  the is a use case.  add to resource or as an extension
    • considering MedicationKnowledge.patientcharacteristic ...  but the point of this element is for dosing/indication.  still could work
    • tracker updated, notification to Vince McCauley

FHIR-20673 - Getting issue details... STATUS

FHIR-22933 - Getting issue details... STATUS

Any Other Business

  • None

Next meeting

  • January 13, 2020

Action Items

  • Ask Christian if it could be done as a video conference instead of F2F for ISO meeting Melva Peters
  • Ask about specific agenda topics - for ISO meeting Melva Peters
  • PSS for Medication List Melva Peters
  • Jean will reach out to Lloyd to see about the rules for this type of change - Formulary Project Jean Duteau