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Dial-in Number

Web session


Melva Peters (Chair)

HL7 Canada/Jenaker Consulting

Becky Costello


Dion McMurtrieCSIRO
Bapi Behera
Danielle BancroftFRED IT
Frank McKinneyPOCP
Patrice KuppeSurescripts
Pooja BabbrahPOCP
Steve SaillardEpic
Peter SergentHL7 New Zealand
John Hatem
Scott RobertsonKaiser Permanente
Maggie BuchingerSurescripts
Daniel ZhangEpic

Agenda Items and Notes

Outstanding Action Item List

Out of Cycle Meeting - Joint ISO/Pharmacy

  • 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 propose some specific topics
  • February 17, 2020
    • no response from Christian - propose we close this item

Catalogue Project

  • January 20, 2020

    • primary focus is on lab at this time

    • Reviewed Catalog FHIR IG on Jan 17 conference call

      • There will be areas in the Catalog IG that Pharmacy will contribute to
      • Suggest setting up a time to have Catalog meet with Pharmacy on one of our conference calls
    • Discussing a For Comment ballot of this IG, possibly in May, 2020
  • February 17, 2020
    • meeting held last Friday - still working on FHIR catalogue IG
      • universal 
      • primarily lab focused for first version but some use cases for medication
      • not sure if will be balloted in May or September
      • need to ensure use cases that are not lab are called out
      • profile on composition and activitydefinition or plandefinition
      • catalogueentry - John will look to see the status of that resource
        • not being used - 

Updates from Workflow

  • January 20, 2020
    • dealing with tracker items. 
    • Workflow is cancelling the WGM workflow meeting
    • There were no discussions on today's Workflow call
    • Workflow meetings will be cancelled for Jan 27, Feb 3 and Feb 10
    • Next Workflow Meeting is Feb 17, 2020
  • February 17, 2020
    • no meeting

Healthcare Product

  • January 20, 2020
    • based in O&O with many groups participating
    • Early work set boundaries
    • updating definitions to defining when different resources should be used
      • establishing "patterns" 
    • Last meeting was on Dec 16th from my minutes.  During the meeting the following topics were discussed: 
      • Blood Administration and how to model it: the suggestions were to either create a new resource or to use a profile on Procedure or Medication Administration
        • Meeting to be setup with OO, RX and PC to discuss this topic
      • Another discussion was whether we should create a "pattern" and assure that similar resources are all modelling the same type of requirements the same way
      • Last topic discussed was how to update documentation to guide users of the FHIR resources when to use Device, Device Definition and Medication - specifically for a pharmacy use case, where the device may include a medication. 
    • Meeting on January 20 - 
  • February 17, 2020
    • no meeting

NCPDP Updates

  • Pharmacist eCarePlan
  • Specialty Prescribing PSS update
    • need to be able to send associated clinical information
    • reviewed spreadsheet with clinical information needed
    • question if this should live in (be sponsored by) Pharmacy, Orders (since these are a lot of observations), or even PatientCare
      • needs discussion with all co-chairs
    • targeting for Sept ballot
      • need to update diagrams to describe interaction flow and what the third party application is
      • add words to describe the interaction and the players
      • remove FHIR resources - as no new ones are being created
    • Motion to approve PSS pending updates to diagram and adding words to describe interaction and players; give example scenarios; and to remove FHIR resources - Scott - Pooja - 12-0-0

V2-FHIR Mapping

  • January 20, 2020 - 
  • January 13, 2020 - Review is still in-progress
  • February 17, 2020
    • no discussion

Sydney WGM

  • recap
    • 260 attendees
    • 160 connectathon
    • good meeting for pharmacy - lots of good discussion
    • didn't have to cancel any quarters except one where we had a joint
    • attendance for pharmacy was good
    • good to hear new use cases from Australia and NZ
      • AU
        • push on e-prescribing but also other use cases
        • a number of FHIR IGs under development 
        • Danielle and Dion will try to tie international work to Australia work
        • connectathon helpful - a lot of vendors in Australia - keen to get involved but not involved yet
          • open learning opportunity
      • NZ
        • had 2 people who attended the connectathon - tremendous leg up on doing medication requests in FHIR
        • vendors are often in AU and NZ
        • helpful
        • learned alot


  • Real Time Pharmacy Benefit Check -
    • January 20, 2020 
      • in ballot, responding to issues 
    • January 13, 2020 - no update
    • February 17, 2020 - Ballot Reconciliation
      • went through balloting in January cycle
      • are working on triaging comments
      • Pharmacy will help with disposition of the comments - for example, persuasive, persuasive with mod, etc.
      • range of comments - typos, mistakes in bindings (technical) to broader topics (use of US Core, use of NCPDP terminologies, questions of content of consumer vs provider RTPBC)
      • questions about needing to be a member to use code systems
        • how should this be handled - may need to make comments not persuasive
          • bring up with FHIR Accelerators
          • can make example codes available
          • should add documentation on how to take advantage of NCPDP codes
        • use of US Core
          • there are differences in intent - searches, must support - that don't seem to apply
          • didn't base profiles on US Core - under discussion with US Core
          • will need to get exceptions to some of the US Core requirements
          • under discussion with USRSC
        • differences between NCPDP transactions - CARIN chose not to include - 
        • graphdefinition - send email to Jean Duteau or post on Zulip

Medication List

  • Medication List
  • Use of MedicationStatement/Usage
  • January 20, 2020 - limited progress
  • February 17, 2020
    • determine if we need separate project calls to continue the work
      • need to timebox and allocating time to call
      • discuss with Pharmacy co-chairs

DaVinci PDeX Formulary Project

  • January 13, 2020 - Email sent to Saul and Dave telling them they can make this change without balloting
    • Need to double-check that TSC approved the publication request
  • 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
      • Lloyd - yes this change can be made without ballot
    • still follow up items
      • other issues
      • publication request
  • February 17, 2020
    • no discussion


Trackers - link to pharmacy unresolved Jira trackers 

Next meeting

  • February 24, 2020 at 4pm Eastern
    • VA Project - TBC
    • Pharmacist care plan - publication request
    • RTPBC Ballot reconciliation
    • Dietary Supplements - Becky Costello - TBC

Action Items

  • Melva Petersto forward Specialty Medication PSS to FMG once it has been updated