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    Meeting ID: 323 199 8494
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Web session


Melva Peters (Chair)Jenaker Consulting
Peter SergentHL7 New Zealand
John Hatem
Margaret WeikerNCPDP
Tim McNeilSurescripts
Scott RobertsonKaiser Permanente
Poojah BabbrahPOCP
Jean DuteauDuteau Design

Agenda Items and Notes

Catalogue Project

  • June 15, 2020
  • June 8, 2020
  • May 11, 2020
    • meeting last Friday - planning for Connectathon
  • May 4, 2020
    • Proposed Use Cases - John will share with the Catalog Project - will discuss on our call next week.

      • A health care organization maintains its medication formulary to support prescribing, dispensing and medication administration and shares it internally in applications
      • A health care organization or government organization maintains its medication formulary and shares it externally with patients and care givers to allow them to know what medications are covered and not covered for their plan
      • A health care organization or government organization maintains its medication formulary and allows a patient or their care giver to retrieve a catalogue of medications are covered for their plan
      • A vendor maintains clinical drug knowledge and shares it to organizations to support the retrieval of drug information by health care practitioners
      • A vendor maintains drug knowledge and shares it online to support the retrieval of drug information by patients and consumers
      • An organization maintains a standardized medication terminology for all medications licensed for use within a jurisdiction to support prescribing, dispensing and administration of medications by health care professionals and consumption of medications by patients

Updates from Workflow

  • June 15, 2020
    • This week's call cancelled 

Healthcare Product

  • June 15, 2020
    • working on tracker items not related to Pharmacy

NCPDP Updates

  • Specialty Medication Prescribing PSS update - Specialty Medications
    • June 15, 2020
      • overview of IG on next week's call
    • June 8, 2020
      • participated in the Connectathon in May
      • not as much turn out as would have hoped
      • general workflow discussion that will be included
      • found people that will participate
      • IG under development
      • Plan for next week to do a review of the IG
      • NCPDP task group meeting tomorrow
        • will be discussing code systems
          • will lean toward SNOMED-CT for allergies and ICD-10 for diagnosis/condition
            • if payment is linked - will need to be coded - claim.diagnosis - binds to ICD-10
            • US Core - allows ICD-9, ICD-10 and SNOMED-CT
  • Standardized Medication List - Standardized Medication Profile
    • June 15, 2020
      • group is having a hard time getting participation 
      • White paper may be abandoned - NCPDP to make a decision
      • may move forward with creating a FHIR IG - no update
    • June 8, 2020
      • group at NCPDP is meeting sporadically
      • have engaged the Research Triangle Institute who did the original study 
      • Will finish the White Paper - 
        • needs to be balloted at HL7
        • Shelly to work on new projected dates - January 2021 balloting
      • Next steps - there will be a FHIR IG created
        • will need a new project to move forward
  • New NCPDP Projects
    • Standardized Medication Profile FHIR IG
      • no update
    • MTM CCDA IG - create FHIR IG
      • no update
      • may be a higher priority than other projects
      • implementations using this that want to move to CCDA
      • draft PSS created, but lots to do before this moves forward - Scott to followup 


  • Real Time Pharmacy Benefit Check

    • June 15, 2020 - update via Email from Frank
      • US Core usage
        • The Cross Group Projects WG discussed our US Core exception tickets and approved them with the following adjustment:
          • dosageInstruction in the MedicationRequest resource (the ‘prescription’ in the RTPBC request) will be changed to Must Support, with the following definitions:
            • Client: Should use the information when determining days supply
            • Responder: May use the information when determining its response
          • I’ve made the changes to the IG and will be moving to the build site soon
      •  NDC11
        • We are now referencing the NDC in the guide using the correct URL and our profiles, examples are okay
        • (The guidance will probably get better in the future, but HL7 doesn’t have it yet)
      • Other terminology stuff that FM is working on…

        • Got permission from FM to move forward as-is (without changing to the approach that’s being defined)

    • June 8, 2020
      • FHIR IG has been updated based on ballot comments and accepted dispositions
      • has been out for review for the last week or 2
      • final items that need to be completed have to do with US Core and binding to NDC-11
        • NDC
          • have had calls with Vocab and HTA
          • need to determine code system URL
            • will point at existing NDA codesystem
        • US Core - met with Cross Project WG
          • patient profile variance accepted
          • MedicationRequest profile - variances
            • absence in IG of dosage instruction element 
              • information needed is part of dispenseRequest
            • authoredOn - may be approximate
            • hope to reach a conclusion by next CGP call on Thursday
            • encounter - is must support in US Core
      • Ballot Reconciliation Spreadsheet
        • some issues with export of ballot comments - Melva will look at the issue
      • 1 build error that needs to be resolved - Grahame reviewing
      • Will start the publication request
        • Melva to create and send Frank the link
      • Frank to send the link to the Pharmacy List Serve - and ask for the review
  • Medication List Guidance
    • June 15, 2020
    • June 8, 2020
    • Previous discussion
      • Scheduling calls to work on - May 7 and May 14 - 5-7pm Eastern
        • will work on the pages - 
        • Check HL7 Conference Center for details
      • Confluence Pages: Patient Medication List Guidance
        • Melva reviewed the context page
        • will be starting to put some words around the content
        • Danielle will help with content
        • Melva to start FHIR IG Proposal
      • Universal need for doing e-prescribing over FHIR
      • focus on use cases for e-prescribing IG - have an plan to create an IG
        • there are some AU requirements from e-prescribing - that can feed in to next project
      • FHIR IG Proposal has been approved
      • Medication list FHIR IG approved


Trackers - link to pharmacy unresolved Jira trackers 

  • See JIRA


  • September WGM Planning
    • looking for topics

Next meeting

  • June 22nd
    • Specialty Medication IG Overview -  30 minutes

Action Items