Attendees

Agenda Items and Notes

Catalogue Project

• Implementation Guide being developed - structure in FHIR to build formularies
  • a lot of work has been done for laboratory use cases
  • want to add in pharmacy content
• Francois provided the following background
  • Order-Catalog FHIR IG
    • single FHIR IG for order catalogs of any kins of health artifacts - services, products, knowledge
    • Project Insight 1010
    • FHIR IG Proposal:  https://confluence.hl7.org/display/FHIR/Order+Catalog+FHIR+IG+Proposal - has been approved by FMG
    • Current build of IG: http://build.fhir.org/ig/HL7/fhir-order-catalog/branches/master/index.html 
    • List Serve: ordercatalog@lists.hl7.org 
    • 4 kinds of content envisioned so far
    • plan to ballot next August - may just be lab content
    • Using Composition - either full composition with entries that reference the items or just the header 
    • Medication content is 
      • profile on MedicationKnowledge
    • Asking Pharmacy WG:
      • when to start working on medication content?
      • who might be interested?
      • PHAST wants to distribute its drug metathesaurus for the French market (recipients are French hospitals, but also working with vendors of EHR and pharmacy systems) using the order-catalog FHIR IG
        • motivated to work directly on the current build rather than R4
        • will trigger some trackers on MedicationKnowledge (one already approved)
        • provides coded vocabularies to enable e-prescription and e-dispense in hospitals - focusing on clinical informations - includes branded medications as well as generic medications (virtual)
      • Other stakeholders?
        • da Vinci project - probably focused on consumers
        • RTPBC - 
        • NCPDP Formulary and Benefits Standard 
    • Pharmacy should own the use cases for the medication related content
      • could consider creating our own project for Pharmacy to work on this
      • need to check requirements from existing projects - to define requirements
      • define boundaries and scopes - 
      • Should separate out medication related from current IG - included use cases only for the August ballot
        • remainder of content will go into next release
  • 20200323_Pharmacy_WG_catalogs.pptx

Updates from Workflow

• dealing with product mappings to FHIR - documentation into FHIR space 
• May produce some examples

Healthcare Product

• no updates

NCPDP Updates

• Specialty Medication Prescribing PSS update - Specialty Medications
  • approved by HL7
  • have started with outline in FHIR IG
  • concurrently working on introduction text
  • need to get FHIR IG Proposal approved
• Standardized Medication List - Standardized Medication Profile
  • just started to meet

V2-FHIR Mapping

• Scott and Jean are working on pharmacy aspects, as time permits.
• John is looking at mapping for blood information
• Anyone can view and comment on the 2-to-FHIR mapping work. 
  • The work that is complete and "ready to publish" is available at https://build.fhir.org/ig/HL7/v2-to-fhir/
    • each page has a comment section at the bottom of the page.
  • The development work is Google sheets.  These are ported to Github for the FHIR build process
    • Mapping Worksheets is the "master index" of the mapping spreadsheets. 
      • tabs for Data Types, Segments/Fields, Messages, v2 Sample Messages, Code System Mapping, Profiles, and Tasks. 
      • Each tab is a list of the mapping sheets, with status and link to each mapping sheet.
    • when in a mapping sheet, right-click on a cell and select Make a Comment
      • your comment will be from "anonymous" unless you have a Google account.
• anyone interested in helping with the mapping - please checkout 2-To-FHIR Project (the project confluence page), in particular:
  • ListServ: v2-to-fhir@lists.hl7.org
  • Zulip: https://chat.fhir.org/#narrow/stream/179188-v2-to.20FHIR
  • Conference Call Schedule: http://www.hl7.org/concalls/Default.aspx?ref=nav.
    • Every week, Monday 1 - 2 PM ET AND Tuesday 11 AM - 12 PM ET

Projects

• Real Time Pharmacy Benefit Check -
  • for 3/23/2020 ballot comment resolution - these items have been reviewed on ballot reconciliation call
    • Motion to approve the disposition for items in Block Vote 1 - Scott - Frank - 15-0-0
    • Frank will send out next block vote for next week

   Getting issues...

• Medication List Guidance
  • 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

Trackers - link to pharmacy unresolved Jira trackers 

• FHIR-26563
  
  • in principle, agree that we could add a reference, but need to do more analysis on how we would handle the requirements
    • bigger picture of relationships
    • continue to discuss

AOB

• None

Next meeting

• March 30, 2020 at 4pm Eastern

Action Items

• Pharmacy WG will review and update use cases for Catalog project
• Notify Francois when we schedule Catalog discussion - he will join
• need FHIR IG Proposal approved - for Specialty Medication Prescribing PSS Melva Peters
• need FHIR IG Proposal approved - for Medication List Melva Peters