Attendees

Agenda Items and Notes

NCPDP Updates

• Specialty Medication Prescribing PSS update - Specialty Medications
  • June 22, 2020
    • OVERVIEW of IG
      • focuses on getting information related to a patient/prescription prior to dispensing a specialty medication
      • Looked at daVinci CDex Implementation Guide
      • Solicited request
        • pharmacy receives a prescription (electronically) 
        • upon receipt - need more information to fulfill the prescription
        • create request bundle using Communication/CommunicationRequest
          • query for one or more of Condition, MedicationStatement, AllergyIntolerance, Observation (vital signs), Coverage
            • this should be MedicationRequest and not MedicationStatement
        • CDex is looking at changing from Communication/CommunicationRequest to Task -
          • decision will be made this summer
      • Responder will send back a bundle with information requested
      • Pharmacy may have more in depth questions - may leverage Questionnaire for follow on information
      • Patient matching - Looking for information on best practices
        • CDex doesn't talk about patient matching
        • Looking at 2 options
      • There are some constraints on US Core
      • Plan to ballot in September cycle - need to get the NIB submitted
        • also means needs to be substantively complete by July 5th
        • Frank to reach out to Melva about getting the NIB submitted
  • June 15, 2020
    • overview of IG on next week's call
• Standardized Medication List - Standardized Medication Profile
  • June 22, 2020 - no discussion 
  • 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
• New NCPDP Projects
  • Standardized Medication Profile FHIR IG
    • no update
  • MTM CCDA IG - create FHIR IG
    • June 22, 2020 - no discussion  
    • 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 

US Core

• review change to errata request FHIR#25035
  • FHIR-25035 - when recording "self-prescribed" medications SHALL include requester - concern that you wouldn't always know this for self-prescribed medications
    • proposed changing from SHALL to SHOULD
      • if don't know, then wouldn't provide it
      • this only applies to "self-prescribed" medications and not actual orders
    • Need the blessing of the Pharmacy
    • Motion:  Melva Peters - Brett Marquard - Pharmacy endorses this change 9-0-0 Carried
    • Will now go to Cross Group Projects

Projects

• Real Time Pharmacy Benefit Check

  • June 22, 2020
    • Publication Request is complete - Consumer-facing Real time Pharmacy Benefit Check Publication Request
      • IG is complete - with no errors and warnings
      • all reconcilations have been applied
      • Motion by Frank - seconded by Pooja to accept Publication Request - Carried 9-0-0
      • Melva will forward Publication Request to the TSC for approval
  • 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)

• Medication List Guidance
  • June 22, 2020 - no discussion
  • June 15, 2020
    • Overview of the project
    • Encourage input
      • attend calls on Thursday at 4pm Eastern 
        • http://www.hl7.org/concalls/CallDetails.aspx?concall=49549
      • or review material and email Pharmacy list or add comments to Confluence pages Patient Medication List Guidance

FHIR

Trackers - link to pharmacy unresolved Jira trackers 

• See JIRA
  • FHIR-26594 - updated with use case from Netherlands

AOB

Next meeting

• June 29th
  • September WGM Planning
    • looking for topics

Previous Items

Catalogue Project

• June 15, 2020
  • http://build.fhir.org/ig/HL7/fhir-order-catalog/branches/master/index.html 
  • Status of use cases - has been forwarded
  • Still working on lab use cases

Updates from Workflow

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

Healthcare Product

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

Action Items

• Melva Petersto forward Publication Request to TSC for approval for RTPBC
• Frank McKinney to reach out to Melva re: NIB for Specialty Medication Ballot for September cycle
• Brett Marquard to reach out to Melva re: NIB for US Meds update