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Date

 

Chair
StatusProposed
Comments

Dial-in Number

  • Dial by your location
    +1 312 626 6799 US (Chicago)
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    +1 301 715 8592 US
    Meeting ID: 323 199 8494
    Find your local number: https://zoom.us/u/aLIcTlITh

Web session

Attendees

NameOrganization
John Hatem (Chair)Independent Consultant


Agenda Items and Notes

Minutes

Catalog Updates (John Hatem)

  • October 26, 2020
  • October 19, 2020
    • working on ballot reconciliation
  • October 5, 2020 - Discussion with Catalogue Project Team
    • 20201005_Pharmacy_WG_catalogs.pptx
    • FHIR IG Project
      • see slide deck for more information
      • Pharmacy is a co-sponsor for this project
      • Guidance for implementing catalogues
        • labaoratory services - PlanDefinition
        • drugs - MedicationKnowledge
        • devices - DeviceDefinition
        • Order sets - PlanDefinition
      • Balloted in September as STU - lab content only - passed
        • working on ballot reconciliation
      • Tested in last 2 connectathons on lab content
        • lab service is like a plan of activity - supported by PlanDefinition
          • also uses other resources - use PlanDefinition to connect these resources
      • so far, the scope has been for use by practitioners, may need to be updated when we start with medications
        • for lab it is practitioners
      • Next steps -
        • resolve ballot comments
        • specify other kinds of catalogues - use cases, specification, artifacts, examples
        • devices, medications, order sets
      • PHAST - Medication content 
        • Use Case 1 - Master catalog of medications for jurisdiction
          • all drugs that can be ordered within a country
          • catalogue provided to each organization - all applications can import into their own dictionary
        • Use Case 2 - Healthcare organization drug formulary
          • healthcare organization maintains its drug formulary and shares it to the applications used by practitioners
          • could also be from outside of the organization
        • Use Case 3 - Combination of use cases 1 and 2
          • synchronize the 2
        • MedicationKnowledge plus ClinicalUseIssue - seem to fulfill the 3 uses cases in terms of content
        • Question - will MedicationKnowledge and ClinicalUseIssue will be in R4B?
          • want current state
          • R4B will be a technical correction of R4 plus MedicationDefinition and Evidence Resources
            • will not include updates to MedicationKnowledge 
            • Should MedicationKnowledge be included in R4B?  
            • If there is urgency for this, suggest a tracker be created - separate issue for the 2 different resources
      • segmentation of formulary is a requirement
      • we have a patient perspective on the use cases
      • Pharmacy has worked on use cases - Melva will send the use cases to Francois
      • PDex - built to support ONC rules - allowing patient the capability to see what the drugs will be covered
      • there may be use cases coming out of Unicom
      • Next steps
        • consolidate use cases 
        • Will come back to Pharmacy once ballot reconciliation is complete for lab
  • September 14, 2020 - no meeting today
  • September 4, 2020 
    • Prep for upcoming Connectathon discussed
    • Confirmed attendance at upcoming Pharmacy WGM
    • Rob H shared he had a contact (no name mentioned) that was interested in working on a Medication catalog.  Rob did state he told them to reach out to Pharmacy for follow up. 
  • August 24, 2020 - no meeting
  • August 10, 2020 - no meeting

Workflow Update (John Hatem)

  • October 26, 2020
  • October 19, 2020
    • discussed contract

Healthcare Product Update (John Hatem)

  • October 26, 2020
  • October 19, 2020
    • discussion about identifier on Substance as well as new attribute "instance"
    • there may need to look at it for Medication, but not clear yet

NCPDP Updates (NCPDP Members)

  • Specialty Medication Prescribing PSS update - Specialty Medications
    • October 26, 2020
    • October 19, 2020
      • NIB needs to be submitted 
      • Melva will work on the draft with Maggie
    • October 5, 2020
      • Presentation http://build.fhir.org/ig/HL7/fhir-specialty-rx/branches/master/index.html
        • transaction to convey additional information
        • working to gather requirements
        • participated in connectathons
        • looking for additional implementer feedback
        • users of this guide - pharmacy systems involved in fulfilling a specialty prescription; a specialty hub; other party
        • data source system would be an EHR associated with system that generated the prescription
        • Using Messaging 
        • Next steps
          • Plans to submit to NCPDP to get feedback from stakeholders in November
          • will drive next steps 
          • NIB deadline for HL7 is November 1, 2020
          • will come back to Pharmacy WG on next weeks call
    • September 14, 2020
      • Connectathon last week
      • had pharmacies, EHR and hubs represented
      • didn't get as much technical feedback as was hoped
      • didn't have participation with a mock application or an actual implementation to validate
      • Balloting in January 2021 is to be determined
    • August 24, 2020
      • hoping to submit voting item for November voting cycle at NCPDP
      • hope to incorporate comments in January HL7 ballot
      • hope to bring to HL7 after Connectathon
      • need to bring content to Pharmacy WG for review
    • August 10, 2020
      • Implementation Guide - making progress
      • plan to participate in September Connectathon
      • schedule a review of IG when ready
    • August 3, 2020
      • no updates
    • July 27, 2020
      • have Connectathon track for September
  • Standardized Medication List - Standardized Medication Profile
    • October 26, 2020
    • October 19, 2020
      • Still working on white paper
      • Scott will look into it
    • October 5, 2020
      • no discussion
    • September 14, 2020  - no update
    • August 24, 2020
      • still writing the White Paper
      • you need to have an account 
      • will come back to Pharmacy after completing the White Paper
      • Action: need to determine plans for the project at HL7 with respect to ballot
    • August 10, 2020
      • meeting in August is cancelled
      • next meeting September 2
    • August 3, 2020
      • next meeting is August 19 - working on White Paper
    • July 27, 2020
      • next meeting will be in August
  • MTM - create FHIR IG
    • October 26, 2020
    • October 19, 2020
      • still on hold with NCPDP
    • October 5, 2020
      • no discussion
    • September 14, 2020
      • may do a project proposal but still to be determined
    • August 24, 2020
      • Scott to connect with Shelly about next steps for this 
      • PSS is not ready to be submitted  - Scott will work with NCPDP to complete
      • May ballot cycle at the earliest - won't likely make that time
    • August 10, 2020
      • draft PSS - Scott 
      • Scott will talk to group about expectation - Aug 23 deadline for approval for TSC - not enough time to get sponsor, co-sponsor, FMG, USRSC and Steering Division before this date.
    • August 3, 2020
      • outstanding to get PSS finished for MTM - Scott to reach out to Shelly
      • next task group meeting is August 27th
    • July 27, 2020
      • Scott to look at the status of the PSS
      • deadline for approval by WG is August 28th

DaVinci PDex Formulary Project

  • October 26, 2020 - Publication Request (if received from Dave)
  • October 19, 2020
    • Technical Correction Items (Dave Hill)
      • there are 4 Jira issues for discussion
      • in current IG - daVinci is capitalized and not capitalized
        • converted all to lower case to be consistent with other daVinci IGs
      • conversion to new FHIR IG template -
      • error in index page for search queries - spelling mistake to be fixed
      • Zip files - use of upper case "D" on daVinci
        • converted to lower case
    • Motion to approve the disposition of the 4 Jira Issues: FHIR-28361, 23127, 28362, 28494
      • Moved by Scott - seconded by Dave Hill - 10-0-0 Carried
    • Need approval from Pharmacy and then FMG and TSC
    • Will need to vote on a publication - Dave will create and then come back to Pharmacy

NHSN Inpatient Medication Administration Reports (FHIR IG) - Sarah Gaunt

  • October 26, 2020
  • October 19, 2020

Medication List guidance project

FHIR (Group)

Trackers - link to pharmacy unresolved Jira trackers 

  • Discussion of Medication instance

AOB

Next meeting

  • November 2, 2020 at 4pm Eastern
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