https://wiki.hl7.org/w/api.phpHL7Wiki - User contributions [en]2024-03-19T01:11:21ZUser contributionsMediaWiki 1.33.0https://wiki.hl7.org/w/index.php?title=OASIS_HAVE_2.0_Project&diff=162185OASIS HAVE 2.0 Project2018-10-04T18:08:31Z<p>Smrobertson: /* Project Documents */</p>
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'''This Page is a Work In Progress'''<br />
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Return to [[Main Page]]<br />
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==Project Information==<br />
<br />
A link to the [http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm Project Insight Searchable Database entry] will be added when the project is registered. In the mean time ...<br />
<br />
To jointly publish the OASIS Emergency Data Exchange Language (EDXL) Hospital AVailability Exchange(HAVE) Version 2.0 (EDXL-HAVE) standard, specifically including materials on how EDXL-HAVE can interoperate with HL7 standards<br />
<br />
*Project facilitator: [mailto:scott.m.robertson@kp.org Scott M Robertson]<br />
*Documents are primarily located at OASIS [https://www.oasis-open.org/committees/documents.php?wg_abbrev=emergency-have&show_descriptions=yes HAVE SC documents page]<br />
<br />
==Meeting Information==<br />
*Meetings are held by OASIS Emergency Management TC / HAVE SC. The meetings, calendar, and email list archive are available on the [https://www.oasis-open.org/committees/tc_home.php?wg_abbrev=emergency-have public access site for the OASIS EM HAV SC]<br />
<br />
==Status==<br />
*2017-07-09 Establishing the HL7 Project. Most of the work has already been done in the HAVE SC<br />
*2017-07-11 Approved by Patient Administration WG (sponsor)<br />
*2017-07-13 Approved by PHER WG (co-sponsor)<br />
*2017-07-20 Approved by Emergency Care WG (co-sponsor)<br />
*<br />
*NIB Submitted<br />
*TSC Approved<br />
<br />
==Issues/Hot Topics==<br />
*none<br />
<br />
==Project Documents==<br />
*Documents are primarily located at OASIS [https://www.oasis-open.org/apps/org/workgroup/emergency/documents.php?folder_id=w443 HAVE SC documents page]<br />
**OASIS document pending HL7 PSS approval: [[File:Edxl-have-v2.0-csprd03.doc]]<br />
<br />
*Draft PSS: [[File:OASIS HAVE PSS.docx]]<br />
*Publication request <br />
** file [[File:HL7_Publication_Request_OASIS-HL7 HAVE 2_0_20181001.docx]]<br />
** status : pending V2 Management Group<br />
<br />
<br />
[[Category:Active_Projects]] [[Category:OASIS]]</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=File:HL7_Publication_Request_OASIS-HL7_HAVE_2_0_20181001.docx&diff=162184File:HL7 Publication Request OASIS-HL7 HAVE 2 0 20181001.docx2018-10-04T18:07:04Z<p>Smrobertson: </p>
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<div></div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=OASIS_HAVE_2.0_Project&diff=162183OASIS HAVE 2.0 Project2018-10-04T18:06:36Z<p>Smrobertson: /* Project Documents */</p>
<hr />
<div><br />
'''This Page is a Work In Progress'''<br />
<br />
<br />
__TOC__<br />
<br />
Return to [[Main Page]]<br />
<br />
Return to [[Patient Administration]]<br />
<br />
==Project Information==<br />
<br />
A link to the [http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm Project Insight Searchable Database entry] will be added when the project is registered. In the mean time ...<br />
<br />
To jointly publish the OASIS Emergency Data Exchange Language (EDXL) Hospital AVailability Exchange(HAVE) Version 2.0 (EDXL-HAVE) standard, specifically including materials on how EDXL-HAVE can interoperate with HL7 standards<br />
<br />
*Project facilitator: [mailto:scott.m.robertson@kp.org Scott M Robertson]<br />
*Documents are primarily located at OASIS [https://www.oasis-open.org/committees/documents.php?wg_abbrev=emergency-have&show_descriptions=yes HAVE SC documents page]<br />
<br />
==Meeting Information==<br />
*Meetings are held by OASIS Emergency Management TC / HAVE SC. The meetings, calendar, and email list archive are available on the [https://www.oasis-open.org/committees/tc_home.php?wg_abbrev=emergency-have public access site for the OASIS EM HAV SC]<br />
<br />
==Status==<br />
*2017-07-09 Establishing the HL7 Project. Most of the work has already been done in the HAVE SC<br />
*2017-07-11 Approved by Patient Administration WG (sponsor)<br />
*2017-07-13 Approved by PHER WG (co-sponsor)<br />
*2017-07-20 Approved by Emergency Care WG (co-sponsor)<br />
*<br />
*NIB Submitted<br />
*TSC Approved<br />
<br />
==Issues/Hot Topics==<br />
*none<br />
<br />
==Project Documents==<br />
*Documents are primarily located at OASIS [https://www.oasis-open.org/apps/org/workgroup/emergency/documents.php?folder_id=w443 HAVE SC documents page]<br />
**OASIS document pending HL7 PSS approval: [[File:Edxl-have-v2.0-csprd03.doc]]<br />
<br />
*Draft PSS: [[File:OASIS HAVE PSS.docx]]<br />
*Publication request <br />
** file [[File:HL7_Publication_Request_OASIS-HL7 HAVE 2_0_20181001]]<br />
** status : pending V2 Management Group<br />
<br />
<br />
[[Category:Active_Projects]] [[Category:OASIS]]</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=File:Edxl-have-v2.0-csprd03.doc&diff=162182File:Edxl-have-v2.0-csprd03.doc2018-10-04T18:03:01Z<p>Smrobertson: HAVE v2.0 OASIS publication pending HL7 authorization</p>
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<div>HAVE v2.0 OASIS publication pending HL7 authorization</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-08-20_Rx_Conf_Call&diff=1600352018-08-20 Rx Conf Call2018-08-16T18:54:25Z<p>Smrobertson: first draft</p>
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'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Chair)<br />
* John Hatem (Scribe)<br />
* <br />
<br />
=Agenda Items and notes=<br />
<br />
== Patient Care WG - Patient/Practitioner Preferences==<br />
* Patient Care WG joining call<br />
<br />
==Pharmacy List topic==<br />
* I recently started researching HL7 because as a pharmacy, we have received several HL7 Data Sharing agreements from 3rd party vendors. I am trying to find out if the Segments/Components/Subcomponents are customizable and excludable from a data set. For example, could we exclude PID from transmission through the interface, yet allow other segments to transfer outside our organization?<br />
Action: Scott to respond<br />
* August 13, 2018: no discussion<br />
* August 20, 2018: responded, no reply<br />
<br />
==Use of Confluence==<br />
* further discussion after review done by Co-chairs<br />
* August 13, 2018: no discussion<br />
* August 20, 2018: see [[http://confluence.hl7.org/display/PHAR/Pharmacy]]<br />
<br />
==SNOMED on FHIR teleconference calls==<br />
* Every other Tuesday - June 23rd at 4pm Eastern<br />
* July 9, 2018: Peter Sergent attended recent call - 2 questions about MedAdmin<br />
**Is dosage going to be aligned with the complex type used in Medication Statement?<br />
**They are concerned that the reason was non administration is bound to different Snomed hierarchies<br />
** have discussed in the past - because MedAdmin is different - have previously discussed not to change<br />
** CodeableConcept - did not have a suggestion for what it should be bound to<br />
** next call is next week - Peter will ask what they think it should be bound to<br />
* July 30, 2018: accepted position on dosage<br />
** asked further on multiple hierarchy - referred to chat pages - Need to find out more<br />
** in allergy/adverse event work done in UK - value sets include multiple hierarchies - more of a global issue that should be posed to FHIR-I<br />
Action: Melva to [https://chat.fhir.org/#narrow/stream/9-committers/subject/Snomed.20on.20FHIR post question to Zulip] - complete<br />
* August 6, 2018: John Hatem to attend call tomorrow to discuss - John attended, suggestions about the terminology value sets on Medication Administration will be discussed on August 13, 2018 call. <br />
* August 13, 2018: no discussion<br />
<br />
==MedicationKnowledge Resource==<br />
* July 9, 2018:<br />
** on the Zulip chat - how to reflect an instance of a medication - Medication resource does not have an identifier - intentionally left out - not part of the 80/20 - would use a code<br />
** need to answer the question about why there is no identifier on medication - identifies an instance of a "thing" - we have a code (which identifies the "kind" of thing)<br />
** use case - may be for a "bar code" on an IV bag - <br />
** we have "serial number" in the batch attribute - could we change the name to "identifier"<br />
** move the "serial number" to the top level and change to name to "identifier" - and change data type. Will discuss with implementers before making change<br />
Action: talk to implementers about how they deal with this - Cerner, Epic, Vince - Melva to followup<br />
Action: talk to Jose - Melva to followup<br />
* August 6, 2018<br />
Action: do one more followup with implementers and Jose<br />
* August 13, 2018: no discussion<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===17222 - Review Pharmacy resources to see if requirements for Medical Gases are met===<br />
* July 30, 2018: no discussion<br />
Action: Melva to reach out to Anesthesia Co-Chairs to get material<br />
* August 6, 2018: no discussion<br />
* August 13, 2018: no discussion<br />
<br />
===16042 - Add attribute to indicate type of drug===<br />
* this is part of medicationKnowledge and formulary<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: will be discussed as changes to MedKnowledge.productType<br />
* June 25, 2018: for incident reporting - could use AdverseEvent - references medication, medicationAdministration, MedicationStatement<br />
** Patient Care is debating whether instance is intending to be a specific instance or a more generic definition - GF#13698<br />
** continue the discussion for this tracker as part of MedicationKnowledge<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no discussion<br />
* August 13, 2018: no discussion<br />
<br />
===15800 - scope and description for MedStatement===<br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: no discussion - will be discussed in the context of GF# 15105<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no discussion<br />
* August 13, 2018: no discussion<br />
<br />
===15772 - Definitions for identifiers in Pharmacy resources===<br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018:<br />
* July 30, 2018: no discussion<br />
Action: review and compare definitions for identifiers on pharmacy resources<br />
* August 6, 2018 - John reviewing - will be ready for review next week<br />
* August 13, 2018: Started review of spreadsheet <br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* May 7, 2018: no discussion<br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: no discussion<br />
* June 25, 2018: no discussion<br />
* July 9, 2018: no discussion<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no update on where we are with this<br />
** John will raise this question in the Workflow calls<br />
** August 13 - there were no workflow calls Wednesday of last week or this week<br />
* August 13, 2018: no discussion<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: <br />
* April 30, 2018<br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: waiting for feedback from Lloyd on whether new value will be added to "intent" value set<br />
* June 25, 2018: Michelle to send notes from meeting in Cologne with Lloyd<br />
Action: Melva to followup with Lloyd on tracker item related to request for new value in intent and copy Michelle on email - complete<br />
* July 9, 2018: no discussion<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: Zulip conversation - somewhat stalled<br />
** intent is not a modifier - outcome of the discussion may hinge on this<br />
** if it is a tag - need to make sure that there is documentation<br />
Action: Michelle to reach out to Epic to get them to weigh in on the Zulip chat<br />
* August 13, 2018: no discussion<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018: <br />
* May 7, 2018: <br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: will be discussed with MedKnowledge<br />
* July 9, 2018: no discussion<br />
* July 30, 2018: no discussion<br />
* August 13, 2018: no discussion<br />
<br />
===17411 - Add category property to allow representation of Therapeutic category===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17411&start=0 Category Property]<br />
* believe this is an extension as it is not part of the 80/20 for prescribing, dispensing, administering<br />
* July 30, 2018: no discussion<br />
Action: Ask John to join a Pharmacy WG Call to discuss further<br />
* August 6, 2018: John to join next week<br />
* August 13, 2018: no discussion<br />
<br />
===17375 - Medication.quantity refers to "package" and "packaged product"===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17375&start=0 Medication.quantity]<br />
** need to update the definition - <br />
** change the Ingredient.amount - to medication.ingredient.strength - need to update the definition to clarify<br />
** update the usage notes for medication.amount - update definition - update how used with strength<br />
** continue discussion next week<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: continue the discussion when Jean is on the call - potential to change the datatype on amount<br />
* August 13, 2018: no discussion<br />
<br />
== Updates from Workflow==<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
* April 30, 2018: reviewed tracker items. nothing specific to pharmacy<br />
* May 7, 2018: reviewed tracker items during Workflow meetings. No specific pharmacy issues. <br />
* June 4, 1018: no updates<br />
* June 11, 2018: no updates<br />
* June 18, 2018: no meetings until July<br />
* July 9, 2018: No participation through end of July from Pharmacy<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no workflow meetings<br />
* August 13, 2018: no workflow meetings<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
* April 30, 2018: no discussion<br />
* May 7, 2018: <br />
* June 4, 1018: Block vote<br />
**Comment Submitters<br />
***Arvind Jagannathan<br />
***Jose Costa Teixeira<br />
***Mark Cacciapouti<br />
***Michele Hudak<br />
***Ruth Berge<br />
***Scott Robertson<br />
***Thomson Kuhn<br />
***William Goossen<br />
**Line Items<br />
***17196 Agree with approach - 2018-May Medication #23 (Jose Costa Teixeira) Considered - No action required<br />
***16326 NCPDP mapping (Scott Robertson) Considered - Question Answered<br />
***16327 Ballot name and link (Scott Robertson) Considered - Question Answered<br />
***16629 Confirm if SSN is only identifier - 2018-May Medication #4 (Michele Hudak) Considered - Question Answered<br />
***16032 Link is incorrect (Ruth Berge) Not Persuasive<br />
***16093 Use indicator (Ruth Berge) Not Persuasive<br />
***16094 Medicinal Product use indicator (Ruth Berge) Not Persuasive<br />
***17197 Seems not to adhere to the Identification of Medicinal Products IDMP from ISO. - 2018-May Medication #24 (William Goossen) Not Related<br />
***16091 garbled text in table legends (Ruth Berge) Persuasive<br />
***16625 Remove specific call-out of Opioid abuse - 2018-May Medication #2 (Michele Hudak) Persuasive<br />
***16626 Drop phrase %27any%27 on controlled substance - 2018-May Medication #3 (Michele Hudak) Persuasive<br />
***16636 Did you actually mean MedicationStatement here when you wrote MedicationRequest%3F - 2018-May Medication #6 (Arvind Jagannathan) Persuasive<br />
***16639 Reword this sentence within the PDMP section. - 2018-May Medication #7 (Arvind Jagannathan) Persuasive<br />
***16642 Just a typo correction within the PDMP section. - 2018-May Medication #8 (Arvind Jagannathan) Persuasive<br />
***16645 Change the format of the header for the PDMP Data Elements and Mappings section to properly show this is a new major section of this page. - 2018-May Medication #9 (Arvind Jagannathan) Persuasive<br />
***16648 Provide a link to the FHIR RESTful specification within the CapabilityStatement description. - 2018-May Medication #10 (Arvind Jagannathan) Persuasive<br />
***17161 “asterisk” misspelt - 2018-May Medication #20 (Thomson Kuhn) Persuasive<br />
***17162 What is the meaning of the asterisk for this element. - 2018-May Medication #21 (Thomson Kuhn) Persuasive<br />
***17195 Patient Profile Search Requirements - 2018-May Medication #22 (Mark Cacciapouti) Persuasive<br />
***16623 Update reference to Opioids - 2018-May Medication #1 (Michele Hudak) Persuasive with Mod<br />
***16624 Update reference to Opioids - 2018-May Medication #1 (Michele Hudak) Persuasive with Mod<br />
***16633 Make the scope statement include the Argonaut Project scope statement for convenience. - 2018-May Medication #5 (Arvind Jagannathan) Persuasive with Mod<br />
=== Block Vote===<br />
* have posted the block vote for 2 weeks - no requests to pull<br />
* Motion by Brett - Dragan to approved disposition based on block vote and published spreadsheet - 7/0/0<br />
Action: Brett to update Gforge <br />
Action: Melva to get spreadsheet extracted and posted on Ballot reconciliation<br />
Action: Melva to send Brett vote - complete<br />
* June 11, 2018<br />
**Missed 2 tracker items in block vote - belong to a different ballot - have been forwarded<br />
***16032 Link is incorrect<br />
***16094 Medicinal Product use indicator<br />
** Motion to find these two comments "not related" - Jean/Brett - 4-0-0 Carried<br />
Action: Melva to review email from Austin to determine what has to be done about other comments<br />
* July 9, 2018: <br />
* July 30, 2018: no discussion<br />
Action: Melva will followup with Brett on next steps<br />
* August 6, 2018 - Brett working on getting the changes applied<br />
<br />
== Catalogue Project==<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
* April 30, 2018: no meetings until after Cologne WGM<br />
* May 7, 2018: no discussion<br />
* June 4, 1018: no updates<br />
* June 11, 2018: no updates<br />
* June 18, 2018: meetings have been held but John hasn't been able to attend. <br />
* June 25, 2018: they are finalizing the resources for their meetings with FMG and the September WGM. <br />
** The resources they are working on include Entry Definition. <br />
** The are also seeking interested parties to use their resources in the next Connectathon<br />
* July 9, 2018: next meeting will be July 11th - no participation from Pharmacy through the end of July<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no updates<br />
* August 13, 2018: last week there were discussion related to the upcoming connectathon and use of the Catalogue resources. No action items for Pharmacy. <br />
<br />
==Pharmacy template ballot reconciliation==<br />
* July 9, 2018 - will be working on this and will extend into August<br />
* July 30, 2018 - 2 items to discuss - see attached spreadsheet<br />
** [https://www.dropbox.com/s/m9umb8e1v1ybhpw/CONSOLIDATED%20Ballotcomments_CDAR2_IG_PHARM_TEMPLATES_R1_D1_2018MAY.xls?dl=0 Pharmacy Template Ballot Reconciliation Spreadsheet]<br />
** see proposed dispositions in updated spreadsheet<br />
Action: Melva to reach out to submitters who wanted in person resolution - complete<br />
Action: Melva to reach out to submitter where we needed clarification - complete<br />
* August 6, 2018<br />
Action: Melva to send spreadsheet to the list for review. Will vote on this next week<br />
* August 13, 2018<br />
** Moved by Jean - seconded by Scott to accept dispositions for comments where in person reconciliation not requested or where not waiting for input or where not previously voted on. 6-0-1 Carried<br />
*** Stephen Chu Abstained<br />
Action: Melva to update spreadsheet<br />
<br />
==PSS Collaborative C-CDA R2.1 Template Review==<br />
* discussion by Lisa Nelson<br />
* Review PSS and determine if Pharmacy should be a co-sponsor<br />
** idea to align CDA and FHIR better<br />
** CDA Management Group - trying to build better collaboration among Work Groups<br />
** Scope of this project is to pilot to see what it would take to build collaboration in some specific places - narrow scope<br />
*** explore changes needed for CCDA R2.1 templates - identify tangible set of issues to make templates align better<br />
**** list of deltas to bring views of the world align better<br />
**** CDA Management group is the sponsor with SD, PC, FM and Pharmacy as co-sponsors<br />
*** likely looking at Medication Activity template and Planned Medication Activity from Pharmacy<br />
*** Pharmacy participation - Melva, John, Jean and Tom<br />
*** discussion that Pharmacy would like to participate in the actual project work rather than as updates<br />
** Moved by Melva - seconded by Peter to approve Pharmacy as a co-sponsor contingent on the proposed changes 8-0-0 Carried<br />
<br />
==AOB==<br />
* <br />
<br />
==Next meeting==<br />
* August 27, 2018 at 4pm Eastern</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-08-20_Rx_Conf_Call&diff=1600312018-08-20 Rx Conf Call2018-08-16T18:20:27Z<p>Smrobertson: Created page with "{{subst::2018-08-13_Rx_Conf_Call}}"</p>
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<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* John Hatem (Chair)<br />
* Melva Peters (Scribe)<br />
* Christof Gessner<br />
* Peter Sergent<br />
* Lisa Nelson<br />
* Jean Duteau<br />
* Scott Robertson<br />
* Michael Clifton<br />
* Joe Quinn<br />
* Stephen Chu<br />
<br />
=Agenda Items and notes=<br />
<br />
==Pharmacy List topic==<br />
* I recently started researching HL7 because as a pharmacy, we have received several HL7 Data Sharing agreements from 3rd party vendors. I am trying to find out if the Segments/Components/Subcomponents are customizable and excludable from a data set. For example, could we exclude PID from transmission through the interface, yet allow other segments to transfer outside our organization?<br />
Action: Scott to respond<br />
* August 13, 2018: no discussion<br />
<br />
==Use of Confluence==<br />
* further discussion after review done by Co-chairs<br />
* August 13, 2018: no discussion<br />
<br />
==SNOMED on FHIR teleconference calls==<br />
* Every other Tuesday - June 23rd at 4pm Eastern<br />
* July 9, 2018: Peter Sergent attended recent call - 2 questions about MedAdmin<br />
**Is dosage going to be aligned with the complex type used in Medication Statement?<br />
**They are concerned that the reason was non administration is bound to different Snomed hierarchies<br />
** have discussed in the past - because MedAdmin is different - have previously discussed not to change<br />
** CodeableConcept - did not have a suggestion for what it should be bound to<br />
** next call is next week - Peter will ask what they think it should be bound to<br />
* July 30, 2018: accepted position on dosage<br />
** asked further on multiple hierarchy - referred to chat pages - Need to find out more<br />
** in allergy/adverse event work done in UK - value sets include multiple hierarchies - more of a global issue that should be posed to FHIR-I<br />
Action: Melva to [https://chat.fhir.org/#narrow/stream/9-committers/subject/Snomed.20on.20FHIR post question to Zulip] - complete<br />
* August 6, 2018: John Hatem to attend call tomorrow to discuss - John attended, suggestions about the terminology value sets on Medication Administration will be discussed on August 13, 2018 call. <br />
* August 13, 2018: no discussion<br />
<br />
==MedicationKnowledge Resource==<br />
* July 9, 2018:<br />
** on the Zulip chat - how to reflect an instance of a medication - Medication resource does not have an identifier - intentionally left out - not part of the 80/20 - would use a code<br />
** need to answer the question about why there is no identifier on medication - identifies an instance of a "thing" - we have a code (which identifies the "kind" of thing)<br />
** use case - may be for a "bar code" on an IV bag - <br />
** we have "serial number" in the batch attribute - could we change the name to "identifier"<br />
** move the "serial number" to the top level and change to name to "identifier" - and change data type. Will discuss with implementers before making change<br />
Action: talk to implementers about how they deal with this - Cerner, Epic, Vince - Melva to followup<br />
Action: talk to Jose - Melva to followup<br />
* August 6, 2018<br />
Action: do one more followup with implementers and Jose<br />
* August 13, 2018: no discussion<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===17222 - Review Pharmacy resources to see if requirements for Medical Gases are met===<br />
* July 30, 2018: no discussion<br />
Action: Melva to reach out to Anesthesia Co-Chairs to get material<br />
* August 6, 2018: no discussion<br />
* August 13, 2018: no discussion<br />
<br />
===16042 - Add attribute to indicate type of drug===<br />
* this is part of medicationKnowledge and formulary<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: will be discussed as changes to MedKnowledge.productType<br />
* June 25, 2018: for incident reporting - could use AdverseEvent - references medication, medicationAdministration, MedicationStatement<br />
** Patient Care is debating whether instance is intending to be a specific instance or a more generic definition - GF#13698<br />
** continue the discussion for this tracker as part of MedicationKnowledge<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no discussion<br />
* August 13, 2018: no discussion<br />
<br />
===15800 - scope and description for MedStatement===<br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: no discussion - will be discussed in the context of GF# 15105<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no discussion<br />
* August 13, 2018: no discussion<br />
<br />
===15772 - Definitions for identifiers in Pharmacy resources===<br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018:<br />
* July 30, 2018: no discussion<br />
Action: review and compare definitions for identifiers on pharmacy resources<br />
* August 6, 2018 - John reviewing - will be ready for review next week<br />
* August 13, 2018: Started review of spreadsheet <br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* May 7, 2018: no discussion<br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: no discussion<br />
* June 25, 2018: no discussion<br />
* July 9, 2018: no discussion<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no update on where we are with this<br />
** John will raise this question in the Workflow calls<br />
** August 13 - there were no workflow calls Wednesday of last week or this week<br />
* August 13, 2018: no discussion<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: <br />
* April 30, 2018<br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: waiting for feedback from Lloyd on whether new value will be added to "intent" value set<br />
* June 25, 2018: Michelle to send notes from meeting in Cologne with Lloyd<br />
Action: Melva to followup with Lloyd on tracker item related to request for new value in intent and copy Michelle on email - complete<br />
* July 9, 2018: no discussion<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: Zulip conversation - somewhat stalled<br />
** intent is not a modifier - outcome of the discussion may hinge on this<br />
** if it is a tag - need to make sure that there is documentation<br />
Action: Michelle to reach out to Epic to get them to weigh in on the Zulip chat<br />
* August 13, 2018: no discussion<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018: <br />
* May 7, 2018: <br />
* June 4, 2018: no discussion<br />
* June 11, 2018: no discussion<br />
* June 18, 2018: will be discussed with MedKnowledge<br />
* July 9, 2018: no discussion<br />
* July 30, 2018: no discussion<br />
* August 13, 2018: no discussion<br />
<br />
===17411 - Add category property to allow representation of Therapeutic category===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17411&start=0 Category Property]<br />
* believe this is an extension as it is not part of the 80/20 for prescribing, dispensing, administering<br />
* July 30, 2018: no discussion<br />
Action: Ask John to join a Pharmacy WG Call to discuss further<br />
* August 6, 2018: John to join next week<br />
* August 13, 2018: no discussion<br />
<br />
===17375 - Medication.quantity refers to "package" and "packaged product"===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17375&start=0 Medication.quantity]<br />
** need to update the definition - <br />
** change the Ingredient.amount - to medication.ingredient.strength - need to update the definition to clarify<br />
** update the usage notes for medication.amount - update definition - update how used with strength<br />
** continue discussion next week<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: continue the discussion when Jean is on the call - potential to change the datatype on amount<br />
* August 13, 2018: no discussion<br />
<br />
== Updates from Workflow==<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
* April 30, 2018: reviewed tracker items. nothing specific to pharmacy<br />
* May 7, 2018: reviewed tracker items during Workflow meetings. No specific pharmacy issues. <br />
* June 4, 1018: no updates<br />
* June 11, 2018: no updates<br />
* June 18, 2018: no meetings until July<br />
* July 9, 2018: No participation through end of July from Pharmacy<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no workflow meetings<br />
* August 13, 2018: no workflow meetings<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
* April 30, 2018: no discussion<br />
* May 7, 2018: <br />
* June 4, 1018: Block vote<br />
**Comment Submitters<br />
***Arvind Jagannathan<br />
***Jose Costa Teixeira<br />
***Mark Cacciapouti<br />
***Michele Hudak<br />
***Ruth Berge<br />
***Scott Robertson<br />
***Thomson Kuhn<br />
***William Goossen<br />
**Line Items<br />
***17196 Agree with approach - 2018-May Medication #23 (Jose Costa Teixeira) Considered - No action required<br />
***16326 NCPDP mapping (Scott Robertson) Considered - Question Answered<br />
***16327 Ballot name and link (Scott Robertson) Considered - Question Answered<br />
***16629 Confirm if SSN is only identifier - 2018-May Medication #4 (Michele Hudak) Considered - Question Answered<br />
***16032 Link is incorrect (Ruth Berge) Not Persuasive<br />
***16093 Use indicator (Ruth Berge) Not Persuasive<br />
***16094 Medicinal Product use indicator (Ruth Berge) Not Persuasive<br />
***17197 Seems not to adhere to the Identification of Medicinal Products IDMP from ISO. - 2018-May Medication #24 (William Goossen) Not Related<br />
***16091 garbled text in table legends (Ruth Berge) Persuasive<br />
***16625 Remove specific call-out of Opioid abuse - 2018-May Medication #2 (Michele Hudak) Persuasive<br />
***16626 Drop phrase %27any%27 on controlled substance - 2018-May Medication #3 (Michele Hudak) Persuasive<br />
***16636 Did you actually mean MedicationStatement here when you wrote MedicationRequest%3F - 2018-May Medication #6 (Arvind Jagannathan) Persuasive<br />
***16639 Reword this sentence within the PDMP section. - 2018-May Medication #7 (Arvind Jagannathan) Persuasive<br />
***16642 Just a typo correction within the PDMP section. - 2018-May Medication #8 (Arvind Jagannathan) Persuasive<br />
***16645 Change the format of the header for the PDMP Data Elements and Mappings section to properly show this is a new major section of this page. - 2018-May Medication #9 (Arvind Jagannathan) Persuasive<br />
***16648 Provide a link to the FHIR RESTful specification within the CapabilityStatement description. - 2018-May Medication #10 (Arvind Jagannathan) Persuasive<br />
***17161 “asterisk” misspelt - 2018-May Medication #20 (Thomson Kuhn) Persuasive<br />
***17162 What is the meaning of the asterisk for this element. - 2018-May Medication #21 (Thomson Kuhn) Persuasive<br />
***17195 Patient Profile Search Requirements - 2018-May Medication #22 (Mark Cacciapouti) Persuasive<br />
***16623 Update reference to Opioids - 2018-May Medication #1 (Michele Hudak) Persuasive with Mod<br />
***16624 Update reference to Opioids - 2018-May Medication #1 (Michele Hudak) Persuasive with Mod<br />
***16633 Make the scope statement include the Argonaut Project scope statement for convenience. - 2018-May Medication #5 (Arvind Jagannathan) Persuasive with Mod<br />
=== Block Vote===<br />
* have posted the block vote for 2 weeks - no requests to pull<br />
* Motion by Brett - Dragan to approved disposition based on block vote and published spreadsheet - 7/0/0<br />
Action: Brett to update Gforge <br />
Action: Melva to get spreadsheet extracted and posted on Ballot reconciliation<br />
Action: Melva to send Brett vote - complete<br />
* June 11, 2018<br />
**Missed 2 tracker items in block vote - belong to a different ballot - have been forwarded<br />
***16032 Link is incorrect<br />
***16094 Medicinal Product use indicator<br />
** Motion to find these two comments "not related" - Jean/Brett - 4-0-0 Carried<br />
Action: Melva to review email from Austin to determine what has to be done about other comments<br />
* July 9, 2018: <br />
* July 30, 2018: no discussion<br />
Action: Melva will followup with Brett on next steps<br />
* August 6, 2018 - Brett working on getting the changes applied<br />
<br />
== Catalogue Project==<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
* April 30, 2018: no meetings until after Cologne WGM<br />
* May 7, 2018: no discussion<br />
* June 4, 1018: no updates<br />
* June 11, 2018: no updates<br />
* June 18, 2018: meetings have been held but John hasn't been able to attend. <br />
* June 25, 2018: they are finalizing the resources for their meetings with FMG and the September WGM. <br />
** The resources they are working on include Entry Definition. <br />
** The are also seeking interested parties to use their resources in the next Connectathon<br />
* July 9, 2018: next meeting will be July 11th - no participation from Pharmacy through the end of July<br />
* July 30, 2018: no discussion<br />
* August 6, 2018: no updates<br />
* August 13, 2018: last week there were discussion related to the upcoming connectathon and use of the Catalogue resources. No action items for Pharmacy. <br />
<br />
==Pharmacy template ballot reconciliation==<br />
* July 9, 2018 - will be working on this and will extend into August<br />
* July 30, 2018 - 2 items to discuss - see attached spreadsheet<br />
** [https://www.dropbox.com/s/m9umb8e1v1ybhpw/CONSOLIDATED%20Ballotcomments_CDAR2_IG_PHARM_TEMPLATES_R1_D1_2018MAY.xls?dl=0 Pharmacy Template Ballot Reconciliation Spreadsheet]<br />
** see proposed dispositions in updated spreadsheet<br />
Action: Melva to reach out to submitters who wanted in person resolution - complete<br />
Action: Melva to reach out to submitter where we needed clarification - complete<br />
* August 6, 2018<br />
Action: Melva to send spreadsheet to the list for review. Will vote on this next week<br />
* August 13, 2018<br />
** Moved by Jean - seconded by Scott to accept dispositions for comments where in person reconciliation not requested or where not waiting for input or where not previously voted on. 6-0-1 Carried<br />
*** Stephen Chu Abstained<br />
Action: Melva to update spreadsheet<br />
<br />
==PSS Collaborative C-CDA R2.1 Template Review==<br />
* discussion by Lisa Nelson<br />
* Review PSS and determine if Pharmacy should be a co-sponsor<br />
** idea to align CDA and FHIR better<br />
** CDA Management Group - trying to build better collaboration among Work Groups<br />
** Scope of this project is to pilot to see what it would take to build collaboration in some specific places - narrow scope<br />
*** explore changes needed for CCDA R2.1 templates - identify tangible set of issues to make templates align better<br />
**** list of deltas to bring views of the world align better<br />
**** CDA Management group is the sponsor with SD, PC, FM and Pharmacy as co-sponsors<br />
*** likely looking at Medication Activity template and Planned Medication Activity from Pharmacy<br />
*** Pharmacy participation - Melva, John, Jean and Tom<br />
*** discussion that Pharmacy would like to participate in the actual project work rather than as updates<br />
** Moved by Melva - seconded by Peter to approve Pharmacy as a co-sponsor contingent on the proposed changes 8-0-0 Carried<br />
<br />
==AOB==<br />
* <br />
<br />
==Next meeting==<br />
* August 20, 2018 at 4pm Eastern</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-30_Rx_Conf_Call&diff=1564832018-04-30 Rx Conf Call2018-04-30T20:29:31Z<p>Smrobertson: /* 15136 - Change Dosage to support conditional doses */</p>
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<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Chair and Scribe)<br />
* John Hatem<br />
* Franciso Correa<br />
* Jean Duteau<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
'''MedicationKnowledge'''<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
* Scott and Melva will be attending<br />
* Jean and John will be able to dial in for MedicationKnowledge discussion<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
** no further information on agenda item<br />
* April 23, 2018<br />
** from Christian Hay 3/19/2018<br />
***At this time, on the ISO side, we don’t know who is going to participate; that would certainly impact the content on our side.<br />
***From the current work items @ ISO I would like mentioning the following; a * signalise which seems to me the most interesting for an in-depth work:<br />
****a. ISO/TS 16791 Requirements for international machine-readable coding of medicinal product package identifiers<br />
****b. *ISO/NP/DTS 23261 'Requirements for accessing digital medicinal products information by using the existing data carrier'<br />
****c. *ISO/NP/DTS 22756 Requirements for a knowledge base for clinical decision support systems<br />
****d. Implementation guide for ISO/TS 19256 Health informatics – Requirements for medicinal product dictionary systems for health care<br />
* April 30, 2018<br />
** Meeting scheduled for Tuesday in Cologne to finalize<br />
<br />
==MedicationKnowledge Resource==<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
*** fix graphic on UML<br />
*** isBrand - may be needs to include different types - isBrand, isGeneric, isInnovator, other<br />
**** Discussion <br />
*** add substitution allowed attribute<br />
*** Need to look at other parameters other than halfLife<br />
*** Need to consider the name<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to post to Zulip asking implementers for feedback<br />
* April 23, 2018<br />
* April 30, 2018<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
===15941 - notDoneReason - MedicationRequest===<br />
<br />
===15819 - MedicationDispense.category binding===<br />
<br />
===15814 Timing Frequencies from NHS===<br />
<br />
===15800 scope and description for MedStatement===<br />
<br />
===15772 Definitions for identifiers in Pharmacy resources===<br />
<br />
===15840 - Free-text representation of strength===<br />
* this applies to Medication<br />
* text string to represent the strength - e.g. "100mg" or 1000IU/ml<br />
* options:<br />
** add extension for a string on ratio datatype - <br />
** change "amount" to be a choice of ratio or string<br />
Action: Jean to follow up with FHIR-I about a possible extension for "ratio"<br />
<br />
===15905 - Comment for Dosage.doseAndRate===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]<br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: <br />
Action: Melva to followup with Lloyd and Michelle<br />
* April 30, 2018<br />
<br />
===15688 - MedicationRequest.category ValueSet===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]<br />
* April 9, 2018: added to tracker<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===14455 - Workflow report===<br />
* [[File:workflow pharmacy issues Jan 2018.xlsx]]x<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
* April 16, 2018: (is there a new report?) - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15136 - Change Dosage to support conditional doses===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018: reviewed v3 model to see what should be pulled forward into resource(s). <br />
** moved John H/Jean D as persuasive <br />
** Jean will discuss with Melva for additions<br />
<br />
===15589 - Pharmacy missing isModifier Reason===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
* April 30, 2018: reviewed tracker items. nothing specific to pharmacy<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
* April 30, 2018<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
Action: reach out to project facilitators - get update in Cologne<br />
* April 30, 2018<br />
<br />
==AOB==<br />
* Confirm attendance for May 7th meeting<br />
<br />
==Next meeting==<br />
* May 7, 2018 - TBC</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-30_Rx_Conf_Call&diff=1564822018-04-30 Rx Conf Call2018-04-30T20:07:31Z<p>Smrobertson: /* Updates from Workflow */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Chair and Scribe)<br />
* John Hatem<br />
* Franciso Correa<br />
* Jean Duteau<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
'''MedicationKnowledge'''<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
* Scott and Melva will be attending<br />
* Jean and John will be able to dial in for MedicationKnowledge discussion<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
** no further information on agenda item<br />
* April 23, 2018<br />
** from Christian Hay 3/19/2018<br />
***At this time, on the ISO side, we don’t know who is going to participate; that would certainly impact the content on our side.<br />
***From the current work items @ ISO I would like mentioning the following; a * signalise which seems to me the most interesting for an in-depth work:<br />
****a. ISO/TS 16791 Requirements for international machine-readable coding of medicinal product package identifiers<br />
****b. *ISO/NP/DTS 23261 'Requirements for accessing digital medicinal products information by using the existing data carrier'<br />
****c. *ISO/NP/DTS 22756 Requirements for a knowledge base for clinical decision support systems<br />
****d. Implementation guide for ISO/TS 19256 Health informatics – Requirements for medicinal product dictionary systems for health care<br />
* April 30, 2018<br />
** Meeting scheduled for Tuesday in Cologne to finalize<br />
<br />
==MedicationKnowledge Resource==<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
*** fix graphic on UML<br />
*** isBrand - may be needs to include different types - isBrand, isGeneric, isInnovator, other<br />
**** Discussion <br />
*** add substitution allowed attribute<br />
*** Need to look at other parameters other than halfLife<br />
*** Need to consider the name<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to post to Zulip asking implementers for feedback<br />
* April 23, 2018<br />
* April 30, 2018<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
===15941 - notDoneReason - MedicationRequest===<br />
<br />
===15819 - MedicationDispense.category binding===<br />
<br />
===15814 Timing Frequencies from NHS===<br />
<br />
===15800 scope and description for MedStatement===<br />
<br />
===15772 Definitions for identifiers in Pharmacy resources===<br />
<br />
===15840 - Free-text representation of strength===<br />
* this applies to Medication<br />
* text string to represent the strength - e.g. "100mg" or 1000IU/ml<br />
* options:<br />
** add extension for a string on ratio datatype - <br />
** change "amount" to be a choice of ratio or string<br />
Action: Jean to follow up with FHIR-I about a possible extension for "ratio"<br />
<br />
===15905 - Comment for Dosage.doseAndRate===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]<br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: <br />
Action: Melva to followup with Lloyd and Michelle<br />
* April 30, 2018<br />
<br />
===15688 - MedicationRequest.category ValueSet===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]<br />
* April 9, 2018: added to tracker<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===14455 - Workflow report===<br />
* [[File:workflow pharmacy issues Jan 2018.xlsx]]x<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
* April 16, 2018: (is there a new report?) - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15136 - Change Dosage to support conditional doses===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15589 - Pharmacy missing isModifier Reason===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
* April 30, 2018: reviewed tracker items. nothing specific to pharmacy<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
* April 30, 2018<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
Action: reach out to project facilitators - get update in Cologne<br />
* April 30, 2018<br />
<br />
==AOB==<br />
* Confirm attendance for May 7th meeting<br />
<br />
==Next meeting==<br />
* May 7, 2018 - TBC</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-30_Rx_Conf_Call&diff=1564812018-04-30 Rx Conf Call2018-04-30T20:07:12Z<p>Smrobertson: /* Updates from Workflow */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
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__TOC__<br />
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| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Chair and Scribe)<br />
* John Hatem<br />
* Franciso Correa<br />
* Jean Duteau<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
'''MedicationKnowledge'''<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
* Scott and Melva will be attending<br />
* Jean and John will be able to dial in for MedicationKnowledge discussion<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
** no further information on agenda item<br />
* April 23, 2018<br />
** from Christian Hay 3/19/2018<br />
***At this time, on the ISO side, we don’t know who is going to participate; that would certainly impact the content on our side.<br />
***From the current work items @ ISO I would like mentioning the following; a * signalise which seems to me the most interesting for an in-depth work:<br />
****a. ISO/TS 16791 Requirements for international machine-readable coding of medicinal product package identifiers<br />
****b. *ISO/NP/DTS 23261 'Requirements for accessing digital medicinal products information by using the existing data carrier'<br />
****c. *ISO/NP/DTS 22756 Requirements for a knowledge base for clinical decision support systems<br />
****d. Implementation guide for ISO/TS 19256 Health informatics – Requirements for medicinal product dictionary systems for health care<br />
* April 30, 2018<br />
** Meeting scheduled for Tuesday in Cologne to finalize<br />
<br />
==MedicationKnowledge Resource==<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
*** fix graphic on UML<br />
*** isBrand - may be needs to include different types - isBrand, isGeneric, isInnovator, other<br />
**** Discussion <br />
*** add substitution allowed attribute<br />
*** Need to look at other parameters other than halfLife<br />
*** Need to consider the name<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to post to Zulip asking implementers for feedback<br />
* April 23, 2018<br />
* April 30, 2018<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
===15941 - notDoneReason - MedicationRequest===<br />
<br />
===15819 - MedicationDispense.category binding===<br />
<br />
===15814 Timing Frequencies from NHS===<br />
<br />
===15800 scope and description for MedStatement===<br />
<br />
===15772 Definitions for identifiers in Pharmacy resources===<br />
<br />
===15840 - Free-text representation of strength===<br />
* this applies to Medication<br />
* text string to represent the strength - e.g. "100mg" or 1000IU/ml<br />
* options:<br />
** add extension for a string on ratio datatype - <br />
** change "amount" to be a choice of ratio or string<br />
Action: Jean to follow up with FHIR-I about a possible extension for "ratio"<br />
<br />
===15905 - Comment for Dosage.doseAndRate===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]<br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: <br />
Action: Melva to followup with Lloyd and Michelle<br />
* April 30, 2018<br />
<br />
===15688 - MedicationRequest.category ValueSet===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]<br />
* April 9, 2018: added to tracker<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===14455 - Workflow report===<br />
* [[File:workflow pharmacy issues Jan 2018.xlsx]]x<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
* April 16, 2018: (is there a new report?) - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15136 - Change Dosage to support conditional doses===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15589 - Pharmacy missing isModifier Reason===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
* April 30, 2018: ballot in progress. nothing specific to pharmacy<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
* April 30, 2018<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
Action: reach out to project facilitators - get update in Cologne<br />
* April 30, 2018<br />
<br />
==AOB==<br />
* Confirm attendance for May 7th meeting<br />
<br />
==Next meeting==<br />
* May 7, 2018 - TBC</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-30_Rx_Conf_Call&diff=1564802018-04-30 Rx Conf Call2018-04-30T20:04:01Z<p>Smrobertson: /* Attendees */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Chair and Scribe)<br />
* John Hatem<br />
* Franciso Correa<br />
* Jean Duteau<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
'''MedicationKnowledge'''<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
* Scott and Melva will be attending<br />
* Jean and John will be able to dial in for MedicationKnowledge discussion<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
** no further information on agenda item<br />
* April 23, 2018<br />
** from Christian Hay 3/19/2018<br />
***At this time, on the ISO side, we don’t know who is going to participate; that would certainly impact the content on our side.<br />
***From the current work items @ ISO I would like mentioning the following; a * signalise which seems to me the most interesting for an in-depth work:<br />
****a. ISO/TS 16791 Requirements for international machine-readable coding of medicinal product package identifiers<br />
****b. *ISO/NP/DTS 23261 'Requirements for accessing digital medicinal products information by using the existing data carrier'<br />
****c. *ISO/NP/DTS 22756 Requirements for a knowledge base for clinical decision support systems<br />
****d. Implementation guide for ISO/TS 19256 Health informatics – Requirements for medicinal product dictionary systems for health care<br />
* April 30, 2018<br />
** Meeting scheduled for Tuesday in Cologne to finalize<br />
<br />
==MedicationKnowledge Resource==<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
*** fix graphic on UML<br />
*** isBrand - may be needs to include different types - isBrand, isGeneric, isInnovator, other<br />
**** Discussion <br />
*** add substitution allowed attribute<br />
*** Need to look at other parameters other than halfLife<br />
*** Need to consider the name<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to post to Zulip asking implementers for feedback<br />
* April 23, 2018<br />
* April 30, 2018<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
===15941 - notDoneReason - MedicationRequest===<br />
<br />
===15819 - MedicationDispense.category binding===<br />
<br />
===15814 Timing Frequencies from NHS===<br />
<br />
===15800 scope and description for MedStatement===<br />
<br />
===15772 Definitions for identifiers in Pharmacy resources===<br />
<br />
===15840 - Free-text representation of strength===<br />
* this applies to Medication<br />
* text string to represent the strength - e.g. "100mg" or 1000IU/ml<br />
* options:<br />
** add extension for a string on ratio datatype - <br />
** change "amount" to be a choice of ratio or string<br />
Action: Jean to follow up with FHIR-I about a possible extension for "ratio"<br />
<br />
===15905 - Comment for Dosage.doseAndRate===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]<br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: <br />
Action: Melva to followup with Lloyd and Michelle<br />
* April 30, 2018<br />
<br />
===15688 - MedicationRequest.category ValueSet===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]<br />
* April 9, 2018: added to tracker<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===14455 - Workflow report===<br />
* [[File:workflow pharmacy issues Jan 2018.xlsx]]x<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
* April 16, 2018: (is there a new report?) - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15136 - Change Dosage to support conditional doses===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15589 - Pharmacy missing isModifier Reason===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
* April 30, 2018<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
* April 30, 2018<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
Action: reach out to project facilitators - get update in Cologne<br />
* April 30, 2018<br />
<br />
==AOB==<br />
* Confirm attendance for May 7th meeting<br />
<br />
==Next meeting==<br />
* May 7, 2018 - TBC</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-30_Rx_Conf_Call&diff=1564792018-04-30 Rx Conf Call2018-04-30T20:01:08Z<p>Smrobertson: /* Attendees */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Chair and Scribe)<br />
* John Hatem<br />
* Franciso Correa<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
'''MedicationKnowledge'''<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
* Scott and Melva will be attending<br />
* Jean and John will be able to dial in for MedicationKnowledge discussion<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
** no further information on agenda item<br />
* April 23, 2018<br />
** from Christian Hay 3/19/2018<br />
***At this time, on the ISO side, we don’t know who is going to participate; that would certainly impact the content on our side.<br />
***From the current work items @ ISO I would like mentioning the following; a * signalise which seems to me the most interesting for an in-depth work:<br />
****a. ISO/TS 16791 Requirements for international machine-readable coding of medicinal product package identifiers<br />
****b. *ISO/NP/DTS 23261 'Requirements for accessing digital medicinal products information by using the existing data carrier'<br />
****c. *ISO/NP/DTS 22756 Requirements for a knowledge base for clinical decision support systems<br />
****d. Implementation guide for ISO/TS 19256 Health informatics – Requirements for medicinal product dictionary systems for health care<br />
* April 30, 2018<br />
** Meeting scheduled for Tuesday in Cologne to finalize<br />
<br />
==MedicationKnowledge Resource==<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
*** fix graphic on UML<br />
*** isBrand - may be needs to include different types - isBrand, isGeneric, isInnovator, other<br />
**** Discussion <br />
*** add substitution allowed attribute<br />
*** Need to look at other parameters other than halfLife<br />
*** Need to consider the name<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to post to Zulip asking implementers for feedback<br />
* April 23, 2018<br />
* April 30, 2018<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
===15941 - notDoneReason - MedicationRequest===<br />
<br />
===15819 - MedicationDispense.category binding===<br />
<br />
===15814 Timing Frequencies from NHS===<br />
<br />
===15800 scope and description for MedStatement===<br />
<br />
===15772 Definitions for identifiers in Pharmacy resources===<br />
<br />
===15840 - Free-text representation of strength===<br />
* this applies to Medication<br />
* text string to represent the strength - e.g. "100mg" or 1000IU/ml<br />
* options:<br />
** add extension for a string on ratio datatype - <br />
** change "amount" to be a choice of ratio or string<br />
Action: Jean to follow up with FHIR-I about a possible extension for "ratio"<br />
<br />
===15905 - Comment for Dosage.doseAndRate===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]<br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: <br />
Action: Melva to followup with Lloyd and Michelle<br />
* April 30, 2018<br />
<br />
===15688 - MedicationRequest.category ValueSet===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]<br />
* April 9, 2018: added to tracker<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===14455 - Workflow report===<br />
* [[File:workflow pharmacy issues Jan 2018.xlsx]]x<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
* April 16, 2018: (is there a new report?) - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15136 - Change Dosage to support conditional doses===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15589 - Pharmacy missing isModifier Reason===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
* April 30, 2018<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
* April 30, 2018<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
Action: reach out to project facilitators - get update in Cologne<br />
* April 30, 2018<br />
<br />
==AOB==<br />
* Confirm attendance for May 7th meeting<br />
<br />
==Next meeting==<br />
* May 7, 2018 - TBC</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-30_Rx_Conf_Call&diff=1564782018-04-30 Rx Conf Call2018-04-30T19:59:58Z<p>Smrobertson: /* Attendees */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
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__TOC__<br />
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| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Chair and Scribe)<br />
* John Hatem<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
'''MedicationKnowledge'''<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
* Scott and Melva will be attending<br />
* Jean and John will be able to dial in for MedicationKnowledge discussion<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
** no further information on agenda item<br />
* April 23, 2018<br />
** from Christian Hay 3/19/2018<br />
***At this time, on the ISO side, we don’t know who is going to participate; that would certainly impact the content on our side.<br />
***From the current work items @ ISO I would like mentioning the following; a * signalise which seems to me the most interesting for an in-depth work:<br />
****a. ISO/TS 16791 Requirements for international machine-readable coding of medicinal product package identifiers<br />
****b. *ISO/NP/DTS 23261 'Requirements for accessing digital medicinal products information by using the existing data carrier'<br />
****c. *ISO/NP/DTS 22756 Requirements for a knowledge base for clinical decision support systems<br />
****d. Implementation guide for ISO/TS 19256 Health informatics – Requirements for medicinal product dictionary systems for health care<br />
* April 30, 2018<br />
** Meeting scheduled for Tuesday in Cologne to finalize<br />
<br />
==MedicationKnowledge Resource==<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
*** fix graphic on UML<br />
*** isBrand - may be needs to include different types - isBrand, isGeneric, isInnovator, other<br />
**** Discussion <br />
*** add substitution allowed attribute<br />
*** Need to look at other parameters other than halfLife<br />
*** Need to consider the name<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to post to Zulip asking implementers for feedback<br />
* April 23, 2018<br />
* April 30, 2018<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
===15941 - notDoneReason - MedicationRequest===<br />
<br />
===15819 - MedicationDispense.category binding===<br />
<br />
===15814 Timing Frequencies from NHS===<br />
<br />
===15800 scope and description for MedStatement===<br />
<br />
===15772 Definitions for identifiers in Pharmacy resources===<br />
<br />
===15840 - Free-text representation of strength===<br />
* this applies to Medication<br />
* text string to represent the strength - e.g. "100mg" or 1000IU/ml<br />
* options:<br />
** add extension for a string on ratio datatype - <br />
** change "amount" to be a choice of ratio or string<br />
Action: Jean to follow up with FHIR-I about a possible extension for "ratio"<br />
<br />
===15905 - Comment for Dosage.doseAndRate===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]<br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: <br />
Action: Melva to followup with Lloyd and Michelle<br />
* April 30, 2018<br />
<br />
===15688 - MedicationRequest.category ValueSet===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]<br />
* April 9, 2018: added to tracker<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===14455 - Workflow report===<br />
* [[File:workflow pharmacy issues Jan 2018.xlsx]]x<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
* April 16, 2018: (is there a new report?) - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15136 - Change Dosage to support conditional doses===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15589 - Pharmacy missing isModifier Reason===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
* April 30, 2018<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
* April 30, 2018<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
Action: reach out to project facilitators - get update in Cologne<br />
* April 30, 2018<br />
<br />
==AOB==<br />
* Confirm attendance for May 7th meeting<br />
<br />
==Next meeting==<br />
* May 7, 2018 - TBC</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-30_Rx_Conf_Call&diff=1564772018-04-30 Rx Conf Call2018-04-30T19:58:24Z<p>Smrobertson: /* Attendees */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Chair and Scribe)<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
'''MedicationKnowledge'''<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
* Scott and Melva will be attending<br />
* Jean and John will be able to dial in for MedicationKnowledge discussion<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
** no further information on agenda item<br />
* April 23, 2018<br />
** from Christian Hay 3/19/2018<br />
***At this time, on the ISO side, we don’t know who is going to participate; that would certainly impact the content on our side.<br />
***From the current work items @ ISO I would like mentioning the following; a * signalise which seems to me the most interesting for an in-depth work:<br />
****a. ISO/TS 16791 Requirements for international machine-readable coding of medicinal product package identifiers<br />
****b. *ISO/NP/DTS 23261 'Requirements for accessing digital medicinal products information by using the existing data carrier'<br />
****c. *ISO/NP/DTS 22756 Requirements for a knowledge base for clinical decision support systems<br />
****d. Implementation guide for ISO/TS 19256 Health informatics – Requirements for medicinal product dictionary systems for health care<br />
* April 30, 2018<br />
** Meeting scheduled for Tuesday in Cologne to finalize<br />
<br />
==MedicationKnowledge Resource==<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
*** fix graphic on UML<br />
*** isBrand - may be needs to include different types - isBrand, isGeneric, isInnovator, other<br />
**** Discussion <br />
*** add substitution allowed attribute<br />
*** Need to look at other parameters other than halfLife<br />
*** Need to consider the name<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to post to Zulip asking implementers for feedback<br />
* April 23, 2018<br />
* April 30, 2018<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
===15941 - notDoneReason - MedicationRequest===<br />
<br />
===15819 - MedicationDispense.category binding===<br />
<br />
===15814 Timing Frequencies from NHS===<br />
<br />
===15800 scope and description for MedStatement===<br />
<br />
===15772 Definitions for identifiers in Pharmacy resources===<br />
<br />
===15840 - Free-text representation of strength===<br />
* this applies to Medication<br />
* text string to represent the strength - e.g. "100mg" or 1000IU/ml<br />
* options:<br />
** add extension for a string on ratio datatype - <br />
** change "amount" to be a choice of ratio or string<br />
Action: Jean to follow up with FHIR-I about a possible extension for "ratio"<br />
<br />
===15905 - Comment for Dosage.doseAndRate===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]<br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: <br />
Action: Melva to followup with Lloyd and Michelle<br />
* April 30, 2018<br />
<br />
===15688 - MedicationRequest.category ValueSet===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]<br />
* April 9, 2018: added to tracker<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===14455 - Workflow report===<br />
* [[File:workflow pharmacy issues Jan 2018.xlsx]]x<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
* April 16, 2018: (is there a new report?) - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15136 - Change Dosage to support conditional doses===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15589 - Pharmacy missing isModifier Reason===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
* April 30, 2018<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
* April 30, 2018<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
* April 30, 2018<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
Action: reach out to project facilitators - get update in Cologne<br />
* April 30, 2018<br />
<br />
==AOB==<br />
* Confirm attendance for May 7th meeting<br />
<br />
==Next meeting==<br />
* May 7, 2018 - TBC</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-23_Rx_Conf_Call&diff=1562852018-04-23 Rx Conf Call2018-04-23T23:30:01Z<p>Smrobertson: /* Action Item List */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Melva Peters (Chair and Scribe)<br />
* Tim McNeil<br />
* John Hatem<br />
* Jean Duteau<br />
* Scott Robertson<br />
* Christof Gessner<br />
* Stephen Chu<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
WGM - Scott to update availability - 4/23 complete<br />
<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
'''MedicationKnowledge'''<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to add MedicationKnowlege to FHIR Tracker so that new comments/changes can be added<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
* Scott and Melva will be attending<br />
* Jean and John will be able to dial in for MedicationKnowledge discussion<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
** no further information on agenda item<br />
* April 23, 2018<br />
** from Christian Hay 3/19/2018<br />
***At this time, on the ISO side, we don’t know who is going to participate; that would certainly impact the content on our side.<br />
***From the current work items @ ISO I would like mentioning the following; a * signalise which seems to me the most interesting for an in-depth work:<br />
****a. ISO/TS 16791 Requirements for international machine-readable coding of medicinal product package identifiers<br />
****b. *ISO/NP/DTS 23261 'Requirements for accessing digital medicinal products information by using the existing data carrier'<br />
****c. *ISO/NP/DTS 22756 Requirements for a knowledge base for clinical decision support systems<br />
****d. Implementation guide for ISO/TS 19256 Health informatics – Requirements for medicinal product dictionary systems for health care<br />
<br />
==MedicationKnowledge Resource==<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
*** fix graphic on UML<br />
*** isBrand - may be needs to include different types - isBrand, isGeneric, isInnovator, other<br />
**** Discussion <br />
*** add substitution allowed attribute<br />
*** Need to look at other parameters other than halfLife<br />
*** Need to consider the name<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to post to Zulip asking implementers for feedback<br />
* April 23, 2018<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15871 Different refill duration or quantity===<br />
* FHIR extension - first fill instructions - quantity and days supply - must populate at least one<br />
* initial quantity and initial duration<br />
* add initial fill backbone element in dispenseRequest - with 2 attributes - quantity (simpleQuantity) and duration<br />
** cardinality 0..1 on backbone<br />
** cardinality on attributes 0..1 - need a constraint that one or the other must be filled<br />
* motion to add new backbone - Jean/John - 5/0/0<br />
<br />
=== 15879 Dispense interval not defined===<br />
* FHIR extension exists in Canada - minimum period of time that must occur between dispenses<br />
* use case is related to minimum period of time that must occur before dispense can occur <br />
* proposal to add new attribute - "DispenseInterval" - minimum period of time that must have occurred between dispenses<br />
* cardinality 0..1<br />
* datatype is Duration<br />
* Motion: add new DispenseInterval attribute to DispenseRequest - John/Scott - 6/0/0<br />
<br />
===15840 - Free-text representation of strength===<br />
* this applies to Medication<br />
* text string to represent the strength - e.g. "100mg" or 1000IU/ml<br />
* options:<br />
** add extension for a string on ratio datatype - <br />
** change "amount" to be a choice of ratio or string<br />
Action: Jean to follow up with FHIR-I about a possible extension for "ratio"<br />
<br />
===15905 - Comment for Dosage.doseAndRate===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]<br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===15688 - MedicationRequest.category ValueSet===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]<br />
* April 9, 2018: added to tracker<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===14455 - Workflow report===<br />
* [[File:workflow pharmacy issues Jan 2018.xlsx]]x<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
* April 16, 2018: (is there a new report?) - no discussion<br />
* April 23, 2018:<br />
<br />
===15136 - Change Dosage to support conditional doses===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===15589 - Pharmacy missing isModifier Reason===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018:<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: meeting held today<br />
** Workflow issues - Lloyd will be fixing the report and re-issuing<br />
** MedicationDispense.statusReason - is okay that this will be either a reference or a CodeableConcept - will not be added to the pattern for event<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018: no discussion<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018: no updates<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018: no discussion<br />
Action: reach out to project facilitators - get update in Cologne<br />
<br />
<br />
==AOB==<br />
* <br />
<br />
==Next meeting==<br />
* April 30, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-23_Rx_Conf_Call&diff=1562032018-04-23 Rx Conf Call2018-04-20T00:54:59Z<p>Smrobertson: /* Joint Meeting with IHE Pharmacy and ISO TC215 WG 6 */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Melva Peters (Chair)<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
WGM - Scott to update availability<br />
<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
'''MedicationKnowledge'''<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to add MedicationKnowlege to FHIR Tracker so that new comments/changes can be added<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
* Scott and Melva will be attending<br />
* Jean and John will be able to dial in for MedicationKnowledge discussion<br />
Action: Scott to update availability<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
** no further information on agenda item<br />
* April 23, 2018<br />
** from Christian Hay 3/19/2018<br />
***At this time, on the ISO side, we don’t know who is going to participate; that would certainly impact the content on our side.<br />
***From the current work items @ ISO I would like mentioning the following; a * signalise which seems to me the most interesting for an in-depth work:<br />
****a. ISO/TS 16791 Requirements for international machine-readable coding of medicinal product package identifiers<br />
****b. *ISO/NP/DTS 23261 'Requirements for accessing digital medicinal products information by using the existing data carrier'<br />
****c. *ISO/NP/DTS 22756 Requirements for a knowledge base for clinical decision support systems<br />
****d. Implementation guide for ISO/TS 19256 Health informatics – Requirements for medicinal product dictionary systems for health care<br />
<br />
==MedicationKnowledge Resource==<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
*** fix graphic on UML<br />
*** isBrand - may be needs to include different types - isBrand, isGeneric, isInnovator, other<br />
**** Discussion <br />
*** add substitution allowed attribute<br />
*** Need to look at other parameters other than halfLife<br />
*** Need to consider the name<br />
Action: Jean and Melva to liase to work on updates<br />
Action: look at material from Chile to see if definitions can be updated<br />
Action: Melva to post to Zulip asking implementers for feedback<br />
* April 23, 2018<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 - Comment for Dosage.doseAndRate===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]<br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===15688 - MedicationRequest.category ValueSet===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]<br />
* April 9, 2018: added to tracker<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===14455 - Workflow report===<br />
* [[File:workflow pharmacy issues Jan 2018.xlsx]]x<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
* April 16, 2018: (is there a new report?) - no discussion<br />
* April 23, 2018:<br />
<br />
===15136 - Change Dosage to support conditional doses===<br />
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===15589 - Pharmacy missing isModifier Reason===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===15509 - Create example scenarios for Pharmacy===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]<br />
* need to draft some scenarios<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
===12396 - Medication package and product===<br />
*[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]<br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018 - no discussion<br />
* April 23, 2018:<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
== US Meds - PDMP Mapping==<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
* April 16, 2018: In ballot - no discussion until after ballot close<br />
** will be on the agenda for WGM or subsequent teleconference<br />
* April 23, 2018:<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
* April 23, 2018:<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
* April 16, 2018: no discussion<br />
* April 23, 2018:<br />
<br />
==AOB==<br />
<br />
<br />
==Next meeting==<br />
* April 30, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=May_2018_Pharmacy_WGM_Agenda&diff=156195May 2018 Pharmacy WGM Agenda2018-04-19T16:48:58Z<p>Smrobertson: /* Agenda */</p>
<hr />
<div>{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
==Agenda==<br />
<br />
{|border="1" cellpadding="2" cellspacing="0" <br />
| align="center" style="background:#f0f0f0;"|'''Day'''<br />
| align="center" style="background:#f0f0f0;"|'''Date'''<br />
| align="center" style="background:#f0f0f0;"|''''''<br />
| align="center" style="background:#f0f0f0;"|'''Time'''<br />
| align="center" style="background:#f0f0f0;"|'''Icon'''<br />
| align="center" style="background:#f0f0f0;"|'''Event'''<br />
| align="center" style="background:#f0f0f0;"|'''Chair'''<br />
| align="center" style="background:#f0f0f0;"|'''Scribe'''<br />
| align="center" style="background:#f0f0f0;"|'''Room'''<br />
<br />
|-<br />
|rowspan="4" | Sunday<br />
|rowspan="4" | May 13, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q2||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q4||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Monday<br />
|rowspan="4" | May 14, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q2 - 11 - 12:30 pm||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
*Finalize Agenda<br />
*Reps to other WGs<br />
** Tuesday Q2 - O&O - Rep only<br />
** Wednesday Q3 - O&O - Rep Only<br />
** Wednesday Q4 - Patient Care - Rep Only<br />
** Wednesday Q4 - PH - Rep Only<br />
** Thursday Q1 - Patient Care - Rep Only<br />
** Thursday Q2 - SD - Rep Only<br />
*Assign Roles for Quarters<br />
*If we have new attendees, review<br />
**Overview of Pharmacy material - V2, V3, FHIR<br />
**Overview of Template work<br />
*Hot Topics<br />
*Approval of January 2018 WGM Minutes<br />
* Prep for Joint FHIR meeting<br />
||Melva||Scott||TBD<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3 - 1:45 - 3 pm||[[Image:Technical_med.gif|24px]]||Committee Meeting - BR&R Rep Joining<br><br />
* Work on IDMP and MedicationKnowledge resources<br />
* Work on Medication Logical Model<br />
||Melva||Scott||TBD<br />
|-<br />
||Q4 - 3:30 - 5 pm||[[Image:Technical_med.gif|24px]]||Committee Meeting <br><br />
* MedicationKnowledge resource<br />
||Scott||TBD||TBD<br />
<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Tuesday<br />
|rowspan="4" | May 15, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1 - 9-10:30am||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
* FHIR Ballot Reconciliation<br />
||Melva||Scott||TBD<br />
|-<br />
||Q2 - 11-12:30pm||[[Image:Technical_med.gif|24px]]||Committee Meeting - Joint with FHIR<br><br />
||Melva||Scott||TBD<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3 - 1:45-3pm||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q4 - 330-5pm||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Wednesday<br />
|rowspan="4" | May 16, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1 - 9-1030am||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
* Pharmacy Template Ballot Reconciliation<br />
||Melva||Melva||TBD<br />
|-<br />
||Q2 - 11-12:30pm||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
*Schedule for Conference calls<br />
*DMP<br />
*M&C<br />
*SWOT<br />
*Forward Planning<br />
*Project Review<br />
*3 year plan review<br />
*Action Item list review<br />
* FHIR Ballot Reconciliation<br />
* FHIR Tracker Items<br />
||Scott||TBD||TBD<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3 - 1:45 - 3pm||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
* FHIR Ballot Reconciliation<br />
* FHIR Tracker Items<br />
||Scott||TBD||TBD<br />
|-<br />
||Q4 - 3:30-5pm||[[Image:Technical_med.gif|24px]]||Committee Meeting <br><br />
* FHIR Ballot Reconciliation<br />
* FHIR Tracker Items<br />
||Scott||TBD||TBD<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Thursday<br />
|rowspan="4" | May 17, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1 - 9-1030am||[[Image:Technical_med.gif|24px]]||Committee Meeting <br><br />
* MedicationKnowledge Resource discussion<br />
||Scott||TBD||TBD<br />
|-<br />
||Q2 - 11-12:30pm||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
* MedicationKnowledge Resource discussion<br />
* FHIR Ballot Reconciliation<br />
* FHIR Tracker Items<br />
||Scott||TBD||TBD<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3 - 1:45-3pm||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q4 - 3:30-5pm||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Friday<br />
|rowspan="4" | May 18, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting <br><br />
||NA||NA||NA<br />
|-<br />
||Q2||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q4||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|}<br />
<br />
Icons:<br />
*Ballot Reconciliation meeting [[Image:Reconciliation_med.gif |24px]] <br />
*Work Group technical discussion [[Image:Technical_med.gif |24px]]</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=May_2018_Pharmacy_WGM_Agenda&diff=156194May 2018 Pharmacy WGM Agenda2018-04-19T16:48:37Z<p>Smrobertson: /* Agenda */ added Scott availability</p>
<hr />
<div>{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
==Agenda==<br />
<br />
{|border="1" cellpadding="2" cellspacing="0" <br />
| align="center" style="background:#f0f0f0;"|'''Day'''<br />
| align="center" style="background:#f0f0f0;"|'''Date'''<br />
| align="center" style="background:#f0f0f0;"|''''''<br />
| align="center" style="background:#f0f0f0;"|'''Time'''<br />
| align="center" style="background:#f0f0f0;"|'''Icon'''<br />
| align="center" style="background:#f0f0f0;"|'''Event'''<br />
| align="center" style="background:#f0f0f0;"|'''Chair'''<br />
| align="center" style="background:#f0f0f0;"|'''Scribe'''<br />
| align="center" style="background:#f0f0f0;"|'''Room'''<br />
<br />
|-<br />
|rowspan="4" | Sunday<br />
|rowspan="4" | May 13, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q2||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q4||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Monday<br />
|rowspan="4" | May 14, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q2 - 11 - 12:30 pm||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
*Finalize Agenda<br />
*Reps to other WGs<br />
** Tuesday Q2 - O&O - Rep only<br />
** Wednesday Q3 - O&O - Rep Only<br />
** Wednesday Q4 - Patient Care - Rep Only<br />
** Wednesday Q4 - PH - Rep Only<br />
** Thursday Q1 - Patient Care - Rep Only<br />
** Thursday Q2 - SD - Rep Only<br />
*Assign Roles for Quarters<br />
*If we have new attendees, review<br />
**Overview of Pharmacy material - V2, V3, FHIR<br />
**Overview of Template work<br />
*Hot Topics<br />
*Approval of January 2018 WGM Minutes<br />
* Prep for Joint FHIR meeting<br />
||Melva||TBD||TBD<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3 - 1:45 - 3 pm||[[Image:Technical_med.gif|24px]]||Committee Meeting - BR&R Rep Joining<br><br />
* Work on IDMP and MedicationKnowledge resources<br />
* Work on Medication Logical Model<br />
||Melva||Scott||TBD<br />
|-<br />
||Q4 - 3:30 - 5 pm||[[Image:Technical_med.gif|24px]]||Committee Meeting <br><br />
* MedicationKnowledge resource<br />
||Scott||TBD||TBD<br />
<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Tuesday<br />
|rowspan="4" | May 15, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1 - 9-10:30am||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
* FHIR Ballot Reconciliation<br />
||Melva||Scott||TBD<br />
|-<br />
||Q2 - 11-12:30pm||[[Image:Technical_med.gif|24px]]||Committee Meeting - Joint with FHIR<br><br />
||Melva||Scott||TBD<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3 - 1:45-3pm||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q4 - 330-5pm||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Wednesday<br />
|rowspan="4" | May 16, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1 - 9-1030am||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
* Pharmacy Template Ballot Reconciliation<br />
||Melva||Melva||TBD<br />
|-<br />
||Q2 - 11-12:30pm||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
*Schedule for Conference calls<br />
*DMP<br />
*M&C<br />
*SWOT<br />
*Forward Planning<br />
*Project Review<br />
*3 year plan review<br />
*Action Item list review<br />
* FHIR Ballot Reconciliation<br />
* FHIR Tracker Items<br />
||Scott||TBD||TBD<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3 - 1:45 - 3pm||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
* FHIR Ballot Reconciliation<br />
* FHIR Tracker Items<br />
||Scott||TBD||TBD<br />
|-<br />
||Q4 - 3:30-5pm||[[Image:Technical_med.gif|24px]]||Committee Meeting <br><br />
* FHIR Ballot Reconciliation<br />
* FHIR Tracker Items<br />
||Scott||TBD||TBD<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Thursday<br />
|rowspan="4" | May 17, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1 - 9-1030am||[[Image:Technical_med.gif|24px]]||Committee Meeting <br><br />
* MedicationKnowledge Resource discussion<br />
||Scott||TBD||TBD<br />
|-<br />
||Q2 - 11-12:30pm||[[Image:Technical_med.gif|24px]]||Committee Meeting<br><br />
* MedicationKnowledge Resource discussion<br />
* FHIR Ballot Reconciliation<br />
* FHIR Tracker Items<br />
||Scott||TBD||TBD<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3 - 1:45-3pm||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q4 - 3:30-5pm||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|-<br />
|rowspan="4" | Friday<br />
|rowspan="4" | May 18, 2018<br />
|rowspan="2" align="middle" |AM<br />
||Q1||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting <br><br />
||NA||NA||NA<br />
|-<br />
||Q2||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
| rowspan="2" align="middle" |PM <br />
||Q3||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-<br />
||Q4||[[Image:Technical_med.gif|24px]]||Pharmacy WG Not Meeting||NA||NA||NA<br />
|-border="4" cellpadding="8" style="background:#f0f0f0;"<br />
|. |||||||||||||||||<br />
<br />
|}<br />
<br />
Icons:<br />
*Ballot Reconciliation meeting [[Image:Reconciliation_med.gif |24px]] <br />
*Work Group technical discussion [[Image:Technical_med.gif |24px]]</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1560182018-04-16 Rx Conf Call2018-04-13T22:35:41Z<p>Smrobertson: /* MedicationKnowledge Resource */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018 -- This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
***generalizedMedicine = Reference(MedKnowledge)<br />
***patientCharacteristics.value = choice of datatypes<br />
***indication = reference(observation)<br />
***drugCharacteristics.value = choice of datatypes<br />
*** .<br />
***type - needs better definition<br />
***ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
***Contraindications - do we want to include a structure for contraIndications?<br />
***batch - description isn't proper - is it needed?<br />
***packaging.quantity = how does it differ from amount?<br />
****-how do I express strength + total quantity<br />
***halfLife - description needs to be fixed<br />
***Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018:<br />
<br />
<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1560172018-04-16 Rx Conf Call2018-04-13T22:34:31Z<p>Smrobertson: /* MedicationKnowledge Resource */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018:<br />
**Jean's email of April 13, 2018<br />
***This is a list of the changes/clarifications/discussion items that came out of the review of the MedicationKnowledge resource:<br />
****generalizedMedicine = Reference(MedKnowledge)<br />
****patientCharacteristics.value = choice of datatypes<br />
****indication = reference(observation)<br />
****drugCharacteristics.value = choice of datatypes<br />
**** .<br />
****type - needs better definition<br />
****ingredientItem - reference(medication)? - do we need a reference to medication or just to substance?<br />
****Contraindications - do we want to include a structure for contraIndications?<br />
****batch - description isn't proper - is it needed?<br />
****packaging.quantity = how does it differ from amount?<br />
*****-how do I express strength + total quantity<br />
****halfLife - description needs to be fixed<br />
****Cost - add a typeCode for type of cost (manufacturer price, claim reimbursement, patient cost)<br />
**<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018:<br />
<br />
<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=Pharmacy_Conference_call_minutes&diff=156016Pharmacy Conference call minutes2018-04-13T22:31:48Z<p>Smrobertson: /* 2018 */</p>
<hr />
<div>{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
==Pharmacy Work Group Teleconference Minutes==<br />
<br />
===2018===<br />
<table><br />
<tr><br />
<th>Date/time</th><br />
<th>Chair </th><br />
<th>Status</th><br />
</tr><br />
<tr><br />
<td>====================</td><br />
<td>=================</td><br />
<td>=======================================================================</td><br />
</tr><br />
<tr><br />
<td>[[2018-05-07 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>Planned<br />
</tr><br />
<tr><br />
<td>[[2018-04-30 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>Planned<br />
</tr><br />
<tr><br />
<td>[[2018-04-23 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>Planned<br />
</tr><br />
<tr><br />
<td>[[2018-04-16 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Planned<br />
</tr><br />
<tr><br />
<td>[[2018-04-09 Rx Conf Call]]</td><br />
<td>JOhn</td><br />
<td>Complete<br />
</tr><br />
<tr><br />
<td>2018-04-02 Rx Conf Call</td><br />
<td>Cancelled due to Easter<br />
</tr><br />
<tr><br />
<td>[[2018-03-26 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Complete<br />
</tr><br />
<tr><br />
<td>[[2018-03-19 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Complete<br />
</tr><br />
<tr><br />
<td>[[2018-03-12 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><td>[[2018-03-05 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2018-02-26 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2018-02-19 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2018-02-11 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>2018-02-05 Rx Conf Call</td><br />
<td></td><br />
<td>Cancelled - week after WGM</td><br />
</tr><br />
<tr><br />
<td>2018-01-29 Rx Conf Call</td><br />
<td></td><br />
<td>Cancelled - WGM in New Orleans LA</td><br />
</tr><br />
<tr><br />
<td>[[2018-01-22 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2018-01-15 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2018-01-08 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>2018-01-01 Rx Conf Call</td><br />
<td></td><br />
<td>Cancelled</td><br />
</tr><br />
</table><br />
<br />
===2017===<br />
<table><br />
<tr><br />
<th>Date/time</th><br />
<th>Chair </th><br />
<th>Status</th><br />
</tr><br />
<tr><br />
<td>====================</td><br />
<td>=================</td><br />
<td>=======================================================================</td><br />
</tr><br />
<br />
<tr><br />
<td>2017-12-25 Rx Conf Call</td><br />
<td></td><br />
<td>Cancelled - Holiday</td><br />
</tr><br />
<tr><br />
<td>[[2017-12-18 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-12-11 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-12-04 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-11-27 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-11-20 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-11-13 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-11-06 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-10-30 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-10-23 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-10-16 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-10-09 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-10-02 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-09-25 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>2017-09-18 Rx Conf Call</td><br />
<td>Cancelled</td><br />
<td>Week after WGM</td><br />
</tr><br />
<tr><br />
<td>2017-09-11 Rx Conf Call</td><br />
<td>Cancelled</td><br />
<td>Work Group Meeting</td><br />
</tr><br />
<tr><br />
<td>2017-09-04 Rx Conf Call</td><br />
<td>Cancelled</td><br />
<td>Labour Day Holiday</td><br />
</tr><br />
<tr><br />
<td>[[2017-08-28 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-08-21 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-08-14 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-08-07 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-07-31 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-07-24 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-07-17 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-07-10 Rx Conf Call]]</td><br />
<td></td><br />
<td>No Quorum</td><br />
</tr><br />
<tr><br />
<td>[[2017-07-03 Rx Conf Call]]</td><br />
<td></td><br />
<td>Cancelled - US - Fourth of July / Canada - Canada Day - 150 yrs!</td><br />
</tr><br />
<tr><br />
<td>[[2017-06-26 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-06-19 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-06-12 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-06-05 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-05-29 Rx Conf Call]]</td><br />
<td></td><br />
<td>Cancelled</td><br />
</tr><br />
<tr><br />
<td>[[2017-05-22 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>2017-05-15 Rx Conf Call</td><br />
<td>Cancelled</td><br />
<td>Week after WGM</td><br />
</tr><br />
<tr><br />
<td>2017-05-08 Rx Conf Call</td><br />
<td>Cancelled</td><br />
<td>Work Group Meeting</td><br />
</tr><br />
<tr><br />
<td>[[2017-05-01 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2017-04-24 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2017-04-17 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2017-04-10 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2017-04-03 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2017-03-27 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2017-03-20 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2017-03-13 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2017-03-06 Rx Conf Call]]</td><br />
<td>Marla</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-02-27 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-02-20 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-02-13 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-02-09 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-02-06 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-01-30 Rx Conf Call]]</td><br />
<td></td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>2017-01-23 Rx Conf Call</td><br />
<td>Cancelled</td><br />
<td>Week after WGM</td><br />
</tr><br />
<tr><br />
<td>2017-01-16 Rx Conf Call</td><br />
<td>Cancelled</td><br />
<td>Work Group Meeting</td><br />
</tr><br />
<tr><br />
<td>[[2017-01-09 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2017-01-02 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Complete</td><br />
</tr><br />
<br />
</table><br />
<br />
===2016===<br />
<table><br />
<tr><br />
<th>Date/time</th><br />
<th>Chair </th><br />
<th>Status</th><br />
</tr><br />
<tr><br />
<td>====================</td><br />
<td>=================</td><br />
<td>=======================================================================</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2016-12-19 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2016-12-15 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2016-12-12 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2016-12-08 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<tr><br />
<td>[[2016-12-05 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-12-01 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-11-28 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-11-21 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-11-14 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-11-10 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-11-07 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-11-03 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-10-31 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-10-27 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-10-24 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-10-17 Rx Conf Call]]</td><br />
<td>Marla</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-10-10 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-10-03 Rx Conf Call]]</td><br />
<td>Marla</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>2016-09-26 Rx Conf Call</td><br />
<td></td><br />
<td>Cancelled - week after WGM</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>2016-09-19 Rx Conf Call</td><br />
<td></td><br />
<td>Cancelled - WGM in Baltimore MD</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2016-09-12 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<br />
<tr><br />
<td>2016-09-05 Rx Conf Call</td><br />
<td></td><br />
<td>Cancelled - Labour Day</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2016-08-29 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2016-08-22 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2016-08-15 Rx Conf Call]]</td><br />
<td></td><br />
<td>Planned</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2016-08-08 Rx Conf Call]]</td><br />
<td></td><br />
<td>Completed</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2016-08-01 Rx Conf Call]]</td><br />
<td></td><br />
<td>Completed</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2016-07-25 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Completed</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2016-07-18 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-07-11 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>2016-07-04 Rx Conf Call</td><br />
<td> </td><br />
<td>Cancelled</td><br />
</tr><br />
<tr><br />
<td>[[2016-06-27 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-06-20 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-06-13 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-06-06 Rx Conf Call]]</td><br />
<td>Marla</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-05-30 Rx Conf Call]]</td><br />
<td>N/A</td><br />
<td>Cancelled</td><br />
</tr><br />
<tr><br />
<td>[[2016-05-23 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-05-02 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-04-25 Rx Conf Call]]</td><br />
<td>Marla</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-04-18 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-04-11 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<tr><br />
<td>[[2016-04-04 Rx Conf Call]]</td><br />
<td>Marla</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<tr><br />
<td>[[2016-03-28 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-03-21 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-03-14 Rx Conf Call]]</td><br />
<td>Marla</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<tr><br />
<td>[[2016-03-07 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-02-29 Rx Conf Call]]</td><br />
<td>Marla</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-02-22 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-02-15 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-02-08 Rx Conf Call]]</td><br />
<td>Marla</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-02-01 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2016-01-25 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<br />
<tr><br />
<td>2016-01-18 Rx Conf Call</td><br />
<td></td><br />
<td>Cancelled - week after WGM</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>2016-01-11 Rx Conf Call</td><br />
<td></td><br />
<td>Cancelled - WGM in Orlando FL</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2016-01-04 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Completed</td><br />
</tr><br />
</table><br />
<br />
===2015===<br />
<table><br />
<tr><br />
<th>Date/time</th><br />
<th>Chair </th><br />
<th>Status</th><br />
</tr><br />
<tr><br />
<td>====================</td><br />
<td>=================</td><br />
<td>=======================================================================</td><br />
</tr><br />
<br />
<br />
<br />
<tr><br />
<td>[[2015-12-28 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>Cancelled</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2015-12-21 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Completed</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2015-12-14 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2015-12-07 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Planned</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2015-11-30 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Cancelled</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2015-11-23 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2015-11-16 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2015-11-09 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td>Completed</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2015-11-02 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-10-26 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-10-19 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td>Completed</td><br />
</tr><br />
<br />
<tr><br />
<td>2015-10-05 Rx Conf Call</td><br />
<td> </td><br />
<td> Cancelled - Atlanta Working Group meeting</td><br />
</tr><br />
<br />
<br />
<tr><br />
<td>[[2015-09-28 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td> Completed</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2015-09-21 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td> Completed</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2015-09-14 Rx Conf Call]]</td><br />
<td> John</td><br />
<td> Completed</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2015-09-07 Rx Conf Call]]</td><br />
<td> </td><br />
<td> Cancelled - U.S. Holiday</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2015-08-31 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-08-24 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-08-17 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-08-10 Rx Conf Call]]</td><br />
<td> Marla</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-08-03 Rx Conf Call]]</td><br />
<td> John</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-7-27 Rx Conf Call]]</td><br />
<td> John</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-07-20 Rx Conf Call]]</td><br />
<td> John</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-07-13 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-07-06 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-06-29 Rx Conf Call]]</td><br />
<td> Marla</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-06-22 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-06-15 Rx Conf Call]]</td><br />
<td>Melva </td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-06-08 Rx Conf Call]]</td><br />
<td> John</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-06-04 Rx Conf Call]]</td><br />
<td> Melva</td><br />
<td> Planned - Ballot reconciliation</td><br />
</tr><br />
<tr><br />
<td>[[2015-06-01 Rx Conf Call]]</td><br />
<td> John</td><br />
<td> Completed- Ballot reconciliation</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2015-05-29 Rx Conf Call]]</td><br />
<td> </td><br />
<td> Completed- Ballot reconciliation</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2015-05-27 Rx Conf Call]]</td><br />
<td> </td><br />
<td> Completed- Ballot reconciliation</td><br />
</tr><br />
<tr><br />
<td>[[2015-05-25 Rx Conf Call]]</td><br />
<td>Melva </td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-05-18 Rx Conf Call]]</td><br />
<td> </td><br />
<td> Cancelled - week after WGM (usually don't meet this week)</td><br />
</tr><br />
<tr><br />
<td>[[2015-05-11 Rx Conf Call]]</td><br />
<td> </td><br />
<td> Cancelled - WGM</td><br />
</tr><br />
<tr><br />
<td>[[2015-05-04 Rx Conf Call]]</td><br />
<td> John </td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-04-27 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td> Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-04-20 Rx Conf Call]]</td><br />
<td> John </td><br />
<td> Completed - the week of ISO TC215 meeting (Scott not available)</td><br />
</tr><br />
<tr><br />
<td>2015-04-13 Rx Conf Call</td><br />
<td> </td><br />
<td> Cancelled - the week of HIMSS </td><br />
</tr><br />
<tr><br />
<td>[[2015-04-06 Rx Conf Call]]</td><br />
<td> </td><br />
<td> Planned </td><br />
</tr><br />
<tr><br />
<td>[[2015-03-30 Rx Conf Call]]</td><br />
<td> </td><br />
<td> Planned </td><br />
</tr><br />
<tr><br />
<tr><br />
<td>[[2015-03-23 Rx Conf Call]]</td><br />
<td> Scott </td><br />
<td> Planned </td><br />
</tr><br />
<tr><br />
<td>[[2015-03-09 Rx Conf Call]]</td><br />
<td> Melva </td><br />
<td> Cancelled </td><br />
</tr><br />
<tr><br />
<td>[[2015-03-16 Rx Conf Call]]</td><br />
<td> Melva </td><br />
<td> Complete </td><br />
</tr><br />
<tr><br />
<td>[[2015-03-09 Rx Conf Call]]</td><br />
<td> Melva </td><br />
<td> Complete </td><br />
</tr><br />
<tr><br />
<td>[[2015-03-03 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2015-02-23 Rx Conf Call]]</td><br />
<td>Hugh (last minute change)</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2015-02-16 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2015-02-09 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2015-02-02 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td> 2015-01-26 Rx Conf Call<br />
<td> N/A </td><br />
<td> Cancelled <td><br />
</tr><br />
<tr><br />
<td>2015-01-19 Rx Conf Call</td><br />
<td>N/A</td><br />
<td>Cancelled - WGM</td><br />
</tr><br />
<tr><br />
<td>[[2015-01-05 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Planned</td><br />
</tr><br />
<br />
<br />
<br />
</table><br />
<br />
===2014===<br />
<br />
<table><br />
<tr><br />
<th>Date/time</th><br />
<th>Chair </th><br />
<th>Status</th><br />
</tr><br />
<tr><br />
<td>====================</td><br />
<td>=================</td><br />
<td>=======================================================================</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2014-12-22 Rx Conf Call]]</td><br />
<td>Cancelled due to lack of quorum</td><br />
<td>TBD</td><br />
</tr> <br />
<tr><br />
<td>[[2014-12-08 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>COMPLETED</td><br />
</tr> <br />
<tr><br />
<td>[[2014-11-24 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr> <br />
<tr><br />
<td>[[2014-11-10 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr> <br />
<tr><br />
<td>[[2014-10-27 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr> <br />
<tr><br />
<td>[[2014-10-13 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
<td>Completed</td><br />
</tr> <br />
<td>[[2014-09-29 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Completed</td><br />
</tr> <br />
<tr><br />
<td>[[2014-09-22 Rx Conf Call]]</td><br />
<td>n/a</td><br />
<td>Cancelled - week after WGM</td><br />
</tr> <br />
<tr><br />
<td>[[2014-09-15 Rx Conf Call]]</td><br />
<td>n/a</td><br />
<td>Cancelled - WGM</td><br />
</tr> <br />
<tr><br />
<td>[[2014-09-08 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr> <br />
<tr><br />
<td>[[2014-09-01 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
<td>Cancel?, US Holiday</td><br />
</tr> <br />
<tr><br />
<td>[[2014-08-25 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>TBD</td><br />
</tr> <br />
<tr><br />
<td>[[2014-08-18 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr> <br />
<tr><br />
<td>[[2014-08-11 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr> <br />
<tr><br />
<td>[[2014-08-04 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
<td>Cancelled</td><br />
</tr> <br />
<tr><br />
<td>[[2014-07-28 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>2014-07-21 Rx Conf Call</td><br />
<td>Melva</td><br />
<td>Cancelled for lack of quorum</td><br />
</tr><br />
<tr><br />
<td>[[2014-07-14 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2014-07-07 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Cancelled due to lack of Quorum</td><br />
</tr><br />
<tr><br />
<td>[[2014-06-30 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2014-06-23 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2014-06-16 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2014-06-09 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2014-06-02 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2014-05-26 RX Conf Call]]</td><br />
<td>Melva</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2014-05-19 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2014-05-12 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>CANCELLED</td><br />
</tr><br />
<tr><br />
<td>[[2014-05-05 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>CANCELLED - WGM</td><br />
</tr><br />
<tr><br />
<td>[[2014-04-28 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2014-04-21 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Completed</td><br />
</tr><br />
<tr><br />
<td>[[2014-04-14 Rx Conf Call]]</td><br />
<td>N/A</td><br />
<td>CANCELLED</td><br />
</tr><br />
<tr><br />
<td>[[2014-04-07 Rx Conf Call]]</td><br />
<td>Melva</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2014-03-31 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2014-03-24 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2014-03-17 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2014-03-10 Rx Conf Call]]</td><br />
<td>Scott</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2014-03-03 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Complete</td><br />
</tr><br />
<tr><br />
<td>[[2014-02-24 Rx Conf Call]]</td><br />
<td>CANCELLED</td><br />
<td>CANCELLED</td><br />
</tr><br />
<tr><br />
<td>[[2014-02-17 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>TBD</td><br />
</tr><br />
<tr><br />
<td>[[2014-02-10 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>TBD</td><br />
</tr><br />
<tr><br />
<td>[[2014-02-03 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>TBD</td><br />
</tr><br />
<tr><br />
<td>2014-01-27 Rx Conf Call</td><br />
<td>TBD</td><br />
<td>TBD</td><br />
</tr><br />
<tr><br />
<td>[[2014-01-20 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>TBD</td><br />
</tr><br />
<tr><br />
<td>[[2014-01-13 Rx Conf Call]]</td><br />
<td>TBD</td><br />
<td>TBD</td><br />
</tr><br />
<tr><br />
<td>[[2014-01-06 Rx Conf Call]]</td><br />
<td>John</td><br />
<td>Completed</td><br />
</tr><br />
</table><br />
<br />
===2013===<br />
<table><br />
<tr><br />
<td>[[2013-12-30 Rx Conf Call]]</td><br />
<td>?</td><br />
</tr><br />
<tr><br />
<td>2013-12-23 Rx Conf Call</td><br />
<td>CANCELLED</td><br />
</tr><br />
<tr><br />
<td>[[2013-12-16 Rx Conf Call]]</td><br />
<td>Scott</td><br />
</tr><br />
<tr><br />
<td>[[2013-12-09 Rx Conf Call]]</td><br />
<td>Melva</td><br />
</tr><br />
<tr><br />
<td>[[2013-12-02 Rx Conf Call]]</td><br />
<td>Scott</td><br />
</tr><br />
<tr><br />
<td>[[2013-11-25 Rx Conf Call]]</td><br />
<td>John</td><br />
</tr><br />
<tr><br />
<td>[[2013-11-18 Rx Conf Call]]</td><br />
<td>Melva</td><br />
</tr><br />
<tr><br />
<td>[[2013-11-11 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
</tr><br />
<tr><br />
<td>[[2013-11-04 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
</tr><br />
<tr><br />
<td>[[2013-10-28 Rx Conf Call]]</td><br />
<td>John</td><br />
</tr><br />
<tr><br />
<td>[[2013-10-21 Rx Conf Call]]</td><br />
<td>John</td><br />
</tr><br />
<tr><br />
<td>[[2013-10-14 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
</tr><br />
<tr><br />
<td>[[2013-10-07 Rx Conf Call]]</td><br />
<td>Melva</td><br />
</tr><br />
<tr><br />
<td>2013-09-30</td><br />
<td>Cancelled</td><br />
</tr><br />
<tr><br />
<td>2013-09-23</td><br />
<td>Cancelled WGM</td><br />
</tr><br />
<tr><br />
<td>[[2013-09-16 Rx Conf Call]]</td><br />
<td>Scott/Melva</td><br />
</tr><br />
<tr><br />
<td>[[2013-09-09 Rx Conf Call]]</td><br />
<td>Melva/Tom</td><br />
</tr><br />
<tr><br />
<td>[[2013-09-02 Rx Conf Call]]</td><br />
<td>Tom/?</td><br />
</tr><br />
<tr><br />
<td>[[2013-08-26 Rx Conf Call]]</td><br />
<td>Scott/Melva</td><br />
</tr><br />
<tr><br />
<td>[[2013-08-19 Rx Conf Call]]</td><br />
<td>Melva/Scott</td><br />
</tr><br />
<tr><br />
<td>[[2013-08-12 Rx Conf Call]]</td><br />
<td>Scott - Quorum not met</td><br />
</tr><br />
<tr><br />
<td>[[2013-08-05 Rx Conf Call]]</td><br />
<td>Tom/?</td><br />
</tr><br />
<tr><br />
<td>[[2013-07-29 Rx Conf Call]]</td><br />
<td>Melva - CANCELLED DUE TO LACK OF QUORUM</td><br />
</tr><br />
<tr><br />
<td>[[2013-07-22 Rx Conf Call]]</td><br />
<td>?/Melva</td><br />
</tr><br />
<tr><br />
<td>[[2013-07-15 Rx Conf Call]]</td><br />
<td>Scott/Tom</td><br />
</tr><br />
<tr><br />
<td>[[2013-07-08 Rx Conf Call]]</td><br />
<td>Melva/?</td><br />
</tr><br />
<tr><br />
<td>[[2013-07-01 Rx Conf Call]]</td><br />
<td>Hugh/?</td><br />
</tr><br />
<tr><br />
<td>[[2013-06-24 Rx Conf Call]]</td><br />
<td>Hugh/Melva</td><br />
</tr><br />
<tr><br />
<td>[[2013-06-17 Rx Conf Call]]</td><br />
<td>Hugh/Melva</td><br />
</tr><br />
<tr><br />
<td>2013-06-10 Rx Conf Call</td><br />
<td>Cancelled - OOC Meeting</td><br />
</tr><br />
<tr><br />
<td>[[2013-06-03 Rx Conf Call]]</td><br />
<td>Melva/?</td><br />
</tr><br />
<tr><br />
<td>[[2013-05-27 Rx Conf Call]]</td><br />
<td>Melva/Hugh</td><br />
</tr><br />
<tr><br />
<td>[[2013-05-20 Rx Conf Call]]</td><br />
<td>Hugh/Melva</td><br />
</tr><br />
<tr><br />
<td>2013-05-13</td><br />
<td>Cancelled - WGM</td><br />
</tr><br />
<tr><br />
<td>2013-05-06 </td><br />
<td>Cancelled - WGM</td><br />
</tr><br />
<td>[[2013-04-29 Rx Conf Call]]</td><br />
<td>Tom</td><br />
</tr><br />
<tr><br />
<td>[[2013-04-22 Rx Conf Call]]</td><br />
<td>Tom</td><br />
</tr><br />
<tr><br />
<td>[[2013-04-15 Rx Conf Call]]</td><br />
<td>Tom</td><br />
</tr><br />
<tr><br />
<td>[[2013-04-08 Rx Conf Call]]</td><br />
<td>Tom</td><br />
</tr><br />
<tr><br />
<td>[[2013-03-25 Rx Conf Call]]</td><br />
<td>Scott</td><br />
</tr><br />
<tr><br />
<td>[[2013-03-18 Rx Conf Call]]</td><br />
<td>Cancelled</td><br />
</tr><br />
<tr><br />
<td>[[2013-03-11 Rx Conf Call]]</td><br />
<td>Scott</td><br />
</tr><br />
<tr><br />
<td>[[2013-03-04 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
</tr><br />
<tr><br />
<td>[[2013-02-25 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
</tr><br />
<tr><br />
<td>[[2013-02-18 Rx Conf Call]]</td><br />
<td>Tom or Scott</td><br />
</tr><br />
<tr><br />
<td>[[2013-02-11 Rx Conf Call]]</td><br />
<td>Melva</td><br />
</tr><br />
<tr><br />
<td>[[2013-02-04 Rx Conf Call]]</td><br />
<td>Tom</td><br />
</tr><br />
<tr><br />
<tr><br />
<td>[[2013-01-28 Rx Conf Call]]</td><br />
<td>Melva</td><br />
</tr><br />
<tr><br />
<td>[[2013-01-21 Rx Conf Call]]</td><br />
<td>Cancelled</td><br />
</tr><br />
<tr><br />
<td>[[2013-01-14 Rx Conf Call]]</td><br />
<td>Cancelled - HL7 WGM</td><br />
</tr><br />
<tr><br />
<td>[[2013-01-07 Rx Conf Call]]</td><br />
<td>Hugh</td><br />
</tr><br />
<br />
</table><br />
<br />
===2012===<br />
<table><br />
<th>Date / time </th><br />
<th>Status (Chair)</th><br />
<th>Main topics - Action items, Ongoing List Server Topics, AOB, Next Weeks agenda and attendance are standing items</th><br />
<tr><br />
<td>====================</td><br />
<td>=================</td><br />
<td>=======================================================================</td><br />
<br />
<tr><br />
<td>2012-12-31 Rx Conf Call</td><br />
<td>No Call - New Year's Eve</td><br />
</tr><br />
<tr><br />
<td>2012-12-24 Rx Conf Call</td><br />
<td>No Call - Christmas</td><br />
</tr><br />
<tr><br />
<td>[[2012-12-17 Rx Conf Call]]</td><br />
<td>Planned(??)</td><br />
<td>Melva</td><br />
</tr><br />
<tr><br />
<td>[[2012-12-10 Rx Conf Call]]</td><br />
<td>Planned(??)</td><br />
<td>Hugh</td><br />
</tr><br />
<tr><br />
<tr><br />
<td>[[2012-12-03 Rx Conf Call]]</td><br />
<td>Completed (Tom)</td><br />
<td>List discussion (Medication effectiveTime), Jan 2013 ballot status, FHIR, epSOS</td><br />
</tr><br />
<tr><br />
<td>[[2012-11-26 Rx Conf Call]]</td><br />
<td>Planned (Tom)</td><br />
<td>List server discussions, Administrative items, January 2013 Ballot Progress, FHIR Status</td><br />
</tr><br />
<tr><br />
<td>[[2012-11-19 Rx Conf Call]]</td><br />
<td>Planned (Hugh)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-11-12 Rx Conf Call]]</td><br />
<td>Completed (John)</td><br />
<td>List server discussions, Administrative items, January 2013 Ballot Progress, FHIR Status</td><br />
</tr><br />
<tr><br />
<td>[[2012-11-05 Rx Conf Call]]</td><br />
<td>Planned (Melva)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-10-29 Rx Conf Call]]</td><br />
<td>Complete (Hugh)</td><br />
<td>Recap of OOC Meetings, Harmonization Proposals, Project Review</td><br />
</tr><br />
<tr><br />
<td>[[2012-10-15 Rx Conf Call]]</td><br />
<td>Cancelled</td><br />
<td>no co-chair</td><br />
</tr><br />
<td>[[2012-10-08 Rx Conf Call]]</td><br />
<td>Complete(Tom)</td><br />
<td>List server discussions (med. allergy list in MU2, modelling not before/preferred date), HL7 Caregiver Program, FHIR, OOC</td><br />
</tr><br />
<tr><br />
<td>[[2012-10-01 Rx Conf Call]]</td><br />
<td>Complete (Melva)</td><br />
<td>List server discussions, FHIR, OOC, earlier ballot comments</td><br />
</tr><br />
<tr><br />
<td>[[2012-09-24 Rx Conf Call]]</td><br />
<td>Planned (?)</td><br />
<td>List server discussions, FHIR, OOC, earlier ballot comments, WGM agenda</td><br />
</tr><br />
<tr><br />
<td>[[2012-09-17 Rx Conf Call]]</td><br />
<td>Cancelled</td><br />
<td>Cancelled</td><br />
</tr><br />
<tr><br />
<td>[[2012-09-10 Rx Conf Call]]</td><br />
<td>Cancelled - WGM</td><br />
<td>NA</td><br />
</tr><br />
<tr><br />
<td>[[2012-09-03 Rx Conf Call]]</td><br />
<td>Planned (?)</td><br />
<td>List server discussions, FHIR, OOC, earlier ballot comments, WGM agenda</td><br />
</tr><br />
<tr><br />
<td>[[2012-08-27 Rx Conf Call]]</td><br />
<td>Planned (Tom)</td><br />
<td>List server discussions, FHIR, OOC, earlier ballot comments, WGM agenda</td><br />
</tr><tr><br />
<td>[[2012-08-20 Rx Conf Call]]</td><br />
<td>Planned (Melva)</td><br />
<td>???</td><br />
</tr><tr><br />
<td>[[2012-08-13 Rx Conf Call]]</td><br />
<td>Planned (Melva)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-08-06 Rx Conf Call]]</td><br />
<td>Planned (??)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-07-30 Rx Conf Call]]</td><br />
<td>Planned (??)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-07-23 Rx Conf Call]]</td><br />
<td>Planned (Melva)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-07-16 Rx Conf Call]]</td><br />
<td>CANCELLED</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-07-09 Rx Conf Call]]</td><br />
<td>Planned (Hugh)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-07-02 Rx Conf Call]]</td><br />
<td>Planned (Hugh)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-06-25 Rx Conf Call]]</td><br />
<td>Planned (Tom)</td><br />
<td>IHE, SVN, Clinical Statement, Vocabulary Harmonisation, Balloting</td><br />
</tr><br />
<tr><br />
<td>[[2012-06-18 Rx Conf Call]]</td><br />
<td>Completed(Melva)</td><br />
<td>Harmonisation proposals, Vocab issues, IDMP, FHIR, Pharmacy EHR Project, Med Profile Project, IHE Joint, Glossary, CPM</td><br />
</tr><br />
<tr><br />
<td>[[2012-06-11 Rx Conf Call]]</td><br />
<td>Completed (Tom)</td><br />
<td>List Serve, IDMP ballot, FHIR project, Nutrition orders project, Medication profile project, Glossary, IHE joint meeting, Common Product model</td><br />
</tr><br />
<tr><br />
<td>[[2012-06-04 Rx Conf Call]]</td><br />
<td>Cancelled (Hugh)</td><br />
</tr><br />
<tr><br />
<td>[[2012-05-28 Rx Conf Call]]</td><br />
<td>Completed (Melva)</td><br />
<td>Immunization, IDMP ballot, FHIR project, Nutrition orders project, Medication profile project, glossary, IHE joint meeting, Common Product model</td><br />
</tr><br />
<tr><br />
<td>[[2012-05-21 Rx Conf Call]]</td><br />
<td>Cancelled - Post WGM</td><br />
</tr><br />
<tr><br />
<td>[[2012-05-14 Rx Conf Call]]</td><br />
<td>Cancelled - WGM</td><br />
</tr><br />
<tr><br />
<td>[[2012-05-07 Rx Conf Call]]</td><br />
<td>Planned (???)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-04-30 Rx Conf Call]]</td><br />
<td>Planned (Melva)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-04-23 Rx Conf Call]]</td><br />
<td>Completed(Tom)</td><br />
<td>Project 240, Agenda, Glossary</td><br />
</tr><br />
<tr><br />
<tr><br />
<td>[[2012-04-16 Rx Conf Call]]</td><br />
<td>Completed (Melva)</td><br />
<td> Allergy/Intolerance PSS, FIHR PSS, Vancouver WGM Agenda Planning</td><br />
</tr><br />
<tr><br />
<td>[[2012-04-09 Rx Conf Call]]</td><br />
<td>No Quorum - cancelled</td><br />
<td>---</td><br />
</tr><br />
<tr><br />
<td>[[2012-04-02 Rx Conf Call]]</td><br />
<td>Planned (Melva)</td><br />
<td>Vancouver WGM Agenda</td><br />
</tr><br />
<tr><br />
<td>[[2012-03-26 Rx Conf Call]]</td><br />
<td>Completed (Hugh)</td><br />
<td>List Discussions, Ballot Preparation, Product Hierarchy, Vancouver WGM Agenda</td><br />
</tr><br />
<tr><br />
<br />
<td>[[2012-03-19 Rx Conf Call]]</td><br />
<td>Completed (Melva)</td><br />
<td>List Discussions, IDMP Ballot Reconciliation</td><br />
</tr><br />
<tr><br />
<br />
<td>[[2012-03-12 Rx Conf Call]]</td><br />
<td>Completed (Hugh)</td><br />
<td>Normative edition, ballot/republishing preparation, OOC evaluation</td><br />
</tr><br />
<br />
<tr><br />
<br />
<td>[[2012-03-05 Rx Conf Call]]</td><br />
<td>Cancelled</td><br />
<td></td><br />
</tr><br />
<br />
<tr><br />
<br />
<td>[[2012-02-27 Rx Conf Call]]</td><br />
<td>Completed (Melva)</td><br />
<td>Harmonization Proposals, Ballot Preparation, OOC Planning</td><br />
</tr><br />
<br />
<tr><br />
<br />
<td>[[2012-02-20 Rx Conf Call]]</td><br />
<td>Completed (Melva)</td><br />
<td>OOC Planning, Harmonization Proposals, Project scope statements</td><br />
</tr><br />
<tr><br />
<td>[[2012-02-13 Rx Conf Call]]</td><br />
<td>Completed (Hugh)</td><br />
<td>???</td><br />
</tr><br />
<tr><br />
<td>[[2012-02-06 Rx Conf Call]]</td><br />
<td>Completed (Tom)</td><br />
<td>???</td><br />
</tr> <br />
<tr><br />
<td>[[2012-01-30 Rx Conf Call]]</td><br />
<td>Completed (Melva)</td><br />
<td>OOC planning; US realm PSS; IHE Medication Profile Project</td><br />
</tr> <br />
<tr><br />
<td>[[2012-01-23 Rx Conf Call]]</td><br />
<td>cancelled</td><br />
</tr> <br />
<tr><br />
<td>[[2012-01-16 Rx Conf Call]]</td><br />
<td>cancelled - HL7 WGM - San Antonio</td><br />
</tr> <br />
<tr><br />
<td>[[2012-01-09 Rx Conf Call]]</td><br />
<td>completed (Hugh)</td><br />
<td>Review of Action items, Agenda updates for San Antonio, Ballot Votes, Republishing/Normative Edition Update</td><br />
</tr> <br />
<tr><br />
<td>[[2012-01-02 Rx Conf Call]]</td><br />
<td>cancelled</td><br />
</tr> <br />
</table><br />
<br />
===2011===<br />
The minutes of working group meeting have to be saved on the Pharmacy WG page of the HL7 web site. There are links below to these copies and also to a copy held on here the wiki. The wiki copy is only roughly formatted, and is provided for convenience if you don't want to download the full Word version.<br />
<br />
[[Sept 2011 WGM Minutes]] [[http://www.hl7.org/documentcenter/public/wg/medication/minutes/HL7%20Pharmacy%20WG%20Meeting%20Minutes%20-%20San%20Diego%20Sept%2012%20-%2015_2011%20Draft.doc Link to official word version]]<br />
<br />
[[May 2011 WGM Minutes]] [[http://www.hl7.org/documentcenter/public/wg/medication/minutes/HL7%20Pharmacy%20WG%20Meeting%20Minutes%20-%20Orlando%20May%2016%20-%2020_2011%20Final.doc Link to official (and final) word version]]<br />
<br />
[[Jan 2011 WGM Minutes]] [[http://www.hl7.org/documentcenter/public/wg/medication/minutes/HL7%20Pharmacy%20WG%20Meeting%20Minutes%20-%20Sydney%20Jan%2010%20-%2013_2011%20Draft2.doc Link to official word version]]<br />
<br />
<table><br />
<tr><br />
<th>Date/time</th><br />
<th>Status (Chair) </th><br />
<th>Main topics - Action items, Ongoing List Server Topics, AOB, Next Weeks agenda and attendance are standing items</th><br />
</tr><br />
<tr><br />
<td>====================</td><br />
<td>=================</td><br />
<td>=======================================================================</td><br />
</tr><br />
<br />
<tr><br />
<td>[[2011-12-26 Rx Conf Call]]</td><br />
<td>cancelled</td><br />
</tr> <br />
<tr><br />
<td>[[2011-12-19 Rx Conf Call]]</td><br />
<td>completed(Melva)</td><br />
<td>List Serve items, action items, Joint Glossary, Out of Cycle Meeting minutes, 2012 Ballot prep</td><br />
</tr> <br />
<tr><br />
<td>[[2011-12-12 Rx Conf Call]]</td><br />
<td>completed (Hugh)</td><br />
<td>List server items, Action Items, 2012 Ballot Prep</td><br />
</tr> <br />
<tr><br />
<td>[[2011-12-05 Rx Conf Call]]</td><br />
<td>completed (Hugh)</td><br />
<td>Clinical Statement Comparison, Approval of SWOT and Mission and Charter, Ballot Progress</td><br />
</tr> <br />
<tr><br />
<td>[[2011-11-28 Rx Conf Call]]</td><br />
<td>completed(Melva)</td><br />
<td>Ballot progress, WGM Agenda, Reconstitution.</td><br />
</tr> <br />
<tr><br />
<td>[[2011-11-21 Rx Conf Call]]</td><br />
<td>completed (Hugh)</td><br />
<td>RPS PSS, hData PSS Motion, Design Patterns, Clinical Statement Comparison.</td><br />
</tr> <br />
<tr><br />
<td>[[2011-11-14 Rx Conf Call]]</td><br />
<td>completed(Hugh)</td><br />
<td>List questions, Ballot reconcilliation, IHE White Paper.</td><br />
</tr> <br />
<tr><br />
<td>[[2011-11-07 Rx Conf Call]]</td><br />
<td>completed (Melva)</td><br />
<td>Republishing, IHE White Paper, Harmonisation Proposals, Clinical Statement PSS</td><br />
</tr> <br />
<tr><br />
<td>[[2011-10-31 Rx Conf Call]]</td><br />
<td>completed (Tom)</td><br />
<td>NIB, Republishing, semanticsText, Clinical Statement, IHE Medication Profile White Paper.</td><br />
</tr> <br />
<tr><br />
<td>[[2011-10-24 Rx Conf Call]]</td><br />
<td>completed (Hugh)</td><br />
<td>NIB, Republishing, Project Scope Statements, Harmonization Proposals</td><br />
</tr> <br />
<tr><br />
<td>[[2011-10-17 Rx Conf Call]]</td><br />
<td>completed (Melva)</td><br />
<td>Republishing; Harmonisation proposals; Semantic text, IHE Medication White Paper.</td><br />
</tr> <br />
<tr><br />
<td>[[2011-10-10 Rx Conf Call]]</td><br />
<td>completed (Tom)</td><br />
<td> OOC Review, Project Scope Stmt Reviews, Ballot Reconcilliation.</td><br />
</tr> <br />
<tr><br />
<td>[[2011-10-03 Rx Conf Call]]</td><br />
<td>cancelled</td><br />
</tr> <br />
<tr><br />
<td>[[2011-09-26 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>OOC Planning, WGM Follow Up, IDMP Msg Ballot Res.</td><br />
</tr> <br />
<tr><br />
<td>[[2011-09-05 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, OOC Planning</td><br />
</tr> <br />
<tr><br />
<td>[[2011-08-29 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, OOC Planning</td><br />
</tr><br />
<tr><br />
<td>[[2011-08-22 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, OOC Planning</td><br />
</tr><br />
<tr><br />
<td>[[2011-08-15 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, OOC Planning</td><br />
</tr><br />
<tr><br />
<td>[[2011-08-08 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, OOC Planning</td><br />
</tr><br />
<tr><br />
<td>[[2011-08-01 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, OOC Planning</td><br />
</tr><br />
<tr><br />
<td>[[2011-07-25 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, OOC Planning</td><br />
</tr><br />
<tr><br />
<td>[[2011-07-18 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, OOC Planning</td><br />
</tr><br />
<tr><br />
<td>[[2011-07-11 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, OOC Planning</td><br />
</tr><br />
<tr><br />
<td>[[2011-07-04 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Ballot progress, IDMP Messaging Ballot Resolution, No Known Item Discussion, IHE Templates, OOC Planning, TSC Elections</td><br />
</tr><br />
<tr><br />
<td>[[2011-06-27 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, JIC Dose Syntax, ISO IDMP Ballot Resolution, IDMP Messaging Ballot Resolution, No Known Item Discussion; IHE Templates</td><br />
</tr><br />
<tr><br />
<td>[[2011-06-20 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Planning and Action Item List, JIC Dose Syntax, ISO IDMP Ballot Resolution, IDMP Messaging Ballot Resolution, WGM Action Items </td><br />
</tr><br />
<tr><br />
<td>[[2011-06-13 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Planning and Action Item List, ISO Ballot Resolution </td><br />
</tr><br />
<tr><br />
<td>[[2011-06-06 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, Planning, Action Item List, ISO Ballot Resolution </td><br />
</tr><br />
<tr><br />
<td>[[2011-05-30 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, ISO Ballot Resolution, </td><br />
</tr><br />
<tr><br />
<td>[[May 2011 WGM Minutes|2011-05-09 to 13 WGM]]</td><br />
<td>completed</td><br />
<td>link is to minutes - not formated, but OK for quick reference.</td><br />
</tr><br />
<tr><br />
<td>[[2011-05-10 Rx Conf Call]]</td><br />
<td>planned</td><br />
<td>Standing Items, ISO Ballot Resolution, WGM Agenda, Med CMETs, Preparatory Material for WGM</td><br />
</tr><br />
<tr><br />
<td>[[2011-05-03 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Standing Items, ISO Ballot Resolution, WGM Agenda, Preparatory Material for WGM</td><br />
</tr><br />
<tr><br />
<td>[[2011-04-26 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Ballot preparation status, IDMP/ISO Ballot Reconcilliation, WGM Agenda, Clinical Statement Gap Analysis, Action Items List</td><br />
</tr><br />
<tr><br />
<td>[[2011-04-19 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Ballot preparation status, IDMP/ISO Ballot Reconcilliation, WGM Agenda, Clinical Statement Gap Analysis, Action Items List</td><br />
</tr><br />
<tr><br />
<td>[[2011-04-12 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Ballot preparation status, IDMP/ISO Ballot Reconcilliation, Action Items List</td><br />
</tr><br />
<tr><br />
<td>[[2011-04-05 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Ballot preparation review, IDMP/ISO Ballot Reconcilliation, Action Items List</td><br />
</tr><br />
<tr><br />
<td>[[2011-03-29 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Ballot preparation review, IDMP/ISO Ballot Reconcilliation, Ongoing List Server Discussions, Action Items List</td><br />
</tr><br />
<tr><br />
<td>[[2011-03-22 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>V2 Linking Orders, Progress with ballot material, Action Item List</td><br />
</tr><br />
<tr><br />
<td>[[2011-03-15 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>V2 Linking Orders, Progress with ballot material, Action Item List</td><br />
</tr><br />
<tr><br />
<td>[[2011-03-08 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Progress with ballot material for Med Stmt, Remaining ballot resolution</td><br />
</tr><br />
<tr><br />
<td>[[2011-03-01 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Review Canadian harmonisation proposal, Review of ballot material for Med Stmt, Remaining ballot resolution</td><br />
</tr><br />
<tr><br />
<td>[[2011-02-22 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>OOC Report, Remaining ballot resolution</td><br />
</tr><br />
<tr><br />
<td>2011-02-15 Rx Conf Call</td><br />
<td>cancelled</td><br />
</tr><br />
<tr><br />
<td>[[2011-02-08 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Remaining ballot resolution, OOC scope, Harmonisation proposal</td><br />
</tr><br />
<tr><br />
<td>[[2011-02-01 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Remaining ballot resolution, Institutional scope, OOC scope, Harmonisation proposal</td><br />
</tr><br />
<tr><br />
<td>[[2011-01-25 Rx Conf Call]]</td><br />
<td>completed</td><br />
<td>Progress with Successful Ballots, Scope for OOC, Pharmacy intro for Wiki, Ballot Reconcilliation </td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
<table><br />
<tr><br />
<th>Date/time</th><br />
<th>Status</th><br />
<th>Main topics</th><br />
</tr><br />
<tr><br />
<td>====================</td><br />
<td>============</td><br />
<td>=======================================================================</td><br />
</tr><br />
<tr><br />
<td>[[Mar 25, 2008, 4 PM EST]]</td><br />
<td>completed</td><br />
<td>harmonization meeting; ballot status; Phoenix agenda; HSTP volunteers</td><br />
</tr><br />
<tr><br />
<td>[[Apr 1, 2008, 4 PM EST]]</td><br />
<td>completed</td><br />
<td>Ballot process, Harmonization meeting, Action item list, Agenda for Summer WGM</td><br />
</tr><br />
<tr><br />
<td>[[Apr 8, 2008, 4 PM EST]]</td><br />
<td>completed</td><br />
<td>Ballot process, WGM planning, WGM preparation</td><br />
</tr><br />
</table></div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1560032018-04-16 Rx Conf Call2018-04-13T18:56:52Z<p>Smrobertson: /* Agenda Items and notes */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* April 16, 2018: <br />
<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018:<br />
<br />
<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1560002018-04-16 Rx Conf Call2018-04-13T18:54:40Z<p>Smrobertson: /* Agenda Items and notes */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018:<br />
<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559962018-04-16 Rx Conf Call2018-04-13T18:52:33Z<p>Smrobertson: /* WGM Agenda */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
* April 16, 2018:<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559952018-04-16 Rx Conf Call2018-04-13T18:52:10Z<p>Smrobertson: /* Updates from Workflow */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559942018-04-16 Rx Conf Call2018-04-13T18:51:51Z<p>Smrobertson: /* Joint Meeting with IHE Pharmacy and ISO TC215 WG 6 */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559932018-04-16 Rx Conf Call2018-04-13T18:51:36Z<p>Smrobertson: /* Agenda Items and notes */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559922018-04-16 Rx Conf Call2018-04-13T18:51:12Z<p>Smrobertson: /* WGM Agenda */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559912018-04-16 Rx Conf Call2018-04-13T18:50:33Z<p>Smrobertson: /* 15105 - MedicationStatement - alignment with WorkFlow */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* April 16, 2018:<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559902018-04-16 Rx Conf Call2018-04-13T18:50:20Z<p>Smrobertson: /* 15905 need comment for Dosage.doseAndRate */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* April 16, 2018:<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559892018-04-16 Rx Conf Call2018-04-13T18:49:57Z<p>Smrobertson: /* 15905 need comment for Dosage.doseAndRate */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - Christof asked to review 14212 for completion<br />
** was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
** everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559882018-04-16 Rx Conf Call2018-04-13T18:49:13Z<p>Smrobertson: /* 15905 need comment for Dosage.doseAndRate */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559872018-04-16 Rx Conf Call2018-04-13T18:48:49Z<p>Smrobertson: /* 15105 - MedicationStatement - alignment with WorkFlow */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
</div><br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559862018-04-16 Rx Conf Call2018-04-13T18:48:23Z<p>Smrobertson: /* 15688 - MedicationRequest.category Valueset */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018: added to tracker<br />
* April 16, 2018:<br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559852018-04-16 Rx Conf Call2018-04-13T18:47:29Z<p>Smrobertson: /* 14455 - Workflow report - File:workflow pharmacy issues Jan 2018.xlsx */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
* April 16, 2018: (is there a new report?)<br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559842018-04-16 Rx Conf Call2018-04-13T18:46:21Z<p>Smrobertson: /* 15136 - Change Dosage to support conditional doses */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
</div><br />
* April 9, 2018: minor update, more work needed<br />
* April 16, 2018:<br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559822018-04-16 Rx Conf Call2018-04-13T18:45:03Z<p>Smrobertson: /* 15589 - Pharmacy missing isModifierReason */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* April 9, 2018: still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* April 16, 2018:<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559812018-04-16 Rx Conf Call2018-04-13T18:44:29Z<p>Smrobertson: /* 15589 - Pharmacy missing isModifierReason */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
</div><br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559802018-04-16 Rx Conf Call2018-04-13T18:44:08Z<p>Smrobertson: /* 15509 - Create example scenarios for Pharmacy */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* need to draft some scenarios<br />
* April 16, 2018:<br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559782018-04-16 Rx Conf Call2018-04-13T18:42:21Z<p>Smrobertson: /* Action Item List */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559772018-04-16 Rx Conf Call2018-04-13T18:41:22Z<p>Smrobertson: /* 12396 - Medication package and product */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* April 9, 2018 - brought back to discuss<br />
* April 16, 2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559742018-04-16 Rx Conf Call2018-04-13T18:39:41Z<p>Smrobertson: /* 12396 - Medication package and product */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
</div><br />
* 4/16/2018<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559722018-04-16 Rx Conf Call2018-04-13T18:38:44Z<p>Smrobertson: /* AOB */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
* <br />
*<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559712018-04-16 Rx Conf Call2018-04-13T18:38:29Z<p>Smrobertson: /* Next meeting */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
<br />
==Next meeting==<br />
* April 23, 2018</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559702018-04-16 Rx Conf Call2018-04-13T18:38:14Z<p>Smrobertson: /* Drug Interaction PSS */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
</div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
<br />
==Next meeting==<br />
* April 23, 2018:</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559692018-04-16 Rx Conf Call2018-04-13T18:38:03Z<p>Smrobertson: /* Drug Interaction PSS */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
<div><br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
<br />
==Next meeting==<br />
* April 23, 2018:</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559682018-04-16 Rx Conf Call2018-04-13T18:37:37Z<p>Smrobertson: /* WGM Agenda */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
<br />
==Next meeting==<br />
* April 23, 2018:</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559672018-04-16 Rx Conf Call2018-04-13T18:36:39Z<p>Smrobertson: /* Updates from Workflow */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: workflow meeting this week focused on ballot comments.<br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
<br />
==Next meeting==<br />
* April 23, 2018:</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559662018-04-16 Rx Conf Call2018-04-13T18:36:19Z<p>Smrobertson: /* Blood Products/Transfusion/Tissue Update - Project 1370 */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments. <br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
<br />
==Next meeting==<br />
* April 23, 2018:</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559652018-04-16 Rx Conf Call2018-04-13T18:35:57Z<p>Smrobertson: /* Catalogue Project */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
</div><br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments. <br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
<br />
==Next meeting==<br />
* April 23, 2018:</div>Smrobertsonhttps://wiki.hl7.org/w/index.php?title=2018-04-16_Rx_Conf_Call&diff=1559642018-04-16 Rx Conf Call2018-04-13T18:35:18Z<p>Smrobertson: /* Joint Meeting with IHE Pharmacy and ISO TC215 WG 6 */</p>
<hr />
<div><br />
{| style="width:100%; background-color:transparent;"<br />
|-<br />
| style="vertical-align:top; width:50%" | <!-- LEFT COLUMN --><br />
<br />
__TOC__<br />
<br />
| style="vertical-align:top; width:35%" | <!-- RIGHT COLUMN --><br />
<br />
<div style="float:right; background:#f9f9f9; border:1px solid #aaaaaa; width:17em;"><br />
<div style="font-size:105%; line-height:120%; padding:0.4em; background-color:#eeeeee; border-bottom:1px solid #aaaaaa; text-align:center;"><br />
'''Related Links '''<br />
</div><br />
<div style="background:#ffffff; padding:0.4em; font-size: 95%;"><br />
<ul><br />
<li>[[Pharmacy_WG|Pharmacy Home Page]]</li><br />
<li>[[Conference_call_minutes | Conference call minutes]]</li><br />
</ul><br />
</div><br />
</div><br />
|}<br />
<br />
=Attendees=<br />
* Scott Robertson (Scribe)<br />
* John Hatem (Chair)<br />
* Jean Duteau<br />
* Melva Peters<br />
*<br />
<br />
=Agenda Items and notes=<br />
== US Meds - PDMP Mapping==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* [https://hl7.github.io/FHIR-ONC-Meds/ work on GitHub]<br />
* added banners for those sections of the material that is open for ballot<br />
* New tab has been added for PDMP<br />
**Brett will send out a link with updated material by end of day on Wednesday - Pharmacy WG will comment<br />
** rename "Request" column to PDMP data attribute<br />
** suggest more clarifying information on the scope and context<br />
** Motion to approve this content going to ballot pending one final review of content by Wednesday end of day - Melva/John - 6/0/0 - CARRIED<br />
* Updates were provided and feedback was given to Brett M. Feedback was incorporated into published material.<br />
* 4/9/2018 - previously discussed, some updates by Brett, approved for ballot. Can close this.<br />
</div><br />
<br />
'''On ballot - no discussion until after ballot close (WGM?)'''<br />
<br />
==FHIR==<br />
[https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=13117&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=tracker_item_id&sortord=ASC Open Pharmacy FHIR Tracker Items]<br />
<br />
===15905 [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 need comment for Dosage.doseAndRate]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/9/2018 - Christof asked to review 14212 for completion<br />
* was the value set binding done? dose-and-rate-type is present: calculated, ordered<br />
* everything is done and applied!<br />
* Stephen asked if the multiple iterations might conflict? is there a mechanism to prevent such conflicts?<br />
** new tracker item [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15905 15905] created for a doseAndRate comment that the multiple instances of doseAndRate cannot conflict.<br />
* 4/16/2018<br />
</div><br />
<br />
===15105 - MedicationStatement - alignment with WorkFlow===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** notTaken was removed<br />
** need to consider how to reflect what the prescriber thinks should be taken by the patient - is this a medStatement or is this a MedRequest?<br />
* Lloyd believes should be using a MedRequest with a "plan" status<br />
* Choices:<br />
** take MedStatement back to the way it was<br />
** US Core - embrace List<br />
** follow Lloyd's suggestion to use MedRequest with "Plan" status<br />
** use status field to identify if a prescriber believes the patient should be on this med and uses taken element to identify if the patient is following the order and taking the medication - could previous do this before we aligned MedStatement with workflow<br />
* March 5, 2018: - deferred until March 12, 2018<br />
** Ask Lloyd to join call - complete - he can't join on March 12. Need to provide an update to him<br />
* March 12, 2018:<br />
** Lloyd believes that MedStatement should only be an indicator of whether the patient/provider says they are taking the medication<br />
** Options:<br />
*** revert back to having "notTaken"(pre workflow harmonization)<br />
*** provider instructions for medication - should use MedicationRequest - with intent element<br />
*** implement List resources to get active medication list - not preferred<br />
*** current resource with "not taken" as a status - not preferred<br />
** Need to take this conversation more public - <br />
*** Workflow group - Melva to ask Lloyd to add to Workflow agenda<br />
*** Zulip - posting to Zulip<br />
**** add Workflow discussion<br />
* 4/16/2018<br />
</div><br />
<br />
===15688 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15688&start=0 MedicationRequest.category Valueset]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* 4/16/2018<br />
</div><br />
<br />
===14455 - Workflow report - [[File:workflow pharmacy issues Jan 2018.xlsx]]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
** new report has been run<br />
** MedicationRequest<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationAdministration -<br />
***instantiates - currently supported but workflow has changed the pattern<br />
**** John to talk to Lloyd about the changes needed<br />
** MedicationDispense<br />
*** Performer - we believe we are consistent<br />
**** Melva to reach out to Lloyd and ask if this is an error in the report - email sent to Lloyd - there is an error on the report.<br />
***** new report to be generated <br />
***statusReason<br />
**** will add to suppressed-workflow-warnings - different name<br />
**** John to followup with workflow about the reference to DetectedIssue - still outstanding<br />
*<br />
</div><br />
<br />
===15136 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15136&start=0 Change Dosage to support conditional doses]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
*Discussion of the requirement - this is related to conditional dose<br />
*start to gather requirements and look at existing FHIR material including CDS<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
* 4/9/18 - minor update, more work needed<br />
* 4/16/2018<br />
</div><br />
<br />
===15589 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15589&start=0 Pharmacy missing isModifierReason]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* MedicationRequest.substitution.allowed<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* Medication.amount<br />
** do not believe that this should be a "isModifier"<br />
** will discuss on March 12 call when we have implementers on the call<br />
* March 19, 2018:<br />
** discussion of the purpose of the isModifier flag - discussion of whether there should be isModifier used more often than it is<br />
** medicationRequest.substitution - will use the wording from the current element and elaborate "this is the element that must be understood from the substitution element. In the substitution block - this is the element that must be understood to understand the meaning of the block<br />
**medication.amount - agree it is a Modifier<br />
*** should only specify the amount when the medication.code doesn't provide this information<br />
*** then this can not be ignored<br />
* 4/9/18 - still as a modifer. still pending input<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
* 4/16/2018<br />
</div><br />
<br />
===15509 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15509&start=0 Create example scenarios for Pharmacy]===<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* need to draft some scenarios<br />
* 4/16/2018<br />
</div><br />
<br />
===12396 - [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12396&start=0 Medication package and product]===<br />
<br />
==Action Item List==<br />
15136 - Change Dosage to support conditional doses<br />
Action: Scott to pull material from NCPDP<br />
Action: John to pull V3 material<br />
<br />
* 4/9/2018:<br />
15589 - Pharmacy missing isModifierReason<br />
Action: Jean to talk to Grahame/Lloyd - about the criteria for when is an element flagged as a Modifier<br />
<br />
==MedicationKnowledge Resource==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Melva and Jean are creating a draft resource in the build. The next step is to review the existing tracker items to see which can be done with the current draft content, which need to have data elements added, and which will remain out of scope.<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no discussion<br />
* March 12, 2018: FMG wants to see the PSS once co-sponsors have been approved<br />
* March 19, 2018: Melva will see if she can publish a local version for review<br />
* March 26, 2018:no discussion<br />
</div><br />
<br />
* April 9, 2018: update by Jean<br />
** reviewed structure at [http://build.fhir.org/medicationknowledge.html]<br />
** a first cut ... '''more work to be done'''<br />
** mainly pulled from v3. <br />
** some review relative to Saskatchewan, KP formularies and FDB<br />
** still need to validate will work for use cases / requirements<br />
** medicationClassification can be used for many different different classification for one MedicationKnowledge <br />
** batch ... is this needed in MedicationKnowledge?<br />
** Note that this is not as detailed as IDMP<br />
** amount vs packaging.quantity ... need to clarify<br />
** 'type' needs clarity: this is branded, generic, PHPID, etc. need better definition.<br />
** need input from Medication Knowledge vendors (Multum, FDB, etc), formulary, catalog stakeholders<br />
* 4/16/2018<br />
<br />
==Joint Meeting with IHE Pharmacy and ISO TC215 WG 6==<br />
<div class="toccolours mw-collapsible mw-collapsed" style="width:800px;" data-expandtext="Expand for notes" data-collapsetext="Collapse"><br />
<br />
* Feb 26, 2018: no discussion <br />
* March 5, 2018: no decision<br />
* March 12, 2018: will decline a joint meeting for Cologne<br />
** will commit to provide an update to IHE Pharmacy and ISO as a power point, but can not do a F2F meeting at this time.<br />
* March 19, 2018: Looks like there will be a joint meeting on Friday, May 18th<br />
* March 26, 2018: Scott sent possible agenda topics<br />
</div><br />
* April 9, 2018: Update with current status - who is attending, any further updates to agenda, etc.<br />
** Melva and Scott will be attending<br />
** initial agenda items sent to IHE and TC215 WG6<br />
* April 16, 2018:<br />
<br />
== Catalogue Project==<br />
* March 5: last weeks meeting addressed open issues related to getting the Entry Definition resource cleaned up. There were no Pharmacy specific issues.<br />
* March 12, 2018: there was a meeting - cleaning up material to get content into the build<br />
** entryDefinition has a classification element<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: all Catalogue project meetings cancelled until after HL7 Workgroup meeting in Cologne<br />
<br />
==Blood Products/Transfusion/Tissue Update - Project 1370==<br />
* Feb 26, 2018: no discussion<br />
* March 5, 2018: no updates<br />
* March 12, 2018: no meetings have been held since New Orleans<br />
* March 19, 2018: no updates<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: no discussions?<br />
<br />
== Updates from Workflow==<br />
* March 26, 2018: no discussion<br />
* April 9, 2018: workflow meeting this week focused on ballot comments. <br />
<br />
==WGM Agenda==<br />
[[http://wiki.hl7.org/index.php?title=May_2018_Pharmacy_WGM_Agenda WGM Agenda on Wiki]]<br />
<br />
==Drug Interaction PSS ==<br />
* Project meetings will be held Wednesday at 9am Pacific<br />
* March 26, 2018: no discussion<br />
<br />
==AOB==<br />
<br />
==Next meeting==<br />
* April 23, 2018:</div>Smrobertson