2017-11-06 Rx Conf Call

Related Links Pharmacy Home Page Conference call minutes

Attendees

• Melva Peters (Chair and Scribe)
• Michelle Miller
• Stephen Chu
• John Hatem

Agenda Items and notes

FHIR

FHIR Tracker Items

FHIR Tracker

Workflow Changes (Group = Workflow)

Request

• GF#14020 - MedicationRequest Alignment
• November 6, 2017 - review any additional changes
  • Instantiates type - should be URI
• October 9, 2017 -See analysis spreadsheet
  • Definition - new Workflow name is "instantiates" -
  • StatusReason - add
  • "doNotPerform"
  • requester - change from backbone to align with pattern
    • PractitionerRole needs to be added in as a reference
    • remove agent
    • remove onBehalfOf
  • add practitionerType to recorder
  • performer - references - add CareTeam and PractitionerRole
  • add insurance
  • Motion - to make the changes as identified in spreadsheet - Melva/Jean - 3-0-0 Carried

Action:  John to reach out to Tom to see if there is a NL use case for "do not perform" using MedicationRequest

Statement

• GF #14023 MedicationStatement Alignment
• November 6, 2017
  • John reviewing changes to align MedicationStatement with Workflow (see spreadsheet for details)
  • Our dateAsserted doesn't have a match in Workflow. We're not deleting. John will bring to the attention of the Workflow group.
  • taken/notTaken ... this is a longer discussion. Out of time for today
• October 23, 2017

Medication Related (Group = A)

• Medication.Status
  • Medication.status - is mandatory - have an exemption from previous request to MnM
  • need to reapply the exemption
  • November 6, 2017
    • MnM to consider Nov 7th
• Other open tracker items
  • GF #12396 - Medication package and product
  • GF #13392 - Enhance Medication resource for alignment with IDMP model

Misc (Group = none)

• GF #13943 Add discharge medication profile to QI-core
  • Floyd Eisenberg to join call on Oct 30th to discuss
• GF #14111 Weight based dosage examples
  • See update to tracker item

Action:  Melva to create 2 examples for discussion next week

• GF #13978 Clarify MedStatement.status values
• GF #13905 prn medications need boolean and optional reason
  • August 28 - John checking to see what changes have happened to Workflow
  • October 5 - Changes have been made to both the Event and Request patterns. One more change is being made to the Event pattern before we can move on alignment updates.

• GF #13881 Definitions for MedDispense
• GF #13878 Clarify definition for reasonNotTaken on MedicationStatement
• GF #13935 MedicationRequest intent

Order Service Catalogue FHIR Project

• To follow the Order Catalog work, use the following listserv: ordercatalog@lists.hl7.org
• Background
  • under Orders WG.
  • Catalogue vs Formulary. Catalog is a superset of Formulary, includes orderable items beyond medications.
  • expect one or two new resources
  • Jose and John involved
• Updates
  • New Lab resource was created. John Hatem will continue to monitor and attend meetings.
  • August 14: last meeting was specific to lab specimen
    • content of the resource is generic
  • August 28: no update. There will be a meeting this week
    • specimen resource - believed to be a definitional resource
  • September 25: not started up
  • October 2: actively being discussed - John attending calls
  • October 9: no update
  • October 23:

International Chemotherapy Implementation FHIR IG

• Chemotherapy IG Wiki Page
• Background
  • NCCN and other European input to support broad requirements. Specific implementations would constrain as needed
• Update from John Hatem
  • Next meeting will be held August 15
  • no update - meeting will be held this week - John will attend

Action:  John will ask about ballot time frame

• August 28 - meeting this week
• September 25: no update - meetings have been cancelled
• October 2: has not met for a few weeks
  • John to follow up with project team
  • October 9: no update
  • October 23:

Blood Products/Transfusion/Tissue Update

• Background:
  • based in Patient Care. also includes Orders
  • Blood Products/etc moving into FHIR. Want to maintain alignment with Orders and Pharmacy resources
• Eric H has sent out a Doodle poll to determine a meeting time for OO, PC and Pharmacy to discuss.
  • Meeting is currently scheduled for Aug 10, 2017
• Updates
  • August 14, 2017
    • Minutes
    • meeting was held on August 10
    • scoped to Blood Transfusion for now - profiles on Pharmacy resources may work for the requirements
    • will continue to investigate requirements in preparation for the WGM Quarter
    • Michelle will post to Zulip inviting participation at WGM - complete
  • October 9: no update
  • October 23:

CIMI Pharmacy Model Update

• Update from John Hatem
  • July 17, 2017 - Claude Nanjo provided an overview of the CIMI logical model that incorporates the Pharmacy FHIR resource work. This work will be balloted as Informative in the HL7 September 2017 ballot.
    • A recording of the presentation was made and is available in MP4 format.
    • Here is a link to the CIMI mappings to the Pharmacy FHIR resources: https://docs.google.com/spreadsheets/d/1XZUZg1-bKbumS8vcoRc4Vy8JR7NwFCooBm4zLeOTNe0/edit#gid=796576522
  • July 31, 2017 - concerns raised about how Pharmacy will be involved and be expected to manage the content
    • will be balloted as informative
  • August 7, 2017 - John Hatem is following up with Claude N. on what type of commitment is expected from Pharmacy going forward.
  • August 14, 2017 - John has reached out to Claude. He has a general slide deck but will have to re-create a pharmacy specific version.
  • August 28, 2017 - ballot is open. It is not easy to read the ballot content without using the mapping spreadsheet and even then it isn't clear
  • October 9: no update
  • October 23:

Clozapine REMS registry message - Mike Henderson

• • Does there exist, or is there planned, any HL7 V2 messaging for the US Clozapine REMS or similar Clozapine registries?
  • VA has a significant mental health care population - a registry exists but doesn't use standards based messaging - uses mail messages
  • There is a dispense event messages and a query
  • Has someone dealt with this yet?
    • Michelle will check to see if anyone using Cerner is communicating with the REMS registry
  • Mike will send more information about what data is in mail messages
  • October 23:

Action Item List

• August 7 update: John is working on cleaning up the action item list
• September 25 update: Claude believes more information needs to be provided to navigate through the material
  • he is willing to come to Pharmacy WG
• October 2 update: was pulled from the ballot

Ballot Reconciliation - Templates

• File:Consolidated CDAR2 IG PHARM TEMPLATES R1 O1 2017SEP amalgamated.xls

MedicationKnowledge Resource

• Should be approved by the TSC by next Monday
• Discussion of how we want to work on this project

Action:  Determine if we will schedule a separate call
Action:  Consider a joint meeting with BR&R in New Orleans

Next meeting

• Monday, November 13, 2017 - 4pm Eastern