Pharmacy FHIR Maturity Project

Pharmacy FHIR Maturity Project

The ONC Office of Standards and Technology (OST) seeks to support expanded use of HL7 FHIR standards beyond use cases defined by the ONC Certification Programs Efforts underway to support the expanded use of the FHIR standard for medication management

The key objective for this project is to enhance FHIR Medication related resources based on feedback from the Argonaut Project, HL7 work groups and industry implementers.

• Medication Order (renamed to Medication Request!)
• Medication Administration
• Medication
• Medication Statement
• Medication Dispense

Support the Pharmacy WG in moving the Pharmacy FHIR resources to a higher maturity level

Meeting Information

• Conference calls take place on Oct 26, November 9, November 23 and November 30 from 3-4pm Eastern time.

Key Links

• Connectathon
  • Connectathon Track
  • Dedicated Zulip chat stream for this Track**
• Gforge
  • GHForge FHIR Tracker Items

Project Team

Project Sponsor – ONC

• Tricia Lee Wilkins - Tricia.wilkins@hhs.gov
• Mera Choi - Mera.choi@hhs.gov

FHIR SMEs

• Brett Marquard - brett@riverrockassociates.com
• Eric Haas ehaas@healthedatainc.com

Pharmacy SME

• Melva Peters – mpeters@gevityinc.com

Project Coordinator

• Saurav Chowdhury - saurav.chowdhury@esacinc.com

Timelines

• Kickoff meeting held September 13, 2016
• Meeting with Pharmacy WG at HL7 WGM in Baltimore
• Agreement on creation of Project Scope Statement
• 9 month project duration
• Completion date: June 30, 2017

Activities and Deliverables

• Planned use cases
  • Patient access to medications
  • Dispense medication from pharmacy
  • Create new outpatient prescription
  • Add new medication to patient medication list
  • Access to medication administration
• Enhance and/or develop US profiles
• Deliverables
  • Implementation guide or supporting documentation for the 5 medication profiles
  • Validation scripts to test for conformance to the profiles.
  • Additional guidance documents to support testing needs
  • Connectathon in January

Link to Approved Project Scope Statement

• Approved by the HL7 TSC – October 24, 2016

Pharmacy FHIR Maturity Project

Implementers Meetings

October 26, 2016

Attendees

• John Hatem
• Luke Tso (OptumRx)
• Marla Albitz (Wolters Kluwer)
• Tim McNeil (SureScripts)
• Brad Engels (FDB)
• Michelle Miller (Cerner)
• Mike Olson (CenterRx)
• Scott Robertson (Kaiser Permanente)
• Daniel Zhang (Epic)
• Daniel Friend (Epic)
• Clay Rogers (APPRISS)

Project Team

• Tricia Lee Wilkins
• Brett Marquard
• Eric Haas
• Melva Peters
• Mera Choi
• Saurav Chowdhury

Discussion

• Welcome
• Round Table Introductions
• Overview of Project
  • HL7 project supported by the ONC
  • Project Objectives - enhance the resources-want to do more piloting and have lessons learned from the pilots feed back into the specifications
  • Questions
    • Luke: Where do the NCPDP standards begin and end - will there be clear demarcation - there is duplication
      • will that be tackled in this project
    • Scott - there will have to be some delineation of where boundaries exist. Will be tough for pharmacy vendors to support both standards. Won't likely have FHIR from end to end
      • Scott and Tim can bring the work from NCPDP to this group
      • there are regulations (HIPPA and/or Part D) that define what standards and messages must be used - secondary use cases (such as view) may not be covered under regulation
  • Need to look at scoping for this project
    • Mapping of where FHIR resources may fit in vs NCPDP - there has been some mapping of data elements but not on workflow
  • anything within walls of the hospital - can be in scope. Retail is NCPDP space
  • from SureScripts out - could be in scope
• Connectathon Medication Track
  • Connectathon Track
    • Scenarios
      • Patient access to medication list (overlap with US core)
      • Dispense medication from pharmacy
        • Cerner - may be more likely early Q2 - were primarily looking at reading or resources rather than creating - driver - conservative approach to MU for access to MedList - can derive using MedStatements
        • Epic - no plans to support in Q1
      • Create new outpatient prescription
      • Add new medication to patient medication list
        • ability to add records to medication list -
          • Cerner - support medication statements from patient. Haven't rolled out the ability to create medorders
          • Epic - looking at medstatment before medorder - not sure if will be there for January.
      • Access to medication administration
        • Cerner - may be more likely early Q2
        • Epic - no plans to support in Q1
    • will be focusing on STU3 specification
    • KP - no plans to support - use Epic
    • SureScripts - no active work on these use cases
    • any missing use cases or use cases of concern?
      • There is some ambiguity/flexibility in specification of approaching active med list - can you just query med statements or query other types of resources to get active list
      • May need to define construct eg. inpatient list vs outpatient, etc
      • perhaps this project can contribute to some recommendations
• Meetings
  • Schedule - proposed Nov 9, 23, 30 at 3pm Eastern
  • Will send out meeting invites

Action Items

1. Reach out to Tim and Scott - discussion of boundaries
2. Update use cases and provide some additional information