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Pharmacy Working Group Meeting MinutesOrlando, FLJanuary 11-15, 2016

Table of ContentsMONDAY 11 JANUARY 2016 – Q1.................................................................................................................... 3

MONDAY 11 JANUARY 2016 – Q2.................................................................................................................... 5

MONDAY 11 JANUARY 2016 – Q3.................................................................................................................... 7

MONDAY 11 JANUARY 2016 – Q4.................................................................................................................... 8

TUESDAY 12 JANUARY 2016 – Q1................................................................................................................... 9

TUESDAY 12 JANUARY 2016 Q2 – JOINT WITH FHIR.............................................................................10

TUESDAY 12 JANUARY 2016 Q3....................................................................................................................11

TUESDAY 12 JANUARY 2016 Q4 – JOINT WITH PHER (PHER HOSTED)..........................................12

WEDNESDAY 13 JANUARY 2016 Q1.............................................................................................................13



WEDNESDAY 13 JANUARY 2016 Q4 – HOSTED BY PATIENT CARE...................................................17

THURSDAY 14 JANUARY 2016 Q1................................................................................................................ 18



Action ListACTION ITEM: MELVA TO UPDATED 7562, 7641, 7747, 7830, 7910, 8012, 8069, 8070, 8071, 8691 TO NOT PERSUASIVE/DEFERRED - COMPLETE...............................................................................4

ACTION ITEM: TALK ABOUT FHIR JOINT MEETING - TO REVIEW AND VALIDATE "RESOURCE LIFECYCLE PAGE" THAT WAS AUTHORED BY FMG IN TUESDAY Q2...................................................5

ACTION ITEM: DISCUSS #9227 WITH FMG DURING Q2 TUESDAY 1/12/2015 SESSION...............8

ACTION: LOOK AT THE OPTIONS THAT CHRIS PROPOSED – CR 8778...............................................9

ACTION: EACH GROUP TO DEVELOP A LIST OF POTENTIAL WORK THAT COULD BE DONE AS JOINT PROJECTS................................................................................................................................................. 13

ACTION: SCHEDULE A JOINT TELECONFERENCE TO DISCUSS JOINT PROJECTS FURTHER – MICHAEL TO SCHEDULE FOR LATE FEBRUARY.......................................................................................13

ACTION: EXPLORE OPTIONS FOR A MEETING IN MONTREAL - MELVA...........................................13

ACTION: MELVA TO FORWARD JOSE THE PSS LITE TEMPLATE........................................................13

ACTION: PHARMACY WG TO CONSIDER THE PROPOSED CATALOGUE PSS...................................13

ACTION: PROVIDE KAI WITH THE LIST OF CONCEPTDOMAIN DESCRIPTIONS – TOM..............14

ACTION: ADD KAI TO MAPPING GOOGLE DOCUMENT – COMPLETE................................................14

ACTION: PHARMACY WILL CREATE EXAMPLES FOR SOME TEMPLATES - E.G. DOSAGE............14

ACTION: SCHEDULE WEDNESDAY Q2 MEETING - MELVA....................................................................14

Monday 11 January 2016 – Q1AttendeesName Organization Country EmailRik Smithies HL7 UK UK Rik.nprogram.co.ukJohn Hatem Oracle US [email protected] de Jong HL7 NL NL [email protected] Costa Teixera BE [email protected] Albitz (Chair) Wolters Kluwer US [email protected] MccAuley Telestra AUS [email protected] Peters (Scribe) Gevity Consulting CAN [email protected] Sievert Lantana US [email protected] Hoggle Academy of Nutrition US [email protected] Zhang Epic US [email protected] Taylor NIST US [email protected] Thompson NCPDP US [email protected] Lee Wilkins US [email protected]

Quorum Met: Yes

Agenda Topics Introductions Finalize agenda

Find slot for openMedicine (20-30 min) - Jose Reps to other WG Rep to SDWG Mon Q3 for Pharmacy Care Plan PSS Assign roles for Quarters HL7 V2 items (Daniel)

If we have new attendees, review Overview of Pharmacy material - V2, V3, FHIR resources Overview of Pharmacy template work

Hot Topics Review outstanding FHIR GForge tracker items Parenteral Nutrition – how to represent TPN in Pharmacy orders in all HL7 artifacts

Supporting Documents Agenda

http://wiki.hl7.org/index.php?title=January_2016_Pharmacy_WGM_Agenda

Minutes/Conclusions Reached Finalize agenda

Find slot for openMedicine (20-30 min) – Jose – Wednesday Q1 Reps to other WG SDWG Mon Q3 for Pharmacy Care Plan PSS – will present to SDWG today and will come back to

Pharmacy on Wednesday Q3 – will send PSS and presentation in advance Assign roles for Quarters – see Wiki Parenteral Nutrition – what does pharmacy artifacts support – Monday Q4 HL7 V2 items (Daniel) – RXD correction and clarifications

If we have new attendees, review


mailto:[email protected]











Overview of Pharmacy material - V2, V3, FHIR resources Overview of Pharmacy template work

Hot Topics Review outstanding FHIR GForge tracker items

Moved by Melva seconded by Tom to change the following tracker items to Not Persuasive/Deferred: 7562, 7641, 7747, 7830, 7910, 8012, 8069, 8070, 8071, 8691. Carried – 11/0/0

Action Item: Melva to updated 7562, 7641, 7747, 7830, 7910, 8012, 8069, 8070, 8071, 8691 to Not Persuasive/Deferred - COMPLETE

Monday 11 January 2016 – Q2AttendeesName Organization Country EmailRik Smithies HL7 UK UK Rik.nprogram.co.uk

John Hatem Oracle US [email protected] de Jong HL7 NL NL [email protected] Costa Teixera BE [email protected] Albitz (Scribe) Wolters Kluwer US [email protected]

Vince MccAuley Telestra [email protected]

Melva Peters (Chair) Gevity Consulting CAN [email protected] Zhang Epic US [email protected] Miller Cerner US [email protected] McNeil SureScripts UK [email protected] Syed Cerner US [email protected] Met: Yes

Agenda Topics Pharmacy FHIR work "Considered for Future Use" tracker items - need to be found Not Persuasive and deferred



Minutes/Conclusions Reached Pharmacy FHIR work

GForge #8010 - "persuasive with mode". Motion - Tom, Second - Jose: Carried 10:0:0. Meaning Status WasNotTakenNot currently taking Active TNot taken in the past Completed TNo intention of taking Intended TTaking, but not as prescribed Active FTaking Active FWill be taking Intended FTaken in past Completed FIn Error In Error N/A

Added new tracker item #9225 to "Clarify use of informationSource and supporting information attribute". Moved by John, Seconded by Tom Carried 9:0:0.

Action Item: Talk about FHIR joint meeting - To review and validate "Resource Lifecycle Page" that was authored by FMG in Tuesday Q2.













Monday 11 January 2016 – Q3AttendeesName Organization Country EmailJohn Hatem Oracle US [email protected] de Jong HL7 NL NL [email protected] Moore Epic US [email protected] Albitz (Scribe) Wolter Klowers US [email protected]

Vince MccAuley Telestra [email protected]

Daniel Zhang Epic US [email protected] Miller Cerner US [email protected] McNeil SureScripts US [email protected] Syed Cerner US [email protected] Met: Yes

Agenda Topics Prepare for meeting SDWG resources - Wed Q3 Action Item List Pharmacy FHIR Work

Reviewed Text Timing definitions



Minutes/Conclusions Reached Reviewed, discussed and modified John Hatem's 'Text Timing Definitions spreadsheet' for GForge items

5925 and 8021 Action Item List agenda item - Did not cover












Monday 11 January 2016 – Q4AttendeesName Organization Country EmailJohn Hatem (Chair) Oracle US [email protected] Quirk Lex Health [email protected] Unangsa diet@[email protected]

Elaine AyresMarla Albitz (Scribe) Wolters Kluwer US [email protected]

Lindsey Hoggle [email protected] Duteau Duteau Design Canada [email protected]

Daniel Zhang Epic US [email protected] Glover Blue Wave Informatics UK [email protected]

Jenny Syed Cerner US [email protected]

Quorum Met: Y

Agenda Topics Support for TPN in Pharmacy Standards (Lindsey) Pharmacy FHIR Work



Minutes/Conclusions Reached Action Item: Discuss #9227 with FMG during Q2 Tuesday 1/12/2015 session








mailto:diet@[email protected]


Tuesday 12 January 2016 – Q1AttendeesName Organization Country EmailJohn Hatem Oracle US [email protected] de Jong HL7 NL NL [email protected]

Jose Costa Texeira IHE Pharmacy BE [email protected] Peters Gevity Consulting CAN [email protected]

Tim McNeil SureScripts US [email protected] Superant IBM US [email protected]

May Terry Flatiron Health US [email protected] Schveth Point of Care Partners US [email protected]

Bryn Rhodes ESAC US [email protected] Kawamoto University of Utah US [email protected]

Quorum Met: Y

Agenda Topics Chemotherapy Order Template - Lee

and related oncology questions align with related work (e.g. FHIR Workflow)

Pharmacy FHIR Work



Minutes/Conclusions Reached Chemotherapy Order Template - Lee

MaxDose – e.g. 20mg/m2 (max 44mg) Action: look at the options that Chris proposed – CR 8778











Tuesday 12 January 2016 Q2 – Joint with FHIRAttendeesName Organization Country EmailDaniel Zhang Epic US [email protected] Superant IBM US [email protected]

Tom de Jong HL7 NL NL [email protected] McNeil SureScripts US [email protected]

Ewout Kramer NLPeter Jordan NZ

Marla Albitz (Chair) Wolters Kluwer US [email protected] Peters Gevity Consulting CAN [email protected]

John Hatem Oracle US [email protected] Met: Y

Agenda Topics Send 1 Rep to O&O if possible - Address UDI and CPM topics. Remainder will be on joint FHIR resources

of interest - Tom Joint with FHIR

Discuss timing of next releases and work left for pharmacy Discuss #9227 with FMG during Q2 Tuesday 1/12/2015 session



Minutes/Conclusions Reached New Resources/Profiles – deadline is Feb 9 – none expected Discussion of use of GForge Tracker to manage comments and change requests Requirements for QA

Hl7.org/Fhir/qa.html Will be enforcing rules by January 31 – list to come out next week If resources do not meet these – will drop to “0” Maturity Level

Next release March 13 vs July 17 freeze for ballot content and 2.1 and 3.0 Need to confirm date for Release 3

Discuss #9227 with FMG during Q2 Tuesday 1/12/2015 session Will change Medication – item will changed to codeable concept or reference to resource









Tuesday 12 January 2016 Q3AttendeesName Organization Country EmailDaniel Zhang Epic US [email protected] Hatem (Scribe) Oracle US [email protected] Albitz (Chair) Wolters Kluwer US [email protected] Terry Flatiron Health US [email protected] de Jong HL7 NL NL [email protected] Miller Cerner US [email protected] Syed Cerner US [email protected] McNeil Sure Scripts US [email protected] Kavanagh HSCIC (NHS) UK [email protected]

Quorum Met: Y

Agenda Topics Pharmacy FHIR Work – specifically a follow up discussion on the NCCN order sets HL7 V2 changes (Daniel)



Minutes/Conclusions Reached Pharmacy FHIR Work – specifically a follow up discussion on the NCCN order sets

Overview by Lee S of the NCCN order templates for oncology conditions Lee provided a detailed review of the order template medication attributes and we began an analysis

of the attributes and their support in FHIR. We discussed dose, rate, max dose initially and will continue to discuss the attributes on our weekly pharmacy conference calls.

Action Item: Lee will send the order template review spreadsheet to the Pharmacy list serv. HL7 V2 changes (Daniel)











Tuesday 12 January 2016 Q4 – Joint with PHER (PHER Hosted)AttendeesName Organization Country Email

Quorum Met: Y

Agenda Topics



Minutes/Conclusions Reached


Wednesday 13 January 2016 Q1AttendeesName Organization Country EmailDaniel Zhang Epic US [email protected] Peters (Scribe) Gevity Consulting CAN [email protected] AlbitzTony Schveth Point of Care Partners US [email protected] Costa TexeiraMichael Tan Nictiz NLChristian Hay GS1Giorgio Cangioli HL7 ItalyJohn Hatem Oracle US [email protected] Smithies HL7 UK UKTom de Jong HL7 NL NLQuorum Met: Y

Agenda Topics Discussion of joint meeting with ISO and IHE openMedicine Discussion Approval of October 2016 WGM Minutes Schedule for Conference calls Forward Planning

Project Review 3-year plan review

Action Item list review



Minutes/Conclusions Reached Discussion of joint meeting with ISO and IHE

Had a successful meeting in Paris after the May 2015 WGM Looking at planning a joint meeting around the eHealth week in June in Amsterdam – would be on

the Monday of this weekAction: Each group to develop a list of potential work that could be done as joint projectsAction: Schedule a joint teleconference to discuss joint projects further – Michael to schedule for late

FebruaryAction: Explore options for a meeting in Montreal - Melva openMedicine Discussion (Jose)Action: Melva to forward Jose the PSS Lite template- completeAction: Pharmacy WG to consider the proposed catalogue PSS




Wednesday 13 January 2016 Q2AttendeesName Organization Country EmailRik Smithies HL7 UK UKJohn Hatem Oracle US [email protected] Costa Texeira BE [email protected] de Jong HL7 NL NL [email protected] Shafarman USMarla Albitz Wolters Klower US [email protected] Peters Gevity Consulting CAN [email protected] Zhang Epic US [email protected] Met: Yes

Agenda Topics Pharmacy Template Work (Kai) Approval of October 2016 WGM Minutes Schedule for Conference calls Forward Planning

Project Review 3-year plan review

Action Item list review



Minutes/Conclusions Reached Discussion of the Pharmacy Template project

Is this project still relevant? We believe so Options – use FHIR instead or create example templates for some sections

Action: Provide Kai with the list of ConceptDomain Descriptions – TomAction: Add Kai to mapping google Document – complete

Will go from FHIR resource for MedicationOrder to a data set in Art-Décor Will map all attributes that are in Pharmacy domain as well as those that are not in pharmacy domain

(will borrow these from other domains from CDA – e.g. Condition from CDA) Will use conceptDomain designations where possible Will reflect [x]attributes –will split into choices Reason – needs to be a separate template priorPrescription – will point to a template with an ID only Will include examples

Action: Pharmacy will create examples for some templates - e.g. dosage Will discuss in teleconferences and meet Wednesday Q2 in Montreal

Action: schedule Wednesday Q2 meeting for Montreal – Melva - complete Approval of October 2015 WGM Minutes

Moved by John Hatem – seconded by Marla Albitz to approve the minutes of October 2015 – 9/0/1 Schedule for Conference calls

No change proposed Forward Planning

Project Review and 3-year plan review – see updated 3 year plan Action Item list review – no activities








Wednesday 13 January 2016 Q3AttendeesName Organization Country EmailMelva Peters Gevity Consulting CAN [email protected] Albitz Wolter Kluwers US [email protected] SmithiesTom de JongJohn HatemDaniel ZhangSue Thompson NCPDP USBill FrigonZabrina Gonzaga Lantana US

Quorum Met: Yes

Agenda Topics Pharmacist eCare Plan PSS Pharmacy FHIR PSS



Minutes/Conclusions Reached Pharmacist eCare Plan

Review of PSS Moved by Melva – seconded by Marla to approve that Pharmacy Work Group is a co-sponsor of this

project – 7/0/1 Pharmacy FHIR PSS

Moved by Marla – seconded by Rik to approve the Pharmacy FHIR PSS – 5/0/0 - Carried




Wednesday 13 January 2016 Q4 – Hosted by Patient Care AttendeesName Organization Country Email

Quorum Met:

Agenda Topics



Minutes/Conclusions Reached


Thursday 14 January 2016 Q1AttendeesName Organization Country EmailSean Moore Cerner US [email protected] Albitz (Scribe) Wolter Kluwers US [email protected] Hatem(Chair)

Oracle [email protected] Zhang [email protected] McNeil Surescripts US [email protected] Schueth Consultant US [email protected]

Quorum Met: Yes

Agenda Topics Pharmacy FHIR Work Triage 90 FHIR build errors/warnings



Minutes/Conclusions Reached See spreadsheet - 90 FHIR build items -

https://www.dropbox.com/home/HL7%20Pharmacy%20WG/WGM%20Folders/January%202016%20WGM%20-%20Orlando?preview=pharmacy+resources+open+issues+Jan+12+2016.xls





Thursday 14 January 2016 Q2AttendeesName Organization Country EmailMarla Albitz Wolter Kluwers US [email protected] Hatem Oracle US [email protected] Zhang Epic US [email protected] McNeil Surescripts US [email protected] Miller Cerner US

Quorum Met: Yes

Agenda Topics Pharmacy FHIR Work Triage 90 FHIR build errors/warnings V2.9 Supply items



Minutes/Conclusions Reached Discussed the V2.9 items under consideration by OO. Decided to research and vote on Q3 today. Marla

emailed OO to let them know they will receive vote result at Q3. Daniel and Marla are serving as V2 reviewers representing Pharmacy.

Completed Triaging for 90 build FHIR items. Assignments made within the spreadsheet . https://www.dropbox.com/home/HL7%20Pharmacy%20WG/WGM%20Folders/January%202016%20WGM%20-%20Orlando?preview=pharmacy+resources+open+issues+Jan+12+2016.xls





Thursday 14 January 2016 Q3 AttendeesName Organization Country EmailMarla Albitz Wolter Kluwers US [email protected] Hatem Oracle [email protected] Zhang Epic [email protected] McNeil Surescripts US [email protected] Moore Epic [email protected] Rutz Epic [email protected] Syed Cerner [email protected] Costa Teixeira BE [email protected]

Quorum Met: Yes

Agenda Topics Vote on V2.9 Supply items Pharmacy FHIR work



Minutes/Conclusions Reached 810 (v2.9 item) - Jose motion to approve item, Daniel Seconded - passed at 7:0:1 811 (v2.9 item) - Marla motioned to defer decision to OO due to decision that item is not in the

Pharmacy domain. Motion Marla, Second Dan 7:0:1.



Thursday 14 January 2016 Q4AttendeesName Organization Country EmailMarla Albitz (Scribe) Wolters Kluwer US [email protected] Zhang Epic USJohn Hatem (Chair) Oracle [email protected]

Michelle Miller CernerUS

[email protected] Glover Blue Wave Informatics UK [email protected]

Quorum Met: Yes

Agenda Topics Pharmacy FHIR Work

Continue to work through "90 FHIR build issues"



Minutes/Conclusions Reached Pharmacy FHIR Work – 90 FHIR QA issues

During this quarter, we worked through the list, and refined the categories and resolutions thru discussions. The updated spreadsheet was posted to our Pharmacy WG Dropbox location.

