PDMP & HITI
IG Development Workgroup
Session
August 14, 2014
Meeting Etiquette
• Remember: If you are not speaking keep your phone
on mute
• Do not put your phone on hold – if you need to take a call,
hang up and dial in again when finished with your other call
– Hold = Elevator Music = very frustrated speakers and participants
• This meeting, like all of our meeting is being recorded
– Another reason to keep your phone on mute when not speaking
• Feel free to use the “Chat” feature for questions, comments
or any items you would like the moderator or participants to
know.
From S&I Framework to
NOTE: This meeting is being recorded and
will be posted on the Meeting Artifacts Wiki
page after the meeting
Participants:
Hi everyone: remember to keep your
phone on mute 
2
Agenda
1. Review transformation detail sections for SCRIPT, HL7 V2, and
ASAP Web Services
2. Review identified gaps for NCPDP SCRIPT and HL7 V2
a) Determine gap mitigation
3. Discuss message structure, conformance statements, &
coded examples for HL7 V2
4. Discuss Roles & Role ID value set
Harmonization Weekly Timeline (cont’d)
Week
Target Date
(2014)
1-15
3/25-7/8
All Hands + IG WG Meeting Tasks
Review & Comments from Community via Wiki page
(Due End of Week on Friday)
Completed Harmonization Kick-off through Solution Planning
Review: Pre-conditions/Post-Conditions; Solution Plan
(Overview and Standards)
Review: Data Element Request/Response Mappings to
PMIX-NIEM
Review: Response Data Element Mappings &
supporting IG content Request Details
16
7/15
Finalize: Introduction of IG (Section 1)
Introduce: Pre-conditions/Post-conditions (Section 1.6) &
Implementation Approach Solution Plan (2.1)
17
7/22
Finalize: Request Data Element Mappings
Introduce: Standards and Request Transactions
18
7/29
Review: Request Transaction Details in IG & Response Data Element
Mappings
Introduce: Response Transaction Details
19
8/5
Finalize: Request details /Response Data Elements
Introduce: Transformation Details (Request)
Review: Request Transformation Details between
NCPDP, HL7 V2.0, ASAP to PMIX-NIEM;
Identify/document gaps
20
8/12
Finalize: Request Transformation Details
Review: Response Mappings & Transformation details
Review: Response Mappings/Transformation Details
21
8/19
Introduce: Conformance Statements
Introduce: Transport/Security
Introduce : Suggested Enhancements (Section 3)
Review: Conformance Statements, Transport/Security,
& Suggested Enhancements
22
8/26
Begin: End-to-End Community Review of Implementation Guide
Review: Implementation Guide (End-to-End)
Review: Response Transaction Details
Gap Mitigation for Request Translation/ D.E. Mappings
Standard Data Element Gaps Identified
Mitigation
ASAP
Web
Services
•
•
•
•
•
Requestor
Requestor Role
Disclosing States
Requesting State
Request ID
Option 1: Add required elements to transport
layer envelope
NCPDP
SCRIPT
•
•
•
•
Requestor
Requestor Role
Disclosing States*
Requesting State/State code of
Requesting Facility*
Request ID (“Message ID”)
Facility Name (“Pharmacy name”)
Option 1: Propose modifications as suggested
enhancements to SCRIPT Medication History
standard in new iteration of NCPDP SCRIPT 10.6
•
•
Option 2: Propose modifications as suggested
enhancements to ASAP Web Service
specification
Option 2: Include data elements within
wrapper transport layer (not favorable)
**Requesting state will be consumed by State
code of facility (look to pilot feedback for
modifications)
HL7 V2.7
•
•
•
•
•
Requestor
Requestor Role
Disclosing States
Requesting State
Request Date/Timestamp
Option 1: Add required elements to transport
layer envelope
Option 2: Propose modifications as new
HL7V2.7 Z Segment QBP message elements
Gap Mitigation for Response Translation/ D.E. Mappings
Standard
Data Element Gaps Identified
Mitigation
ASAP Web
Services
•
Option 1: Add required elements to transport
layer envelope
Refills Authorized
• AI: Bill Lockwood to verify
Option 2: Propose modifications as suggested
enhancements to ASAP Web Service specification
NCPDP
SCRIPT
•
•
•
Patient ID (State of License,
Passport, Military, Tribal)
• Would be dropped
Partial Fill Indicator*
• To be added to new version
(long-term solution)
Method of Payment*
Option 1: Propose modifications as suggested
enhancements to SCRIPT Medication History
standard in new version of NCPDP SCRIPT
Option 2: Include data elements within wrapper
transport layer (not favorable)
•
HL7 V2.7
•
•
•
•
Method of Payment
Response Date/Timestamp
Responding States
Request ID
*To be discussed with task group
Option 1: Add required elements to transport
layer envelope
Option 2: Propose modifications as new HL7V2.7
Z Segment QBP message elements
Outstanding Questions
• Routing Information data elements
– Requestor, Requestor Role, Disclosing States, Requesting
States, Request ID
• How are these handled in SCRIPT and V2?
• What is the message structure for each of these standards?
• Request ID is sent back in the Response
– Requestor, Requestor Role, and Requested States are not sent back
• Role & Role ID
List of Roles Accepted by PDMP Hubs
•
•
•
•
•
•
Physician
Pharmacist
Pharmacist with
prescriptive authority
Nurse Practitioner
Psychologist with
prescriptive authority
Optometrist with
prescriptive authority
•
•
•
•
•
Dentist
Naturopathic physician with
prescriptive authority
Physician assistant with
prescriptive authority
Medical resident with
prescriptive authority
Medical intern with
prescriptive authority
Next Steps
•
Review: Implementation Approach – Transformation Details, Coded
Examples, Conformance Statements
•
Next All Hands meeting is Tuesday, 8/19 from 12:00 pm to 1:30 pm ET
o Review IG content
•
Next IG Development Workgroup Session is Thursday, 8/21 from 12:00
pm to 1:30 pm ET
• Reminder: All PDMP & HIT Integration Announcements, Meeting
Schedules, Agendas, Minutes, Reference Materials, Harmonization
materials, Use Case, Project Charter and general information will be
posted on the PDMP Wiki page
– http://wiki.siframework.org/PDMP+%26+Health+IT+Integration+
Homepage