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Chair:  Mark Scrimshire and Tony Benson

Scribe:
 

Attendees

Present

Name

Affiliation

  •  
SureScripts
  •  
Regence
  •  
Optum
  •  
Michael BaillieUHC
  •  
Humana
  •  
BCBS AL
  •  
Rush
  •  
SureScripts
  •  
Rush
  •  
Cerner
  •  
Laura Burckhardt
  •  
Lindee ChinEdifecs
  •  
Independence Blue Cross
  •  
Allscripts
  •  
Regence
  •  
Didi DavisSequioa
  •  
InterSystems
  •  
BCBS IL
  •  
Allscripts
  •  
Cambia Health
  •  
Enable Care
  •  
David Dodge
  •  
Rachel E. Foerster
  •  
Howard FollisJuxly
  •  
Reliant Medical Group
  •  
Lantana Consulting
  •  
SureScripts
  •  

  •  
Independence Blue Cross
  •  
GunjitZeOmega
  •  
Kenneth Hall
  •  
NCQA
  •  
Optum
  •  
Jackie HardisonHumana
  •  
Cigna
  •  
HealthLX
  •  
ZeOmega
  •  
BCBSA
  •  
Point of Care Partners
  •  
Edifecs
  •  
Heather Kennedy
  •  
Edifecs
  •  
Sathaya KrishnasamyAnthem
  •  
BCBS AL
  •  
Stephen LaneSutter Health
  •  
InterSystems
  •  
Anthem
  •  
Luis MaasEMR Direct
  •  
Erin MajderBCBS IL
  •  
Point of Care Partners
  •  
Cognosante
  •  
BCBS AL
  •  
Lloyd McKenzie
  •  
Optum
  •  
Humana
  •  
MaxMD
  •  
Stratametrics
  •  
Sean ParsonsBCBS OK
  •  
Scott Parsons
  •  
BCBS AL
  •  
Allscripts
  •  
HealthLx
  •  
Joe QuinnOptum
  •  
Optum
  •  
Regence
  •  
InterSystems
  •  
NewWave
  •  
NewWave
  •  
ZeOmega
  •  
Anne Marie SmithNCQA
  •  
InterSystems
  •  
UHC
  •  
Casenet
  •  
Cigna
  •  
HealthLX
  •  
Independence Blue Cross
  •  
Joel WalkerHealthLX
  •  
Holly Weeks
  •  
BCBS AL
  •  
Darrell Woelk
  •  
Regence
  •  
Brent Woodman
  •  
Anthem
  •  
Cambia
  •  
NewWave
  •  
Edifecs
  •  

  •  
Tracy Fitzgibbon

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Minutes Approved as Presented 


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Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy



Project Naming

Feedback for HL7 Work Groups is that eHRx and ePDx
should be renamed too HRex and PDex.



Resource naming

It is proposed that resources in the PDex implementation guide
be identified with the HRex suffix 



Coverage Resource

Coverage does not exist in Argonaut or US Core. A coverage profile has been defined
in the Da Vinci DeQM Project.
HRex / PDex will create an additional Coverage profile. The HRex-Coverage profile will be
based off HL7 FHIR R4.
An evaluation of the DeQM coverage resource determined that it was unsuited to HRex / PDex
use cases because contained resources such as Patient are based off the QICore profiles and
not US Core profiles.

The HRex-Coverage profile will reference US Core profiles, where they are available. 



Payer Initiated Exchange?

Is there a need for a Payer Initiated Interaction.

1. Verify situations where interactions occur
2. When Does a provider push to a payer
3. When does a payer need to push to a provider
4. What’s the payload (bundle or specific)

Yes - there is a need

Need to discuss content/payload. e.g. Alert, Gaps in Care, PCP change.

What RESTful approaches can be used in addition to IHE/Direct.

Can we leverage MU Payer-to-Payer transmission and change source to Payer to submit asynchronous payload for mediation by the receiving provider.

Receive, Display and Incorporate Data (was Transitions of Care)


Homework

Review and provide feedback on UseCase Materials ePDx-Payer2ProviderUseCase.pptx and ePDXUseCaseFunctionalMap.xlsx

Rough Draft of IG in Word Docx format. Incomplete - focus is on Narrative: Da Vinci PDex Implementation Guide-7.docx (Download, Put Track Changes on, send edits back to mark.scrimshire@newwave.io)






ManagementNext agenda

 Adjournment
 Adjourned at

Supporting Documents

Outline Reference

Supporting Document

Minute Approval


Action items

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