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Chair:  Mark Scrimshire 

Scribe: Dana Marcelonis

 

Attendees

Present

Name

Affiliation

  •  
SureScripts
  •  
Regence
  •  
Optum
  •  
Michael BaillieUHC
  •  
Humana
  •  
BCBS AL
  •  
Rush
  •  
SureScripts
  •  
Rush
  •  
Cerner
  •  
Laura BurckhardtWPS Health Solutions
  •  
Lindee ChinEdifecs
  •  
Independence Blue Cross
  •  
Allscripts
  •  
Regence
  •  
Didi DavisSequioa
  •  
InterSystems
  •  
BCBS IL
  •  
Allscripts
  •  
Cambia Health
  •  
Enable Care
  •  
David DodgeCambia Health
  •  
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 KennedyBCBST
  •  
Edifecs
  •  
Sathaya KrishnasamyAnthem
  •  
BCBS AL
  •  
Stephen LaneSutter Health
  •  
InterSystems
  •  
Anthem
  •  
Luis MaasEMR Direct
  •  
Erin MajderBCBS IL
  •  
Point of Care Partners
  •  
Cognosante
  •  
BCBS AL
  •  
Lloyd McKenzieGevity
  •  
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 WeeksRegence
  •  
BCBS AL
  •  
Darrell Woelk
  •  
Cambia
  •  
Brent Woodman
  •  
Anthem
  •  
Cambia
  •  
NewWave
  •  
Edifecs
  •  

  •  
Tracy M. Fitzgibbon
  •  
Jim TaylorTibco
  •  
Barbara AntunaAim Specialty Health
  •  
Christy Dodson
  •  
Danny
  •  
Evan CurrieBCBSM
  •  
Grace StambaughAllscripts
  •  
Jeanie SmithBCBSFL
  •  
Jim St. Clair
  •  
John BialowiczBCBSM
  •  
Melanie Combs-DyerCMS
  •  
Mike HurleyBRYJ Healthcare
  •  

  •  
Tori WillowsWellcare
  •  

  •  
EDMI Team
  •  
Beth Sprars
  •  
Nandini GangulyEMDI - Scope Info Tech
  •  
EMDI Team
  •  
Moxe Health
  •  
Jim McKinleyMedicaid Alabama
  •  
Raj
  •  
Ray WilkersonScope Info Tech
  •  
BCBST
  •  
Chris VanWaters
  •  
Bart CarlsonAzuba
  •  
Deepthi ReddyMettle Solutions
  •  
Emma JonesAllscripts
  •  
Eric SullivanInovalon
  •  
David Hill Mitre
  •  
Pallavi TalekarScope Info Tech
  •  
Ralph Saint-PhardHealow
  •  
Scott SwihartSumma Health
  •  
India DuncanOptum
  •  
Jason CassidyMoxe Health
  •  
Praveer MathurWellcare
  •  
Megan Soccorso

Cigna

  •  
Prashanth GolcandaLumeris
  •  
Rajesh Godavarthi
  •  
Susan BellileAvaility
  •  
Susan LestinaAHA
  •  
Bob BowmanCAQH
  •  
Thomas KesslerCMS
  •  
Patrick Edwards
  •  
Briana BarnesScope Info Tech
  •  
Kishore MetlaMettle Solutions
  •  
John DonnellyInterpro
  •  
Lorraine DooCMS
  •  
Melanie JonesCMS
  •  
Rim Cothren
  •  
Yolanda VillanovaCMS
  •  
Kathleen Connor
  •  
Manoj KumarBCBSFL
  •  
Saul KravitzMitre
  •  
Srinivas Konchada
  •  
Sheryl TurneyAnthem
  •  
Helina Gebremariam
  •  
Mike NovalesBCBSIL
  •  
Ric LightHumana
  •  
Ann GallagherOptum
  •  
Chris KlesgesMitre
  •  
Adam GronskyHealth Fidelity
  •  
Gregory MagazuCaseNet
  •  
Mary L. BushmanAnthem
  •  
Michael CabralCMS
  •  
Rohit ShindeeClinicalWorks
  •  
Seth ParadisHealow
  •  
Trevor HiltonInterfaceware
  •  
Mark RucciSpectramedix
  •  
Carie HammondAEGIS
  •  
Christol GreenAnthem
  •  
Cindy MonarchBCBSM
  •  
Daniel ChaputONC
  •  
Dawn PerreaultBCBSM
  •  
Kyle ZumsteinAvaility
  •  
Nancy SpectorAMA
  •  
Bruce WilkinsonBenmedica
  •  
Cara BarryAvality
  •  
Chris JohnsonBCBSAL
  •  
Duane WalkerBCBSM
  •  
Galen Mulrooney
  •  
Greg LindenLinden Tech Advisors
  •  
Mario JarrinChange Healthcare
  •  
Megan Smith-HallingsheadRegence
  •  
Patrice KuppeSurescripts
  •  
Peter Muir
  •  
Sreenivas MallipeddiMCG

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Links

SMART-on-FHIR

OAuth2.0 Member Authorized API Access SHALL conform to specification for SMART-on-FHIR App Launch Framework for standalone applications: http://www.hl7.org/fhir/smart-app-launch/

  • Will likely be updating the HRex guide to point to this guide


Recap from Connectathon

Focused on CDS-Hooks + SMART-on-FHIR App round trip.

Code for Reference Implementation produced by HealthLx: https://github.com/HL7-DaVinci/PDex-Patient-Import-App 

  • RI covered the first scenario re: provider making query to the payer, receiving back a series of FHIR resources that they could select from and commit what they wanted into the EHR
    • Able to fully test the round-trip for this scenario
    • SMART on FHIR app triggered the CDS Hook, using the HSPC sandbox, passed the message back to the SMART app via the hook via the card
    • Made the query back into the payer's FHIR API, presented the records, allowed the provider to choose what they wanted, and check what was written to the EHR (records or document reference)
  • Jacksonville Connectathon
    • HealthLX -
      • Start working on the member authorized payer to payer exchange - same FHIR payload used in CDS Hooks/ SMART on FHIR demo, but via oAuth given by member
      • Test SMART on FHIR oAuth framework authorizing a third party application
      • Application could be any 3rd party app that member decides, approved by plan to use (e.g., PHR, EHR, another payer)
      • Need to connect with AEGIS re: test suites
      • Need to reinstate the Wednesday at noon meetings - Viet Nguyen
    • Additional scenarios to be tested in Jacksonville will be covered by Mitre - plan network directory and formulary


Updates on PDex-Plan-Net & PDex-Formulary

MITRE is joining the PDex team to work on the supplemental IGs and Reference Implementations

  • As indicated in CMS NPRM, including support for directory for plans that need to expose their directory (e.g., Medicare Advantage plans) and need to exchange formulary information and allow member to access
  • FM workgroup suggested breaking these topics into 3 separate IGs: PDex, Plan Network Directory, and Formulary
  • After discussions with CARIN, NCPDP, etc. Da Vinci taking lead on establishing these guides - invited stakeholders to this Friday call
  • Formulary
    • Mitre will take the lead on developing Formulary IG and Reference Implementation
    • Jean Duteau will provide guidance on Formulary
    • Pharmacy will submit NIB and sign off on it going to ballot
    • JSON specification, not FHIR - need to convert into FHIR specification
    • Participants should contact Mark Scrimshireor David Hill or Robert Dieterleif you can share formulary data
    • IG is available: PDex-Formulary Implementation Guide





Links to PDex FHIR Guides and Code

PDex IG:  https://trifolia-fhir.lantanagroup.com/implementation-guide/davinci-pdex
PDex Plan-Net IG: https://trifolia-fhir.lantanagroup.com/implementation-guide/4y9cKSGi
PDex Formulary IG: https://trifolia-fhir.lantanagroup.com/implementation-guide/pP0jnkBf
 

The Github repositories:
PDex IG: https://github.com/HL7/davinci-epdx
PDex Plan-Net IG: https://github.com/HL7/davinci-pdex-plan-net
PDex Formulary IG: https://github.com/HL7/davinci-pdex-formulary

The connection between Trifolia and the Github repositories is a manual push.

However the web hooks are in place to publish from GitHub to build.fhir.org automatically. The Continuous Integration Builds for the guides are here:

PDex IG: http://build.fhir.org/ig/HL7/davinci-epdx/
PDex Plan-Net IG: http://build.fhir.org/ig/HL7/davinci-pdex-plan-net/
PDex Formulary IG: http://build.fhir.org/ig/HL7/davinci-pdex-formulary/


ManagementNext agenda

 Adjournment
Adjourned at 12:28pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval


Action items

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