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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
  •  
CAQH Core
  •  
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
  •  
Optum
  •  
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
  •  

  •  

  •  
YuriyHealthLX
PresentNameAffiliation
  •  
Tibco
  •  
Aim Specialty Health
  •  
Christy Dodson
  •  
Danny
  •  
BCBSM
  •  
Allscripts
  •  
BCBSFL
  •  
Jim St. Clair
  •  
BCBSM
  •  
CMS
  •  
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
  •  
Allscripts
  •  
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
  •  
Availity
  •  
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
  •  
CaseNet
  •  
Anthem
  •  
CMS
  •  
eClinicalWorks
  •  
Healow
  •  
Interfaceware
  •  
Mark RucciSpectramedix
  •  
Carie HammondAEGIS
  •  
Anthem
  •  
Cindy MonarchBCBSM
  •  
ONC
  •  
Dawn PerreaultBCBSM
  •  
Kyle ZumsteinAvaility
  •  
Nancy SpectorAMA
  •  
Bruce WilkinsonBenmedica
  •  
Cara BarryAvality
  •  
Chris JohnsonBCBSAL
  •  
Duane WalkerBCBSM
  •  

  •  
Greg LindenLinden Tech Advisors
  •  
Mario JarrinChange Healthcare
  •  
Megan Smith-HallingsheadRegence
  •  
Patrice KuppeSurescripts
  •  

  •  
MCG
  •  
ONC
  •  
Surescripts
  •  
NCPDP
  •  
Anupam ThakurBCBSFL
  •  
Jonathan HutchinsBCBST
  •  
Sonja Zeigler

Create Decision from template

Minutes Approved as Presented 


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

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



Connectathon Links

Da Vinci Connectathon in Jacksonville, FL May 29-30



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/



Feedback from FM WG re: PDex IG

Presented PDex IG on Wednesday May 22nd.

  • Generally a positive review session
  • Reuquest to update and expand on overview to further explain what we're trying to accomplish and orient readers

Additional work on IG

  • Build Provenance section out further to give provider enough information to determine if they want to write data to their EHR
  • Added some mappings from CARIN Alliance work and CMS Blue Button 2.0 implementation
  • Added table to identify the minimum fields that should be provided in order to create a valid US Core Resource

FHIR Patient-everything operation

  • Query Patient resource, and get everything about a patient such as Encounters, Procedures, etc.
  • Can receive a paged bundle, or 
  • Didn't specify transport method
  • Did define the payload - an unpaged bundle (everything in one bundle)
  • If payers can communicate securely to another payer, and member requested data to be sent to the payer, then payer could use this operation to bundle everything and send
  • Added clarification to IG that if, for example, the payer has attribution for 1,000 patients - they would not be able to make a call using one member's access token and get data for all patients - the authorization only extends to that one member
    • If we're only going to use this to find one patient's data, why are we offering the other option for all patients?
    • Mark Scrimshire will simplify by removing patient/$everything


PDex Network Directory IG Status
  • Robert Dieterle creating mapping to reduce the Validated Healthcare Directory down to what we need, and taking first stab at modifying the text that describes the environment we're making this work in
  • Daniel Chaput / Alex Kontur will take that and remove items that aren't relevant to what we're doing
  • Going through underlying mechanics of tooling for IG editing


PDex Formulary IG status (David Hill)

  • David Hillneeds commit access to GitHub repository - requested access fromRick Geimer and Grahame Grieve
    • Each user needs to agree to HL7 operations manual and agree to actively manage Zulip stream
    • Send info to Lloyd McKenzieand he can address this afternoon
  • Loaded drug data from CareFirst BCBS; able to pull that information and display it
  • MedicationKnowledge resource limitations and out of box HAPI search interface limitations - proposed a minor change to IG
    • Searching by RX Norm code and Drug Tier
    • 2 servers set up - one based off of 5/19 IG and one based off of change proposals 
    • Working on a second client to query the second server to do more advanced search
    • Right now based off of QHP model for Connectathon
    • Targeting to get other features in by June 6
    • Putting together some talking points/proposals to address the limitations mentioned above


Da Vinci Connectathon May 29-30

(Jacksonville, FL)

  • Issue re: one user being valid across any instances in the HSPC Sandbox
    • When you create a sandbox, using same base set of synthetic set of resources - so patients match across sandboxes
    • If you authenticate in one sandbox, the cookie used is valid to connect to the other sandbox - so you can't recreate coming from one sandbox to the other and going through authorization process again
  • AEGIS - scenario test cases are in Touchstone
    • Register prior

ManagementNext agendaNext week's call is cancelled due to Da Vinci Connectathon and Working Sessions
 Adjournment
Adjourned at 12:45pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval


Action items

  •