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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
  •  
Laurie 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
  •  
Stephen MacVicarMitre
  •  
Anna MeisheidCMS
  •  
Epic
  •  
Paul Knapp
  •  
Dave Foster
  •  
John Felo
  •  
Ken Lord
  •  
Roland GamacheAHRQ
  •  
Epic
  •  
Jennifer Joe
  •  
Stephen McVicarMitre
  •  
Joe HamiltonUnity Point
  •  
Matthew FloresAdvent Advisory Group
  •  
Providence
  •  

  •  
Julie MaasEMRDirect
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 KonchadaCentene Corporation
  •  
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 ZeiglerOptum
  •  
Anthem
  •  
Sunitha Godavarthi
  •  
Andrea BensonMitre
  •  
Christopher GraconIndependent Health
  •  
Labcorp
  •  

  •  
Akshay RameshACcenture
  •  
Samantha HolveyWEDI
  •  
Andrea BensonMitre
  •  
Cyrus Peyrovian
  •  
James DerricksonIntersystems
  •  
Douglas DeShazoCognizant
  •  
Neetha JosephCognizant
  •  

  •  
Terry MayMitre
  •  
Rutika
  •  
Maples, Ashley H. Express Scripts
  •  
Brody BrodockAllscripts

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

Links to PDex FHIR Guides and Code

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

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/



Connectathon Tracks

Virtual Connectathon update - PDex Directory
  • August 28th - 44 participants overall
    • PDex Directory track - 3 participants excluding the MITRE/Da Vinci team
    • Need a source of pharmacy directory data for MA, RI, CT to populate Reference Implementation 
    • Practitioner Role and Organization Affiliation - need to beef this up a little bit
    • Engaging with AEGIS to create Touchstone test scripts
  • Next Virtual Connectathon is Wednesday, Sept 4th 


PDex/ PCDE question
  • In PCDE IG there's a concept of member authorizing exchange of care transition document, but given CMS guidance information can be exchanged between payers between business treatment operations (HIPAA)
    • How do you identify the patient record in the target system requesting data from?
    • Should that be a process defined in HRex IG? There may be multiple IGs moving forward where there's a need to collect data from the member during enrollment to a new plan so that subscriber information can be used to make a query to prior health plan
  • Meeting in Atlanta - Q3 on Tuesday in Security workgroup - to discuss how do we manage the privacy and security of the exchange that is occuring
  • Under HIPAA, payers have a right to exchange everything except for sensitive data - no controls above and beyond what's already allowed
  • IG should point to the current regulatory requirements or a specific one?
    • Should be up to the entities to determine what can/can't be exchanged and follow any security, privacy, regulations, etc.
    • IG can't contradict a regulation, ok to give guidance re: particular regulation - not defining the rules, but identifying areas that are relevant or may be interpreted differently


PDex Ballot Reconciliation
  • 85 comments left to triage
  • 29 typos
  • 19 broken links
  • 11 comments re: phrasing
  • 3 comments re: X12
  • 4 comments re: Coverage resource
  • 7 comments re: OAuth 2
  • 7 comments re: 3rd party apps
  • 12 comments re: Provenance
  • 10 comments re: SMART on FHIR


PDex Formulary Update
  • MITRE team forumulated responses to each comment and will be entering into GForge
  • Saul Kravitzout next week and a half - David Hill will meet with Robert Dieterle to determine which comments need to be reviewed with the group in this meeting


Question re: FDA/ UDIs
  • Reference Implementations to be updated to use device identifiers (populate UDI)?
    • FDA would like to see if one or more of the RIs could include
    • Could HSPC update sandbox with some standard examples?
      • Probably low on their list - HSPC is trying to populate with general FHIR resources, some US Core resources
      • Standard HAPI server - any data is generated, as long as standard/compliant with FHIR it could be imported into any developer sandbox
    • Mary Kay McDaniel to follow up re: ONC/FDA generating some R4 compliant examples, and we'll make them available
      • Scenario that says that in the exchange beteween payers and patients, if the payer has this information, this is what would be in the payload (e.g., patient who has a pacemaker)
      • Full patient/scenario including device/UDI
    • Does Synthia populate examples with UDI? David Hillto follow up
    • Mary Kay McDaniel to send a note to MiHIN to see if they have examples from their patient gen 

ManagementNext agendaPDex and PDex Formulary ballot comment review
 Adjournment

Adjourned at 12:38pm ET


Supporting Documents

Outline Reference

Supporting Document

Minute Approval
Connectathon Kick Off Presentation

Connectathon Presentation.pptx and recording

PDex Companion GuidesPDex IG Companion Guide List





Action items

  •