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Chair:  Ulrike Merrick

Scribe: Dana Marcelonis
 

Attendees


Present

Name

Affiliation

  •  
Enablecare
  •  
Viet NguyenStratametrics
  •  
Ulrike MerrickVernetzt, LLC 
  •  
Anupam ThakurBCBSFL
  •  
Corey SpearsInfor
  •  
BCBSAL
  •  
Casenet
  •  
Holly WeeksRegence
  •  
Jeffrey DanfordAllscripts
  •  
Joseph QuinnOptum
  •  
Laurie BurckhardtWPS Health Solutions
  •  
Lindee ChinEdifecs
  •  
Lisa R. NelsonMaxMD
  •  
Linda MichaelsenOptum
  •  
Mark TaylorReady Computing
  •  
Peter Muir
  •  
Rajesh GodavarthiMCG Health
  •  
Samir JainReady Computing
  •  
Sreenivas MallipeddiMCG Health
  •  
Susan BellileAvaility
  •  
Susan LangfordBCBST
  •  
Tony BensonBCBSAL
  •  
Yan WangMaxMD
  •  
Jeanie SmithBCBSFL
  •  
Rachel E. FoersterRachel Foerster & Associates
  •  
Mary Kay McDanielCognosante
  •  
Greg LindenLinden Tech Advisors
  •  
Eric Haas
  •  
Anthem
  •  
Dawn PerreaultBCBSM
  •  
Jennell Stewart
  •  
Kat RuizUNC Health
  •  
Michael GouldIBC
  •  
Tony Laurie
  •  
Karen L. ZapataAnthem
  •  
Ann GallagherOptum
  •  
eClinical Works
  •  
Frank HoneVeradigm
  •  
BCBS AL
  •  
Lynn PerrineLantana
  •  
Nancy BeavinHumana
  •  
Providence
  •  
Ralph Saint-PhardHealow
  •  
Serafina Versaggi
  •  
Seth ParadisHealow
  •  
Sheryl TurneyAnthem
  •  
Todd Johnson
  •  
Julie MaasEMR Direct
  •  
Duane WalkerBCBSM
  •  
Epic
  •  
Jennifer CurryRegence
  •  
Regence
  •  
David DeGandiCambia
  •  
Cigna
  •  
Kate ReesCambia
  •  
TIBCO
  •  
UHC
  •  
Ric LIghtHumana
  •  
TorQuailla AultmanNC.gov
  •  
Chris JohnsonBCBS AL
  •  
Cigna
  •  
Anna MeisheidCMS
  •  
Gino Canessa
  •  

  •  
Scott StueweDirect Trust
  •  
HealthLX
  •  
HealthLX
  •  

  •  

  •  
Tracy M. FitzgibbonRegence
  •  
Jordan StoreyRegence
  •  
Jonas
  •  
Kayla SuaProvidence
  •  
EMR Direct
  •  
Sasha Volkov
  •  

  •  
Providence
  •  

  •  
Roland GamacheAHRQ
  •  

  •  
Rim Cothren
  •  
Eric SullivanInnovalon
  •  
Jason
  •  

  •  
Michelle Hunt
  •  
Dacarba
  •  
Cedars-Sinai
  •  
Rob WilmotCerner
  •  

  •  
Lubka Dagorova
  •  
Pinki Patel
  •  
Nandini GangulyScope Info Tech
  •  
BCBSM
  •  
AEGIS
  •  
BCBSM
  •  

  •  
Aakash DeliwalaeClinicalWorks
  •  
Christopher GraconIndependent Health
  •  
JPSys
  •  
Cigna
  •  
Labcorp
  •  
Cigna
  •  
Melissa GaffneyAvaility
  •  
Andrea KentCoverMyMeds
  •  
Regence
  •  
Centene
  •  
Judy Williamson
  •  
Joshua LambUPMC
  •  
Edward CastagnaAltarum
  •  
Howard CohenCentene
  •  
Mario Jarrin HurtadoChange Healthcare
  •  
Justin SappBCBS IL
  •  
Roderick HewittCentene
  •  

  •  
CoverMyMeds
  •  
Cara BarryAvaility
  •  

  •  
Sahlem KahrakaCentene
  •  
Sarabjit
  •  
Sonja ZieglerOptum
  •  
Microsoft
  •  
Interpro
  •  
Mary WinterPrime West
  •  
Jeff MarlowPrime West
  •  
AMA
  •  
Michael Fausulo
  •  
Clay Rogers
  •  
Tammy BanksProvidence St. Joseph
  •  
Jay Robertson
  •  
Epic
  •  

  •  
AMA
  •  

  •  
Heather McComasAMA
  •  
Cigna
  •  
CMS
  •  
Vassil PeytchevEpic

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



Ballot and Connectathon Schedule
  • February 2020 ballot cycle is complete
  • Ballot Reconciliation starting in February 2020


HL7 Virtual Connectathon -

Notifications Track Orientation Session 

HL7 Virtual Connectathon - May 13-15


  • Removing bonus scenarios #3 and #4 from Notificatoins track page
  • AEGIS test scipts available in Touchstone
    • Admit and Discharge scenarios - JSON and XML versions
    • Potential updates based on ballot reconciliation
    • AEGIS Touchstone demo


Additional Transfer use case needed?
  • ADT - we cover Admit, Discharge - do we need Transfer?
    • Scenario: patient admitted to ER, then later moved to bed as an inpatient
      • Admit to ER and Dicsharge from ER and Admit to Hospital - Inpatient
      • Admit to ER and Transfer to Hospital - Inpatient
      • Both supported in the wild, final rule mentions 'transfer'
      • Are there other scenarios?
      • Participants to think about it and review again in next week's meeting


Ballot Comment Review
  • Block votes were approved in InM
    • 2 trackers were pulled from block vote related to Security section of IG
      • FHIR-26135
      • FHIR-26134
      • Team needs to follow up with broader Da Vinci team

Issue key Summary (Reporter)

  1. J#26098 Why Messaging? (vassil) 
    1. Lloyd's Guidance for Data Sharing Mechanisms doc - Section 3.2.2: https://docs.google.com/document/d/1_dpK9kTaVYGVdgYCSVwN_hctY9Zi1aqjYnEIXGeV4cc/edit?usp=sharing

    2. For Notifications IG, looking for an informational Push - the data owner who has information re: admit or discharge is going to push that information to an intermediary or directly to recipient
    3. When you wrap everyting into a message and move it around, you lose link to original information
    4. Strength of FHIR is that the information is available to all authorized consumers, including updates to it
    5. When IG is built, need to make sure those implications are understood
    6. When and how do you want this information to get from the source to the recipient?
      1. FHIR Messaging gives you little above existing HL7 ADT messages in terms of the information you can get
      2. If you need that information fast, HL7 V2 message, would get it to you in months timeframe instead of years timeframe for FHIR Messaging to be implemented by participants
    7. FHIR Notifications wasn't around when this IG was balloted
    8. Originally the IG included a simple Push, then moved to an operation, then moved to messaging
    9. Challenge is timing: Notifiations IG is intended for R4 - R5 not available yet
    10. Information from section 3.2.2 should be considered/added to IG as a discussion point so implementers understand what they're getting into
    11. Is Lloyd's doc still being reviewed by different workgroups? 
      1. Ulrike Merrick to make sure InM has the updated version of this document
        1. InM is working on a matrix to identify the different criteria one would need to consider, and which of FHIR mechanisms covers that criteria
      2. Guidance doc is still a work in progress
      3. Discussion taking place in FHIR Workflow right now, will probably go to FHIR-I at some point

ManagementNext AgendaBallot comment review continued
Adjournment
Adjourned at 12:59pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval
Meeting PPT PresentationDa Vinci Presentation 20200415Alerts-Notification.pptx





Action items


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