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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 QuinnHSX
  •  
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 Barry

Availity

  •  

  •  
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
  •  
Epic
  •  
Keith Salzman
  •  

  •  
Matt ReidAMA
  •  
Molly Malavey
  •  
eClinicalWorks
  •  
Nancy Spector
  •  
POCP
  •  
Thomas GrannanAzuba
  •  
Regence
  •  
Barry Collin
  •  
Chris Cera
  •  

  •  
Autumn HarbartUHC
  •  

  •  
Michael Fasulo

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 is complete
  • Applying Change to implementation Guide


IG Update
  • Applying changes to Implementation Guide
    • Using standard HL7/Da Vinci template
    • Change log will continually be updated
    • New Intermediary Requirements


HL7 FHIR Connectathon - Sept 9-11

2020-09 Connectathon 25

2020-09 DaVinci Notifications

  • Who plans to participate?
    • Team to reach out to Centene re: UC Davis work and other members
    • Healow Insights thinking of participating - have reached out to payer partners, but still tentative
  • Adding Provenance when Intermediary acting as sender
  • Will record a track orientation session


  • Question re: track scenarios
    • Notification scenarios focus on admit, discharge, and ER visits. eCW is outpatient EMR- can we include some scenarios to transfer notifications re: medications or any other categories?
      • Healow/eCW will be receiving the notification
      • Can test receipt of ADT notifications from the Reference Implementation
      • Event would allow for medication scenario if there was someone to create the alerts - pause on this for now given where we're headed once IG is published


Related - Subscriptions R4 Backport IG Update
  • In development for Jan 2021 Ballot
  • CI build in development: https://build.fhir.org/ig/HL7/fhir-subscription-backport-ig/
  • Consider adding to next iteration of Notifications IG as alternate workflow
    • Wait until after Jan 2021 Ballot to ramp up activities to represent ADT Notifications in Subscriptions in case there are more changes through ballot process


Next Steps - Implementer Support
  • Da Vinci focusing on Implementer Support for the remainder of the year
  • 6 guides going into publication
  • Where do we go from here once Notifications IG is published?
    • Turn this call into Implementer Support call and hold once or twice per month
      • Answer/discuss implementer questions
      • Decide if there's something that needs to be tested in Connectathon, or something that needs to be elaborated on, and determine if IG needs to be updated in next iteration
      • Determine if it would be helpful to create additional examples
    • Create an FAQ page in Confluence where people can post their questions in advance of the call, post supporting examples, etc.
      • Probably need to include any questions from Zulip as well
    • Track Subscriptions in next FHIR version - any needed updates to Notifications IG 
  • Start monthly calls after Connectathon is over
  • Chat Comment: This is Ray Duncan at Cedars-SInai. We've implemented the draft Notifications standard (as best we understand it) to receive encounters from Anthem for one of our ACOs. It's in production and it seems to be working well. Happh to share that experience with anyone who is interested. We realize we may have to tweak it after the ballot.

ManagementNext AgendaConnectathon Orientation Session/Kick-off 
Adjournment
Adjourned at 12:46pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval
Meeting PPT PresentationDa Vinci Presentation 20200805Alerts-Notification.pptx





Action items


Create Decision from template