Chair: Mark Scrimshire
Scribe: Vanessa Candelora
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."
Meeting Minutes from Discussion
|Decision Link(if not child)|
|Management||Review ANSI Anti-Trust Policy|
|IG Publishing Updates|
HL7 January Connectathon 26
January 13-15, 2021
Successful Event! See track highlights here.
There was some discussion about variability among payers to identify members and the need/use of membermatch.
Link to Hrex IG with Member match: http://build.fhir.org/ig/HL7/davinci-ehrx/OperationDefinition-member-match.html
Summary: Da Vinci Use case team to explore providing further guidance on:
Where should this guidance documentation live? Suggestion to start with a Supplemental Guide and queue this up for Q&A, then we can see if it makes sense to have this guidance in an IG as it continues to evolve.
Summary: Da Vinci Use case team to huddle and explore next steps regarding:
CMS Rule announced on 1/15/2021 builds on CMS Interoperability and Patient Access final rule - CMS Final Rule
Press Release announcing Final Rule Dropped on Jan 15, 2021
Previous from Proposed Rule:
Discussion about Rule not being officially put into Federal Registry and hold from Biden Administration as of Wed. The Rule is still very likely to proceed and is aligned with guidance from CMS regardless. The existing 3 Pdex IGs are all still aligned with the Patient Access API Rule and this rule would build upon what is there with new profiles, etc. This work is being planned in the next month or so.
|Implementer Support Questions (PDex, Formulary, Plan Net)|
Call to All Implementers: Please come with your questions! Options:
1) Ask questions live on the call
2) Edit and add your question to this page (in this box)
We learn as a community and iterate on the IGs through real world experience, so your contributions are welcome!
Implementers can take advantage of tools: See the Reference links on the Payer Data Exchange (PDex) page to access links for Reference Implementations, sandboxes, test scripts, and more!
Helpful Links for question:
Formulary Continuous build IG section on Privacy for the Patient Access API authenticated members’ scenario: which you’ll see points to the HRex parent IG security section referencing SMART-On-FHIR and OAuth
Questions submitted for discussion:
Regarding the Formulary IG: David Hill please look to Zulip for updated questions on #1 and #3 below that we'd like to provide answers to prior to next meeting (2 weeks out):
PDex IG Links and Updates
PDex Supplemental Guides
Updated to 0.1.29 on build.fhir.org: http://build.fhir.org/ig/HL7/davinci-epdx/index.html.
Source code is here: https://github.com/HL7/davinci-epdx
Presented to FM on 10/20
No call, resume on 2/5.
Adjourned at 1:01pm
|PDex Companion Guides||PDex IG Companion Guide List|
|CARIN CPCDS to US Core Mapping|
Latest draft CARIN CPCDS Mapping document: CARIN Mapping to FHIR interim 2020 0513.xlsx
DRAFT - PDEX US Core Mapping from CPCDS source: ResourceMappingUSCoreCPCDS-2020-05-29-v26.xlsx
|PDex - US Core |
Source PowerPoint: PDEXandUSCoreRelationship.pptx
|Da Vinci is seeking answers to open questions and clarifications needed on the implementation and operational needs of the upcoming CMS Patient Directed API Rules.|
Find initial questions and corresponding answers shared from our colleagues at CMS here
- PDex Pharmacy list - pharmacy count and mix: how can the pharmacy count and mix (as required by CMS) be included in the response PDex resources? Scott M. Robertson posted question 2020-11-20 PDex Meeting - VC reached back to out MG and Bob on status,
Attendees - 34
Rakesh Mathew Daniel Lilavois Patricia R Harbin Shalabh Gautam Kamaraj Kaliaperumal, Carefirst Bhanu Vemuri
Present Name Affiliation CMS BCBST Deepthi Reddy Mettle Solutions Allscripts Eric Sullivan Inovalon MITRE India Duncan Optum Availity Susan Lestina AHA Bob Bowman CAQH Thomas Kessler CMS Patrick Edwards Briana Barnes Scope Info Tech Kishore Metla Mettle Solutions John Donnelly Interpro Lorraine Doo CMS Melanie Jones CMS Rim Cothren Yolanda Villanova CMS Manoj Kumar BCBSFL MITRE Srinivas Konchada Centene Corporation Sheryl Turney Anthem Helina Gebremariam Mike Novales BCBSIL Ric Light Humana Ann Gallagher Optum Chris Klesges Mitre Adam Gronsky Health Fidelity CaseNet Anthem CMS eClinicalWorks Healow Interfaceware Mark Rucci Spectramedix Anthem Cindy Monarch BCBSM Michael Kim Cognosante Jim Catan Accenture BCBSA Jia Chen Robert Dieterle Jeff Eastman Ernestine Cooper Jason Teeple CIGNA Lloyd McKenzie Mary Winter Rachel E. Foerster Tom Grannan Azuba Tony Benson BCBS AL Independence BC Henry Archibong Inovalon HL7 Consultant Abdul Sattar Anirudh Choudhary Todd Biske ESI Darrell Woelk Doug Stoss Rick Lisseveld Aegis LakshminarayananSaravanan Laurie Burckhardt WPS Health Plan Kevin Lynch Inovalon Joseph Minieri MITRE Durwin Day BCBS IL Pamela West Ravi Thakkar Aetna UO Aetna Swati Nanda Aetna CVS Health Cyrus Kevin MITRE Fred Harmon Ready Computing Blue Cross NC John Squeo Khoa Nguyen Courtney Bland
Patricia R Harbin
Chris Johnson Scott M. Robertson David Clowers
Present Name Affiliation Nancy Spector AMA Bruce Wilkinson Benmedica Avality BCBSAL MCG ONC Surescripts NCPDP Anupam Thakur BCBSFL Jonathan Hutchins BCBST Anthem Sunitha Godavarthi Christopher Gracon x12 Labcorp James Derrickson Intersystems Cognizant Neetha Joseph Cognizant Kaiser Permanente MITRE Rutika Express Scripts Brody Brodock Allscripts Michael Brody CME Online Theressa Baumann BCBS AL Mona Chandrapal eClinicalWorks Optum Aakash Deliwala eClinicalWorks Mayo Epic Shaheer Stanley Nachimson Anthony Smith UNC Health Howard Cohen Minaei Behnaz FDA BCBSA Shilesh Nair gdit NewWave MaxMD BC Idaho Edward Castagna Altarum Andrea Kent CoverMyMeds Carrie Denny Kim Pham Celine Lefebvre AMA Edifecs Josh Lamb UPMC Keya Shah Casenet Gevity MITRE Mrugen Mehta eClinicalWorks Revathi Jayakumuar Supriya Bapi Bhera Matt Dyer Vyne Sree Vijetha Vegi C-HIT BCBSA Rich Bloch Lumedic Cigna Paul Knapp Ron Urwongse CAQH Anand Raghavan HealthLX Ezequiel Morles Frank McKinney Hanna ? Brett Rauschke Carolyn McKinney Clarissa Winchester BCBS AL JC HealthShare Exchange (HSX) River Wong Rob McClure MD Partners Ronald Wampler Derrick Woolridge Beata Ferraiz Ed Donaldson Consultant with Humana Julie Burgoon Mark Neumuth Aetna Raj Sankuratri Aetna Dr. Cheryl D. Lohman Germantown, MD | Family Physician Barbara Valeno Eshaa Dhall eclinicalworks
Scott M. Robertson