2021-04-16 PDex Meeting

Da Vinci April Education Session

Da Vinci Education & FHIR Implementation Event by HL7 - April 26 - 30

Register Here

Note- Public calls for the Week of 4/26-4/30/21 will be cancelled due to Da Vinci Education Event. 

Register before April 23 to get the Early Bird Rate! (Registration closes April 30th!)

2021-05 Da Vinci Payer Data Exchange Track for CMS Patient Access API

Discussion today and useful links: 

1) Get access to Test Scripts publicly available will be used as basis for testing during event. See Recording - TouchStone Overview and/or reach out to touchstone_support@aegis.net if you have any follow on needed for helping with testing setup

2) Add your servers here Connectathon Test Servers - ConMan link

3) Get your environment setup and ready to connect before the event so you can use the event to test, rather than just getting setup.  

4) Read the IG

Any questions?  

Reviewed FAQ Proposed Responses  

See page: Da Vinci PDex for Patient Access API Frequently Asked Questions (FAQs)

Review Proposed responses for 010 and 012

010 - no disagreement with this guidance.  Side discussion around: 

(RW) Implementer Recognize that 2/3s of all payers don't use digital IDs so they will use membermatch there. For when the member is authenticated with a digital ID, they will use that. 

• Discussion about using the strongest member Identification process possible - if you can use digital ID, great. If not, use membermatch. 
• Would the digital id approach work with bulk FHIR? Think so. 
• Concurrent coverage should be thought through as well. 

012 - Any server that has to give out data, it should be resolvable references physically and in time. 

e.g. Discharge from 10 years, want medication list from 10 years ago. 

Read the guidance in the IGs for PDex and for Carin Blue Button, it has guidance. 

PC from chat: The FAST project on "Exchange with or without Intermediaries" is related to the same problem of rewriting URLs when proxying data for multiple backend systems.  FHIR-I has expressed uncertainty about the problem definition though, it wasn't clear exactly what cases they're addressing

FHIR-31579 - RxNorm codes - Aetna - Courtney - going to try to see if any examples come up.  If they are, it's corrected pretty quickly. 

RxNorm can take a day or up to a month to create a RxNorm code

Dave H. will mark this ticket for future consideration awaiting more experiential information. 

FHIR-28293 - Is this really a client app problem? they would each have the formulary information with the context of which plan they are connecting to. 

• With an open accessible API - Doesn't the formulary IG include coverage area.
• Dave to reach back out to Todd Biske about the need with PBMs, others. 

FHIR-31765 - see above. straightforward, no additional discussion. 

Medication Knowledge - the text below can be used, but there is no Medication Knowledge Identifier. 

PDex IG Links and Updates

PDex Supplemental Guides

PDex IG Companion Guide - Laboratory Reporting Resources

FAQ Review Cont. and Implementer Support

See you next week. 

Note- Public calls for the Week of 4/26-4/30/21 will be cancelled due to Da Vinci Education Event. 

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

Find initial questions and corresponding answers shared from our colleagues at CMS here

• Links to Published IGs

• PDex STU 1.0.0
• Plan Net STU 1.0.0
• Formulary - STU 1.0.1