2021-06-04 PDex Meeting

• 2021 CMS HL7® FHIR® Connectathon - July 20-22, 2021
  • Information and Registration here (it's free): http://www.hl7.org/events/cms/
  • Confluence page: CMS 2021 - 07 Connectathon 2

Updates on the following tickets: 

• FHIR-32625 Share new menu format updates for easier navigation 
• FHIR-32618 mustSupport elements aren't complete 
• FHIR-32627 - search parameter codes should be lower-case We don't want to break the search now (some servers are caase sensitive), but will likely support lowercase in a future version (STU2) of the IG. Adding note to Implementers: may want to support lowercase now.
• FHIR-32622 
  • Heads up of a coming change 6-12months away: Looking at changing use of List resource to InsurancePlan for future version of IG (STU2)
  • List Resource still there, nothing changing now, just some things being considered for future release that we want people to be aware of. 
  • Options: Should people add extension (in R4) from Coverage to link to InsurancePlan?  In r5, there is a standard extension convention. This may help make the connection from coverage resource to the actual drugplan.  
  • InsurancePlan was added later.

Also reviewed FHIR-31591, No comments with proposed approach. 

Reviewed 0011 - Discussion about focus on frame of question with current rule vs. proposed rule.

Reviewed 0013 -  Discussion on "accessible by..." and the use of provenance not really intended for an audit log and risk of data leakage. As data flows through the system from payer to payer.  Could we just say the answer is #2 in this question?  If so, then Caller doesn't see the need for the restriction on the queries in the response.  

• Discussion on Provenance - come back with questions after reading the IG. 

Reviewed 0015. Finalized. no comments

Reviewed 016 Finalized. no comments

Reviewed 017 Finalized.  FHIR-32178 - Getting issue details... STATUS  is on the co-pay, need to add the co-insurance ticket as well.  Dave will add it.  

2021 CMS HL7® FHIR® Connectathon Overview of Track

Implementer Support

Review FAQ Proposed Responses  

PDex IG Companion Guide List

PDex IG Companion Guide - Laboratory Reporting Resources

Latest draft CARIN CPCDS Mapping document: CARIN Mapping to FHIR interim 2020 0818 v2.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

Implementer Resources

Da Vinci Implementer Support Page

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!

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

CMS Final Rule Questions and Answers log

ONC FAST National Healthcare Directory (including end points) solution page that includes links to everything (solution doc, Connectathon, HL7 workgroup, etc.): https://oncprojectracking.healthit.gov/wiki/display/TechLabSC/National+Healthcare+Directory