hair: Viet Nguyen, Yan Heras
Scribe: Phung Matthews
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|
HL7 Connectathon 28 Sept 13-15
Visit the Da Vinci HL7 Connectathon page for quick highlights on each tracks.
|Risk Adjustment IG||Continuous Integration (CI) Build site: https://build.fhir.org/ig/HL7/davinci-ra|
IG development progress
Drafting content and welcome your contribution- please reach out if you are interested.
Examples are being placed in the example tab
Glossary page - adding all the definitions used for this IG
Question- Coverage report- we do not have anything pointing to the coverage resource.
Continue with business requirement and FHIR analysis discussion:
In previous markup- we included suspect type and evidence status as parameters but is being removed.
Discussion were to have everything returned and then allow filtering before it goes back to the provider
Currently have couple examples in the link, narrative version, xml version,
Walking through one example- the narrative portion lays out the example of HCC codes and the xml version lays out the FHIR resources
If there will an option to specify ICD10 code, especially when the HCC is in confirmed status.
Yes- we have the extension of historic diagnosis that can be used. Can only use it if it is confirmed
Draft agenda will be in Whova
September 9th meeting for the Pre-connectathon kick off
Will start on Tuesday 9/14/21
Will dive into development and testing. It will be more hands on and testing at same time.
Proposed test cases- thanks Brent for starting this.
Viet Nguyen to Everyone
@Brian - We terminologists make a distinction between 1) The code system (e.g. SNOMED-CT) which has an authority for creating, depricating, maintaining the code system 2) A value set, which can be a set small set of codes (like the HL7 Administrative Gender codes) or a set of codes from a Code System 3) VSAC - which is a repository that we can point to an OID which represents a value set
Ideally, CMS would be the authority for the HCC codes and value sets and agrees to publish them to VSAC on a schedule. That would allow us to point to the OID
For large code systems, groups (like NCQA) can create a value set based on the code system (like all the children of the SNOMED Diabetes concept code). They may or may not list the valueset in VSAC depending on the use case.
More details are available at http://hl7.org/fhir/terminology-module.html
Madhurima Dhar (COZEVA) to Everyone
What is the different between unconfirmed vs pending?
|Adjournment||adjourned at 03:58PM ET|
|Stratametrics||Dale Davidson||Rachel Foerster||Kimberly Bradbury|
|Karl Everitt||Epic||Tim McNeil|
|BCBS Alabama||Thomson Kuhn||Leah Hannum|
|Providence St. Joseph||Patty Craig||Dave Foster|
|Nick Radov||Bryan Briegel|
|Optum||William Harty||Preston Lee|
|Centene||Deidre Sacra||Gary Dickinson|
|POCP||Jay Baker||Rob Reynolds|
|Phranil Metha||Healow||Cigna Evernorth||Donielle Williams|
|BCBST||Christopher Marchand||Pranathi K|
|Madhurima Dhar||Cozeva||Vijay Sravani Thotakura|
|Availity||Kira Whitworth||Angie Finley|
|Brent Zenobia||Novillus||Travis Hendrix||Eric Liu|
|Optum||Zahid Butt||Kim Faison|
|Frank||Khushwinder Singh||Tushar Shah|
- Re-evaluate the name of this use case as "Risk Adjustment" does not define the payment aspect of the primary focus. Need to discuss with CQI WG as well.
- Add to Phase 2 - Ability to remove and provide a reason for status change. e.g. the patient no longer has the condition.