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New to Da Vinci?  Check out our Implementer Resource Page


Focus AreaImplementation GuideProject PageScenarios Included

Imp Guide Status

#Build

#STU

Reference Imp Live

Number of Connectathons (Live/Virtual)

Detail Project Status



Sponsoring Workgroup

Project Number

PSS LinkReference ImplementationZulip Stream
Quality & Risk

Data Exchange for Quality Measures includes Gaps in Care (GIC)

Data Exchange for Quality Measures (DEQM)

Gaps in Care

v1 Medication Reconciliation Post Discharge

v2 Colorectal Cancer Screening and Venous Thromboembolism Prophylaxis Measures

STU3 - Published for FHIR R4



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DEQM -11

GIC-7

ICF and MITRE leading Active WG Calls 


Clinical Quality Information (CQI)


Co-sponsor: Clinical Decision Support , Patient Care 

1429

1427

MRP-Reference-App

MRP-Payer-App

MRP-Sample-Patients

MRP-Operation-Submit-Example

COL-CollectData-App

COL-Submit-App

DEQM and GIC stream
Coverage, Transparency & Burden Reduction

Coverage Requirements Discovery

Coverage Requirements Discovery (CRD)

STU1.1 Ballot Reconciliation

  

  •  
12

Active WG Calls for implementer support 

STU 1 Published 12/22/2020

STU1.1 early May Ballot (Feb - March 2022) Reconciliation underway

Financial Management1515

PSS for Coverage Requirements Discovery


CRD

crd-request-generator

Endpoint: https://davinci-crd.logicahealth.org/

CRD Zulip stream
Coverage, Transparency & Burden ReductionDocumentation Templates and Payer Rules   Documentation Templates and Payer Rules (DTR)

STU1.1 Ballot Reconciliation


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11

Active WG Calls for implementer support 

STU1.1 early May Ballot (Feb - March 2022) Reconciliation underway

Clinical Decision Support

Co-sponsor: Attachments, Patient Care

1493

PSS for Documentation Templates and Rules


DTR GitHub Repository

CDS Library (contains Questionnaires/CQL)

Endpoint: https://davinci-dtr.logicahealth.org/smart/launch.html

Note: "Cannot GET /smart/launch.html" actual means it is up.

DTR Zulip stream
Coverage, Transparency & Burden ReductionPrior Authorization SupportPrior Authorization Support (PAS)

STU1.2 Ballot Reconciliation

  •  
8

Active WG Calls for implementer support 

STU1.1 early May Ballot (Feb - March 2022) Reconciliation underway

Financial Management

Co-sponsor: Attachments

1490

PSS for Prior-Authorization Support


prior-auth

prior-auth-client

PAS Zulip Stream
FoundationalHealth Record Exchange Framework (HRex)Health Record Exchange Framework (HRex)

STU1 Published

N/A4

Active WG Calls (combined with CDex)

STU1 published in March 2022

Clinical Interoperability Council (CIC)

Co-sponsor: Patient Care, Attachments, Financial Management

1494

PSS for eHealth Record Exchange (eHRx) Framework


N/AHRex/CDex Zulip Stream
Clinical Data ExchangeClinical Data Exchange (CDex)Clinical Data Exchange (CDex)

Provider to Provider

Provider to Payer

STU1.1 Published

Sept. Ballot for STU2 

  •  
8

Active WG Calls

CDex v1.1.0 is published as of August 2022.  We are balloting STU2 in September and expect to publish STU2 following Ballot Reconciliation

Patient Care

Co-sponsor: Attachments, Structured Documents

1495

PSS for eClinical Data Exchange (eCDx)


CDex Communication Response App

CDex Communication Request App

CDex Zulip Stream
Clinical Data ExchangePayer Data Exchange (PDex)Payer Data Exchange (PDex)

Payer to Provider

Payer to Member

Payer to Payer

STU2 Ballot Reconciliation

  •  
10

Active WG Calls for implementer support and STU2 development

STU1.2 early May Ballot (Feb - March 2022) and expect to publish fall 2022 

Financial Management

Co-sponsor: Attachments

1489

PSS for Payer Data Exchange (PDex)


PDex GitHub Repository


PDex Zulip Stream
Coverage, Transparency & Burden ReductionPayer Data Exchange (PDex): Formulary

PDex Formulary


STU2 Published

  •  
8

Active WG Calls 

STU2 Ballot Jan 2022 Reconciliation wrapping up

STU2 Publication in progress

Financial Management

Co-sponsor: Attachments

1489

PSS for Payer Data Exchange (PDex)


drug-formulary-ri

pdex-formulary-client

PDex Zulip Stream
Coverage, Transparency & Burden ReductionPayer Data Exchange (PDex): Plan Network Directory

PDex Directory/Plan Net


STU1.1 - Published

  •  
8

STU Update (v1.1.0) Published April 2022

Financial Management

Co-sponsor: Attachments

1489

PSS for Payer Data Exchange (PDex)


plan-net-ri

plan-net_client

PDex Zulip Stream
FoundationalDa Vinci Unsolicited NotificationsNotifications (formerly known as Alerts)

Admit

Discharge

STU1 - Published

  •  
7

Active WG Calls for implementer support monthly

STU1 Publication complete as of October 2020

Infrastructure And Messaging Work Group

Co-sponsor: 

Financial Management

1516

PSS for Notifications (formerly known as Alerts)


Alerts Sender

Alerts Receiver

Notification Zulip stream
Coverage, Transparency & Burden ReductionPayer - Payer Coverage Decision ExchangePayer Coverage Decision Exchange (PCDE)

STU1 -Published

  •  
6

STU1 Published  

Published STU1 - Dec 2020

On Hold. 

Financial Management

Co-sponsor: Attachments

1515

PSS for Payer Coverage Decision Exchange


pcde-ri

PCDE Zulip Stream
FoundationalRisk Based Contract Member Identification (aka: Member Attribution List)Member Attribution List (aka: Risk Based Contract Member Identification)

Phase 2 Testing

Jan 2023 Ballot

◔ 

  •  
5

Active WG Calls for continuous build for STU2

Call to Action: Need Testers on STU2 - Add/Remove Patient List entries


Financial Management

Co-sponsor: Attachments

1517

PSS for Risk Based Contract Member Identification (Updated)


Da Vinci ATRATR Zulip Stream
Quality & RiskRisk Adjustment Risk Adjustment

Payer to provider

STU2 Focus: Provider to Payer

STU1 Published

Phase 2 Development

  •  
4

STU1 Publication process started May 2022

Active WG Calls for STU2 (Provider to Payer)

 Clinical Quality Information (CQI)


1705

PSS for Risk Adjustment


RI End Point: https://ra-sandbox.alphora.com/cqf-ruler-r4/fhirRA Zulip Stream
Coverage, Transparency & Burden Reduction Patient Cost TransparencyPatient Cost Transparency

Provider to Payer (Good Faith Estimate)

Payer to Member and Provider (AEOB)

STU1 Ballot Reconciliation

  •  
3

Active WG Calls

STU1 Ballot Jan 2022 Reconciliation

Financial Management

Co-sponsor: Attachments

1514

PSS for Patient Cost Transparency


https://github.com/HL7-DaVinci/test-pct-payer

Endpoint for testing: https://davinci-pct-payer.logicahealth.org/

PCT Zulip Stream

GitHub - Use Case Reference Code


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Example Statuses: 

L

IIII--------------

IIIIIIIII---------

IIIIIIIIIIIIII----

IIIIIIIIIIIIIIIIIIIIIII





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