Welcome to the Da Vinci Implementer Support Page
Da Vinci use cases are interrelated, currently with five categories that have emerged: Quality Improvement, Coverage/Burden Reduction, Member Access, Process Improvement, and Clinical Data Exchange. Early use cases create building blocks and a framework upon which incremental improvements and additional content can be added over time.
Da Vinci adopts existing and emerging standards with broad support to create viable solutions, such as FHIR as the core, NCQA HEDIS, CDS Hooks, and SMART on FHIR (layering in OAuth security). Existing profiles are adopted where possible (e.g., Argonaut, US-Core, QI-Core)
|What you need to know about FHIR|
Fast Healthcare Interoperability Resources (FHIR) - standard for exchanging healthcare information electronically
Key concepts with FHIR
New to FHIR- Check these educational resources
US Core Implementation Guide (FHIR R4)- defines minimum conformance requirements for accessing patient data.
General guidance page for mapping/profiles
Check out examples of US Core profile
For full list of available profiles, click here.
Quality Improvement Core (QI Core) Implementation Guide (FHIR R4)- defines set of profiles to allow interoperable, quality-focused applications.
Check out examples of QI Core Profiles
For full list of available profiles, click here
CDS Hooks- HL7 published specification for clinical decision support
Check out examples of CDS Hooks
SMART App launch framework - may connect from inside or outside the user interface to an EHR system
Check out examples of SMART on FHIR App
FHIR Bulk Data Access (Flat FHIR)- defines standardize approach for exporting bulk data.
|Bulk Data Touchstone TestScripts|
|What you need to know about an Implementation Guide|
|Overview of Implementation Guide|
Implementation Guide (IG) - set of rules about how HL7 FHIR resources are used to solve a problem. Published as a single unit, provides coherent and concise application of profiles.
Contains two different types of resource references- Contents and examples
Check out this presentation
Demystifying the Implementation Guide: Data Exchange for Quality Measures (DEQM) By Linda Michaelson
|Maturity of Implementation Guide|
IGs mature through stages that lead to Normative standards- refer to FHIR Maturity Model
Each IG will list the maturity level on the title of the Implementation guide.
Check out Da Vinci current maturity on Use Cases
Visit each Da Vinci Use Cases for additional supplemental materials
Have a question? Join us for our reoccurring calls
What you need to know about Da Vinci Use Cases
Status of Use Cases: Da Vinci Implementation Guide Dashboard
|Focus Area||Objective||Relevant Use Case IG's|
Aligns with US Core/USCDI
Aligns with ONC/CMS Rule
Example: Prior Authorization for home oxygen therapy, hospital admission
To enable provider, at point of service, to request prior authorization (including all necessary approval requirements, documentation, and rules to support the request) and receive immediate authorization to reduce provider burden and support treatment planning
Example: 30 Day medication reconciliation, colorectal cancer screening
To support value based data exchange by:
(Patient have a right to access their medical information)
Patient Access and Interoperability API CMS/ONC Ruling Support
|To enable sharing of clinical data generated by providers with payers or other providers|
|To enable sharing of clinical data generated by payers to be shared with other payers or providers|
To enable payers to share drug estimated cost and information (drug formulary) for patients/consumers
To enable payers to share the provider directory for members to identify in-network providers and their information
Example: network status, specialty, language, hours of operations and new patient acceptance
|To support the portability of coverage by exchanging information between payers to define decision making and supporting documentation with regard to treatment for chronic illnesses without the need to burden the provider and/or patient or risk a discontinuity of care.|
Payer Coverage Decision Exchange (PCDE)
Health Record Framework (HRex)
|Process Improvement||To enable payers and provider to exchange information that identifies members of a patient population associated with a particular risk based contract||Risk Based Contracts Member Attribution (ATR)|
Standard methodology (format) for payers to communicate coding gaps to providers. Ability to communicate coding gaps for individual or group of patients.
Clinical Data Exchange
To support the real-time exchange of alerts that impact patient care and value based or risk based services
Zulip Chat platform allows you to ask questions and view comments from fellow developers to the FHIR community.
Click here to get started.
For a list of available zulip streams, click here
Did you know-
Each Use Case has additional links specific to their use case. This include Logica specific sandbox, GitHub and Touchstone test scripts.
Visit the Da Vinci Use Case page.
Additional questions or comments?
Bring them to the Da Vinci Public calls.
|Logica Health Sandbox|
Logica Health Sandbox offers the FHIR sandbox as a free environment to develop FHIR applications.
Click here for more information
New to Logica- check out this video .
Detailed examples of our Reference Implementation are located in GitHub.
Browse the repositories and examples here.
FHIR public servers are available as testing servers. Click here for a list of available public servers
|Build and Validate with Touchstone|
|Da Vinci Use Cases|
Visit each of the Da Vinci Use Cases for additional information and supplemental materials
Did you know- Each Use Case has supplemental materials and example diagrams.
|Public Conference Calls|
Have a question or feedback? Join us on our reoccurring calls.
Join us at the Da Vinci Education & FHIR Implementation Event by HL7 - April 26 - 30 that include educational sessions geared toward Business Analysts
Join HL7 Connectathons to engage in hands-on development and testing. Participate with members of the FHIR development communities.
Click here for past Da Vinci related Connectathons.
|Quick Links to all Da Vinci IGs - Balloted or Published versions||Implementation Tools|
CRD Touchstone TestScripts (found in the CDS Hooks Domain)
DTR Reference Implementation (in development)
Clinical Data Exchange (CDex)
Payer Data Exchange (PDex)
Payer Data Exchange (PDex)- Formulary
Payer Data Exchange (PDex)- Plan Network/Directory
|Payer Coverage Decision Exchange (PCDE)|
|Notifications Touchstone TestScripts|