2023-10-02 National Directory Meeting

Liz Sheffield 

Mark Wholey

2023-09-28 National Directory Meeting

Project Page: National Healthcare Directory

Project Scope Statement: National Healthcare Directory PSS

Implementation Guides:

• CI Build: http://build.fhir.org/ig/HL7/fhir-us-ndh/branches/master/index.html
  • Note: 3 IGs have been combined into a single IG
• Balloted Versions:
  • http://hl7.org/fhir/us/directory-query/2022Sep/
  • http://hl7.org/fhir/us/directory-exchange/2022Sep/
  • http://hl7.org/fhir/us/directory-attestation/2022Sep/

Reference Implementation:

• National Directory RI Client: https://ndh-query-client.fast.hl7.org/
• National Directory RI Server - https://national-directory.fast.hl7.org/fhir

Connectathon: 2023 - 09 FAST National Directory of Healthcare & Da Vinci Plan Net

Zulip Channel: https://chat.fhir.org/#narrow/stream/283066-united-states.2Fnational.20directory

Predecessor work that this effort builds upon:

• • VHDir Implementation Guide
  • ONC Healthcare Directory initiative
  • Da Vinci PDex Plan Net Implementation Guide

September 2023 Ballot Cycle Milestones

Please be sure to update your Zoom by adding your company name to your name. 

• Find your name under "participants" (bottom of your zoom screen)
• Click the ... next to "mute"
• Choose the "rename" option and add your company next to your name and save the change. 

Da Vinci PDex Plan Net discussions will take place on the 2nd Friday of each month during the standing PDex/Formulary/Plan Net Implementer Support meetings (at 1:00 pm ET). Will plan to reconcile Jira tickets that influence/impact ND work. https://www.hl7.org/concalls/CallDetails.cfm?concall=65611

• National Directory meeting details will be modified to use FAST's Zoom account. This means we'll update the HL7 Conference Call Center, Confluence references, and post details to list serv and Zulip. 
• Impact on you:  You'll need to update your own calendar manually or through the HL7 Conference Call Center with new ZOOM meeting details: 

Join Zoom Meeting for October 2023 and beyond for National Directory calls: 
https://hl7-org.zoom.us/j/95314390248?pwd=QUhvNktmTVJiWUk2ZnRHSmdWcHpmdz09

Meeting ID: 953 1439 0248
Passcode: 588636

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Meeting ID: 953 1439 0248

10/2/23 NOTES: 

FHIR-42243 - Getting issue details... STATUS Connection type missing. Recommend THO add IHE and two other restful types and add CDS to their THO code system so ND can that value set. 

FHIR-42262 - Getting issue details... STATUS Payload Type.  Issue stems from limited connection types within the elements of the endpoints to FHIR endpoints; pointedly there is no payload type. Had single code to use: Not Applicable. Will recommned adding "N/A"

FHIR-42263 - Getting issue details... STATUS Agree with the ticket and will make change to point to THO over being local value to IG. 

  FHIR-42246 - Getting issue details... STATUS Referral method needs to be updated to reflect current/modern approaches by adding codes. 

FHIR-42247 - Getting issue details... STATUS Only using subset of codes and getting an error message (as shown in yellow below). Will recommend that example set be updated. 

FHIR-42269 - Getting issue details... STATUS  Insurance and Coverage concepts conflated: Insurance is for plan you buy. Coverage is for services. Will recommend creating new code system for coverage or to use ND localized codes. 

FHIR-42270 - Getting issue details... STATUS Agree with ticket and will move references into THO. 

FHIR-42274 - Getting issue details... STATUS Unclear as to underlying issue as it appears tied to an HL7 value set as org role and org affiliate roles are very different. Ming will add a question in zulip to ask submitter to clarify what they are trying to accomplish. 

FHIR-42273 - Getting issue details... STATUS Same code system discussed above and appears tied to the same issue. Add to Zulip question on FHIR-42274.  

FHIR-42253 - Getting issue details... STATUS Discussed historical need to add community/human services based entities. Discrepancy in 'community' definition and the more the codes/definitions reviewed the more it became clear additional research needed before deciding on this ticket. 

FHIR-42254 - Getting issue details... STATUS and FHIR-42275 - Getting issue details... STATUS Existing Practitioner roles code system not extensive enough for ND roles. Will propose that ND current code system and value set as a replacement.

FHIR-42261 - Getting issue details... STATUS Will refer to correct code system. 

FHIR-42271 - Getting issue details... STATUS Extra values; straight forward ticket will ask them to add the code set so ND can use the value set. 

FHIR-42673 - Getting issue details... STATUS Bob greed with the ticket suggesting preadoption of the new endpoint element. Ming noted its an extension, and already in the extension package available. Ticket updated to indicate "persuasive"