Short Description

Test the Da Vinci Risk Adjustment Implementation Guide  

Long Description

Continue to test the Da Vinci Risk Adjustment IG 

  • Test the report query scenario
  • Test the coding gap remediation scenario
  • Test the report annotation scenario
  • Testing to validate profiles with more test data 

Type

Test an Implementation Guide

Related Tracks?

Clinical Reasoning

Call for participants

Payers, providers, vendors

Track Prerequisites

Read the IG specifications

Create an account with Touchstone for testing using Touchstone test scripts 

Track Lead(s)

Yan Heras

Track Lead Email(s)

yan.heras@optimumehealth.com

Specification Information

https://build.fhir.org/ig/HL7/davinci-ra/

Zulip stream

https://chat.fhir.org/#narrow/stream/311469-Da-Vinci-Risk-Adjustment

Track Kick off Call

Recording: Da Vinci Risk Adjustment Kick Off Call

Slides:RA_May2023 Connectathon Track Kickoff_04272023.pdf

Scheduled on 4/27 during the Risk Adjustment weekly call time 3pm ET - 4pm ET

System Roles

  • Payer   
  • Provider
  • Risk Adjustment Coder (on behalf of Payer)

Testing Scenarios:

Scenario: Profiles Validation:

Preconditions: 

Success Criteria:

  • More valid examples made available as part of the IG for different Task scenarios (e.g., gap invalidation, rejected Task, completed Task)


Breakout Session Discussions:

The term Reference Application refers to an executable example (including a UI front-end) of a use case of the IG that uses the Reference Implementation.  

Action:

      • Use the Reference Application to demonstrate and test the workflow that supports Report Generation →  Report Query → Report Remediation
        • The Reference Application shows the coding gap report and allows the user to close a coding gap and select 2 resources to include as clinical evaluation evidence. 
        • In order to manage the scope for the Reference Application development effort, will limit this to a pre-selected gap and two resources. 
        • The Reference Application allows the user to see the created Task and approves the Task
      • Use the Reference Application to demonstrate and test the workflow that supports Report Generation → Report Query →  Report Annotation
        • The Reference Application UI allows user to select a coding gap in a coding gap report and add annotation, then posts the report and see the updated report (in Json) with annotation added

Precondition:

      • Report Server has pre-populated coding gap reports
      • Report Server has pre-populated coding gap reports (based on the clinical evaluation evidence submitted in Task for closing a gap)

Success Criteria: 

      • Demonstrate Report Remediation and Report Annotation process through UI

— — 

Reference Implementation End Points: 

Reference Implementation using cqf-ruler /HAPI

Touchstone: https://touchstone.aegis.net/touchstone/testdefinitions?selectedTestGrp=/FHIRSandbox/DaVinci/FHIR4-0-1-RA/RA-STU2-draft&activeOnly=true&contentEntry=TEST_SCRIPTS

Test Scriptshttps://touchstone.aegis.net/touchstone/testdefinitions

Test Plan:

Document Testing Results in the Connectathon Manager

Connectathon Manager: 

Security and Privacy Considerations:


Participants

If your organization intends to bring technology to this connectathon, please add yourself to this list and comment on each component. 

OrganizationPoint of ContactScenarioEnd PointTest Data

Organization

Name

  • Name,
  • email,
  • Confluence user (@)
Description of the scenario that you intend to testDo you have a public accessible end point? Is it available in Touchstone? Do you have test data in a sharable FHIR bundle?
Cambia Health Solutions

Ravi Kondiparthi

Dave Degandi

System role: payer

Implement RA query flow and explore more RA workflows.