Continue the testing of the Implementation Guides, as well as Reference and vendor Implementations for electronic Prior Authorization Da Vinci (CRD + DTR + PAS) IGs
Our Goal is to test CRD/DTR/PAS interoperability with as many interested parties as possible. e.g. EHR vendors, Providers, Payers, and others. The Da Vinci Coverage Requirements Discovery (CRD), Documentation Templates and Rules (DTR), and Prior Auth Support (PAS) Implementation Guides (IGs) together support an integrated workflow to enable automated submission of required documentation and/or prior authorization from EHR and payer systems respectively. The use of these IGs is likely to be mandated as part of regulation. We have had past connectathon testing of CRD, DTR, and PAS. This track will ensure that the IGs work appropriately, independently, as well as in concert.
Each of the use cases (IGs) represented in the Burden Reduction track has four specific areas in which everyone is encouraged to test. Focus for these areas has been determined as beneficial for the advancement of the designs through directed testing. They are...
Test Implementation Guides (IG) and Reference Implementations (RI)
Call for participants
EHR vendors, Providers, payers, and other HIT related vendors
CRD - https://chat.fhir.org/#narrow/stream/180803-Da-Vinci.20CRD/topic/Connectathons
Track Kick-Off Call
Friday August 25th 12:00 pm ET
Knowledge of US Core (https://www.hl7.org/fhir/us/core/)
See underlying technologies/background page of Burden Reduction constituent Implementation Guides:
In this role, a provider wishes to discover the documentation requirements for Home Oxygen Therapy as well as have a template pre-populated to satisfy documentation requirements.
It is expected that the provider will be able to:
In this role, the payer examines the request for Documentation Templates and Rules (DTR) and responds appropriately. This could be viewed as the server part of the transaction.
It is expected that participants in this role will:
Note: If needed participants should install the Reference Implementations (RI) in advance as this process can be time consuming. See Track Preparation for details.
If your organization intends to bring technology to this connectathon, please add yourself to this list and comment on each component. If your artifacts are available publicly, please add a URL. Otherwise, participants will contact the organizational POC for this information.