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Chair:  @Paul Knapp

Scribe: @MaryKay McDaniel

Call Logistics:  https://join.freeconferencecall.com/fm4

Attendees

Present

Name

email

Affiliation

  •  
Kathleen Connor
  •  
Paul Knapppknapp@pknapp.comKnapp Consulting Inc.
  •  
MaryKay McDanielmarykay.mcdaniel@cognosante.comCognosante
  •  
Benoit Schoefflerbenoit.schoeffler@almerys.comAlmerys
  •  
Alex Beckneralex.beckner@cerner.comCerner
  •  
Lou BedorLouis.Bedor@cognosante.comCognosante
  •  
Laurie Burckhardtlaurie.burckhardt@wpsic.comWPS
  •  
Tricia Chitwoodtricia.chitwood@cerner.comCerner
  •  
Rachel FoersterRachel@rfa-edi.com
  •  
Susan LangfordSusan_Langford@bcbst.comBCBST
  •  
Linda Michaelsenlinda.michaelsen@optum.comOptum
  •  
Joe QuinnJoseph.Quinn@optum.comOptum
  •  
Mark Scrimshiremark@ekivemark.comCMS/NewWave
  •  
Najee Shafinajee.shafi@cognosante.comCognosante
  •  
Andy Stechishinandy.stechishin@gmail.com
  •  
Katie Sullivankatie.sullivan@cognosante.comCognosante
  •  
Andy Gregorowiczandrewg@mitre.org

The MITRE Corporation

  •  
Patrick J LaRocqueplarocque@mitre.orgThe MITRE Corporation
  •  
Ray Delanoray.delano@cerner.comCerner
  •  
Larry Decellesldecelles@mitre.comMITRE
  •  
Robert Dieterlerdieterle@enablecare.usEnableCare


Create Decision from template

Agenda Topics

Minutes Approved as Presented, 2018 12 04

  •  

This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)

Approve previous Minutes

2018-12-04 FM Interim Meeting




Proposed Agenda,

Ballot Reconciliation, Coverage Requirements Discovery

1) V2 Billing, Composite pricing in V2 - example Anesthesia Billing

https://confluence.hl7.org/download/attachments/30638450/CP%20datatype.pdf?api=v2

*** workgroup reviewed and determined that the CP datatype is not required or used by FM at this time, and there are no existing use cases that were identified

2) PSS for survey, review survey

PSS for HL7 FM Survey

***Completed review of the PSS, Move to approve PSS to move forward with the draft Payer Intro and Survey in case of questions: MaryKay McDaniel/Alex Beckner. Vote 5-0-0. Send to US Realm and ASD (eVote).

***Will send out email to listserv for review and discussion for next week.

In addition, Bob noted that the Da Vinci Project would be bringing forward a PSS around payer claim data being sent back to providers. Will add to next week's agenda for review and discussion.

3) Anesthesia Billing Outreach update - MK

4) CONTINUATION OF BALLOT RECONCILIATION

 Individual Item to Address:

  • 18975 Expand section 2.1.2 to describe in more detail why/how the CDS Hooks is intended to be used to support Coverage Requirements Discovery - CRD #116 (Walter Suarez) None
  • 18948 There needs to be additional configuration options suggested within the IG. - CRD #89 (Mary Kay McDaniel) None
  • 18914 Provide moe context to the context that enables the client app to choose the level of detail - CRD #55 (Hans Buitendijk) None
  • 18115 Correct all hyperlinks referencing SMART on FHIR (Freida Hall) None
  • 18106 Correct references to source material (Freida Hall) None
  • 18892 SMART on FHIR support not fully specified - CRD #18 (Corey Spears) None

Line Items

  • 18963 Proposed hooks are not on github - CRD #104 (Mary Kay McDaniel) Persuasive
  • 18883 Suggest this request for functionality to be added to prefetch be limited to CDS Hook Request context properties that are defined as FHIR Bundles - CRD #9 (Andrew Gregorowicz) Not Persuasive
  • 18880 Suggest that we state that “boolean” and “integer” conform to their specification in the FHIR base data types. - CRD #6 (Andrew Gregorowicz) Not Persuasive with Mod
  • 18878 Link CDS Service and HTTP Request to the relevant parts of the CDS Hooks specification - CRD #4 (Andrew Gregorowicz) Persuasive
  • 18877 CDS Hooks Page Correction - CRD #3 (Andrew Gregorowicz) Persuasive
  • 18875 Client and server roles aren't defined yet. More context at this point in the spec would be helpful - CRD #1 (Andrew Gregorowicz) Persuasive

Methodology

Added Items


Ballot Reconciliation - FHIR Core Resources

Anesthesia Billing.

Discussion:

Ballot Recon Meeting Minutes:

TrackerIDSummaryOutcome

Moved/

Seconder

VoteComment
17888Coverage Requests should require mutual TLS (Joshua Mandel)Persuasive with Mod

Deferring to ITS, today 12/4/2018. Paul will bring up in call later today and will loop back to Andy G. Conflicts between hooks and the IG.

Paul Update from ITS: Not much discussion on the ITS call. Remind Paul on 12/18/2018, for next ITS call.

18972Add standard prefetch definitions for each hook - CRD #113 (Richard Ettema)Not Persuasive with Mod

Per Loyd McKenzie, there is no benefit in standardizing the prefetch document. Develop something that is nimble.

Everyone's end point will have a different name.

Deferring today. Group did not agree with no standardization. Concerned that the business side does not understand, have not been adequately educated with the potential outcomes. Templates/standardization seems to be needed. How do you test this?

18883 

Suggest this request for functionality to be added to prefetch be limited to CDS Hook Request context properties that are defined as FHIR Bundles - CRD #9 (Andrew Gregorowicz)

Not Persuasive

Deferred for Andy input.
18880 Suggest that we state that “boolean” and “integer” conform to their specification in the FHIR base data types. - CRD #6 (Andrew Gregorowicz)Not Persuasive with Mod

Deferred for Andy input.
18878 Link CDS Service and HTTP Request to the relevant parts of the CDS Hooks specification - CRD #4 (Andrew Gregorowicz)Persuasive

Deferred for Andy input.
18875Client and server roles aren't defined yet. More context at this point in the spec would be helpful - CRD #1 (Andrew Gregorowicz)Persuasive

Deferred for Andy input.







Management Next agenda

Tuesday, December 18, 2018 at 11:00 - 12:30 ET

  • Ballot Reconciliation - CRD, Da Vinci Project work.

 Adjournment
 Adjourned at 12:30 ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval


Action items