Chair: @Paul Knapp
Scribe: @MaryKay McDaniel
Call Logistics: This call is at 11 AM ET, 10 AM CT, 9 MT, 8 AM PT, join using https://join.freeconferencecall.com/fm4
Attendees - list maintained at the bottom of meeting notes.
Planning to ballot an artifact in the May 2019 cycle? Email the Work Group Approved PSS to the PMO by January 27th.
Planning to ballot an artifact in the September 2019 cycle? Get TSC approval of the PSS by April 7th.
Meeting Minutes from Discussion
|Decision Link(if not child)|
Approve previous Minutes
2019 JAN WGM Meeting Notes
Deferred, notes not ready.
Ballot Reconciliation, Coverage Requirements Discovery
1) January Meeting, Follow-ups,
Updates from the January meeting
** Linda will create a tracker. What more does the FM WG need to do?
Paul: Will create the extension in Coverage. Will add into current build. There is no US Core for Coverage (Core was a project).
Tracker 20361, added for R5
Need for indicators for Hospice, LTC, Disability and ESRD. There is a need to have an indicator when a particular coverage type was invoked.
There is a monthly file between Medicare (IDR). Need code to indicate the type of coverage and span for when it applies.
Benoit perhaps had possible business case as well.
Going to add something to COVERAGE at least a dated data element. Complex element to be a code and date. For the US, will need a US CORE code set. Need code set to ID the types of subplan. If putting into coverage, will need to be included in any coverage for which it has been invoked. Will only be for the actual coverage it has been invoked. It isn’t a status about the person. It won’t be able to be used for things like pregnancy indicator. There are other things other than hospice and it must be invoked by the patient (or whatever the process is).
There are some coverage and other member alerts that limit or impact coverage (high use individual limited to a single pharmacy). There might be other alerts that would be in a clinical sense, but that wouldn’t necessarily be in coverage. This new thing is specific to patient invoked rather than limitations imposed on coverage by someone else. When will change in coverage resource be made so the Da Vinci project, when will it be available for use (R5 in 2 years), but extension can be used in the interim. FM would develop the universal extension.
2) PSS Updates:
PSS at: PSS for HL7 FM Survey
Update: awaiting TSC approval
Update: awaiting US Realm and TSC approvals
FM needs to review and approve: PSS
Reviewed the PSS
Discussion around Consent. Use Case: When patient has paid in cash and doesn't want the information shared with insurer. Bob: will follow up with FAST and include in IG as, provider do not send. Motion to approve: Linda M./Rachel = 11-0-0
3) Anesthesia Billing Outreach update - MK
No update. MK is a slacker.
4) Next meeting: 2/19.
5) CONTINUATION OF BALLOT RECONCILIATION, if needed
Ballot Reconciliation - FHIR Core Resources
Ballot Recon Meeting Minutes:
Andy has done a compare of the notes and the tracker items.
Block vote next meeting on these items.
Tuesday, February 19, 2018 at 11:00 - 12:30 ET
|Adjournment||Adjourned at 12:30 ET|
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|Paul Knappemail@example.com||Knapp Consulting Inc.|
The MITRE Corporation
|Patrick J LaRocquefirstname.lastname@example.org||The MITRE Corporation|