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Meetings: Thursday, 9-11am Riyadh, 2-4am Eastern at https://us02web.zoom.us/j/82031005986     Passcode: 098894

Project Information

Link to Project Insight Searchable Database Entry, which contains:

  • This project is to develop a FHIR Implementation Guide containing the use cases, FHIR artifacts and implementation guidance to support a suite of eClaims information exchanges (including eligibility, prior authorization, claims, payments) to standardize the financial services exchanges between healthcare providers and insurers in the Kingdom of Saudi Arabia.
  • Project facilitators: Paul Knapp
  • Link to project scope statement: KSA Healthcare Financial Services Implementation Guide PSS

Draft Implementation Guide

Meeting Information

  • link to or list project meeting schedule
  • link to minutes web page or list project meeting agendas and minutes


Initial Meeting: November 5 2020

Agenda:

1) Introductions

2) Project Introduction and HL7 Process Review

3) Project User Guide Presentation


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Fatma Hfaiedh IQVIA UAE

Dr. Zineb Saci IQVIA UAE

Rizwan Ahmed Sehati

Yousef Ghosheh IQVIA UAE


Meeting: November 12 2020

Agenda:

1) Review Word IG

2) Connectathon: Wave 1

3) Review Proposed Structure of FHIR IG

4) Review Profile Representations: Word vs FHIR IG


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Fatma Hfaiedh IQVIA UAE

Dr. Zineb Saci IQVIA UAE

Rizwan Ahmed Sehati

1) Word Guide review - just covered changes to version 1.3 to be released today/Sunday.

2) Connectathon: Wave 1: December 1-2 or 1-3, in person in Riyadh

Wave 1: 8 HIC, 4 TPA, 134 HCP, 15 Vendors: about 164 companies. Target 1 business and 1 technical

  • Organizer commitment to dates and venue and KSA rules for gatherings
  • Support personnel
  • Side education to conduct: Intro to FHIR, FHIR IG Review, Postman for manual sending, Shadow Billing, Coding, Use Cases Review, Use Cases questions, Representing Adjudication Results, Batching, Claim/Preauth resubmission
  • Extending prior auths.
  • Several support resources: 1 to organize (HL7 KSA), 
  • First Day: Introductions: HL7 KSA, CCHI, Sehati/NPHIES, Connectathon Plan, identification of resource: 60-90 minutes. Outline of breakout sessions & headcounts. Create breakout session plan and signup.
  • Review of the test cases, and posting of the test end-points.
  • Resource: 5-6 technical resources, plus breakout session resources: 4 business resources. 
  • Consider supporting remote participants: 1-2 people to support


Meeting: November 19 2020

Agenda:

1) Connectathon: Wave 1

2) Review Proposed Structure of FHIR IG


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Fatma Hfaiedh IQVIA UAE

Dr. Zineb Saci IQVIA UAE

Rizwan Ahmed Sehati

1) Connectathon:

  • Dates changed to  Dec 13-17
  • First day: Breakout sessions: Online, maybe some on site
  • Days 2-3 Connectathon for Pilot participants: 40 onsite, rest online
  • Days 4-5 Connectathon for remaining Wave 1 participants: 40 onsite, rest online

2) Review of Draft FHIR IG and proposed structure


Meeting: November 26 2020

Agenda:

1) Reminder: Connectathon: Wave 1 - December 13-17 2020

2) Review any recent Word IG changes

2) Review Draft of FHIR IG


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

0) The very low attendance is a surprise given 64+ on the call last week. Will resent the meeting notice, remind that is every week . 

Checked that the call is correctly in the HL7 Conference call calendar at HL7.org then on the menu bar: Events/Conference calls (yes it is slow to respond when clicked) (http://www.hl7.org/concalls/Default.aspx), 

If you join the Financial Management listserver, on the menu bar:  Resources/Listserves, on the right is a list of all public lists to which you are not currently a member. Scroll down to Financial Management, click the '+' to show the list of listservers and click the 'Join' next to 'Primary list for Financial Management' then you will automatically be sent reminders and cancellation notices for the FM meetings including the KSA FHIR IG calls.

1) Connectathon:

  • Dates changed to  Dec 13-17
  • First day: Breakout sessions: Online, maybe some on site
  • Days 2-3 Connectathon for Pilot participants: 40 onsite, rest online
  • Days 4-5 Connectathon for remaining Wave 1 participants: 40 onsite, rest online

2) Changes to current Word IG?

Version 1.3 was released to the market this week.

Question? What is the cardinality of Coverage.class. It is and should be 0..* in 1.3 and was in 1.2.

3) Review of Draft FHIR IG and proposed structure


Meeting: December 2 2020

Agenda:

1) Reminder: Connectathon: Wave 1 - December 13-17 2020

2) Determine date of next meetings

3) Review any recent Word IG changes

4) Review Draft of FHIR IG


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

1) Reviewed: Connectathon

2) Team will meet to determine availability for a call next week, no call during the COnnectathon week.

3) Current Word IG version is 1.3.

4) Reviewed high-level structure changes to the FHIR IG. New temporary location at: http://portal.s.nphies.sa 


Meeting: December 23 2020

Agenda:

1) Reminder: Potential Connectathon: Wave 1 January 18-20 2021

2) Next meetings: December 

3) Review any recent Word IG changes

4) Review Draft of FHIR IG


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

1) Reviewed: Connectathon

2) Team will meet to determine availability for a call next week, no call during the COnnectathon week.

3) Current Word IG version is 1.3.

4) Answered businees-level questions.


Meeting: December 30 2020

Agenda:

1) Reminder: Potential Connectathon: Wave 1 January 18-20 2021

2) Next meetings: December 

3) Review any recent Word IG changes

4) Review Draft of FHIR IG


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Azmi

1) Reviewed: Connectathon

2) Check call availability. Current Word IG version is 1.3.

4) Reviewed high-level structure changes to the FHIR IG. 


Minutes:

1) Discussed connectathon.

2) Team will meet to determine availability for a call next week, no call during the Connectathon week. 

     Calls on Jan 7, 14, 21 and 28.

Meeting: January 6 2021

Agenda:

1) Connectathon: Virtual only - Wave 1 - Pilot January 17-18? 2021

2) Next meetings: 

3) Updated Word IG 

4) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Connectathon

2) Next meetings: Jan 14, 21-maybe, 28 2021


Meeting: January 27 2021

Agenda:

1) Connectathon: 

2) Next meetings: 

3) Updated Word IG 

4) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) Answered market questions


Meeting: February 24 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) Answered market questions


Meeting: March 3 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) Answered market questions

Meeting: March 10 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) Answered market questions

Meeting: March 16 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Azmi Asali

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) Answered market questions

Meeting: March 23 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) Answered market questions

Meeting: March 30 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) FHIR References

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) Answered market questions

Meeting: April 6 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) Answered market questions

Meeting: April 13 2021

KSA: 10:00 - 11:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) FHIR Coverage resource

2) Answered market questions


Meeting: April 20 2021

KSA: 10:00 - 10:30 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG

2) Answered market questions

Meeting: April 28 2021

KSA: 10:00 - 11:00 AM

Agenda:

1) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Answered market questions

Meeting: May 5 2021

KSA: 10:00 - 11:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG 1.9 pre-release

2) Answered market questions


Meeting: May 25 2021

KSA: 9:00 - 10:15 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG 1.9 pre-release

2) Answered market questions

Meeting: June 1 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG 1.9 pre-release

2) Answered market questions

Meeting: June 8 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed: Updated Word IG 1.9 pre-release

2) Answered market questions

Meeting: June 15 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Updated Word IG 

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Answered market questions

Meeting: June 22 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Answered market questions

Meeting: June 29 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Answered market questions

Meeting: July 13 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Review latest Word IG and Profile Changes

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed version 1.10 Word IG changes

2) Answered market questions

Meeting: July 27 2021

KSA: 9:00 - 10:00 AM

Agenda:

1) Review latest updated to the FHIR IG and Profile Changes

2) Questions and answer session


Attendees:

Paul Knapp HL7 FM Co-chair (Chair and Scribe)

Dr. Zineb Saci IQVIA UAE

Dr. Fatma Hfaiedh IQVIA UAE

Minutes:

1) Reviewed version 1.10 Word IG changes

2) Answered market questions

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  • If in development, link to PSS in Confluence
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