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Chair:  Mark Scrimshire and Tony Benson

Scribe:
 

Attendees

Present

Name

Affiliation

  •   
SureScripts
  •   
Regence
  •   
Optum
  •   
Michael BaillieUHC
  •   
Humana
  •   
BCBS AL
  •   
Rush
  •   
SureScripts
  •   
Rush
  •   
Cerner
  •   
Independence Blue Cross
  •   
Allscripts
  •   
Regence
  •   
InterSystems
  •   
BCBS IL
  •   
Allscripts
  •   
Cambia Health
  •   
Enable Care
  •   
Howard FollisJuxly
  •   
Reliant Medical Group
  •   
Lantana Consulting
  •   
SureScripts
  •   

  •   
Independence Blue Cross
  •   
NCQA
  •   
Optum
  •   
Jackie HardisonHumana
  •   
Cigna
  •   
HealthLX
  •   
ZeOmega
  •   
BCBSA
  •   
Point of Care Partners
  •   
Edifecs
  •   
Edifecs
  •   
BCBS AL
  •   
Stephen LaneSutter Health
  •   
InterSystems
  •   
Anthem
  •   
Erin MajderBCBS IL
  •   
Point of Care Partners
  •   
Cognosante
  •   
BCBS AL
  •   
Optum
  •   
Humana
  •   
MaxMD
  •   
Stratametrics
  •   
Sean ParsonsBCBS OK
  •   
BCBS AL
  •   
Allscripts
  •   
HealthLx
  •   
Optum
  •   
Regence
  •   
InterSystems
  •   
NewWave
  •   
NewWave
  •   
ZeOmega
  •   
Anne Marie SmithNCQA
  •   
InterSystems
  •   
UHC
  •   
Casenet
  •   
Cigna
  •   
HealthLX
  •   
Independence Blue Cross
  •   
Joel WalkerHealthLX
  •   
BCBS AL
  •   
Regence
  •   
Anthem
  •   
Cambia
  •   
NewWave
  •   
Edifecs
  •   

  •   
Tracy Fitzgibbon

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Agenda Topics

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Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy



Project Naming

Feedback for HL7 Work Groups is that eHRx and ePDx
should be renamed too HRex and PDex.



Resource naming

It is proposed that resources in the PDex implementation guide
be identified with the HRex suffix 



Coverage Resource

Coverage does not exist in Argonaut or US Core. A coverage profile has been defined
in the Da Vinci DeQM Project.
HRex / PDex will create an additional Coverage profile. The HRex-Coverage profile will be
based off HL7 FHIR R4.
An evaluation of the DeQM coverage resource determined that it was unsuited to HRex / PDex
use cases because contained resources such as Patient are based off the QICore profiles and
not US Core profiles.

The HRex-Coverage profile will reference US Core profiles, where they are available. 



Payer Initiated Exchange?

Is there a need for a Payer Initiated Interaction.

1. Verify situations where interactions occur
2. When Does a provider push to a payer
3. When does a payer need to push to a provider
4. What’s the payload (bundle or specific)



Homework

Review and provide feedback on UseCase Materials ePDx-Payer2ProviderUseCase.pptx and ePDXUseCaseFunctionalMap.xlsx

Rough Draft of IG in Word Docx format. Incomplete - focus is on Narrative: Da Vinci PDex Implementation Guide-7.docx






ManagementNext agenda

 Adjournment
 Adjourned at

Supporting Documents

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Supporting Document

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