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Comment: Have a safe and happy Thanksgiving!

Chair: Mark Scrimshire

ScribeVanessa Candelora

 

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Agenda Topics

Agenda Outline

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Meeting Minutes from Discussion

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



HL7 January Connectathon 26

January 13-15, 2021

Registration for January Connectathon is available. 

Click here to register and view agenda.  All Da Vinci Tracks here. 

Early bird registration deadline is December 30, 2020.


We'll have discussion each week to prepare for the Connectathon during this call and can setup secondary sessions if needed. 


Suggestion to have the WHOVA meeting links put on the agenda, and other places to people can get to WHOVA to get into the sessions.   



IG Publishing Updates
  • PDex
    • Reviewed on FM on 10/20. Voted on 11/17. Approved to Proceed.
    • Present to FMG on 11/25.
    • Fixing warnings in QA report. Then will update to version 1.0.0 
    • PIE (Co-sponsoring WG) approved PDex and Plan Net to go to publication on 11/10
    • New version 0.1.30 is up (and with the new publisher)
  • Plan Net
    • FM WG approved moving forward with Publication process on 10/27. 
    • PIE (Co-sponsoring WG) approved PDex and Plan Net to go to publication on 11/10
    • US Realm meeting went well, approved the approach on 11/10.
    • FMG reviewed and approved.
    • Ballot workbook posted - Seeing negatives go down, but not affirmatives going up at point point, but with further evaluation during the call, we are now seeing the affirmatives go up.   Dave Hill to reach out to Lynn Lasko as to why and what needs to happen.  (Thanks Mary Kay!)  Cannot go to TSC until 60% is met. 
  • Formulary - 
    • STU1 Published. Pending errata changes and updates per recent CMS guidance.
    • FHIR-29670 - Cardinality update - requires further peer review.  Dave is meeting with Pharmacy for next steps.  
    • Passed FMG; figuring out next steps. 


Discussion on  Security and Patient Access API

Demonstrating security as part of the Patient Access API rule

  • Linking Formulary to other medication queries-
    • Need one environment to combine end points or separate end points?
    • All in one server?
    • Possible with patient App back end?

Explore issues with claims and encounters along with clinical data and formulary

It would be great to test everything (PDex, Formulary and CARIN) together or at least Pdex and Formulary together.

  • Coordinate preparation and track sessions for Pdex and Formulary.  Bring the APIs together to be tested.
  • Have HealthLX , MITRE, and Mark to sync offline on how to prep for the Connectathon. 






Implementer Support Questions (PDex, Formulary, Plan Net)

Call to All Implementers: Please come with your questions!. Options:

1) Ask questions live on the call

2) Edit and add your question to this page (in this box)

3) Email them in advance to Vanessa CandeloraRobert Dieterle and the IG lead:

We learn as a community and iterate on the IGs through real world experience, so your contributions are welcome!

Implementers can take advantage of tools: See the Reference links on the Payer Data Exchange (PDex) page to access links for Reference Implementations, sandboxes, test scripts, and more!

PDex Pharmacy list - pharmacy count and mix:  how can the pharmacy count and mix (as required by CMS) be included in the response PDex resources?  Scott M. Robertson


Some discussion:

  • Count - use a query to pull unique locations of Pharmacy.  Don't chain, just pull healthcare service where identifier is retail pharmacy and count.  
  • Search for location that are type pharmacy with specialty which gets a count in the network. 
  • Da Vinci will submit the question on Scott's behalf and log to the Da Vinci page with the other responses here. 


PDex IG Links and Updates







PDex Supplemental Guides



PDex IG Companion Guide - Laboratory Reporting Resources

View file
nameHL7 FM PDEX What to Review 2020-10-20-v1.pptx
height150

Presented to FM on 10/20


Other discussion












Next WeekQuestion- Hold

Happy Thanksgiving! No meeting next week

(Thanksgiving week)?

.  See you on Friday 12/4. 


 Adjournment

Adjourned at at 12:47pm EST.







Outline Reference

Supporting Document

Minute Approval
PDex Companion GuidesPDex IG Companion Guide List
CARIN CPCDS to US Core Mapping

Latest draft CARIN CPCDS Mapping document: CARIN Mapping to FHIR interim 2020 0513.xlsx

DRAFT - PDEX US Core Mapping from CPCDS source: ResourceMappingUSCoreCPCDS-2020-05-29-v26.xlsx

PDex - US Core
inter-relationship

Source PowerPoint: PDEXandUSCoreRelationship.pptx

Da Vinci is seeking answers to open questions and clarifications needed on the implementation and operational needs of the upcoming CMS Patient Directed API Rules.

Find initial questions and corresponding answers shared from our colleagues at CMS here


Action items

Attendees

Advanced Tables - Table Plus
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PresentNameAffiliation
  •   

  •   
Tibco
  •   
Aim Specialty Health
  •   
Christy Dodson
  •   
BCBSM
  •   
Allscripts
  •   
BCBSFL
  •   
BCBSM
  •   
CMS
  •   
Mike HurleyBRYJ Healthcare
  •   

  •   
Tori WillowsWellcare
  •   

  •   
Nandini GangulyEMDI - Scope Info Tech
  •   
Moxe Health
  •   
Jim McKinleyMedicaid Alabama
  •   
BCBST
  •   
Bart CarlsonAzuba
  •   
Deepthi ReddyMettle Solutions
  •   
Allscripts
  •   
Eric SullivanInovalon
  •   
MITRE
  •   
Pallavi TalekarScope Info Tech
  •   
Ralph Saint-PhardHealow
  •   
Scott SwihartSumma Health
  •   
India DuncanOptum
  •   
Jason CassidyMoxe Health
  •   
Praveer MathurWellcare
  •   
Megan Soccorso

Cigna

  •   
Prashanth GolcandaLumeris
  •   
Rajesh Godavarthi
  •   
Availity
  •   
Susan LestinaAHA
  •   
Bob BowmanCAQH
  •   
Thomas KesslerCMS
  •   
Patrick Edwards
  •   
Briana BarnesScope Info Tech
  •   
Kishore MetlaMettle Solutions
  •   
John DonnellyInterpro
  •   
Lorraine DooCMS
  •   
Melanie JonesCMS
  •   
Rim Cothren
  •   
Yolanda VillanovaCMS
  •   

  •   
Manoj KumarBCBSFL
  •   
MITRE
  •   
Srinivas KonchadaCentene Corporation
  •   
Sheryl TurneyAnthem
  •   
Helina Gebremariam
  •   
Mike NovalesBCBSIL
  •   
Ric LightHumana
  •   
Ann GallagherOptum
  •   
Chris KlesgesMitre
  •   
Adam GronskyHealth Fidelity
  •   
CaseNet
  •   
Anthem
  •   
CMS
  •   
eClinicalWorks
  •   
Healow
  •   
Interfaceware
  •   
Mark RucciSpectramedix
  •   
Anthem
  •   
Cindy MonarchBCBSM
  •   
Michael Kim
  •   

  •   

  •   
Jim CatanAccenture
  •   

  •   
BCBSA
  •   
Jia Chen
  •   
Robert Dieterle
  •   
Jeff Eastman
  •   
Ernestine Cooper
  •   
Jason TeepleCIGNA
  •   
Lloyd McKenzie
  •   
Mary Winter
  •   
Rachel E. Foerster
  •   
Tom GrannanAzuba
  •   
Tony BensonBCBS AL
  •   

Rakesh Mathew

Independence BC
  •   
Henry ArchibongInovalon
  •   

  •   
Abdul Sattar
  •   
Anirudh Choudhary
  •   
Todd BiskeESI
  •   
Darrell Woelk
  •   
Doug Stoss
  •   
Rick LisseveldAegis
  •   
LakshminarayananSaravanan
  •   
Laurie BurckhardtWPS Health Plan





Advanced Tables - Table Plus
sortIcontrue


PresentNameAffiliation
  •   
ONC
  •   
Dawn PerreaultBCBSM
  •   
Kyle ZumsteinAvaility
  •   
Nancy SpectorAMA
  •   
Bruce WilkinsonBenmedica
  •   
Avality
  •   

Chris Johnson

BCBSAL
  •   
Duane WalkerBCBSM
  •   

  •   
Greg LindenLinden Tech Advisors
  •   
Mario JarrinChange Healthcare
  •   
Megan Smith-HallingsheadRegence
  •   
Patrice KuppeSurescripts
  •   

  •   
MCG
  •   
ONC
  •   
Surescripts
  •   
NCPDP
  •   
Anupam ThakurBCBSFL
  •   
Jonathan HutchinsBCBST
  •   
Anthem
  •   
Sunitha Godavarthi
  •   
Christopher GraconIndependent Health
  •   
Labcorp
  •   

  •   
James DerricksonIntersystems
  •   
Cognizant
  •   
Neetha JosephCognizant
  •   

Scott M. Robertson

Kaiser Permanente
  •   
MITRE
  •   
Rutika
  •   
Express Scripts
  •   
Brody BrodockAllscripts
  •   
Michael BrodyCME Online
  •   
Theressa BaumannBCBS AL
  •   
Mona ChandrapaleClinicalWorks
  •   
Optum
  •   
Aakash DeliwalaeClinicalWorks
  •   
Mayo
  •   
Epic
  •   
Shaheer
  •   
Stanley Nachimson
  •   
Anthony SmithUNC Health
  •   
Howard Cohen
  •   
Minaei BehnazFDA
  •   
BCBSA
  •   
Shilesh Nairgdit
  •   
NewWave
  •   
MaxMD
  •   
BC Idaho
  •   
Edward CastagnaAltarum
  •   
Andrea KentCoverMyMeds
  •   
Carrie Denny
  •   
Kim Pham
  •   
Celine LefebvreAMA
  •   
Edifecs
  •   
Josh LambUPMC
  •   
Keya ShahCasenet
  •   
Gevity
  •   
MITRE
  •   
Mrugen MehtaeClinicalWorks
  •   
Revathi Jayakumuar
  •   
Supriya
  •   
Bapi Bhera
  •   
Matt DyerVyne
  •   
Sree Vijetha VegiC-HIT
  •   
BCBSA
  •   
Rich BlochLumedic
  •   
Cigna
  •   
Paul Knapp
  •   
Pooja Babbrah
  •   

  •   
Ron UrwongseCAQH
  •   
Anand Raghavan

Inovalon

  •   
HealthLX
  •   

David Clowers


  •   
Ezequiel Morles
  •   
Frank McKinney
  •   
Hanna ?
  •   
Brett Rauschke
  •   
Carolyn McKinney
  •   
Clarissa Winchester
  •   
JC
  •   
HealthShare Exchange (HSX)
  •   
River Wong
  •   
Rob McClure
  •   
Ronald Wampler
  •   
Derrick Woolridge
  •   
Beata Ferraiz
  •   
Ed DonaldsonConsultant with Humana
  •   
Julie Burgoon
  •   
Mark NeumuthAetna
  •   
Raj SankuratriAetna
  •   

Anthony Omsoule


  •  
Dr. Cheryl D. LohmanGermantown, MD | Family Physician
  •  
Barbara Valeno
  •  
Eshaa Dhalleclinicalworks