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Chair: Mark Scrimshire

ScribeVanessa Candelora

 

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title@currentDate @spaceKey Decision
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Minutes Approved as Presented 



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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 Topics

Agenda Outline

Agenda Item

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.



IG Publishing Updates
  • PDex
    • Reviewed on FM on 10/20. Vote/Feedback on 11/17. 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 0.1.29 30 is up (and with the new publisher)
  • Plan Net
    • FM WG approved moving forward with Publication process on 10/27. 
    • Ballot workbook posted
    • 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.
  • Formulary - 
    • STU1 Published. Pending errata changes and updates per recent CMS guidance.
    • FHIR-29670 - Cardinality update 


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




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




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 meeting next week (Thanksgiving week)?
 Adjournment

Adjourned at 







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

  •  Jason Teeple , Michael Gould , Robert Dieterle - Get clarifications on retention policy for data and the Patient Access Rules' requirements and bring back to this group next week. 
  •  David Hill to add a JIRA ticket for FHIR R4 and share that ticket number back with this group. 
  •   

Attendees

Advanced Tables - Table Plus
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PresentNameAffiliation
  •   

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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 Grannan
  •   
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
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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
  •