2022-08-09 PIE WG Meeting Agenda/Minutes

PSS-2101  Lab Orders - Commented that the PIE WG reviewed and not an interested party at this time.

PSS-2111  Da Vinci Value-based Contract Reporting - Mark S. stated that during review on the FM call, there were not enough co-chairs or resources to sponsor the PSS at this time. PIE WG is interested and may want to co-sponsor for this project.  Commented that we need a deeper dive with the project team.  Can we ask to have a meeting to review this in detail and obligations?  We can add you to our next WG meeting on 08/16/22.

1. NCVHS July 20-21 Full Committee Meeting updates

Key topics included:

• Current Issues in Cybersecurity;
• Legislative Developments on Data Privacy;
• SOGI and SDOH Data Measures, Collection and Use;
• Tribal Data Access and Privacy; 
• Standards Subcommittee Proposed Recommendations; and 
• Standards Subcommittee updates on New HIPAA Transaction Standards and Operating Rules requests, and ICD-11 Developments.  

Proposed recommendations presented by Standards Subcommittee were direct follow-up to June Listening Session where HL7 and Da Vinci, and others from industry, provided input on specific consideration areas.  Four proposed recommendations received support and will be sent to Secretary Becerra (HHS). (final letter will be posted soon)

NCVHS plans are taking shape to receive industry testimony on requested consideration of new national standards. This includes:

• X12's Claims (837 I, P, D) and Remittance Advice(835) 8020 Implementation Guides (upgrade select 5010 standards)

• CAQH CORE's Infrastructure, Data Content Operating Rules, and Connectivity Rule. (upgrade rules and add new rules)

Infrastructure rules for Eligibility, Claims Status and ERA Operating Rules; Data Content Rules for Eligibility & Benefits Operating Rule; Connectivity Rule;

New Attachments Operating Rule; New Eligibility & Benefits Single Patient Attribution Data Content Rule

One-day listening sessions are likely for each - meaning 2 days worth of industry input will inform the recommendations advanced to HHS/CMS National Standards Group. Timing could be as early as September. HL7 will participate and will develop response based on input of Work Groups and Accelerators. 

Final Subcommittee on Standards HHS Recommendation Letter at: https://ncvhs.hhs.gov/wp-content/uploads/2022/08/Recommendation-Letter-Modernize-Adoption-of-HIPAA-Transaction-Standards-508.pdf

Alix summarized the meeting.  Asked Durwin what the process is to have HIPAA/CAQH CORE IGs reviewed by the industry for the 835 and 837 guides.

Possible FHIR mappings and critical proposed rules may come out this Fall.  Mike D. pointed out that a CAQH CORE Attachments rule could come before a guide.

Attachment NPRM pushed out until December 2023 or sooner.

Updates/Reminders:

36th Annual Plenary, Working Group Meeting and FHIR Connectathon In-person only (no virtual or hybrid options)
September 17-23, 2022   •   Renaissance Harbor Place Hotel, Baltimore, MD 

• Early bird deadline: August 26
• COVID testing may be needed that is dated 3 days prior to WG meeting

2022 ONC Virtual Tech Forum - More information and registration link at https://www.healthit.gov/news/events/2022-onc-virtual-tech-forum

Reviewed reminders.  A negative COVID test may be needed that is dated 3 days prior to WG meeting.

Durwin - CDex version 1.0.0 published 08/09/22.

Mark S. - PDex added align profiles to National Directory query IDs.

1. CDex  Version 1.0.0 published:

http://hl7.org/fhir/us/davinci-cdex/index.html

History file is fixed too: 

http://hl7.org/fhir/us/davinci-cdex/history.html

Ballot will be published 8/8/22 -Thanks to everyone for your help. Eric

STU 2:

Version 2.0.0-ballot published yesterday

Version-2.0.0 publish after ballot reconciliation 

2. Current build CDex Sept -Request Attachments review/comments:

http://build.fhir.org/ig/HL7/davinci-ecdx/

See CDex Current Build Document:

CDex IG current build 1.1.0 August 2022 for September Ballot comments from PIE WG.docx

Commented on 5.3.5.1.2, 5.3.5.1.4 and 5.3.5.1.6.