Chair: Mark Scrimshire
Scribe: Vanessa Candelora
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."
Minutes Approved as Presented
Meeting Minutes from Discussion
|Decision Link(if not child)|
|Management||Review ANSI Anti-Trust Policy|
Call Structure & Name Changes
|Confluence Page Changes|
|2021 CMS HL7® FHIR® Connectathon Overview of Track|
|New Da Vinci Use Case|
Patient Cost Transparency Use Case- Kicked off June 25th, 2021 Fridays at 11AM Eastern - See HL7 Calendar and PCT confluence page here
For Kickoff slide deck and recording, click here
See Supporting section below!
Use Case #1: Need to develop an Advanced Search feature that may require to perform search across profiles e.g. single search that involves search using parameters such as Provider’s Name, Specialty, Health Plan, Spoken Language, Zip code or City/State and Gender.
Issue/Challenge: I this case I could not figure out a single profile that can be used to perform this search. Similarly, we cannot perform search in multiple steps (searching the search result) as this will be too complex plus will not work with pagination provided via FHIR server.
We did have some discussion about this in our core team, but some of this is really up to the third party app. We encourage the person that asked to join these meetings and how you are joining us at the CMS Connectathon!
Open Forum for additional questions
Review/ Sharing Updates for:
FHIR- 31684 – For consideration in STU2.
FHIR- 31683 – Pharmacy WG and reviewing with FHIR expert Jean D.
FHIR-32958 - Searching FormularyDrug name - follow up from past conversation. Text matching.
Are we going to make a statement on where the translation will occur? Something that is similar, brand, generic, and representation. Idea that I have a phrase / string text vs. RXNorm identifier is seperate.
It would be help to make a decision of who is responsible for doing that. Through this process someone could figure out that the drug is on the formualry. text matching and the generic to brand transformation.
Strong in generic form, then the clinical drug name is in 
We are syaing "Server will provide this in your search" the Patient likely wont have all the information and the strengths and the RX Norm representation of the Form (oral tablet) but this could be different if not RXNorm.
Now, search parameter for DrugName is displayed as follows:
Search on ingredient, then use the API to get all the strengths for that ingredient. Multi-ingredient drugs
Problems to solve:
1) If I'm searching on drug name, what is the test I need to provide to find what I'm looking for,.
2) If I'm searching on Brand, should I expect to get results for generics as well and vice versa.
I have a known RX Representation of a drug, then the formulary can give alternatives. This discussion is around getting the Rx Representation and what comes back if
eg, Valium is a brand name for the drug diazepam, can search for either.
Using ingredients should get us far in terms of the formulary response.
Next Step: Corey will go back and look at wording.
Every single drug in RxNorm has a SCD.
There are no SCDs that don't also have the "generic" name in the US.
Then, if it's branded, it also needs to be represented by the branded, if it's in the formulary.
Branded form you might get could change over time. All generics are represented by different drugs.
Let's say - Patient is looking for Brand name, but he PBM doesn't have it on formulary only the generic.
If they search for the brand name, what's the expectation.
Generics vs. therapeutic equivalent is a big question. Biologics gets really complex.
Find an Example with multiple brands, one generic representation. Corey to work with Rob to find one and they write out want to do with combinations.
One idea: Diazepam is available under the following different brand names: Valium, Diastat, and Diastat AcuDial.
What are all the variants that you'd want to display.
The pharmaceutical industry and regs should provide the guidance of what should come back with (substitution, translate to generic to brand is on formulary, multi-ingredient), the standard just needs to support it.
Response needs to be therapeutically appropriate in the context of the pharmaceutical response. Responsibility to disclose. The clinical appropriateness of the response is on the pharmacutical side not on the standard side.
Look into this: Name of the form - eg oral tablet vs oral pill - getting the right form brings issues.
Link to pubmed article that may help with multiple brands: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737992/
May have some examples that we could use
Article is from 2013 so not sure if examples are still relevant
Plan Net Feedback
In the coming weeks, we'll begin reviewing open JIRA Trackers that may help implementers.
7/9 - CMS Connectathon Kick Off / Orientation
7/16 - Follow-up on the Formulary Discussion for Searching, walk through Corey's proposed language; need to think about issues with
Review FAQ Proposed Responses
Adjourned at 1:00pm EST.
|PDex Companion Guides|
|CARIN CPCDS to US Core Mapping|
Latest draft CARIN CPCDS Mapping document: CARIN Mapping to FHIR interim 2020 0818 v2.xlsx
DRAFT - PDEX US Core Mapping from CPCDS source: ResourceMappingUSCoreCPCDS-2020-05-29-v26.xlsx
|PDex - US Core |
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
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!
ONC FAST National Healthcare Directory (including end points) solution page that includes links to everything (solution doc, Connectathon, HL7 workgroup, etc.): https://oncprojectracking.healthit.gov/wiki/display/TechLabSC/National+Healthcare+Directory
Attendees - 31
Intepro Solutions Rakesh Mathew Daniel Lilavois Patricia R Harbin Shalabh Gautam Kamaraj Kaliaperumal, Carefirst Bhanu Vemuri Narasimha Murthy Accenture Google Cloud Healthcare Maggie Mellon Courtney Bland
Present Name Affiliation CMS BCBST Deepthi Reddy Mettle Solutions Allscripts Eric Sullivan Inovalon MITRE India Duncan Optum Availity Susan Lestina AHA Bob Bowman CAQH Thomas Kessler CMS Patrick Edwards Briana Barnes Scope Info Tech Kishore Metla Mettle Solutions John Donnelly Lorraine Doo CMS Melanie Jones CMS Rim Cothren Yolanda Villanova CMS Manoj Kumar BCBSFL MITRE Srinivas Konchada Centene Corporation Sheryl Turney Anthem Helina Gebremariam Mike Novales BCBSIL Ric Light Humana Ann Gallagher Optum Chris Klesges Mitre Adam Gronsky Health Fidelity CaseNet Anthem CMS eClinicalWorks Healow Interfaceware Mark Rucci Spectramedix Anthem Cindy Monarch BCBSM Michael Kim Jim Catan Accenture BCBSA Jia Chen Robert Dieterle Jeff Eastman Ernestine Cooper Jason Teeple CIGNA Lloyd McKenzie Mary Winter Rachel E. Foerster Tom Grannan Azuba Tony Benson BCBS AL Independence BC Henry Archibong Inovalon HL7 Consultant Abdul Sattar Anirudh Choudhary Todd Biske ESI Darrell Woelk Doug Stoss Rick Lisseveld Aegis LakshminarayananSaravanan Laurie Burckhardt WPS Health Plan Kevin Lynch Inovalon Joseph Minieri MITRE Durwin Day BCBS IL Pamela West Ravi Thakkar Aetna UO Aetna Swati Nanda Aetna CVS Health Cyrus Kevin MITRE Fred Harmon Ready Computing Blue Cross NC Michael Ryan NCQA HealthSparq CVS/Aetna Dorothy Lee NCQA Khoa Nguyen Suma Addagadde BCBSNC Caitlyn Campi FL Blue Diane Bengtson Sean Mahoney MITRE Balaji Richard Lisseveld Shanna Hartman CMS Kevin Day Edifecs Sai Bagewadi Cognizant Kechia Scott Kerri Wing Krithika Kumar Accenture Don Zacharia Evernorth Pamela Maklari Cognizant @David Bradsher BenMedica @DJ Gallagher @Follis @Nidhi @Emily Lozada Bruce Schreiber
Patricia R Harbin
Google Cloud Healthcare
Chris Johnson Independent Health Scott M. Robertson David Clowers Anthony Omosule Accenture Tone Southerland (audio)
Present Name Affiliation Nancy Spector AMA Bruce Wilkinson BenMedica Avality BCBSAL MCG ONC Surescripts NCPDP Anupam Thakur BCBSFL Jonathan Hutchins BCBST Anthem Sunitha Godavarthi Christopher Gracon Labcorp James Derrickson Intersystems Cognizant Neetha Joseph Cognizant Kaiser Permanente MITRE Rutika Express Scripts Brody Brodock Allscripts Michael Brody CME Online Theressa Baumann BCBS AL Mona Chandrapal eClinicalWorks Optum Aakash Deliwala eClinicalWorks Mayo Epic Shaheer Stanley Nachimson Anthony Smith UNC Health Howard Cohen Minaei Behnaz FDA BCBSA Shilesh Nair gdit NewWave MaxMD BC Idaho Edward Castagna Altarum Andrea Kent CoverMyMeds Carrie Denny Kim Pham Celine Lefebvre AMA Edifecs Josh Lamb UPMC Keya Shah Casenet Gevity MITRE Mrugen Mehta eClinicalWorks Revathi Jayakumuar Supriya Bapi Bhera Matt Dyer Vyne Sree Vijetha Vegi C-HIT BCBSA Rich Bloch Lumedic Cigna Paul Knapp Ron Urwongse CAQH Anand Raghavan HealthLX Ezequiel Morales Cigna Evernorth Frank McKinney Hanna ? Brett Rauschke Carolyn McKinney Clarissa Winchester BCBS AL JC HealthShare Exchange (HSX) River Wong Rob McClure MD Partners Ronald Wampler CVS Health Aetna Derrick Woolridge Beata Ferraiz Ed Donaldson Consultant with Humana Julie Burgoon Mark Neumuth Aetna Raj Sankuratri Aetna Dr. Cheryl D. Lohman Germantown, MD | Family Physician Barbara Valeno Eshaa Dhall eclinicalworks Angie Brandon Bryan Briegal ACP Beatrice Thompson CVS Health Hema Srinivasa Kristin Ashby Aetna Nag Sanivarapu Abhishek Pandey Shailesh Prabhu Travis Hendrix Dr. First Zakir Guler Jason VanderJagt edifecs Erika Wagner Shamil Nizamov Michael Robinson Christopher Marchand Chris Busch Nathaniel Hosenpud Christopher Roedocker SKYGEN Jeff Brown Evernorth Sid Nehal Amin Amit Cudykier C45214 Noah Lincoff Yukta Bellani Evernorth/Cigna Brian Schoonover Optum OneRecord @Ram Optum @Callie Phillips Kat Sobel NCQA Phung Matthews Benji Graham
Scott M. Robertson
Tone Southerland (audio)