Chair: Mark Scrimshire

ScribeVanessa Candelora

 

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Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

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



Call Structure & Name Changes



2021 CMS HL7® FHIR® Connectathon Overview of Track
  • 2021 CMS HL7® FHIR® Connectathon - July 20-22, 2021
    • Confluence page: CMS 2021 - 07 Connectathon 2
    • Complete the HL7 Pre Connectathon Survey to designate which track you want to participate in.
    • Attend the Participant Information Session on Thursday, July 8th at 4:00 PM ET.



Agenda: https://whova.com/embedded/event/cmsco_202107/?utc_source=ems

CMS Connectathon CConMan: http://conman.clinfhir.com/connectathon.html?event=cms



Implementer Resources

See Supporting section below!



FYI - USCDIv2 is out

FYI - USCDIv2 is out https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi#uscdi-v2


Today

CMs Connectathon: Payer to Payer and Patient Access API Kick Off Orientation 

Today!

Recording will be here and on Connectathon Track pages. 

Payer-to-Payer Data Exchange and PDex Patient Access API Preview:

Eric Heflin to Everyone

Is anyone bringing a client or server to the connectathon to test?  The eHx is interested in testing!


12:33 PM
Raja Kailar (BNETAL) to Everyone

Hi Eric, BNETAL has a server and client  - I will reach out to you via email so we can do some prep. Thanks

12:39 PM



Corey Spears (MITRE) to Everyone

Great to see everyone being proactive in finding testing partners. Please be sure to also enter your Server and Client information in ConMan: http://conman.clinfhir.com/connectathon.html?event=cms


12:46 PM
Corey Spears (MITRE) to Everyone

The Formulary Tutorial slide deck has been posted to the Connectathon Track Page: https://confluence.hl7.org/pages/viewpage.action?pageId=113675188



Formulary Ticket updates - did not cover. 


Discussion Update from Formulary Searching challenges: Ingredient vs. Name, Generic vs. Brand, Form included, combination drugs when searching ingredient, Drug Alternatives.  Corey is writing language to outline what the standard expects from server vs. app, what is supported, what's the responsibility of Pharma / Regs.  

Relevant tickets: FHIR-32958 and FHIR-32959











Next Week

7/16 - 

Discussion Update from Formulary Searching challenges: Ingredient vs. Name, Generic vs. Brand, Form included, combination drugs when searching ingredient, Drug Alternatives.  Corey is writing language to outline what the standard expects from server vs. app, what is supported, what's the responsibility of Pharma / Regs.  

Relevant tickets: FHIR-32958 and FHIR-32959


Implementer Support


Review FAQ Proposed Responses 


Plan Net Feedback- DaVinci Plan Net (Directory) STU Balloting Dashboard - In the coming weeks, we'll begin reviewing open JIRA Trackers that may help implementers.

7/23 Call will be cancelled. 


 Adjournment

Adjourned at 12:57pm EST.






Outline Reference

Supporting Document

Minute Approval
PDex Companion Guides

PDex IG Companion Guide List

PDex IG Companion Guide - Laboratory Reporting Resources

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
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

  • Links to Published IGs
Other Links:

Implementer Resources

Da Vinci Implementer Support Page 

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!

Da Vinci PDex for Patient Access API Frequently Asked Questions (FAQs)

CMS Final Rule Questions and Answers log

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

Action items

  • Corey Spears create ticket from the variation in names and what the proper names for display are 

  • Corey Spears create ticket on expected returns with regards to allowance for both brand and non-brand search matches.  

Attendees - 42

PresentNameAffiliation
  •  

  •  
CMS
  •  

  •  
BCBST
  •  
Deepthi ReddyMettle Solutions
  •  
Allscripts
  •  
Eric SullivanInovalon
  •  
MITRE
  •  
India DuncanOptum
  •  
Availity
  •  
Susan LestinaAHA
  •  
Bob BowmanCAQH
  •  
Thomas KesslerCMS
  •  
Patrick Edwards
  •  
Briana BarnesScope Info Tech
  •  
Kishore MetlaMettle Solutions
  •  
John Donnelly

Intepro Solutions

  •  
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
  •  
HL7 Consultant
  •  
Abdul Sattar
  •  
Anirudh Choudhary
  •  
Todd BiskeESI
  •  
Darrell Woelk
  •  
Doug Stoss
  •  
Rick LisseveldAegis
  •  
LakshminarayananSaravanan
  •  
Laurie BurckhardtWPS Health Plan
  •  
Kevin LynchInovalon
  •  
Joseph MinieriMITRE
  •  
Durwin Day BCBS IL
  •  

Daniel Lilavois


  •  

Patricia R Harbin


  •  
Pamela West
  •  
Ravi Thakkar Aetna
  •  
UO
  •  

Shalabh Gautam

Aetna
  •  
Swati NandaAetna CVS Health
  •  
Cyrus
  •  
Kevin
  •  

Kamaraj Kaliaperumal, 

Carefirst

  •  
MITRE
  •  
Fred HarmonReady Computing
  •  

Bhanu Vemuri 

Blue Cross NC
  •  
Michael RyanNCQA
  •  

Narasimha Murthy

Accenture

  •  

Google Cloud Healthcare

  •  

Maggie Mellon

HealthSparq
  •  

Courtney Bland

CVS/Aetna
  •  
Dorothy LeeNCQA
  •  
Khoa Nguyen
  •  
Suma AddagaddeBCBSNC
  •  
Caitlyn CampiFL Blue
  •  
Diane Bengtson
  •  
Sean MahoneyMITRE
  •  
Balaji
  •  
Richard Lisseveld
  •  
Shanna HartmanCMS
  •  
Kevin DayEdifecs
  •  
Sai BagewadiCognizant
  •  
Kechia Scott
  •  
Kerri Wing 
  •  
Krithika KumarAccenture
  •  
Don Zacharia
  •  
Evernorth
  •  
Pamela MaklariCognizant
  •  

  •  
@David BradsherBenMedica
  •  
@DJ Gallagher
  •  
@Follis 
  •  

  •  
@Nidhi
  •  
@Emily Lozada
  •  
Bruce Schreiber
  •  
Kunal Thakur



PresentNameAffiliation
  •  
Nancy SpectorAMA
  •  
Bruce WilkinsonBenMedica
  •  
Avality
  •  

Chris Johnson

BCBSAL
  •  

  •  
MCG
  •  
ONC
  •  
Surescripts
  •  
NCPDP
  •  
Anupam ThakurBCBSFL
  •  
Jonathan HutchinsBCBST
  •  
Anthem
  •  
Sunitha Godavarthi
  •  
Christopher Gracon

Independent 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
  •  

  •  
Ron UrwongseCAQH
  •  
Anand Raghavan

Inovalon

  •  
HealthLX
  •  

David Clowers


  •  
Ezequiel MoralesCigna Evernorth
  •  
Frank McKinney
  •  
Hanna ?
  •  
Brett Rauschke
  •  
Carolyn McKinney
  •  
Clarissa WinchesterBCBS AL
  •  
JC
  •  
HealthShare Exchange (HSX)
  •  
River Wong
  •  
Rob McClureMD Partners
  •  
Ronald WamplerCVS Health Aetna
  •  
Derrick Woolridge
  •  
Beata Ferraiz
  •  
Ed DonaldsonConsultant with Humana
  •  
Julie Burgoon
  •  
Mark NeumuthAetna
  •  
Raj SankuratriAetna
  •  

Anthony Omosule

Accenture

  •  
Dr. Cheryl D. Lohman

MedApptic

  •  
Barbara Valeno
  •  
Eshaa Dhalleclinicalworks
  •  
Angie Brandon
  •  
Bryan BriegalIBM Watson Health
  •  
ACP
  •  
Beatrice Thompson CVS Health
  •  
Hema Srinivasa
  •  
Kristin AshbyAetna
  •  
Nag Sanivarapu
  •  
Abhishek Pandey
  •  
Shailesh Prabhu
  •  
Travis HendrixDr. First
  •  
Zakir Guler
  •  
Jason VanderJagtedifecs
  •  
Erika Wagner
  •  
Shamil Nizamov
  •  
Michael Robinson
  •  
Christopher Marchand
  •  
Chris Busch
  •  
Nathaniel Hosenpud
  •  
Christopher RoedockerSKYGEN
  •  
Jeff BrownEvernorth
  •  
Sid
  •  
Nehal Amin
  •  
Amit Cudykier
  •  
C45214
  •  
Noah Lincoff
  •  
Yukta Bellani Evernorth/Cigna
  •  
Brian SchoonoverOptum
  •  
Tone SoutherlandOneRecord
  •  
@Ram Optum
  •  
@Callie Phillips
  •  
Kat SobelNCQA
  •  
Phung Matthews
  •  
Benji Graham
  •  
Eric HeflineHealth Exchange consultant
  •  
Alberto S. Llanes
  •  

Donnielle Williams

Interoperability Institute

  •  

Raja Kailar

BNETAL
  •  
@jason cooper