Chair: Mark Scrimshire
Scribe: Mark Scrimshire
Create Decision from template
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
Agenda Topics
Agenda Outline | Agenda Item | Meeting Minutes from Discussion | Decision Link(if not child) |
|---|---|---|---|
| Management | Review ANSI Anti-Trust Policy |
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Call Structure & Name Changes |
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| Call for Da Vinci Member leads for PDex Use Cases | If you are a Da Vinci member and interested in co-leading the PDex Use cases, please reach out to Vanessa Candelora and Viet Nguyen | ||
| Announcements | Save the Date: The final 2021 Community Roundtable will be held Wednesday Dec 8th at 4 pm ET. This replaces both the Nov & Dec roundtables. See Da Vinci 2021 Calendar | ||
| Preparing for HL7 January Connectathon | HL7 FHIR Connectathon (CST) January 10-12, 2022 • Virtual Event Register here: https://www.hl7.org/events/fhir/connectathon/2022/01/ Confluence Event page: 2022 - 01 Connectathon 29 Early Bird Registration through Saturday, December 04, 2021. Online registration closes December 13. Da Vinci tracks summary coming soon- HL7 Virtual Connectathon - January 2022 PDex Track: 2022-01 Da Vinci Payer Data Exchange (PDex STU2, Payer-to-Payer, Patient Access API) Plan-Net Track: TBD Formulary Track: TBD | ||
| Implementer Resources | See Supporting section below! | ||
| Today | |||
Follow-ups from last week: Authorized User questions Feedback from Implementers of Patient Access API (e.g. Versioning if Mark N. is on) | |||
| Implementer Support Questions | Anil N to Everyone As a payer implementing the Pdex, the external facing Pdex API will be FHIR resource (GET) endpoits or will be a custom API that sits in front of the an FHIR server? Depends on how you choose to implement the FHIR stack. Utilizing Get Calls to resources defined in PDEX. Jason Teeple: ATRex and security procedures: which to use? Pattern to support and path to choose? Finding from testing event in Oct. Need to combine authorization and workflow for a consistent implementation. Bob D.: compliant Payer 2 Payer must support mutual TLS in ATRex. If pure UDAP implementation b/w trading partners is OK but need to support the mutual TLS workflow to comply with PDEX. IG for National Directory is being built federated access to a query in January Connectathon and ballot in May. CMS is aware of issues. Insurance Plan and Product Discussion: Is there a change in plan when there is a change in product? Jason Teeple will look into this. When looking at coverage: First determine payer, then type of coverage, then identify the plan. Plannet and Formulary are affected by this issue. Need to discuss with groups that use coverage resource, directory, and formulary. No call day after Thanksgiving. | ||
| Chat: | See Anil's question above. | ||
New Guests: Cooper Thompson, Chetana Suresh, Andrew Kirner, | |||
Next Week | |||
| Adjournment | Adjourned at 12:45pm | ||
Outline Reference | Supporting Document |
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| Minute Approval | |
| 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 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 |
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| Other Links: | Source code is here: https://github.com/HL7/davinci-epdx
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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 For questions, reach out to us on Zulip: |
| Formulary STU 1.1.0 Overview | |
| Recording of PDex Provenance Discussion 10/1/2021 | Recording of PDex Provenance Discussion 10/1/2021 |
| Recording of PDex calls on 10/29 | Discussion on Provenance Source and Transmitter - Payer Authoring; Authorized Rep rather than Patient request process for consent, and more. |
Action items
- Mark Scrimshire reach out to Corey: Is there something unique in Dental and Vision that would have an impact on USCDI? Does the way CARIN is representing CPCDS warrant any changes needed in PDex?
- Mark Scrimshire - Longer term Action Item from call on 10/15 to provide FAQ guidance on the de-duplication or linking options for payer to payer provenance record sharing. see recording from 10/15 notes.
- Robert Dieterle - 10/29 - Draft and submit questions to CMS about the Authorized Representative for consent on Payer-to-Payer data exchange.
- Mark Neumuth to share feedback from their learnings as third party apps start connecting to their API.
Attendees -
Ramandeep Dhanoa "Raman" TomPresent Name Affiliation Present Name Affiliation Onyx Yukta Bellani Evernorth/Cigna Gevity MITRE Alex Kontur HealthLX MITRE Bryan Briegel IBM Watson Health Chris Johnson Evernorth Chetana Suresh IBC Stanley Nachimson Jim Denyer IBC Dave Shekar Mettle Solutions Ezequiel Morales Evernorth/Cigna Rachel E. Foerster Todd Grinaway CBC Versaggi Consultant James Derrickson BCBST Jason Brito Tom Grannan Azuba Jason Teeple Vanessa Candelora POCP, Da Vinci PMO Kat Cobel NCQA Joel Hansen Mark Neumuth Aetna United Michael Ryan NCQA @joe quinn SmileCDR Rich Tallon Jamie Stamps Ronald Wampler CVS Aetna Health Sarah scott Craig Knier Change Healthcare Jeff Brown MITRE, FM Co-Chair @Dustin R Nides Anil N @anthony Omosule Bob Bowman Brett Atwood Dale Brown Grace Stambaugh Optum Michelle Barry Availity