2022-10-18 PIE WG Meeting Agenda/Minutes

Antitrust Statement

Professional Associations, such as HL7, which bring together competing entities are subject to strict 
scrutiny under applicable antitrust laws. HL7 recognizes that the antitrust laws were enacted to promote 
fairness in competition and, as such, supports laws against monopoly and restraints of trade and their 
enforcement. Each individual participating in HL7 meetings and conferences, regardless of venue, is 
responsible for knowing the contents of and adhering to the HL7 Antitrust Policy as stated in §05.01 of 
the Governance and Operations Manual (GOM).

New Proposals and PSS for review - PIE comments or interest

Monthly update from DaVinci VBPR project team in the PIE meetings

With the shift from fee for service to value-based care, Value-Based Contracts have emerged as a mechanism that payers may use to better align their contracting structures with broader changes in the health care system. This implementation guide specifies standard format for value based performance reports and mechanisms for exchanging standardized value based performance reports between providers and payers for value based quality and risk contracts. 

Management 

a FHIR based comment against the Gender Harmony Cross-Paradigm ballot. 

Should it be considered by the Payer and Provider members of PIE, and their respective allied vendors.  The might apply to those who might have an interest in health equity related project, for which FHIR and collecting SOGI data, as with Race/Ethnicity and Language on consumers/members/patients it will be important. 

Jira ticket: OTHER-2472

Specification: Cross-Paradigm Gender Harmony (OTHER)

Raised in Version: 1.0.0-ballot

Related URL: http://hl7.org/xprod/ig/uv/gender-harmony/2022Sep/index.html#questions-to-balloters

Related Page(s): FHIR Gender Harmony

Related Section(s): 1.1.2 Questions to Balloters

Summary: Use of both Patient and Observation Resource to capture "Personal Characteristic" for Gender Identity, Recorded Sex or Gender, Pronouns etc.

Description:

While initially there where thoughts that a single Resource should be used to collect details of ones Gender Identity, Recorded Sex or Gender, and Pronouns, there are reasons/use cases that would support the use of both the Patient Resource and Observation Resource. 

The use of the Observation Resource would support providing the source and method for the collection of personal characteristics (i.e. Gender Identity, Recorded Sex or Gender, Pronouns) over multiple encounters that may change over time.  While the need for an institution to have a single instance to identify Gender Identity, Recorded Sex or Gender, and Pronouns would support the use of the Patient Resource to contain the data.

For these reasons, I recommend both the use of the Social Determinants of Health IG proposed Personal Characteristic Observation as well as the Patient Resource.

Jan 2023 Connectathon in Henderson NV Jan 14-15

Jan 2023 WGM in Henderson NV  - meeting dates and quarters (Jan 16-20)

PIE WGM Jan 2023 Draft Agenda

WEDI Conference next week in DC

We reviewed the draft agenda and open for any work group member to bring topics for session at the Jan WGM

CDex - Ballot reconciliation underway - PIE WG Tickets to be review on CDex call tomorrow

CDex Survey results

CDex mapping exercise

CDex mapping column D 278 (5010) response:

#10  Due Date

#12  Member ID

#13  Patient name

Column E 275 (5010 vs 6020)

Tracking ID

CDex Solicited RFAI 277 278 map Payer to Provider fields X12 data elements 10-18-22 (1).xlsx