Chair: Mark Scrimshire

Scribe: Crystal Kallem 


 Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Management

Review ANSI Anti-Trust Policy


Announcements

Single meeting on Fridays from 1:00-2:00 PM ET

Zoom Meeting https://hl7-org.zoom.us/j/92482555863?pwd=TWQzVENNeStqeEpVTHdicGM2cGdMQT09 

Upcoming Conference Call Adjustments

  • April 28th: Normal call - start at 1:00 pm ET; Connectathon Kick-off
  • May 5th: Cancelled due to Connectathon travel
  • May 12th: Cancelled due to WGM



Planning Da Vinci IG Implementation Testing?

Learn More here: Open Testing Tools - Build and Validate with Touchstone

The Touchstone Support team and Da Vinci Test Script authors are available to answer questions and provide support with testing Da Vinci Test Scripts in Touchstone.  Please don't hesitate to reach out to Touchstone_Support@AEGIS.net.



May Ballot Cycle 

  • Da Vinci Risk Adjustment Implementation Guide is included
  • Commenting and voting taking place now through May 1, 2023

Need help navigating? Review the HL7 Balloting Resources for Da Vinci Newcomers



Now Available! Da Vinci In Action Interactive - Implementations To Date

A tracker to share general implementation progress across Da Vinci and the community. All listings are voluntary. Two goals for this tool:

  1. Develop a picture of the progress of early adopters by Da Vinci membership (for Da Vinci leadership); and 
  2. Create clarity for FHIR community, those who are in active development, ready for partners, and want to share contacts with wider community.


Upcoming HL7 Meetings, New Orleans, Louisiana

  • HL7 FHIR Connectathon, May 6-7, 2023
  • HL7 Working Group Meeting, May 8-12, 2023

New WGM+ (attend virtually or in person!): These sessions at the May Working Group Meeting will help augment the typical standards development work happening in HL7's Working Groups and broaden the audience of those who wish to participate. Our theme for the meeting is policy as a driver of interoperability. WGM+ Agenda now available! Register here.



Congratulations to our 2022 Da Vinci Project Champions!

  • Susan Bellile, Availity
  • Cailyn Campi, Florida Blue
  • Kyle Johnsen, Epic
  • Tom Loomis, Evernorth
  • Michael Marchant, UC Davis Health
  • Ezequiel Morales, Evernorth Health Services
  • Snapper Ploen, MCG
  • Matt Schuller, BCBSA

Connectathon Kick-off

Slides: Connectathon33 PDex Track Kick Off Call.pptx

Recording: https://hl7-org.zoom.us/rec/share/pI1iBG4XwboUVkhXIaQNhquAskc-QmvkyN0QzumD9G3xRHT5sFq6tXzfGYxRWVSB.LNj3_MoSz39jgmu6?startTime=1682701634000

PDex IG Tickets

Latest CI Build https://build.fhir.org/ig/HL7/davinci-epdx/PayerToPayerExchange.html

Unresolved:

T Key Summary Assignee Reporter P Status Resolution Created Updated Due
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Sanket noted that he created a Jira ticket for Formulary

FHIR-40985 - Getting issue details... STATUS

  • When going through the design of formulary, there are certain scenarios where a member may be in a group that has a selection of plans. Are they able to choose between those different drug plans. Gets back to the shopping experience. Could the implementer be applying the scoping to represent the plan. The new structure may allow you to do that. Should get input from Corey Spears. 
  • Sanket is working on solutions and looking for guidance.
  • Corey joined the call late due to a conflicting meeting. He will look into options and respond back. 


Implementer SupportImplementation Questions


Chat

12:08:18 From  Crystal Kallem (POCP / Da Vinci PMO)  to  Everyone:
    Slides for today's call: https://confluence.hl7.org/download/attachments/161072920/Connectathon33%20PDex%20Track%20Kick%20Off%20Call.pptx?version=1&modificationDate=1682542768966&api=v2
12:08:41 From  Crystal Kallem (POCP / Da Vinci PMO)  to  Everyone:
    PDex/Formulary Connectathon Track Page: https://confluence.hl7.org/display/FHIR/2023+-+05+Da+Vinci+Payer+Data+Exchange+%28PDex%29+and+Formulary
12:31:05 From  Crystal Kallem (POCP / Da Vinci PMO)  to  Everyone:
    https://jira.hl7.org/browse/FHIR-40985
12:38:16 From  Mark S (PDex/OnyxHealth.io)  to  Everyone:
    https://jira.hl7.org/browse/FHIR-40985

 Adjournment

Adjourned at 1:45 pm ET

Outline Reference

Supporting Document

PDex Companion Guides

PDex IG Companion Guide List

PDex IG Companion Guide - Laboratory Reporting Resources

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:

Source code is here: https://github.com/HL7/davinci-epdx

Payer-Payer Trust outline: Payer-Payer Trust V3.docx

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

Formulary - Searching by DrugName.docx

Recording of Formulary Tickets for STU 1.1.0 Overview

Action items

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Attendees =

PresentNameAffiliation
PresentNameAffiliation
PresentNameAffiliation
  •  
ONC
  •  
Jacki HemenwayUPMC
  •  

  •  
Cambia Health
  •  
Jamie Smith

IQVIA


  •  
Naveenkumar Mani Anthem
  •  
Andrea Preisler AHA
  •  
James DerricksonIntersystems
  •  
Nehal AminCVS Health
  •  
Anthony Omosule

  •  
Janice HsiehAetna
  •  
UnitedHealthcare
  •  
Edifecs
  •  
Jarrett Cox

  •  
Nitin SahasrabudheCVS/Aetna
  •  
Balaji NarayananOnyx
  •  
Jaspreet Kaur

  •  
Parth GabhawalaAetna/CVS Health
  •  
Barbara Doyle

  •  
Jamie ParkerAEGIS
  •  
Peter Gunter VA
  •  
Evernorth
  •  
Lantana, FM Co-Chair
  •  
Prabal Basu 
  •  
EnableCare
  •  
AEGIS
  •  
Rachel E. FoersterRFA Ltd
  •  
Brandon Raab 

  •  
Jim Iverson

  •  
Raj SankuratriAetna








  •  
Ravi ThakkarAetna
  •  
Brandon StewartLantana
  •  
Joanna ChanLantana
  •  
Richard AmbercrombiePalmetto GBA
  •  


  •  
Joe Joseph Quinn SmileCDR
  •  
Rick Geimer Lantana
  •  
Bruce WilkinsonBenmedica
  •  
Joel HansenCVS/Aetna
  •  
AEGIS
  •  
Bryan Briegel IBM Watson Health




  •  
CVS/Aetna
  •  
Caleb SuggsUPMC
  •  
Kanchan Kavimandan

  •  
Rosaline Shaw Elevance Health
  •  
Carie Hammond Aegis
  •  
Evernorth
  •  
Leavitt Partners/ CARIN Alliance
  •  
Smile CDR
  •  
Karen Landin

  •  
AEGIS
  •  
HealthLX
  •  
Kassie MintesnotLantana
  •  
Aetna/CVS
  •  
BCBSAL
  •  
Kate Dech 

  •  
Kaiser Permanente
  •  

Elevance


  •  
Kelli FordahlEvernorth
  •  

  •  


  •  
BCBS SC
  •  
Serafina Versaggi 




  •  
Kyle Brew 

  •  
Shamil Nizamov SmileCDR
  •  
Clarissa WinchesterBCBSAL
  •  
LakshmiAetna
  •  
CMS
  •  
Lantana
  •  
Linda

  •  
Elevance Health
  •  
Court Collins

  •  
Dogwood
  •  
Shital Patil
  •  
Courtney BlandCVS/Aetna
  •  

Malcolm McRoberts



  •  
Sonja Ziegler Optum
  •  
Crystal Kallem POCP, Da Vinci PMO
  •  

Manish Agarwal



  •  
Spencer Utley Epic




  •  
Margaret CouttsEvernorth
  •  
Stanley Nachimson Nachimson Advisors
  •  
Damian SmithEvernorth
  •  
 Aetna
  •  
IBM




  •  
Leavitt Partners/ CARIN Alliance



  •  
Dan Cinnamon 

  •  
Onyx
  •  
Susan CromwellIBM




  •  
Matthew MosierOnyx
  •  
BCBST
  •  
Aetna/CVS Health
  •  
Michael J. Cox Onyx
  •  
Tanner FuchsCAHQ CORE
  •  
United
  •  
Peraton
  •  
Evernorth
  •  
SmileCDR
  •  
ZeOmega
  •  
Traci O'Brien
  •  
Divya Pahilwani

  •  
MicheleCareEvolution
  •  

Tulsi

Aetna
  •  
Donna Haid

  •  
Michelle BarryAvaility
  •  
Vency MenezesCNSI




  •  
Michelle Benz

  •  
VijayCVS Health
  •  

Doug Williams



  •  
Mike Evans

  •  
AEGIS
  •  




  •  
Lantana
  •  
Yukta BellaniEvernorth/Cigna
  •  
Evernorth/Cigna
  •  
@Muhammad Muddassar Ali

  •  
UdyAetna/CVS
  •  
Farheen Khalil








  •  
Gregg JohnsonBCBS SC







  •