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Objective:

The goal of this use case is to reduce provider burden and simplify process by establishing electronic versions of administrative and clinical requirements that can become part of the providers workflow.  An exemplar for this use case is to follow the approach taken to incorporate formulary requirements interactively into the medication selection process. Proposal includes the ability to inject payer coverage criteria into provider workflows akin to clinical decision support (CDS Hooks), to expose rules prospectively while providers are making care decisions.


Sponsoring Workgroup: Clinical Decision Support

Documentation Templates and Rules Implementation Guide:

Project Milestones

Milestone

Timeframe

Requirements

Complete
Profile and Operation DevelopmentMarch 2019

Test Case Development


ConnectathonMay 2019
Ballot for CommentMay 2019
Reference ImplementationMay 2019
STU BallotSeptember 2019

Conference Call Sign Up

HL7 Conference Call Center

Da Vinci Conference Call Sign Up Instructions


Conference Call Schedule & Dial-Ins

Wednesdays at 11am Eastern:

Please join my meeting from your computer, tablet or smartphone. 
https://global.gotomeeting.com/join/970757701

You can also dial in using your phone. 
United States: +1 (669) 224-3412 

Access Code: 970-757-701 

May Ballot Milestones

Milestone

May Ballot Deadlines (2019)

PSS Sponsor Approval

January 27, 2019

Notice of Intent to Ballot

February 17, 2019

Initial IG Content

March 3, 2019

Final IG Content

March 24, 2019

Ballot Voting Starts

March 29, 2019

Ballot Voting Ends

April 29, 2019

Ballot Reconciliation Starts

May 5, 2019

Ballot Reconciliation CompleteJuly 21, 2019

September Ballot Milestones (STU)

Milestone

September Ballot Deadlines (2019)

Project Scope Statement (PSS)April 7, 2019
Notice of Intent to Ballot (NIB)June 30, 2019
Ballot signup startsJuly 8, 2019
Initial contentJuly 14, 2019
Ballot QA period startsJuly 21, 2019
Final contentAugust 4, 2019
Ballot voting startsAugust 9, 2019
Ballot voting endsSeptember 9, 2019

Team:

RoleName OrganizationEmail 
Project LeadRobert (Bob) Dieterle Enable Carerdieterle@enablecare.us
Clinical Process SME Dr. Viet NguyenStratametrics vietnguyen@stratametrics.com 
Development Lead 

Larry Decelles

MITREldecelles@mitre.org
Program ManagerJocelyn KeeganPoint of Care Partnersjocelyn.keegan@pocp.com
Project ManagerDana MarcelonisPoint of Care Partners

dana.marcelonis@pocp.com



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  1. Location of Draft IG for Documentation Templates and Payer Rules - https://github.com/hl7/davinci-dtr