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FM WG Administriva
Paul: US Realm
Reviewed FM Agenda and made updates and corrections.
Overview of FHIR Vocabulary needs for CARIN BB.
Monday, Sep 16
Da Vinci Use Case review and planning
Met with PIE. Reviewed and made adjustments to the agendas.
Bob Dieterle presented the Da Vinci use cases and gave updates on the work.
***Da Vinci Alerts Q2 in INM
|Q3||M106 & M107|
Tuesday, Sep 17
Status of connectathon track.
Paul/Bob: Ballot Reconciliation. Invited Keith Boone to discuss his items in PAS.
Keith Boone - PAS Ballot comments:
Claim R5 changes needed:
1) add encounter at header in Claim, Claim response, and EOB resources
2) add episode of care at the header
Add to FM calls:
Discussion: implications and issues associated with payers creating FHIR clinical resources. Invite to Amol.
Anesthesia Update (MK)
Ballot Reconciliation continued
Paul/Bob/Kathleen needs to go to Joint meeting with Security & Community Based Care and Privacy (CBCP) WGs re: all specs that exchange data. BUT... what allows us to automate the exchange of data that is appropriate. Discussion around Data Segmentation for FHIR.
(Security/CBCP Joint - privacy/consent)
***PIE is joint with EHR & CIMI
|Financial Mgmt Block Chain Birds of a Feather||FM|
Da Vinci 5:15-6:15
5:30 - 7:30
|Tuesday Night Party||Tuesday Night Party 5:30-7:30|
Approve May 2019 WGM Meeting Minutes
10 minute Update from Robert Worden - V2 to FHIR
Moved to Quarter 4 today: in joint with PIE.
Invoicing and Payments (Brian Bentow - Instamed)/Cerner/WexHealth Next steps
Robert Worden walked group through the V2 to FHIR mapping project. Start at OO in confluence, see 2-To-FHIR Project. FM will add mapping planning to future interim meeting to discuss. IN1, IN2, FT, are candidates. Probably not eClaims.
Motion to approve May 2019 WGM Meeting Minutes.
Paul/Rachel. Approved 3-0-2
High level discussion around US CORE ballot time frames.
Review of IG material:
Coverage Profiles (HRex, PAS, US Core Coverage Profile)
Make sure this room has flip board (drawing)
Multiple meeting minute takers to help capture the information
**R5 Update to Coverage - Plan resource
**R4 it needs to be a global definition
HROpen.org has standards for benefit enrollment. JSON standard for health plan enrollment. ADP is primary user.
TSC/Other for co-chairs
Co-chairs are not available
MK: HL7 Government Birds of a Feather Meeting (Wed Q3)
Connectathon/Blockchain overflow free discussion
JOINT with PIE in PIE Room.
Wednesday, Sep 18
2 joint meetings:
Joint with FHIR-I
MK needs to let FHIR I know where we will be
MK CALL RAY!!!!!
Invoicing and Payments (Brian Bentow - Instamed). Patient Billing (provider to billing service, billing service payment back to provider) Looking at full industry view - need flows and use cases.
MK get notes from Robyn...
Brian: url: developers.instamed.com
Joint with PIE
Review of IG material:
24638: Subscriber ID. change from string to Identifier. Discussion. 2nd proposal was to change coverage.identifier to be member, subscriber, etc.
Motion to change the coverage.subscriber from string to identifier (R5). Rachel/Kathy Pickering. Approved. 19-0-2
Need to update tracker.
coverage.dependent: A unique identifier for a dependent under the coverage.
Within the coverage, a way to distinguish the individuals identify the dependent. In some jurisdictions this may be "01", "03" or "AA". A subscriber may have a dependent number.
Motion to table: Christopher Schaut/Lenel 21-0-0
24641: The Coverage.class.type has an assigning authority which should communicated to support reuse beyond payer-payer exchange.
Plan is how you share risk (Gold, Bronze, Silver) within a product.
|Joint with PA||PA|
Discuss linkage from Coverage to InsurancePlan
Tracker #s: 24667/24694: FM will facilitate a call between FM/PA/PIE to:
Include a reference to the InsurancePlan resource from Coverage at the root level.
insurancePlan 0..1 Reference(InsurancePlan)
As noted in the notes below, further followup will go on with the Payers.
As a result of the meeting this property may change in the future.
20972: Add balance as a data element. Not just 1 data element. balance is currently an operation, not a data element. The balance is a very volatile property, would prefer to have separate data elements.
Finalize Coverage Note from Wed Q2
Next steps, close out for the week
Extension levels discussion, value set challenge.
To Dos from WGM:
***Ask Andy to schedule meeting with co-chairs.
2) 24667 & 24694: Need to facilitate meeting between FM/PA/PIE around InsurancePlan.
3) Begin V2 - FHIR mapping
All meetings Joint with PIE, put together training
Next Call: October 1, same time same place.
MK, not available 10/15, iffy for 10/22
PDEX = use us CORE.
Paul in FMG to discuss extensions.
|Friday||May 10||AM||Q1||Not meeting|