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Objective:

Support the real-time exchange of alerts that impact patient care and value based or risk based services.

Define the technical aspects of the data exchange and create a framework for alerting/notifications related to patient care.


Workflow (click on the image to enlarge it)



Benefits

  • Increases communication between provider and payer teams about patients in at risk contracts
  • Creates trigger to activity with a particular patient
  • Reduces need for rework of services and/or, improves safety by providing opportunity to share critical payer data to caregiver
  • Improves quality of information shared by using FHIR standard

Sponsoring Workgroup: Infrastructure And Messaging Work Group

Unsolicited Notifications Implementation Guide:

STU1 Ballot Reconciliation:

Reference Implementation:

Da Vinci Notification Sender Simulation: (Client Facade to simulate Sender) at: http://ehaas.pythonanywhere.com/

Test Scripts: Touchstone_DaVinciNotification_Scripts

Zulip Channel: https://chat.fhir.org/#narrow/stream/205917-Da-Vinci.20Alerts

Conference Call Sign Up

HL7 Conference Call Center

Da Vinci Conference Call Sign Up Instructions


Conference Call Schedule & Dial-Ins

Wednesdays at 12pm Eastern

Please join my meeting from your computer, tablet or smartphone.

https://global.gotomeeting.com/join/663817509

You can also dial in using your phone.

United States: +1 (571) 317-3122

Access Code: 663-817-509

Project Milestones

Milestone

Timeframe

Publish IG STU1

Oct 2020
Begin IG advancement phase 2 (STU2)Oct/Nov 2020
Ballot Project Milestone Goals coming soon.H2 2021

 See below for historical milestones met

Notifications Team:

RoleName OrganizationEmail 
Project LeadUlrike MerrickVernetzt, LLCrikimerrick@gmail.com
Implementation Guide LeadEric HaasHealtheData INC

ehaas@healthedatainc.com

Reference Implementation Co-LeadHealthLX

stephen.hollifield@healthlx.com

Reference Implementation Co-LeadDmytro HasilinHealthLXdmytro.hasilin@hevelian.com
Business Process SMELinda MichaelsenOptum

linda.michaelsen@optum.com

Program ManagerJocelyn KeeganPoint of Care Partnersjocelyn.keegan@pocp.com
Technical DirectorDr. Viet NguyenStratametrics vietnguyen@stratametrics.com 
Project ManagerVanessa CandeloraPoint of Care Partnersvanessa.candelora@pocp.com 

Historical Milestones Met:

May2019 Jun Jul Aug Sep Oct Nov Dec Jan2020 Feb Mar Apr May Jun Jul Aug Sep
STU1 Milestones
Continuous Improvement

Requirements

IG Development

Reference Implementation

STU Ballot (Feb2020)

Ballot Reconciliation

Connectathon

Connectathon

Connectathon

Connectathon

Tentative Target: STU Ballot Round 2


Framework:

ScenarioAssociated Domain Expertise WG related existing FHIR IGsProjected timeline for WGInterested parties
Encounter/Visit Notification (Admit/Discharge)PAnoneFeb 2020 ballot
ImmunizationsPH


Public Health NotificationPHeCR <ADD LINK>

Birth/DeathPHVital Records etc <ADD LINK>

ReferralPH, PCBeSR <ADD LINK>

Lab ResultsOO, PH (reportable results)US Realm Lab Result <ADD LINK>

Ordered Device/Biometric/Patient (i.e. Fit Bit)OO


Problem with Treatment – such as drug recall, device recall/issuePharmacy


Treatment Start/EndPharmacy


Pharmacy (Pickup, Restock, Dispense)Pharmacy


Notification of New ConditionPC?


Changes in Care TeamPA?, PC?


Scheduled Appointment/Pre-AdmitPA


Change in Social Determinants of HealthPA?, PC?, PH


Work Comp Initial/Visits/ServicesFM?, PH, PC?


Coverage Start/EndFM


Notification of Prior Authorization (Pended to Approved/Denied)FM


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