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Chair:  Ulrike Merrick

Scribe: Dana Marcelonis
 

Attendees


Present

Name

Affiliation

  •  
Enablecare
  •  
Viet NguyenStratametrics
  •  
Ulrike MerrickVernetzt, LLC 
  •  
Anupam ThakurBCBSFL
  •  
Corey SpearsInfor
  •  
BCBSAL
  •  
Casenet
  •  
Holly WeeksRegence
  •  
Jeffrey DanfordAllscripts
  •  
Joseph QuinnOptum
  •  
Laurie BurckhardtWPS Health Solutions
  •  
Lindee ChinEdifecs
  •  
Lisa R. NelsonMaxMD
  •  
Linda MichaelsenOptum
  •  
Mark TaylorReady Computing
  •  
Peter Muir
  •  
Rajesh GodavarthiMCG Health
  •  
Samir JainReady Computing
  •  
Sreenivas MallipeddiMCG Health
  •  
Susan BellileAvaility
  •  
Susan LangfordBCBST
  •  
Tony BensonBCBSAL
  •  
Yan WangMaxMD
  •  
Jeanie SmithBCBSFL
  •  
Rachel E. FoersterCAQH Core
  •  
Mary Kay McDanielCognosante
  •  
Greg LindenLinden Tech Advisors
  •  
Eric Haas
  •  
Anthem
  •  
Dawn PerreaultBCBSM
  •  
Jennell Stewart
  •  
Kat RuizUNC Health
  •  
Michael GouldIBC
  •  
Tony Laurie
  •  
Karen L. ZapataAnthem
  •  
Ann GallagherOptum
  •  
eClinical Works
  •  
Frank HoneVeradigm
  •  
BCBS AL
  •  
Lynn PerrineLantana
  •  
Nancy BeavinHumana
  •  

  •  
Ralph Saint-PhardHealow
  •  
Serafina Versaggi
  •  
Seth ParadisHealow
  •  
Sheryl TurneyAnthem
  •  
Todd Johnson
  •  
Julie MaasEMR Direct
  •  
Duane WalkerBCBSM
  •  
Epic
  •  
Jennifer CurryRegence
  •  
Regence
  •  
David DeGandiCambia
  •  
Cigna
  •  
Kate ReesCambia
  •  
TIBCO
  •  
UHC
  •  
Ric LIghtHumana
  •  
TorQuailla AultmanNC.gov
  •  
Chris JohnsonBCBS AL
  •  
Cigna
  •  
Anna MeisheidCMS
  •  
Gino Canessa
  •  

  •  
Scott Stuewe
  •  
HealthLX
  •  
HealthLX
  •  
Roland Gamache

Minutes Approved as Presented 


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy



Ballot and Connectathon Schedule
  • STU ballot in September
    • Jun 30th -- NIB
    • Jul  14rd – Initial content
    • Jul 21st - Ballot QA Period Starts
    • Aug 4th – Final content
    • July 8th - Ballot sign up starts
    • Aug 9th – ballot voting starts
    • Sept 9th – ballot voting ends
  • HL7 Connectathon (Atlanta) - September 14-15



  • Talking to Mike slides:
    • Appropriateness of subscription for the patient – timeliness of delivery, source of the subscription, tech details for endpoint, security are all pre-conditions Mike to forward the security language paragraph Jenny sent to him to Riki
    • Samir to send source file for slide 9 to Eric
  • Vocab for Communication.topic
    • Will make definitions for all of these
    • Create a table for topics to define the payload for the communication – done
    • Can the alert track where they came from – ER, hospital, clinic?
    • Encounter has admit-source in encounter, with valueset admitSource (preferred binding).
      • Looks like this value set uses NUBC codes, but this is not the full set and not the code that would be in a message; as these codes are proprietary so the FHIR group made their own codes, since they need to be licensed; since this US realm, we should point to NUBC
    • Discharge disposition value set is similar case (example) => PV1-36
    • Patient Status => PV1-20 are also NUBC?
    • Does the vocab for topic need to include the location?
    • Does the vocab for topic need to track the history – from ER to OBS to Inpatient?
      • Encounter has origin reference to location resource
        • Payor: will get encounter resource in Admit_ER, then same encounter resource in Admit_Inpatient with the same encounter
          • in V2 = A04 for the ER admit, A08 for ER to OBS is just update message and ER to inpatient is A06 [someone please check me on tis one]
        • In ADT use Admit PV1-6 = prior patient location (A02) to know where the patient is coming from
        • Origin can point to organization (external) and location (internal)
        • Admit source and Discharge Disposition are using NUBC values set – need to work out proprietary / license issues here!
        • If discharge to LTC, then need the facility
        • Admit source still has something missing in ADT – can we keep the train of the encounters?

Chat Log  

Julie Maas (to Everyone): 9:24 AM: General question: is the push example intended to narrow this use case from general use of FHIR Subscriptions which have other push options such as email (Direct message)?

Eric Haas (to Everyone): 9:39 AM: all other Distribution beyond FHIR Endpoints (e.g. SMS, email) are out of scope for this version

Karen Zapata (to Everyone): 9:46 AM: Deceased is a discharge disposition

Mark Taylor (to Everyone): 9:46 AM: Ok thanks

Karen Zapata (to Everyone): 9:47 AM: Plus I would think this is a death indicator in the person/patient

Serafina Versaggi (to Everyone): 9:51 AM: Patient resource has a Boolean deathIndicator; not Person

Karen Zapata (to Everyone): 9:51 AM: Discharge to Home is a disposition too. 

Serafina Versaggi (to Everyone): 9:53 AM: interestingly enough, Practitioner does not have a deceased flag either (and there was dicussion on previous Davinci calls about what to do if a payer learns a provider is deceased when on a particular care team (I think that was contest of discussion). 


ManagementNext Agenda

Adjournment
Adjourned at 

Supporting Documents

Outline Reference

Supporting Document

Minute Approval
7/10 Presentation Materials with post-meeting updatesDa Vinci Presentation 20190710Alerts-Notification.pptx
FHIR Subscription Presentationhttps://docs.google.com/presentation/d/1FyX_6Nx1_NStXwJkgQ_ujSo_qf0ELQ9LNtrtpbb5Kpg/edit?usp=sharing
Draft Alert Data Mapping - Communication & Detected IssueAlerts/Notifications Mapping
Page to collect Data Element RequirementsAdmit / Discharge Alert Requirements
Page to collect Glossary TermsAlerts/Notifications Glossary Terms


Action items


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