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Attendees: Bob Dieterle, Riki Merrick, Gary Bartlett, Nandini Ganguly, Zane, Hans Buitendijk, Pallavi Talekar, Briana Barnes


  • Introductions
    • Hans – OO Co-Chair
    • Riki – OO Co-Chair
    • Bob D – Enable Care – working for CMS and HL7 for 8 – 9 years – project lead for this Project
    • Gary Bartlett – PM at Birghttree – post acute space, home-health / hospice
    • Pallavi Talekar- EMDI Project Manager
    • Briana Barnes- EMDI Project Coordinator
    • Nandini Ganguly – EMDI Business Analyst
    • Zane Chotte – ?? – DME hub and home health ordering company
  • Overview
    • Post-acute ordering IG = still need to make an acronym (PAO or PAFO – F = FHIR) (Durable medical equipment and home health services)
      • Project page:
      • Ask at order Entry questions will those be covered – for example expected flowrate for oxygen?
        • Depends if that is counted as medication that may be too complex
        • PT/OT could be covered – or med administration training
        • CMS careplan DME areas should be supported, but for home health may have exceptions
      • For workflow task and subscription are needed
        • Why subscription?
      • Looking at the diagram slide:
        • Is the first is a message bundle?
          • Expected to be a POST of a transaction / message bundle
            • Will have to decide which one and document rationale (Lloyd's write up suggested not to use FHIR messaging)
          • Task resource contains "ORC-like" elements
          • Bi-directional eReferral is using FHIR messaging in order to treat the inbound queue
          • We used the same approach for prior auth
            • Using the claims profile to get the prior
            • We are using it as a request for authorization
          • In the first arrow – using the current R4 subscription resource, rather than the retrofit proposed for Argonaut to mimic topic resource
        • Assume subscription is a many to one approach
          • If using subscription the ordering system will have to go get the info about the update of the task resource – one additional transaction for each update
        • Spreadsheet review
          • ADD LINK TO THIS
          • ServiceRequest
            • OrderDetail – is not separate break down, but more info on the order
            • How do we describe the type of CPAP with 2 of this = will need to make an extension, but not on orderDetail (even though that is the term used in DME)
            • RelevantReview – may need different name, but is definitely
          • DeviceRequest is for the actual thing
        • Expected timeline for this project = balloting in Feb 2020
          • NIB deadline is 11/17 – Hans and Bob will work on this offline
          • Need to check when the IG needs to be substantively complete – per calendar think it is 11/17, but will follow up
  • Next Steps
    • Have listserve set up
    • will hold weekly calls
    • Get NIB approved

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