Chair: Mark Scrimshire

ScribeVanessa Candelora

 

Create Decision from template

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."

Minutes Approved as Presented 



Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

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



Call Structure & Name Changes



Implementer Resources

See Supporting section below!


TodayDa Vinci Testing Event October 26-27, 2021

Click here for details. Reach out to the lead if you are interested. 

This is purely testing and very targeted, no education. 


Formulary - testing the whole IG with relationship changes, but also specific testing needs: 

  • Testing QuantityLimitDetail extension
  • More robust (real world scenario) search testing

Plan Net:

  • Testing more than the previous "snapshot" of active providers, need to test the status and active dates for providers getting added and ended (contract periods.) to support enrollment period changes and the CAA requirement for notification of changes within 48hours. 

PDex: 

  • B2B for Payer to Payer
  • The EOB format for Prior Authorization status and information in PDex. 




PDex Focus for testing. Dental and Vision Discussion. 

Updated focus for Payer to Payer on the B2b Approach and the moved the Dental and Vision changes out (less urgent and may not be needed)

May look at holding off on the mapping for Dental and Vision as it sounds like regulation on this may be later next year or beyond so we have time to focus on other priorities. 

Mark to reach out to Corey: Is there something unique in Dental and Vision that would have an impact on USCDI? Does the way CARIN is representing CPCDS warrant any changes needed in PDex? 







Formulary STU Update Progress update

See Recording of Formulary Tickets for STU 1.1.0 Overview

Stage for people to review:  https://build.fhir.org/ig/HL7/davinci-pdex-formulary/branches/stu-update-1.1/ 

  1. Formulary – STU Update - Approved by FMG and TSC! (DaVinci Formulary IG Publication Request)
  2. The 1.1.0 version of the IG is published!   See Versions here: http://hl7.org/fhir/us/davinci-drug-formulary/history.html 




PDex 

Recording of PDex Provenance Discussion 10/1/2021

https://miro.com/app/board/o9J_lxZlj_w=/

Review Homework from last week - review expanded Provenance Examples and share recommended improvements: http://build.fhir.org/ig/HL7/davinci-epdx/PDexProvenance.html#example-provenance-records





Cross PDex IGs Bulk data approach discussion

Last week we shared that the exploration of two approaches:

  1. PDex – This needs to use the $everything operation as in   /Patient/{ID}/$everything  with the _type parameter that names all of the required resources used by the IG since everything is scoped by the Patient
  2. Formulary and Plan-Net – I think these can both refer to the $export operation - https://hl7.org/fhir/uv/bulkdata/export/index.html#endpoint---system-level-export The IG’s could add a requirement to explicitly name the resources that are profiled in the respective IG.






Open Questions

1) Question on the Payer to Payer exchange mutual TLS and the UDap. 

See the Steps reviewed here:  http://build.fhir.org/ig/HL7/davinci-ehrx/consent-oauth.html

Need to add UDap process  in the Step 1. Retrieve Signed Certifications 

In step 1 you have:

  1. Established identity of each party to an authority.
  2. Agreed to a common trust framework. 



2) Questions on the example in Provenance. 

If encounter 61, then change the patient reference to match the internal Patient Identifier.  The de-duplication is tricky. 

See recording for full discussion: Recording 10/15 Provenance

If there is a need to retain the information as it was received and also have my own version of this record but recognize they are the same record, then we can use linkage. (i.e. not two MRIs, but two versions of the same MRI record)






As needed:



PlanNet/Directory

Focused on V2 (See Agendas for 2pm ET call)



FormularyFocused on V2 (See Agendas for 2pm ET call)

New Implementer Support / Questions








Chat: 









Next Week




 Adjournment

Adjourned at 12:53pm ET






Outline Reference

Supporting Document

Minute Approval
PDex Companion Guides

PDex IG Companion Guide List

PDex IG Companion Guide - Laboratory Reporting Resources

CARIN CPCDS to US Core Mapping

Latest draft CARIN CPCDS Mapping document: CARIN Mapping to FHIR interim 2020 0818 v2.xlsx

DRAFT - PDEX US Core Mapping from CPCDS source: ResourceMappingUSCoreCPCDS-2020-05-29-v26.xlsx

PDex - US Core
inter-relationship

Source PowerPoint: PDEXandUSCoreRelationship.pptx

Da Vinci is seeking answers to open questions and clarifications needed on the implementation and operational needs of the upcoming CMS Patient Directed API Rules.

Find initial questions and corresponding answers shared from our colleagues at CMS here

  • Links to Published IGs
Other Links:

Implementer Resources

Da Vinci Implementer Support Page 

Implementers can take advantage of tools: See the Reference links on the Payer Data Exchange (PDex) page to access links for Reference Implementations, sandboxes, test scripts, and more!

Da Vinci PDex for Patient Access API Frequently Asked Questions (FAQs)

CMS Final Rule Questions and Answers log

ONC FAST National Healthcare Directory (including end points) solution page that includes links to everything (solution doc, Connectathon, HL7 workgroup, etc.): https://oncprojectracking.healthit.gov/wiki/display/TechLabSC/National+Healthcare+Directory


For questions, reach out to us on Zulip:

Formulary STU 1.1.0 Overview

Formulary - Searching by DrugName.docx

Recording of Formulary Tickets for STU 1.1.0 Overview

Recording of PDex Provenance Discussion 10/1/2021

Recording of PDex Provenance Discussion 10/1/2021

Recording 10/15 Provenance 10/15/2021

Action items

  • Mark Scrimshire reach out to Corey: Is there something unique in Dental and Vision that would have an impact on USCDI? Does the way CARIN is representing CPCDS warrant any changes needed in PDex? 
  • Mark Scrimshire - Longer term Action Item from call on 10/15 to provide FAQ guidance on the de-duplication or linking options for payer to payer provenance record sharing.  see recording from 10/15 notes. 

Attendees - 27

PresentNameAffiliation
PresentNameAffiliation
  •  
Onyx
  •  
Yukta BellaniEvernorth/Cigna
  •  


  •  
Gevity
  •  
MITRE
  •  
Alex Kontur 
  •  
HealthLX
  •  

  •  
MITRE
  •  
Bryan Briegel IBM Watson Health
  •  


  •  
Chris Johnson 
  •  


  •  

  •  
Evernorth
  •  
Chetana Suresh IBC
  •  
Stanley Nachimson 

  •  
Jim Denyer IBC
  •  


  •  
Dave Shekar 
  •  
Mettle Solutions
  •  
Ezequiel Morales Evernorth/Cigna
  •  
Rachel E. Foerster

  •  
Todd GrinawayCBC
  •  
Versaggi Consultant
  •  
James Derrickson
  •  
BCBST
  •  
Jason Brito
  •  
Tom GrannanAzuba
  •  
Jason Teeple 
  •  
Vanessa CandeloraPOCP, Da Vinci PMO
  •  
Kat CobelNCQA
  •  
Joel Hansen



  •  
 Mark Neumuth 
  •  
United
  •  
Michael RyanNCQA
  •  
@joe quinnSmileCDR
  •  
Rich Tallon
  •  
Jamie Stamps

  •  
 Ronald Wampler CVS Aetna Health
  •  
Sarah scott

  •  
Craig Knier Change Healthcare
  •  
Jeff Brown MITRE, FM Co-Chair
  •  
@Dustin R Nides 
  •  
Anil N

  •  
@anthony Omosule
  •  
Bob Bowman

  •  
Brett Atwood
  •  
Dale Brown

  •  
BCBST
  •  
Grace StambaughOptum