Chair: Mark Scrimshire

Scribe: Vanessa Candelora 

 

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Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

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



Call Structure & Name Changes



Call for Da Vinci Member leads for PDex Use Cases

If you are a Da Vinci member and interested in co-leading the PDex Use cases, please reach out to Vanessa Candelora  and Viet Nguyen 



Announcements

Save the Date: The final 2021 Community Roundtable will be held Wednesday Dec 8th at 4 pm ET. This replaces both the Nov & Dec roundtables. See Da Vinci 2021 Calendar



Preparing for HL7 January Connectathon

HL7 FHIR Connectathon (CST)   

January 10-12, 2022   •   Virtual Event

Register here: https://www.hl7.org/events/fhir/connectathon/2022/01/

Early Bird Registration through Saturday, December 04, 2021.  Online registration closes December 13. 

Confluence Event page:  2022 - 01 Connectathon 29 


Da Vinci summary- HL7 Virtual Connectathon - January 2022

Call for Testers! Particularly for PDex on:

  1. The inclusion of Prior Auth status and notice via EOB resource (do we have all the right elements? Incorporating examples)
  2. Payer-to-Payer B2B process


Plan net is going thru an update

 A profile has been developed based on the EOB

  • from prior auth IG and Carin Blue Botton IG. We want people to test the content. 
  • Connectathon looking at pay to payer business data please sign up for participation with testing


Mark: please sign up for the Connectahon

Early Bird Registration closes 12/4/21


Implementer Resources

See Supporting section below!


Today
Welcome

Than you Artem is on Edifacts  for joining the call

  •  Co leads for PDEX thank you for joining us

Implementer Support Questions

Bob : Any items to cover

  • The IG guides that we have difference from Jan PDEX and BR reduction. we will bring out of cycle to workgroup for feedback
  • We are debating on when to open sign up for the early may ballot and 30 days later the ballot will open we are finalizing the dates to b BR information to FM for CVS for their approval then to TSC  for approval
  • Please feel free to join the call for CDS and DTR





Continuing the discussion on Mutual TLS, UDap, and Consent. See notes from 11/19 and previously. 

Bob we are still working thru some of the issues directory and management consent , UDAP support.  we will join the call on Tuesday

TL: Is there a place for the Connectathon in Jan.  We have lots of things in the air

Bob: the approach will be avail in Jan

  • Join the UDAP call 
  • We have work flow considerations we can F/U next Friday

RD: do I need to come to the call?

Bob Yes, for the the UDAP consent.. I am interested to HREX perspective.









Chat: 

12:15 PM
Vanessa Candelora (Da Vinci PMO, POCP) to Everyone

I think it's this one: http://www.hl7.org/concalls/CallDetails.cfm?concall=56791

12:16 PM
Alex Kontur (ONC) to Everyone

2 pm ET

12:16 PM
Me to Everyone

http://www.hl7.org/concalls/Default.aspx?ref=nav

12:17 PM
Alex Kontur (ONC) to Everyone

It should be next week, second and fourth Tuesday of each month

12:18 PM
Vanessa Candelora (Da Vinci PMO, POCP) to Everyone

http://www.hl7.org/concalls/CallDetails.cfm?concall=56364 - correct link to 12/14 UDap call.


Next Week



 Adjournment

Adjourned at 12:25 pm






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 10/1/2021Recording of PDex Provenance Discussion 10/1/2021
Recording of PDex calls on 10/29Discussion on Provenance Source and Transmitter - Payer Authoring; Authorized Rep rather than Patient request process for consent, and more. 

Action items

  •  

Attendees - 

PresentNameAffiliation
PresentNameAffiliation
  •  
Onyx
  •  
Yukta BellaniEvernorth/Cigna
  •  


  •  
Gevity
  •  
MITRE
  •  
Alex Kontur 
  •  
HealthLX
  •  

  •  
MITRE
  •  
Bryan Briegel IBM Watson Health
  •  


  •  
Chris Johnson BCBSAL
  •  


  •  

  •  
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
  •  
Nehal Amin
  •  
Tom GrannanAzuba
  •  
Jason Teeple 
  •  
Vanessa CandeloraPOCP, Da Vinci PMO
  •  
Kat CobelNCQA
  •  
Joel Hansen



  •  
 Mark Neumuth Aetna
  •  
United
  •  
Michael RyanNCQA
  •  
Joseph Quinn SmileCDR
  •  
Rich Tallon
  •  
Jamie Stamps

  •  
 Ronald Wampler CVS Aetna Health
  •  
Muriel Brechner Evernorth
  •  
Craig Knier Change Healthcare
  •  
Jeff Brown MITRE, FM Co-Chair
  •  
@Dustin R Nides 
  •  
Christopher Gracon

  •  
Vernell Armstrong
  •  
Bob Bowman

  •  
Brett Atwood
  •  
Dale Brown

  •  

Tom Loomis

Evernorth
  •  
Grace StambaughOptum
  •  
Michelle BarryAvaility
  •  
Christopher Gracon 

  •  
POCP
  •  
Stephen RoordaIBM
  •  
Thomas Keane
  •  
Michelle Benz

  •  
Ujjawal Bhatnagar