Chair: Mark Scrimshire

Scribe: Katina Burrows 

 

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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

Propose cancelling the 2pm ET Meeting and keep the 12noon meeting for all things PDex, Formulary, and PlanNet. Let us know if you object!



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

Thank you for joining!

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/

 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

PlaNet

  • Continuing update

PDEX

  • Full PDEX suite will be tested at Connectathon
  • PDEX  is seeking testers for prior authorization status, please feel free to join
  • Also testing payer to payer and business to business process



Implementer Resources

See Supporting section below!


Today

Thank you Artem is on Edifacts  for joining the call

  •  Co leads for PDEX thank you for joining us

Change to meeting schedule going forwardPropose cancelling the 2pm ET Meeting and keep the 12noon meeting for all things PDex, Formulary, and PlanNet. Let us know if you object!

Meetings to be combined: 12 noon EST- No objections




Implementer Support Questions








Continuing the discussion on Mutual TLS, UDap, and Consent. See notes from 12/03 and previously. 
  • Work flow considerations 
  • HREX perspective?

Bob is currently working on UDAP support:

  • If it is a resource will be discussed on the UDAP call on the Tues January 14th , then more of an update next Friday
  • Mutual TLS Tdap discussion 
  • Connectathon will incorporate all the pieces 
    • Further discussion on the 17th
  • All three IG should be covered in next weeks session
    • Consolidate and change
  • Discuss in coordination meeting on Monday
  • 2pm for kick off








Chat: Ther may b

Bryan Briegel (IBM)To Everyone

I think that's a great idea to roll it back to noon

12:10 PM

Stephan Roorda (IBM) to Everyone

Questions: Will you read that out next Friday or should we join the UDAP call

Mark: If you have any opinions please call to take part in the discussion.

Tom (Evernorth) - Who has Bob been in discussing this with?

Vanessa: Viet and Bob are working on it until the discussions are solidified.

Tom: Is there a plan to have a directory at the Connectathon?

Mark; The scope of testing is still in review.

Tom: For Payers, it is not an ideal to go peer to peer

Mark: There may be a relatively small number of payers to do this with each other, May not be scalable further.

Tom: HREX IG is draft is the pal for the other IG''s cant reference a draft HREX.

LLoyd: HREX will have an updated version (balloted)on HREX, publish HREX release one in feb, stu updates on PDEX and they will point to official version of hrex-    Ballot in HREX in SEP, also STU update process for the other IGs.

Lloyd: HREX will be an STU IG with draft content but can be ref in regulation.

PDEX will be going to early May Ballot

Please test what we will be pointing to in PDEX at the Connectathon: Payer to Payer exchange and how that interacts with HREX

Tom: HREX is a dual purpose?

Lloyd: its the foundation for all  Da Vinci specs - to make it easy for the implementers.













Next Week

Next Meeting on12/17

12/24 - Cancelled

12/31- Cancelled

Implementers meeting- Please Join


STU Version of the guides consolidating meeting back to noon EST

 Adjournment

Adjourned at  12:26pm






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


  •  
Douglas DeShazo LexisNexis