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Track Announcements and Schedule

Balloted IG (STU1): http://hl7.org/fhir/us/carin-bb/2020Feb

CI Build IG (STU1 0.3.1): https://build.fhir.org/ig/HL7/carin-bb/index.html

Track Orientation: https://confluence.hl7.org/pages/viewpage.action?pageId=91981728

Participant Tracker: https://bit.ly/CARIN-API-Event

Latest (Interim) IG Materials: https://confluence.hl7.org/pages/viewpage.action?pageId=91983189

Track Report Out: https://confluence.hl7.org/display/CAR/CARIN+IG+for+BB+Track+Implementathon+Report+Out


Wednesday August 19

  • 11:30 AM ET - 3:30 PM ET: Testing
  • 11:30 AM ET: Check-In Mark Roberts Amol Vyas
    • General housekeeping
    • Track Material Review
  • 12:00 PM ET - 1:00 PM ET: Ask the IG Leads Anything - Patricia Taylor Amol Vyas 
    • Address Q/A from yesterday's CARIN BB overview session
    • Other
  • 1:00 PM ET - 1:30 PM ET: Google Cloud Healthcare CARIN FHIR APIs - Dharmesh Patel
  • 1:30 PM ET - 2:00 PM ET: OnyxHealth SaFHIR Demo - Aaron Seib Michael Cox
  • 2:30 PM ET: Track Report Out - Mark Roberts Amol Vyas
  • 3:30 PM ET - 4:45 PM ET: Implementathon Wrap-Up


Track overview

Short Description

Real-world testing of the CARIN Consumer Directed Payer Data Exchange (CARIN IG For Blue Button®)

Long Description

The CARIN Alliance Health Plan Workgroup was organized to develop a FHIR-based API that could be sent to a consumer-facing application and was designed to answer the challenge for health plans to ‘meet or exceed’ the CMS Medicare Blue Button 2.0 capabilities. The CMS Medicare Blue Button 2.0 project provides over 53 million Medicare fee-for-service beneficiaries access to their electronic claims information.

The CARIN Consumer Directed Payer Data Exchange Implementation Guide (CARIN IG For Blue Button®)  was balloted in December for STU and comments are currently being addressed and resolved. Updates to the IG are being made to the continuous build once voted on and approved by the HL7 Financial Management Work Group.

The objectives of this track are: 

  • Test and gather feedback on the Implementation Guide
  • Identify gaps or errors

Type

  • Test an Implementation Guide

Submitting Work Group/Project/Accelerator/Affiliate/Implementer Group

Financial Management WG

Proposed Track Lead

Amol Vyas - amol.vyas@cambiahealth.com (zulip)

Mark Roberts (co-lead) - mark.roberts@leavittpartners.com (zulip)

Related tracks

The target audience for CDPDE API development will include payer organizations who may also be involved in the various DaVinci Tracks at the Connectathon.

FHIR Version

  • FHIR R4

Specification(s) this track uses

CARIN Consumer Directed Payer Data Exchange (CDPDE) IG (PSS, STU1, CI)

Artifacts of focus

(Interim) IG Materials

Expected participants

https://bit.ly/CARIN-API-Event

Zulip stream

Zulip stream

Track Orientation

Track Orientation

Track details

System Roles

Role 1 Sandbox API Server

Role 2 Sandbox API Client


Scenarios

Scenario: Sandbox user retrieves EOBs from the Sandbox server using the Client

Action: Sandbox user receives the access and refresh tokens from the Sandbox server and calls the EOB endpoint

Precondition: Sandbox user is logged into the Client

Success Criteria: The client retrieves the user's EOBs and renders them on the UI

Bonus point #1: On expiration of the access token, the app uses the refresh token to get new access and refresh tokens

Bonus point #2: The Server exposes search criteria (link) for selecting the EOBs and the client uses search parameters to select and retrieve the EOBs.

Bonus point #3: For a Server supporting _include, the resource instance included in the search response should match the instance from a separate read/vread on that resource's reference.


TestScript(s)

TBD

Security and Privacy Considerations

As per the guidance in the IG.


Reference Materials



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