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Good Afternoon,

We have posted the CARIN IG track recordings for the various sessions here:

Kick Off

https://youtu.be/mtKsnfyswyg

Ask the IG Leads Anything

https://youtu.be/iZUO-OW-U_U  

Client Application Feedback and Aegis Touchstone Overview & Q/A

 https://youtu.be/_LwW8gv6__c

CMS Question/Answer Session

https://youtu.be/uVC_5oh-Jv8

Track Announcements and Schedule

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

CI Build IG (STU1 0.1.8): 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/35nUJtM

Latest (Interim) IG Materials: https://confluence.hl7.org/display/CAR/Materials

Track Report Out: See below.


Please monitor the track page for the latest schedule here:

Wednesday, October 28

  • 2:45-3:30 pm ET CARIN IG for BB Overview

Thursday, October 29

  • 11:00 -11:30 AM Kick off
  • 11:30 AM - 12:30 PM Ask the IG Leads Anything
  • 12:30 - 1:00 PM Lunch
  • 1:00 - 2:00 PM Client Application Feedback
  • 2:00 -2:30 PM Aegis Touchstone Overview & Q/A
  • 2:30 - 3:00 PM CMS Question/Answer Session
  • 3:00 - 3:30 PM Track Participant Feedback/Demos/Prepare Report Out



Information Session

We held an information session on Thursday 11/22. The slide deck can be found below and a recording of the info session can be found here: https://leavittpartners.zoom.us/rec/share/t15BCbpWDrSxhVkDvnMBL4YXjdaDz6Yi_LRyK4la0RjM6ZH19NSJjxmjgP_RZ4YR.AAUd4GbcK3XOKcog

Access Passcode: 3w$BpLe+

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/35nUJtM

Zulip stream

Zulip https://bit.ly/34krcli

Track Orientation

Track Orientation

Track details

System Roles

Role 1 Sandbox API Server

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 #1: The server returns resources that are compliant with CARIN BB Profiles
  • Success Criteria #2: Server is compliant with SMART App Launch [Stand alone mode] framework
  • 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)

Aegis Touchstone  { in development }

Security and Privacy Considerations

As per the guidance in the IG.


Reference Materials


Aegis Test Scripts Onboarding

Report Out

Summary

  • The track held several sessions to answer questions related to the IG.


Participants (apologies if I missed anyone)

Cambia

Capital Blue Cross

MaxMD

Arcweb Technologies

Cigna

BCBST

Humetrix

Aegis

 

Notable Achievements

  • Aegis Touchstone provided an overview of the test scripts that they developed and held a Q/A session.
  • The track held a “Ask the IG Leads Anything” session, where the participants were able to ask the track leads a number of questions. These questions and answers will be posted on the CARIN Confluence Q&A/Wiki page.
  • CMS also joined the track to answer questions from attendees.

                                                                

Discovered Issues

  • N/A


Next Steps

  • Hold a session for SMART App Launch framework Q&A
  • Hold a session to discuss a trusted app registry.
  • Hold a discussion around creating mature synthetic data generation capability (ex: through Synthea).
  • We hope to continue the discussion through Zulip and will set up additional info sessions to continue the discussion.


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