Stream: Da Vinci
Topic: Da Vinci PCDE
May Terry (Aug 28 2019 at 16:11):
For the Aug 28 and Sept 4 Virtual Connectathons:
- Virtual logistics: https://confluence.hl7.org/display/DVP/Payer+Coverage+Decision+Exchange+Virtual+Logistics
- PCDE Clinical User Stories: https://confluence.hl7.org/display/DVP/Payer+Coverage+Decision+Exchange+Use+Cases
- FHIR Server Endpoint: https://davinci-pcde-ri.logicahealth.org/
Mark Scrimshire (Aug 28 2019 at 16:16):
About to start up Conference call https://zoom.us/j/7036232789
Mark Scrimshire (Aug 28 2019 at 16:53):
Preparing a wrap up document. Google Link enables commenting on the PowerPoint: https://drive.google.com/file/d/1f4GbTAAAqdMRIFJu2lgA_ECRECxIA7Oe/view?usp=sharing
Mark Scrimshire (Aug 28 2019 at 17:14):
Great discussion about Patient id being provided to Old Health Plan. This works under Member Authorized exchange of a Coverage Transition. However, if exchange is done under the HIPAA Business Treatment and Operations rider then Plans would need to collect old coverage information during enrollment and then execute a coverage query to the old health plan to identify the Patient ID.
Mark Scrimshire (Aug 28 2019 at 17:15):
Should a common Coverage query to a Health Plan be defined in HREx?
May Terry (Aug 28 2019 at 17:23):
PCDE Bundle Example for the COPD/OSA Use Case can be read from the PCDE FHIR Server endpoint: https://davinci-pcde-ri.logicahealth.org/fhir/Bundle/1
Julia Skapik (Aug 28 2019 at 18:07):
MARK-- we can hear your call-- can you go on mute?
Mark Scrimshire (Aug 28 2019 at 18:33):
https://sandbox.hspconsortium.org/DVPDexR4Payer1/data-manager
Mark Scrimshire (Aug 28 2019 at 18:38):
https://api.logicahealth.org/DVPDexR4Payer1/open
Mark Scrimshire (Aug 28 2019 at 18:39):
https://sandbox.hspconsortium.org/DVPDexR4Payer1/apps
May Terry (Aug 28 2019 at 18:41):
Bundle-pcde-example-copd-osa.xml
May Terry (Aug 28 2019 at 18:51):
Example as JSON. Bundle-pcde-example-copd-osa.json
Mark Scrimshire (Aug 28 2019 at 18:56):
https://api.logicahealth.org/DVPDexR4Payer1/open/Bundle/16752
Mark Scrimshire (Sep 15 2019 at 15:09):
@Julia Skapik https://www.hl7.org/fhir/valueset-event-status.html
EventStatus in Communication:
Completed (CTD Returned)
ContentBundle
In-Progress (CTD Being Prepared)
ContentString
Not-done (No Patient Match)
ContentString
Stopped (No CTD)
Mark Scrimshire (Dec 11 2019 at 02:12):
I will be watching the Da Vinci PDEx /ePDx channel and the PCDE Channel to provide support remotely since I can't attend in person
Mark Scrimshire (Dec 11 2019 at 16:01):
At the Philadelphia Da Vinci Connectathon two questions were raised that each have two parts:
1.1 How does a Health Plan know where to send the communication request and also
1.2 How to identify that a request was from a legitimate sender
2.1 Does the old payer need to provide data they may have received from a previous payer? (In the case where the new payer is the third payer in the 5 year period
2.2 Who is responsible for getting data from the oldest payer?)
I am going to work on a Google Doc that attempts to address these questions and will post it here for comment.
Mark Scrimshire (Dec 11 2019 at 16:01):
Google Doc - still writing it: Da Vinci Payer Discovery and Query Issues - https://docs.google.com/document/d/1yhvT3lAwWTMTKcioTcyizyrqCuZa0BN8mJR7VbJMSE4/edit?usp=sharing
Mark Scrimshire (Dec 11 2019 at 17:33):
@Joe Minieri I have updated the Google Doc with some suggested guidance. I encourage comments!
Joe Minieri (Dec 11 2019 at 18:09):
I read through the document and it was pretty helpful. If I have any further questions or comments I'll let you know
Mark Scrimshire (Dec 12 2019 at 15:23):
@Nick Radov Thanks for your contributions to the Da Vinci Payer Discovery and Query Issues document. Your insights are extremely valuable . https://docs.google.com/document/d/1yhvT3lAwWTMTKcioTcyizyrqCuZa0BN8mJR7VbJMSE4/edit?usp=sharing
Cheryl Kanhai (Dec 16 2019 at 18:50):
Are there any Canadian insurance companies upgrading or upgraded to FHIR?
May Terry (Jan 08 2020 at 20:58):
The January 2020 CMS Connectathon Report-out slides are available for download here: https://confluence.hl7.org/download/attachments/66934078/2020-01_CMSConnectathon_PCDETrack.pptx?version=1&modificationDate=1578516883156&api=v2
Lloyd McKenzie (Apr 26 2020 at 03:32):
I've just put out a new release of the PCDE IG on the continuous integration build (http://build.fhir.org/ig/HL7/davinci-pcde/branches/master/index.html) that uses the Task-based approach to data retrieval for use at the upcoming connectathon. Feedback welcome.
Last updated: Apr 12 2022 at 19:14 UTC
