1. Da Vinci eHealth Record Exchange Electronic Payer Data Exchange
Mark Scrimshire, Newwave.io
Lenel James, BCBSA
January 16, 2019

2. eHRx Framework eHRx electronic Health Record exchange Framework DEQM
Data Exchange for Quality Measures
Framework plus specific measure content guidance
(Colon Cancer Screening)
eCDx
electronic Clinical Data exchange
ePDx
electronic Payer Data exchange

3. Framework Implementation Guide
eHRx
Framework Implementation Guide
Interactions
Other Artifacts
FHIR Profiles

4. ePDx Information Sources and Flows

5. ePDx Implementation Guide
Exemplar Use Cases
Based on FHIR R4
Back ported to STU3/DSTU2
Use Existing Profiles (where defined) as starting point:
US Core
DeQM (Coverage)
Argonaut
Define Da Vinci Profiles for US Core Resource Gaps
Identify base data set for inclusion and define as Da Vinci ePDx profiles
Coordinate with CARIN BB2.0 initiative for data subset and common value/coding sets
New Patient (PCP)
Encounters
Medications
Allergies
Practitioners
Care gaps
New Patient (Specialist)
Similar to PCP
Returning Patient
Filtered version of New Patient
Date bound
Exclude requesting Organization/Practitioner
Content Focused

6. Address the 5 W’s for each use case
FHIR Resources
Address the 5 W’s for each use case
Who
Patient
Care Team
What
CarePlan
ADT
CareGaps
When
Encounter
Period of Service
Where
Organization
Location
Why
Observation
Condition
Business Functional Data

7. DRAFT Project timeline, where work is happening in HL7 RFC Ballot
Ballot: May 2019
Submit: Apr 2019
WG Review: Mar 2019
STU2 Ballot
Ballot: Sep 2019
Submit: Aug 2019
WG Review: Jul 2019
DRAFT