Relevant technologies for CMS-0057-P and CMS-0053-P
summary
Lists which HL7 IGs are required for CMS-0057 (CARIN Blue Button, DaVinci PDX, PDEX formulary, PlanNet, PCDE, CRD, DTR, PAS) and the concrete tech you must implement: CDS Hooks for workflow initiation, ATREX member-match and coverage profiles for identity/coverage, CQL execution for questionnaire logic, bulk-data export and GraphDefinition for includes, and an X12 ↔ FHIR conversion path or CDX for prior auth attachments. Explains that newer IG versions are allowed if they preserve end-user access and notes DaVinci’s push to replace CMS‑0053 with CDX.
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chapters (10)
- 0:00Introduction
- 1:05CMS-0057 relevant APIs
- 6:22Blue Button API details
- 6:43PDX dependencies overview
- 8:47Drug formulary IG timeline
- 9:31PCDE API requirements
- 10:58Prior authorization tech
- 13:24Plan Net and dependencies
- 14:06CMS-0053 attachments update
- 14:52Q&A session








