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Relevant technologies for CMS-0057-P and CMS-0053-P

Talkat DevDays 2023 · 2023-06-06..06-09· [web-platform]
links:none on file
slides:none on file

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.

AI-written summary · about

  1. 0:00Introduction
  2. 1:05CMS-0057 relevant APIs
  3. 6:22Blue Button API details
  4. 6:43PDX dependencies overview
  5. 8:47Drug formulary IG timeline
  6. 9:31PCDE API requirements
  7. 10:58Prior authorization tech
  8. 13:24Plan Net and dependencies
  9. 14:06CMS-0053 attachments update
  10. 14:52Q&A session
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