Patient Data Exchange (Da Vinci project; PSS in Confluence)

Description

This PSS will focus on closing the loop with patients direct involvement with home treatment. This will include, but not be limited to:

1) reporting the receipt and use of home equipment

2) reporting the success or failure of prescribed treatments/interventions

3) reporting the measurements taken by monitoring devices

The intended source of the information is from smart phone applications and certain appropriately equipped devices.

Payers and providers need information on the deliver, use and treatment success for ordered devices and services. This will close the loop with the patient to ensure that the ordered/prescribed devices/treatments were delivered, used and effective. The failure to have the devices delivered and or used can have significant care implications and the early determination of effectiveness is critical to early modification of treatment to address urgent and chronic conditions.

This IG will define one or more simple exchange methods between patients and their responsible provider and payers.

This project will reference, where possible the "standards" defined by the Health Record exchange (HRex) Library/Framework Implementation Guide which in turn will utilize prior work from Argonaut, US Core and QI Core effort for FHIR DSTU2, STU3, and R4 where appropriate.

The ultimate goal is to support the exchange of patient data to the responsible payer and provider in real-time to allow effective clinical and admonitive decision making..

he project team plans to work with existing FHIR artifacts where possible. If changes are necessary, the project team will work with the responsible Work Group to review and implement (via tracker items or new PSS) any necessary enhancements to base FHIR resources, extensions, and/or profiles.

Misc Notes
2024 April: TSC approved STU Extension Request for DaVinci PDEX Plan Net 1.1.0 for 2 years 2022 February: TSC approved STU Extension and Unballoted STU Update Publication Request for HL7 FHIR Implementation Guide: Payer Data Exchange (PDex) Payer Network, Release 1 - US Realm for two years 2020 Feb: JLyle provided updated target dates. External Vocabularies: HCPCS, SNOMED, CPT, ICD, RxNorm, LOINC For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to? R4, STU3, DSTU2 Other Stakeholders and Providers: Federal Healthcare Agencies (e.g. CMS), Providers (e.g. Physicians)