• Healthcare Interoperability
  • Published 4 new and 1 updated FHIR clinical service APIs to support 2021CMS Interoperability mandate for enabling patient access to clinical data. FHIR clinical service APIs include:
    • Condition
    • Allergy intolerance
    • Observation
    • Document reference
    • Patient (updated)
  • Enabled multi-source configuration in data pages to dynamically call internal and external APIs.
• Drug Data Management
  • Created prescription drug and formulary data model
  • Re-located RxNorm ruleset to the PFHC core layer
• Appeals and Grievances
  • Enhanced Organization Determination workflow to include prescription drug and formulary cases.
  • Enhanced CMS Part C Organization Determination Appeals & Grievances (ODAG) and Part D Coverage Determination Appeals & Grievances (CDAG) reports.
  • Enhanced Appeals and Grievances workflows, including updated display of claim/authorization UI.

For more information and a list of additional documents available for this release, see the Pega Foundation for Healthcare product page.

For a complete list of new Pega Platform features, see the Pega Platform Release Notes.