60.0.1P2P Implementation Checklist

 

60.0.1.1Overview

This checklist outlines the key activities and discussions required to implement the Smile CDR Payer-to-Payer solution.

60.0.2Responding Payer Checklist

 

For implementations where Smile CDR software responds to Payer-to-Payer requests:

60.0.2.0.1Data Management

  • Assess current data availability and format
  • Determine storage architecture for P2P data
  • Plan data migration if necessary

60.0.2.0.2Registration and Security

  • Define registration workflow
  • Establish authentication mechanisms
  • Set up OIDC client definitions
  • Create Organization resources for business identity

60.0.2.0.3Patient Matching

  • Define demographic matching criteria
  • Implement custom matching scripts
  • Test matching accuracy
  • Handle edge cases and multiple matches

60.0.2.0.4Architecture and Operations

  • Design repository structure
  • Plan data flow between repositories
  • Configure FHIR Gateway if using multiple repos
  • Set up export orchestration

60.0.2.0.5Consent Management

  • Configure consent filtering capabilities
  • Define sensitive data categories
  • Implement consent evaluation logic
  • Set up consent storage

60.0.2.0.6Data Scope

  • Define data sharing boundaries
  • Implement access controls
  • Configure resource filtering
  • Validate export scope

60.0.2.0.7External Data Handling

  • Plan MDM (Master Data Management) strategy
  • Configure EID (Enterprise Identifier) generation
  • Set up data linking mechanisms
  • Handle provenance tracking

60.0.3Requesting Payer Checklist

 

For implementations where Smile CDR requests Payer-to-Payer exchanges:

60.0.3.0.1Data Management

  • Plan storage for imported data
  • Design DocumentReference storage strategy
  • Configure FHIR resource creation
  • Set up data lifecycle management

60.0.3.0.2Member Engagement

  • Design consent capture workflows
  • Implement member portal integration
  • Set up automated request triggers
  • Plan manual request processes

60.0.3.0.3Registration and Security

  • Create OIDC server definitions
  • Configure authentication methods
  • Manage key pairs and certificates
  • Establish Organization resources

60.0.3.0.4Monitoring

  • Set up Task resource tracking
  • Implement status monitoring
  • Configure error alerting
  • Plan performance metrics

60.0.3.0.5Data Retention

  • Define retention policies
  • Plan archival processes
  • Configure purge schedules
  • Implement compliance tracking

60.0.4Prerequisites Checklist

 

60.0.4.1System Requirements

60.0.4.1.1Networking Configuration

  • Smile CDR Network requirements met
  • Firewall paths whitelisted for P2P traffic
  • SSL/TLS certificates configured for secure communication

60.0.4.1.2License Key Installation

  • Premium license key obtained from Sales/Account Manager
  • License installed

60.0.4.2Module Configuration Checklist

60.0.4.2.1System to System Data Exchange Module

  • Module added and enabled
  • Patient identifier systems configured:
    • Reference System used by Target Patient
    • Responder Identifier System
  • Consent filtering settings configured
  • FHIR Storage module dependency added

60.0.4.2.2FHIR Endpoint Module

  • FHIR Endpoint configured or existing one verified
  • OpenID Connect Security enabled
  • SMART_OUT_SECURITY module added as dependency

60.0.4.2.3Persistence Module

  • FHIR endpoint URL set
  • Auto-Create Placeholder Reference Targets enabled
  • bulk_export enabled
  • Index missing search parameters enabled

60.0.4.2.4SMART Security Modules

  • SMART Outbound Security module configured
  • Federated OAuth2/OIDC enabled if using external IdP
  • Authentication scripts created
  • Token cache configured