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About Pega Foundation for Healthcare 8.7

Updated on January 28, 2022

Pega Foundation for Healthcare 8.7 features an updated user experience that is based on Pega Platform 8.7 functionality. The key functional enhancements in this release include:

Pega Foundation for Healthcare Release Notes
  • 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.

  • Previous topic Pega Foundation for Healthcare 8.7 release notes
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