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  1. FHIR Specification Feedback
  2. FHIR-27011

Define Payer Diagnosis Type Professional and Non Clinician Value Set

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    • Type: Change Request
    • Status: Published (View Workflow)
    • Priority: Highest
    • Resolution: Persuasive with Modification
    • Specification:
      US CARIN Blue Button (FHIR)
    • Raised in Version:
      0.1
    • Work Group:
      Financial Mgmt
    • Related Page(s):
      (NA)
    • Related Section(s):
      Terminology
    • Grouping:
    • Resolution Description:
      Hide

      Define Value Set:

       

      Defining URL: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProfessionalAndNonClinicianDiagnosisType
      Name: C4BBClaimProfessionalAndNonClinicianDiagnosisType
      Title: C4BB Claim Professional And Non Clinician Diagnosis Type
      Definition: Indicates if the professional and non-clinician diagnosis is principal or secondary
      Copyright: This Value Set is not copyrighted. 
      Logical Definition: This value set includes codes from the following code systems:
      ·       Include the code principal defined in http://terminology.hl7.org/CodeSystem/ex-diagnosistype
      ·       Include the code secondary defined in http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType
      Expansion: This value set contains 2 concepts
      Code Display Definition
      principal Principal Diagnosis The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment.
      secondary Secondary Required when necessary to report additional diagnoses on professional and non-clinician claims

      The Code System is the same as the one defined in FHIR-27010

      Show
      Define Value Set:   Defining URL: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProfessionalAndNonClinicianDiagnosisType Name: C4BBClaimProfessionalAndNonClinicianDiagnosisType Title: C4BB Claim Professional And Non Clinician Diagnosis Type Definition: Indicates if the professional and non-clinician diagnosis is principal or secondary Copyright: This Value Set is not copyrighted.  Logical Definition: This value set includes codes from the following code systems: ·       Include the code principal defined in http://terminology.hl7.org/CodeSystem/ex-diagnosistype ·       Include the code secondary defined in http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType Expansion: This value set contains 2 concepts Code Display Definition principal Principal Diagnosis The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment. secondary Secondary Required when necessary to report additional diagnoses on professional and non-clinician claims The Code System is the same as the one defined in FHIR-27010
    • Resolution Vote:
      Pat Taylor/Mark Roberts: 24-0-2
    • Change Category:
      Correction
    • Change Impact:
      Compatible, substantive

      Description

      Ballot feedback was that the Terminology Section of the IG requires a major overall, renaming the Value Sets and Code Systems and updating links.  Following is a recommended resolution for the diagnosis type for professional and non-clinician claims:

      1)  Define Value Set PayerDiagnosisTypeProfessionalAndNonClinician

      2)  Title:  Payer Diagnosis Type - Professional and Non-Clinician

      3) Description:  Indicates if the professional and non-clinician diagnosis is principal, secondary, or first-listed

      4) Value Set: http://hl7.org/fhir/us/ValueSet/payer-professionalandnoncliniciandiagnosistype  where values include the following codes from the Code System, http://hl7.org/fhir/us/CodeSystem/payer-diagnosis-type:  principal | secondary 

      5) The Code System is also used to source the following Value Set: Payer Diagnosis Type – Facility and Payer Present on Admission Type

      6)  Bind the ValueSet with binding strength required to the data element diagnosis  in the Professional and Non-Clinician Profiles

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              Assignee:
              Unassigned Unassigned
              Reporter:
              taylorpatriciab Patricia Taylor
              Request in-person:
              Patricia Taylor
              Watchers:
              1 Start watching this issue

                Dates

                Created:
                Updated:
                Resolved:
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