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  1. FHIR Specification Feedback
  2. FHIR-29651

Update IG based on FM feedback on 11/3

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • US CARIN Blue Button (FHIR)
    • current
    • Financial Mgmt
    • (NA)
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      • Remove the reference to Zulip as the comments on the guide
        • it will be removed
      • Changes from AHA - Terry Cunningham for NUBC codes
        • HTA is updating Confluence site.  The IG will be updated once HTA is complete.  Reference FHIR-29650 for HTA and UTG work.
      • Have conducted a QA between JIRA tickets to IG, not the IG to JIRA tickets (how are we going to do that)
        • Graham's comparison tool is  at too high of a level to provide a detail comparison.  To do:  reach out to Mary Kay (Mark)
      • Inpatient Profile: Must support is on type, not coding? Dave/Pat are going to review
        • MS should be on type.  IP should look like OP, PCN and Rx. 
      • If you don't have a DRG, then you don't need to provide anything below it. Slicing on the category. put the MS on the category.
        • MS will be put on the category for all supportingInfo
      • 2 different bags for extensions. modifier extensions change a fundamental meaning and you don't know what it is - stop and consider what you are going to do with it. extension doesn't change the fundamental meaning, don't need to save/understand it
        • CPCDS does not use this data element.  No change required.  
      • Coverage resource: slices - group and plan, both 1..1. That says you must always support a group and a plan. Is that the requirement? To be reviewed.
      • http://build.fhir.org/ig/HL7/carin-bb/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit,
        • cardinality for group and plan will be relaxed to 0..
      • What is
        EOB-inst-careTeam-practitioner: Institutional EOB: Careteam roles refer to a practitioner
        EOB-inst-careTeam-organization: Institutional EOB: Careteam roles refer to an organization
        • response:  The invariants should relate to the careTeam.  They will be moved down to the careTeam data element.  
      • Explain Identifier: Is this the CLAIM identifier or the EOB identifier?
        • It is the CLAIM identifier.  The description referencing EOB identifier will be removed.  
      • Carried in from base resource:
        • ? Medication Request/vision Request
        • Takes you to: http://hl7.org/fhir/R4/medicationrequest.html or the vision request 
        • Why are there tooth numbers on institutional?
        • Detail and sub-detail lines still have example code set bindings
          • Response:  CPCDS data elements are marked as MS.  It  is a characteristic of FHIR that all data elements from the base remain in the profiles.  Add notes to each profile calling out that fields not marked as MS or with cardinality of 1..1 are not relevant.  
      • Definition of Type of Bill: 
        •         
        • Description will be updated based on HTA Confluence updates.  
      • Display issues

      http://build.fhir.org/ig/HL7/carin-bb/Organization-OrganizationProvider1.html

      http://build.fhir.org/ig/HL7/carin-bb/Organization-Payer1.html

      http://build.fhir.org/ig/HL7/carin-bb/Organization-PayerOrgEx1.html

      http://build.fhir.org/ig/HL7/carin-bb/SearchParameter-explanationofbenefit-care-team.html

      Show
      Remove the reference to Zulip as the comments on the guide it will be removed Changes from AHA - Terry Cunningham for NUBC codes HTA is updating Confluence site.  The IG will be updated once HTA is complete.  Reference FHIR-29650 for HTA and UTG work. Have conducted a QA between JIRA tickets to IG, not the IG to JIRA tickets (how are we going to do that) Graham's comparison tool is  at too high of a level to provide a detail comparison.   To do:  reach out to Mary Kay (Mark) Inpatient Profile: Must support is on type, not coding? Dave/Pat are going to review MS should be on type.  IP should look like OP, PCN and Rx.  If you don't have a DRG, then you don't need to provide anything below it. Slicing on the category. put the MS on the category. MS will be put on the category for all supportingInfo 2 different bags for extensions. modifier extensions change a fundamental meaning and you don't know what it is - stop and consider what you are going to do with it. extension doesn't change the fundamental meaning, don't need to save/understand it CPCDS does not use this data element.  No change required.   Coverage resource: slices - group and plan, both 1..1. That says you must always support a group and a plan. Is that the requirement? To be reviewed. http://build.fhir.org/ig/HL7/carin-bb/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit , cardinality for group and plan will be relaxed to 0.. What is EOB-inst-careTeam-practitioner:  Institutional EOB: Careteam roles refer to a practitioner EOB-inst-careTeam-organization:  Institutional EOB: Careteam roles refer to an organization response:  The invariants should relate to the careTeam.  They will be moved down to the careTeam data element.   Explain Identifier: Is this the CLAIM identifier or the EOB identifier? It is the CLAIM identifier.  The description referencing EOB identifier will be removed.   Carried in from base resource: ? Medication Request/vision Request Takes you to:  http://hl7.org/fhir/R4/medicationrequest.html  or the vision request  Why are there tooth numbers on institutional? Detail and sub-detail lines still have example code set bindings Response:  CPCDS data elements are marked as MS.  It  is a characteristic of FHIR that all data elements from the base remain in the profiles.  Add notes to each profile calling out that fields not marked as MS or with cardinality of 1..1 are not relevant.   Definition of Type of Bill:           Description will be updated based on HTA Confluence updates.   Display issues http://build.fhir.org/ig/HL7/carin-bb/Organization-OrganizationProvider1.html http://build.fhir.org/ig/HL7/carin-bb/Organization-Payer1.html http://build.fhir.org/ig/HL7/carin-bb/Organization-PayerOrgEx1.html http://build.fhir.org/ig/HL7/carin-bb/SearchParameter-explanationofbenefit-care-team.html we're hearing that these began to manifest in other IGs in October.  Grahame said he would correct it.  See Zulip chat.   https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/Rendering.20of.20id.20and.20meta.20fields
    • Pat Taylor/Mark Roberts: 14-0-5
    • Correction
    • Compatible, substantive
    • Yes

    Description

      • Remove the reference to Zulip as the comments on the guide
      • Changes from AHA - Terry Cunningham for NUBC codes
      • Have conducted a QA between JIRA tickets to IG, not the IG to JIRA tickets (how are we going to do that)
      • Inpatient Profile: Must support is on type, not coding? Dave/Pat are going to review
      • If you don't have a DRG, then you don't need to provide anything below it. Slicing on the category. put the MS on the category.
      • 2 different bags for extensions. modifier extensions change a fundamental meaning and you don't know what it is - stop and consider what you are going to do with it. extension doesn't change the fundamental meaning, don't need to save/understand it
      • Coverage resource: slices - group and plan, both 1..1. That says you must always support a group and a plan. Is that the requirement? To be reviewed.
      • http://build.fhir.org/ig/HL7/carin-bb/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit,
        • What is
          EOB-inst-careTeam-practitioner: Institutional EOB: Careteam roles refer to a practitioner
          EOB-inst-careTeam-organization: Institutional EOB: Careteam roles refer to an organization
        • Explain Identifier: Is this the CLAIM identifier or the EOB identifier?
      • Explain Identifier: Is this the CLAIM identifier or the EOB identifier?
      • Carried in from base resource:
        • ? Medication Request/vision Request
        • Takes you to: http://hl7.org/fhir/R4/medicationrequest.html or the vision request 
        • Why are there tooth numbers on institutional?
        • Detail and sub-detail lines still have example code set bindings
      • Definition of Type of Bill: 
        •         
      • Display issues:

      http://build.fhir.org/ig/HL7/carin-bb/Organization-OrganizationProvider1.html

      http://build.fhir.org/ig/HL7/carin-bb/Organization-Payer1.html

      http://build.fhir.org/ig/HL7/carin-bb/Organization-PayerOrgEx1.html

      http://build.fhir.org/ig/HL7/carin-bb/SearchParameter-explanationofbenefit-care-team.html

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            taylorpatriciab Patricia Taylor
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              Created:
              Updated:
              Resolved: