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  1. FHIR Specification Feedback
  2. FHIR-30380

Allow state assigned DRGs in the DRG Value Set

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    Details

    • Type: Change Request
    • Status: Resolved - change required (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive
    • Specification:
      US CARIN Blue Button (FHIR)
    • Raised in Version:
      1.0.0
    • Work Group:
      Financial Mgmt
    • Related Page(s):
      (NA)
    • Grouping:
    • Resolution Description:
      Hide

      Update the IG as requested.

      This must be included or Medicaid payers will not be able to provide a DRG.

       

      Also add text to the guide to indicate that the intention of the extensibility to be for the inclusion of DRGs defined for use at a local level such as City, County, State.

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      Update the IG as requested. This must be included or Medicaid payers will not be able to provide a DRG.   Also add text to the guide to indicate that the intention of the extensibility to be for the inclusion of DRGs defined for use at a local level such as City, County, State.
    • Resolution Vote:
      Pat Taylor/Mark Roberts: 21-0-1
    • Change Category:
      Correction
    • Change Impact:
      Compatible, substantive
    • Applied for Version:
      current

      Description

      The binding strength for the ValueSet-CMS-MS-3M-AP-APR-DRG for data element supportingInfo[drg].code is bound as Required.  This does not allow the use of state assigned DRGs.  Change the binding to Extensible.  

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            Assignee:
            Unassigned Unassigned
            Reporter:
            taylorpatriciab Patricia Taylor
            Watchers:
            2 Start watching this issue

              Dates

              Created:
              Updated:
              Resolved:
              Vote Date: