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  1. FHIR Specification Feedback
  2. FHIR-31411

Add a clearer description of EOB related.reference

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    • Change Request
    • Status: Resolved - change required (View Workflow)
    • Medium
    • Resolution: Persuasive
    • US CARIN Blue Button (FHIR)
    • 1.0.0
    • Financial Mgmt
    • C4BB Explanation Of Benefit
    • Hide

      Add description for the related element in base ExplanationOfBenefit profile

      .related:  Adjustment requests are used to change an original ExplanationOfBenefit information. The original payment can be increased or decreased, billed units can be changed, or other changes may occur. ExplanationOfBenefit.related captures the identifier of the prior / new ExplanationOfBenefit. 

      If the current adjusts a prior ExplanationOfBenefit, .related.reference = the prior __ ExplanationOfBenefit identifier and related.relationship value = 'prior'. 

      If the current ExplanationOfBenefit has been adjusted; related.reference = the ExplanationOfBenefit.identifier of the adjusting ExplanationOfBenefit and related.relationship value = 'replacedby'.   

      The .related.reference contains the identifier of the immediately preceding or following ExplanationOfBenefit, not the first or last.

      Show
      Add description for the related element in base ExplanationOfBenefit profile .related:  Adjustment requests are used to change an original ExplanationOfBenefit information. The original payment can be increased or decreased, billed units can be changed, or other changes may occur. ExplanationOfBenefit .related captures the identifier of the prior / new ExplanationOfBenefit.   If the current adjusts a prior ExplanationOfBenefit , . related.reference = the prior  __  ExplanationOfBenefit identifier and related.relationship value = 'prior'.   If the current ExplanationOfBenefit   has been adjusted ;   related.reference = the ExplanationOfBenefit.identifier of the adjusting   ExplanationOfBenefit and related.relationship value = 'replacedby'.     The . related.reference contains the   identifier of the immediately preceding or following ExplanationOfBenefit, not the first or last.
    • Corey Spears /Pat Taylor: 10-0-0
    • Clarification
    • Non-substantive

    Description

      The meaning of this element and how it relates to another EOB or object is not completely clear. Please provide more guidance on what this element is meant to convey and how it should be populated (including sub-elements needed)

      https://build.fhir.org/ig/HL7/carin-bb/StructureDefinition-C4BB-ExplanationOfBenefit-definitions.html#ExplanationOfBenefit.related.reference

       

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            corey_spears Corey Spears
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              Updated:
              Resolved: