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  1. FHIR Specification Feedback
  2. FHIR-34009

Add Oral ExplanationOfBenefit profile

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Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US CARIN Blue Button (FHIR)
    • 1.1.0
    • Financial Mgmt
    • C4BB Explanation Of Benefit
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      Add Oral EoB Profile based on the Professional and Non-Clinician EoB with the following differences:

        Supporting Info:
          Orthodontics (Quantity, with description of Months of treatment)
          Prosthesis (boolean, with guidance indicating true means replacement)
           Additional Body Site (CodeableConcept Tooth Number ADA Universal Numbering System or Area of Oral Cavity Code) (with description that bodySite is to be used for the first site)
          Missing Tooth Number (CodeableConcept ADA Universal Numbering System)

        Item

          Product or Service (CodeableConcept CDT, with proper procedure ValueSet identified if possible)

         Modifier (CDT, with proper modifier ValueSet identified if possible)

          bodySite (CodeableConcept Tooth Number ADA Universal Numbering System or Area of Oral Cavity Code) MS (with description that bodySite is to be used for the first tooth)

          subSite (SurfaceCodes, CARIN Defined ValueSet removing V and adding F for Facial) 

         diagnosis change to 0..* MS

      Add Invariants

      • Add invariant requiring all additionalBodySite slices to be referred to by at least one item.
      • Add invariant when a subsite (surface) is present a tooth number must be included in bodySite or supportingInfo[addtionalBodySite]
      Show
      Add Oral EoB Profile based on the Professional and Non-Clinician EoB with the following differences:   Supporting Info:     Orthodontics (Quantity, with description of Months of treatment)     Prosthesis (boolean, with guidance indicating true means replacement)      Additional Body Site (CodeableConcept Tooth Number ADA Universal Numbering System or Area of Oral Cavity Code) (with description that bodySite is to be used for the first site)     Missing Tooth Number (CodeableConcept ADA Universal Numbering System)   Item     Product or Service (CodeableConcept CDT, with proper procedure ValueSet identified if possible)    Modifier (CDT, with proper modifier ValueSet identified if possible)     bodySite (CodeableConcept Tooth Number ADA Universal Numbering System or Area of Oral Cavity Code) MS (with description that bodySite is to be used for the first tooth)     subSite (SurfaceCodes, CARIN Defined ValueSet removing V and adding F for Facial)     diagnosis change to 0..* MS Add Invariants Add invariant requiring all   additionalBodySite   slices   to   be   referred to   by   at least one item. Add invariant when a subsite (surface) is present   a tooth number must be included in   bodySite   or   supportingInfo [addtionalBodySite]
    • Corey Spears / Mark Roberts : 10-0-0
    • Enhancement
    • Compatible, substantive

    Description

      Add Oral EoB Profile based on the Professional and Non-Clinician EoB with the following differences:

        Supporting Info:
          Orthodontics (Quantity)
          Prosthesis (boolean)
          Tooth Number (CodeableConcept ADA Universal Numbering System)
          Missing Tooth Number (CodeableConcept ADA Universal Numbering System)

        Item

          Product or Service (CodeableConcept CDT)
          

         

         

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            corey_spears Corey Spears
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            Dates

              Created:
              Updated:
              Resolved: