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  1. FHIR Specification Feedback
  2. FHIR-34428

Missing Search Parameter for Inpatient EOB

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US CARIN Blue Button (FHIR)
    • 1.2.0
    • Financial Mgmt
    • C4BB ExplanationOfBenefit Inpatient Institutional
    • Search Parameters
    • Hide
      1. Update 7.9.1 service date search parameter as follows:
        a)Update the description replacing the current description with the updated description

      Current description:

      description: Date of the service for the EOB. The service-date search parameter simplifies search, since a client doesn't need to know that for inpatient and outpatient institutional EOB dates they need to search by billablePeriod.period.start, for a pharmacy EOB by item.servicedDate, and for a professional and non-clinician EOB - by item.servicedPeriod.period.start.

      Updated description:

      description: Date of the service for the EOB. The service-date search parameter simplifies search, since a client doesn't need to know that for inpatient and outpatient institutional EOB dates they need to search by billablePeriod, for a pharmacy EOB by item.servicedDate, for a professional and non-clinician EOB - by item.servicedPeriod and for an oral EOB – by item.servicedPeriod

       

      2. Update 7.10.1 service start date start search parameter as follows:

      Update the description replacing the current description with the updated description

      Current description:         

      description: Starting Date of the service for the EOB. The service-start-date search parameter simplifies search, since a client doesn't need to know that for inpatient and outpatient institutional EOB dates they need to search by billablePeriod.period.start, for a pharmacy EOB by item.servicedDate, and for a professional and non-clinician EOB - by item.servicedPeriod.period.start.

      Updated description:

      description: Starting Date of the service for the EOB. The service-start-date search parameter simplifies search, since a client doesn't need to know that for inpatient and outpatient institutional EOB dates they need to search by billablePeriod.start, for a pharmacy EOB by item.servicedDate, for a professional and non-clinician EOB - by item.servicedPeriod.start and for an oral EOB – by item.servicedPeriod.start

      3. Define a new search parameter, billable-period-start, as follows:

      description: Starting Date of the service for the EOB using billablePeriod.period.start. The billable-period-start search parameter using the billablePeriod.period.start provides results with the earliest billablePeriod.start from a professional and non-clinician EOB or an oral EOB.

      expression: ExplanationOfBenefit.billablePeriod

       

      1. Update the EOB Capability Statement search parameters and the Search parameter summary page, changing the conformance of the service-date from SHALL to MAY and adding the billable-period-start parameter as MAY

       

      Show
      Update 7.9.1 service date search parameter as follows: a)Update the description replacing the current description with the updated description Current description: description : Date of the service for the EOB. The service-date search parameter simplifies search, since a client doesn't need to know that for inpatient and outpatient institutional EOB dates they need to search by billablePeriod.period.start, for a pharmacy EOB by item.servicedDate, and for a professional and non-clinician EOB - by item.servicedPeriod.period.start. Updated description: description : Date of the service for the EOB. The service-date search parameter simplifies search, since a client doesn't need to know that for inpatient and outpatient institutional EOB dates they need to search by billablePeriod, for a pharmacy EOB by item.servicedDate, for a professional and non-clinician EOB - by item.servicedPeriod and for an oral EOB – by item.servicedPeriod   2. Update 7.10.1 service start date start search parameter as follows: Update the description replacing the current description with the updated description Current description:          description : Starting Date of the service for the EOB. The service-start-date search parameter simplifies search, since a client doesn't need to know that for inpatient and outpatient institutional EOB dates they need to search by billablePeriod.period.start, for a pharmacy EOB by item.servicedDate, and for a professional and non-clinician EOB - by item.servicedPeriod.period.start. Updated description: description : Starting Date of the service for the EOB. The service-start-date search parameter simplifies search, since a client doesn't need to know that for inpatient and outpatient institutional EOB dates they need to search by billablePeriod.start, for a pharmacy EOB by item.servicedDate, for a professional and non-clinician EOB - by item.servicedPeriod.start and for an oral EOB – by item.servicedPeriod.start 3. Define a new search parameter, billable-period-start, as follows: description : Starting Date of the service for the EOB using billablePeriod.period.start. The billable-period-start search parameter using the billablePeriod.period.start provides results with the earliest billablePeriod.start from a professional and non-clinician EOB or an oral EOB. expression : ExplanationOfBenefit.billablePeriod   Update the EOB Capability Statement search parameters and the Search parameter summary page, changing the conformance of the service-date from SHALL to MAY and adding the billable-period-start parameter as MAY  
    • Corey Spears / Andy Stechishin : 8-0-0
    • Correction
    • Compatible, substantive

    Description

      In our app's Record Retrieval module, we give the user the ability to select EOB types to pull via a payer/provider FHIR API. We also give them the ability to apply a date range filter to help them more precisely find information they may be looking for.

      Intuitively, if the date range filter corresponds to the date element we show in the summary rendering table for EOBs. However this is a problem for Inpatient EOBs because the timing information for an Inpatient EOB is in a different field which the IG has not yet defined a search parameter to be supported.

      Currently in the Carin BB IG, for all EOB types except for inpatient, we render EOB.item.servicedDate or EOB.item.servicedPeriod. These servicedDate and servicedPeriod are supported search parameters.

      For Inpatient EOBs we render EOB.supportingInfo.timingperiod which is not a supported search parameter.

      Please add a required Search Parameter for EOB.supportingInfo.timingperiod

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            LisaRNelson Lisa R. Nelson
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              Updated:
              Resolved: