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  1. FHIR Specification Feedback
  2. FHIR-34710

group usage in bundles missing from guidance

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci Risk Adjustment (FHIR)
    • 0.1.0 [deprecated]
    • Clinical Quality Information
    • STU
    • Report Operation [deprecated]
    • Artifacts Summary
      Guidance [deprecated]
    • 2.3.1,11.3.1.1
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      The guidance for when the subject is a Group is detailed in the documentation of the return parameter on the $report operation page (http://hl7.org/fhir/us/davinci-ra/2022Jan/OperationDefinition-report.html)

      "The $report operation will always return one Parameters whether the subject is a single patient or a group of patients. Risk Adjustment Coding Gap Report Bundle for a patient is in a Parameters.parameter element. A Risk Adjustment Coding Gap Report Bundle contains the Risk Adjustment Coding Gap Reports for the same patient. For example, if a Group has 10 valid patients, then a Parameters will contain 10 Parameters.parameter}}elements, with each {{Parameters.parameter for a unique patient."

      Will add similar clarifications to the section 2.3.1 on the Guidance page to explain when the subject is Group, there will be multiple Parameters.parameter and each parameter contains a Bundle for a specific patient. 

      Will not add Group clarification to 11.3.1.1, since this is on the Risk Adjustment Coding Gap Report Bundle profile page. 

       

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      The guidance for when the subject is a Group is detailed in the documentation of the return parameter on the $report operation page ( http://hl7.org/fhir/us/davinci-ra/2022Jan/OperationDefinition-report.html) "The $report operation will always return one  Parameters  whether the subject is a single patient or a group of patients.  Risk Adjustment Coding Gap Report Bundle  for a patient is in a  Parameters.parameter  element. A Risk Adjustment Coding Gap Report Bundle contains the Risk Adjustment Coding Gap Reports for the same patient. For example, if a Group has 10 valid patients, then a  Parameters  will contain 10  Parameters.parameter}}elements, with each {{Parameters.parameter  for a unique patient." Will add similar clarifications to the section 2.3.1 on the Guidance page to explain when the subject is Group, there will be multiple Parameters.parameter and each parameter contains a Bundle for a specific patient.  Will not add Group clarification to 11.3.1.1, since this is on the Risk Adjustment Coding Gap Report Bundle profile page.   
    • Yan Heras / Ben Hamlin : 18-0-1
    • Correction
    • Non-substantive

    Description

      Several statements failed to include guidance for bundles that will include groups and $report operator usage with group subjects:

      2.3.1

      This bundle is a FHIR collection bundle, which must contain a patient (US Core Patient) entry and zero or more entries of risk adjustment coding gap reports (Risk Adjustment Coding Gap Report). All risk adjustment coding gap reports contained in a Risk Adjustment Coding Gap Report Bundle must be for the same patient.

      11.3.1.1

      The following data-elements are mandatory (i.e data MUST be present).

      Each must have:

      1. A Bundle.type with a fixed code “collection”
      2. A Bundle contains one to many Bundle.entry
      3. A Bundle contains one Bundle.entry that is a US Core Patient

      Additional Profile specific implementation guidance:

      1. All risk adjustment coding gap reports contained in a Risk Adjustment Coding Gap Report Bundle SHALL be for the same patient.

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            lmichaelsen Linda Michaelsen
            eddyhnieves Eddy Hernandez-Nieves (Inactive)
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              Updated:
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