Details
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Change Request
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Resolution: Persuasive
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Medium
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US Da Vinci Patient Cost Transparency (PCT) (FHIR)
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0.1.0 [deprecated]
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Financial Mgmt
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STU
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Use Case and Actors
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1.1 and 2
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Corey Spears / Rachel Foerster : 14-0-0
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Clarification
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Non-substantive
Description
The references to "payer's intermediary" and "FHIR-X12 translators" as outlined in the flows in sections 1.1 and section 2 are unclear and potentially confusing.
In general, intermediaries do not have a relationship with only the payer. They may have a relationship with a payer, a provider, both, or neither. Further, when intermediaries are involved, they would not be formally embedded within the payer's infrastructure. They would be outside of and connected to it. Further, if an intermediary is used, they would be considered an agent
Similarly, the illustration of a FHIR-X12 translator within the payer infrastructure is likely not needed. Payer infrastructures in general will use their own local encoding that can be translated to and from the X12 and FHIR formats. It is unlikely that a payer would specifically translate from FHIR to X12 within their system when the initial transaction is received within FHIR.
It is recommended that these references be either removed from all flows or that they be reviewed and clarified to show clear value within the IG.
Attachments
Issue Links
- is voted on by
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BALLOT-27598 Negative - Ranjith Kandur : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-27633 Negative - Tony Benson : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-28005 Negative - Susan Langford : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-28097 Negative - Robert Dieterle : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-28948 Negative - Lenel James : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-28970 Negative - Jeremy Hawkins : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-28988 Negative - Robert Scarbrough : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-29070 Negative - Emily Bagley : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-29079 Negative - Joe Knight : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-27026 Negative - Michael Gould : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Balloted
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BALLOT-27822 Negative - Durwin Day : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Balloted
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BALLOT-28979 Negative - Brian Poteet : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Balloted
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BALLOT-29061 Negative - Aju Jacob : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Balloted
- relates to
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FHIR-35199 Diagram in Overview seems to imply that the Patient could only get a response from an Intermediary
- Published
- mentioned in
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