Details
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Change Request
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Resolution: Persuasive with Modification
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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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PCT Advanced EOB
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7.3.1
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Rick Geimer/Pat Taylor: 16-0-5
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Enhancement
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Compatible, substantive
Description
Update the Benefit balance details of the Advanced EOB profile as follows:
The following updates should be made to the benefit balance element of the profile:
- benefitBalance element should be "must support" with cardinality of 1..* . An invariant should be added to require this element only when the transaction is a pre-determination (when .use = predetermination)
- benefitBalance.Category:
- should be must support
- required pattern should be medical coverage
- It should be clarified what the use of this field is. It is not unambiguously clear from the example reference set how this field is intended to be used.
- benefitBalance.unit - should be must support - with cardinality 1..1 - binding should be required
- benefitBalance.term - should must support - with cardinality 1..1 - binding should be required
- benefitBalance.financial - should be must support with cardinality 1..*
- benefitBalance.financial.type - should be must support - binding should be to C4BB Adjudication - binding should be required
- benefitBalance.financial.allowed - should be must support
- benefitBalance.financial.allowed.allowedMoney - should be must support
- benefitBalance.financial.used - should be must support
- benefitBalance.financial.used.usedMoney - should be must support
Attachments
Issue Links
- is voted on by
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BALLOT-28952 Negative - Lenel James : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-27022 Negative - Michael Gould : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Retracted
- relates to
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FHIR-42825 Add extension for benefit balance remaining amount
- Published