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  1. FHIR Specification Feedback
  2. FHIR-35069

Professional profile - update careTeam

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci Patient Cost Transparency (PCT) (FHIR)
    • 0.1.0 [deprecated]
    • Financial Mgmt
    • STU
    • (NA)
    • 7.7.1
    • Hide
      • In the davinci-pct-gfe-professional profile, change the Claim.careTeam rendering slice to 0..*
        • Leave as rendering (not change to performing to align with claim submission standards. CARIN was changed to rendering)

       

      • For davinci-pct-gfe-professional remove MS on CareTeam and all careTeam slices.

       

      • Will not add Claim.careTeam supervising slice (Not needed for estimation)

       

      • Will not add Claim.careTeam ordering slice (Not needed for estimation)

       

      • Mark Claim.item.careTeamSequence as Must support

       

      • Make the following code system updates to The Code System PCTCareTeamRole:
      Code Display Definition
      attending Attending provider The attending physician.
      referring Referring provider The referring provider.
      operating Operating provider The operating physician.
      otheroperating Other operating The other operating physician.
      purchasedservice Purchased service The provider from which a service was purchased by another provider.
      rendering Rendering provider The rendering/performing provider.

       

      • Add purchasedservice code from PCTCareTeamRole CodeSystem to PCTCareTeamRoleVS ValueSet

       

       

      Show
      In the davinci-pct-gfe-professional profile, change the Claim.careTeam rendering slice to 0..* Leave as rendering (not change to performing to align with claim submission standards. CARIN was changed to rendering)   For davinci-pct-gfe-professional remove MS on CareTeam and all careTeam slices.   Will not add Claim.careTeam supervising slice (Not needed for estimation)   Will not add Claim.careTeam ordering slice (Not needed for estimation)   Mark Claim.item.careTeamSequence as Must support   Make the following code system updates to The Code System PCTCareTeamRole: Code Display Definition attending Attending provider The attending physician. referring Referring provider The referring provider. operating Operating provider The operating physician. otheroperating Other operating The other operating physician. purchasedservice Purchased service The provider from which a service was purchased by another provider. rendering Rendering provider The rendering/performing provider.   Add purchasedservice code from PCTCareTeamRole CodeSystem to PCTCareTeamRoleVS ValueSet   Add http://terminology.hl7.org/CodeSystem/claimcareteamrole |supervisor to PCTCareTeamRoleVS ValueSet   If changes are made in time to UP-312 and the Claim Care Team Role changes are published in THO in time, then remove this CodeSystem and change the references of the PCTCareTeamRoleVS ValueSet to http://terminology.hl7.org/CodeSystem/claimcareteamrole  
    • Rachel Foerster/Rick Geimer: 11-0-0
    • Correction
    • Compatible, substantive

    Description

      On the Professional profile, the rendering provider can have one occurrence at the claim level and one at the line level.  Change the cardinality to (0..2).  The CARIN IG uses the term 'performing' rather than 'rendering'.  Harmonize to align with claim submission standards.  

      Add supervising as a slice with cardinality of (0..2).  

      Add ordering as a lice with cardinality of (0..1).  It can only occur at the line item.

      Several careTeam values can occur at the claim and line level.  Mark careTeamSequence as Must Support

      Harmonize values of PCT Care Team Role Value Set / Code System with C4BB Care Team Role / Value Set.

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            deroode David DeRoode
            taylorpatriciab Patricia Taylor
            Patricia Taylor
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              Created:
              Updated:
              Resolved: