Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-35139

Missing Must Support, $report comment, & extension comment

    XMLWordPrintableJSON

Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • US Da Vinci Risk Adjustment (FHIR)
    • 0.1.0 [deprecated]
    • Clinical Quality Information
    • Report Operation [deprecated]
      Risk Adjustment Clinical Data Collection Deadline
      Risk Adjustment Coding Gap MeasureReport
      Risk Adjustment Model Measure
    • (many)
    • Hide

      ra-clinicalDataCollectionDeadline extension: Can the extension be leveraged to communicate the "early-bird" dates for incentives? If so, consider amending the definition to be inclusive and explicit regarding Deadline meaning.

      • Yes, it applies to "early-bird" dates. Will update the definition to make it clear. 
      • Current description "This is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer."
      • Update description to "This is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer and applies to the early-bird date if incentive were offered."

      Amend Risk Adjustment Model Measure Profile as status is not marked as Must Support in either Snapshot Table (Must Support) or Snapshot Table.

      • Agree. Will update to mark status as Must Support in the Risk Adjustment Model Measure profile. (Note that the Snapshot Table (Must Support) view will not have the must support red icon next to the must support elements)
      • Will review the profiles and consistently mark the elements as Must Support if cardinality is 1..1 or 1..*. 

      Amend Risk Adjustment Coding Gap Report Profile as type is not marked as Must Support in either Snapshot Table (Must Support) or Snapshot Table.

      • MeasureReport.type is already marked as Must Support in the profile. 

      $report, Conformance Requirement 3, sub-bullet 3, change to an OperationOutcome when patient is valid and no Measure is available, instead of returning the Patient Profile. An OperationOutcome would allow a client to gracefully handle not receiving expected results.

      •  No change to Conformance Requirement 3, sub-bullet 3. 
      • Add language to provide some explanation of returning Patient rather than an OperationOutcome when no MeasureReport (risk adjustment coding gap report) is available for the patient  
      Show
      ra-clinicalDataCollectionDeadline extension: Can the extension be leveraged to communicate the "early-bird" dates for incentives? If so, consider amending the definition to be inclusive and explicit regarding Deadline meaning. Yes, it applies to "early-bird" dates. Will update the definition to make it clear.  Current description "This is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer." Update description to "This is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer and applies to the early-bird date if incentive were offered." Amend Risk Adjustment Model Measure Profile as status is not marked as Must Support in either Snapshot Table (Must Support) or Snapshot Table. Agree. Will update to mark status as Must Support in the Risk Adjustment Model Measure profile. (Note that the Snapshot Table (Must Support) view will not have the must support red icon next to the must support elements) Will review the profiles and consistently mark the elements as Must Support if cardinality is 1..1 or 1..*.  Amend Risk Adjustment Coding Gap Report Profile as type is not marked as Must Support in either Snapshot Table (Must Support) or Snapshot Table. MeasureReport.type is already marked as Must Support in the profile.  $report, Conformance Requirement 3, sub-bullet 3, change to an OperationOutcome when patient is valid and no Measure is available, instead of returning the Patient Profile. An OperationOutcome would allow a client to gracefully handle not receiving expected results.  No change to Conformance Requirement 3, sub-bullet 3.  Add language to provide some explanation of returning Patient rather than an OperationOutcome when no MeasureReport (risk adjustment coding gap report) is available for the patient  
    • Linda Michaelsen/Anne Smith: 19-0-0
    • Correction
    • Non-substantive

    Description

      ra-clinicalDataCollectionDeadline extension: Can the extension be leveraged to communicate the "early-bird" dates for incentives? If so, consider amending the definition to be inclusive and explicit regarding Deadline meaning.

      Amend Risk Adjustment Model Measure Profile as status is not marked as Must Support in either Snapshot Table (Must Support) or Snapshot Table.

      Amend Risk Adjustment Coding Gap Report Profile as type is not marked as Must Support in either Snapshot Table (Must Support) or Snapshot Table.

      $report, Conformance Requirement 3, sub-bullet 3, change to an OperationOutcome when patient is valid and no Measure is available, instead of returning the Patient Profile. An OperationOutcome would allow a client to gracefully handle not receiving expected results. 

      Attachments

        Activity

          People

            Unassigned Unassigned
            jason.teeple Jason Teeple
            Watchers:
            3 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: