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Specification:

US Da Vinci Patient Cost Transparency (PCT) (FHIR)
Raised in Version:

0.1.0 [deprecated]
Work Group:

Financial Mgmt
Outstanding Negatives:
STU
Related Artifact(s):

PCT AEOB Bundle
Grouping:
- AEOB
- ALIGN_MTG
- Block-Vote-9
- valueset
Resolution Description:

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Will not split into separate profiles at this time (there is more analysis needed before that decision can be made), but will make ExplanationOfBenefit.type MS and add a required binding to a new value set with just the codes for institutional and professional. Will not require subType at this time, but may revisit in https://jira.hl7.org/browse/FHIR-34918

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Will not split into separate profiles at this time (there is more analysis needed before that decision can be made), but will make ExplanationOfBenefit.type MS and add a required binding to a new value set with just the codes for institutional and professional. Will not require subType at this time, but may revisit in https://jira.hl7.org/browse/FHIR-34918
Resolution Vote:
Sami Peterson/Chris Cioffi: 8-0-0
Change Category:
Enhancement
Change Impact:
Compatible, substantive

The type (Institutional vs Professional and subtype (when institutional) ro inpatient vs outpatient are important to capture.

Require type with a VS that includes institutional and profession.

Add invariant that requires subType if type = institutional

Add VS for subType that includes inpatient and outpatient

is voted on by

BALLOT-27512 Negative - Corey Spears : 2022-Jan-FHIR IG DAVINCI PCT R1 STU