Details
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Change Request
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Resolution: Not Persuasive with Modification
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Medium
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US Da Vinci CRD (FHIR)
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current
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Clinical Decision Support
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Supported Hooks
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4.2.1
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Bob Dieterle / Rachael Foerster : 8-0-0
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Correction
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Non-compatible
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Yes
Description
http://build.fhir.org/ig/HL7/davinci-crd/hooks.html#phi-and-hook-invocation says that CRD clients SHALL support CRD without PHI using a de-identified Patient and Coverage, however by including things like group/plan ID, patient date of birth, gender, and patient ID, it's very easy for the third party to look up information on the patient and/or reidentify them.
Given that, the scenarios mentioned here:
Nevertheless, there are situations where PHI will not be shared with a CRD Service because a patient has withheld consent to share information with the payer, the provider has concerns about sharing sensitive data with the payer...
Don't seem to be addressed by the current spec.
We've historically avoided supporting de-identification since it's filled with potential landmines, and don't think it belongs in the spec.
Attachments
Issue Links
- is voted on by
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BALLOT-32418 Negative - Christopher Schaut : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33523 Negative - Daniel Rutz : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33545 Negative - Thanos Tsiolis : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33567 Negative - Chris Courville : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33611 Negative - Daniel Zhang : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33655 Negative - David Sundaram-Stukel : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33677 Negative - Isaac Vetter : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33699 Negative - Amit Popat : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33721 Negative - Cooper Thompson : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33743 Negative - Danielle Friend : 2022-May-FHIR IG COVREQDISC R2 STU
- Withdrawn
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BALLOT-33589 Negative - Peter DeVault : 2022-May-FHIR IG COVREQDISC R2 STU
- Balloted
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BALLOT-33633 Negative - Michael Clifton : 2022-May-FHIR IG COVREQDISC R2 STU
- Balloted
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BALLOT-33765 Negative - Vassil Peytchev : 2022-May-FHIR IG COVREQDISC R2 STU
- Balloted
- relates to
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FHIR-36052 Requirement for deidentified CRD (ballot version)
- Published
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FHIR-35789 Requirement for deidentified CRD
- Published
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FHIR-36052 Requirement for deidentified CRD (ballot version)
- Published