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 PDex (FHIR)
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2.0.0-ballot
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Financial Mgmt
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PdexServerCapabilityStatement [deprecated]
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Payer-to-Payer Exchange [deprecated]
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4.3.3
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Bob Dieterle / Celine Lefebvre: 21-0-1
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Clarification
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Compatible, substantive
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Yes
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2.0.0-ballot
Description
This page states that care team resources should be created from the participant list of a claim. This is not what a care team is. A care team is "The CareTeam includes all the people, teams, and organizations who plan to participate in the coordination and delivery of care for a single patient or a group (such as a married couple in therapy or a support group)."
Just because a group of people treated me one time does not make them a care team. As a patient, I may choose to never interact with any of these providers again. Assuming that they are on my care team is invalid.
Additionally, to make an instance of a care team for every claim submitted would be a significant amount of duplication. Take for instance if I have dialysis 3 times a week and the facility submits a claim for each visit. Does that mean I 156 care teams each existing for 1 day last year alone?
I can certainly understand that you might use information gleaned from claims as a starting point to have a conversation with the patient as to who will be the care team going forward. But to use CareTeam as a "this group of people were involved in your care on a given day", is not a care team. Leave that data on the claim where it belongs.
Corollary: You can derive a patients conditions from examining claims, but you wouldn't create a new "Kidney failure" condition resource every time a claim was filed. You'd use that information to compile a single condition resource that has as much accurate information possible. And if you only saw that diagnosis 1 time in the history of claims, you might have a conversation with the patient, "Do you really have Kidney failure or was that an incorrect filing?"
Attachments
Issue Links
- is voted on by
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BALLOT-32451 Negative - Christopher Schaut : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33022 Negative - Daniel Rutz : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33029 Negative - Thanos Tsiolis : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33036 Negative - Chris Courville : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33050 Negative - Daniel Zhang : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33057 Negative - Michael Clifton : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33064 Negative - David Sundaram-Stukel : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33071 Negative - Isaac Vetter : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33078 Negative - Amit Popat : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33085 Negative - Cooper Thompson : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33092 Negative - Danielle Friend : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33099 Negative - Vassil Peytchev : 2022-May-FHIR IG PDex R2 STU
- Withdrawn
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BALLOT-33043 Negative - Peter DeVault : 2022-May-FHIR IG PDex R2 STU
- Balloted
- mentioned in
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