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  1. FHIR Specification Feedback
  2. FHIR-37669

Changes to Coverage profile

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 4.1.1
    • Clinical Quality Information
    • QICore Coverage
    • 10.101
    • Hide

      Make the following changes to QI-Core Coverage profile:

      • Coverage.subscriberId - add MS and maintain cardinality as 0..1
      • Coverage.payor - retain MS and change cardinality to 1..1
      • Coverage.contract - add MS (no change to cardinality)
      • Coverage.order - add MS
        Also, update Coverage example
      Show
      Make the following changes to QI-Core Coverage profile: Coverage.subscriberId - add MS and maintain cardinality as 0..1 Coverage.payor - retain MS and change cardinality to 1..1 Coverage.contract - add MS (no change to cardinality) Coverage.order - add MS Also, update Coverage example
    • Floyd Eisenberg/ Peter Muir: 17-0-1
    • Enhancement
    • Non-compatible

    Description

      Coverage.subscriberId MS and 0..1 (allows DEQM Coverage to be removed)
      (1..1 seemed too restrictive for subscriberId)
      Coverage.payor MS and 1..1 (change in cardinality from 1..*)
      Coverage.contract MS
      Coverage.order MS (if multiple instances of Coverage and order is important)

      Note that type and period are already MS, and used in CQL "SDE Payer" expression

      Update Coverage example

      as discussed on CQI WG call 24 June 2022

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            feisenberg Floyd Eisenberg
            mitrep9g Paul Denning
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            Dates

              Created:
              Updated:
              Resolved: