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 PAS (FHIR)
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1.2.0-ballot [deprecated]
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Financial Mgmt
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PAS Claim
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Bob Dieterle / Jeff Brown : 8-0-0
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Enhancement
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Non-compatible
Description
For at least a dozen service types, "conditionCode" is required for a 278 request.
For home health care (service types 42 and 44), two additional elements are required: "prognosisCode" and "homeHealthStartDate". These elements must be mapped in order to create a valid 278 for these service types.
As an interim solution, our approach followed the pattern of how and where patient event data is being communicated in the supportingInfo resource. Respectively the category.coding.code would be set to ‘prognosis’ , ‘condition’ and ‘homeHealthCareDate' while utilizing code (prognosis and condition) and timingDate (homeHealthCareDate) to communicate the data.