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  1. FHIR Specification Feedback
  2. FHIR-38191

service date should not be required for prior auth

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US Da Vinci CDex (FHIR)
    • 2.0.0-ballot
    • Patient Care
    • STU
    • CDex Task Attachment Request Profile
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      Will change date of service min = 0 and provide similar guidance as in $submit-attachment and a formal constraint to require if a claim.

      $submit-attachment operation comment:

      Date of service or starting date of the service for the claim or prior authorization. This parameter SHALL be present and precise to the day if the attachment is for a claim. It is optional if the attachment is for prior authorization. This is assumed to be known by the provider when submitting unsolicited attachments. For solicited attachments this value is communicated to the provider through the request

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      Will change date of service min = 0 and provide similar guidance as in $submit-attachment and a formal constraint to require if a claim. $submit-attachment operation comment: Date of service or starting date of the service for the claim or prior authorization. This parameter SHALL  be present and precise to the day if the attachment is for a claim. It is optional if the attachment is for prior authorization. This is assumed to be known by the provider when submitting  unsolicited  attachments. For  solicited attachments this value is communicated to the provider through the request
    • Eric Haas/Jay Lyle: 7-0-1
    • Correction
    • Compatible, substantive

    Description

      The Task attachment request profile lists input:service-date as 1..1, however for the prior auth use case we're often authorizing a date range before a particular date is scheduled. The cardinality should be changed to 0..1

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            Unassigned Unassigned
            kjohnsen Kyle Johnsen
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              Updated:
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