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 QI Core (FHIR)
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current
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Clinical Quality Information
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Claim example
QICore Claim -
Profiles, Examples
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Michelle Currie/Abdullah Rafiqi:23-0-1
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Enhancement
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Compatible, substantive
Description
Add MustSupport elements to QI-Core Claim profile to accommodate expression of principal diagnosis and presentOnAdmission. This represents a change in QI-Core 6.0 to use claims to identify principal diagnoses and procedures since they are finalized and considered valid when submitted in claims.
- Add MS for:
- Claim.diagnosis:
- Claim.diagnosis.diagnosis.diagnosisReference (QICore ConditionEncounterDiagnosis)
- Claim.diagnosis.diagnosis.CodeableConcept
- Claim.diagnosis.onAdmission (with required binding to [QICore Present on Admission Value Set|http://hl7.org/fhir/us/qicore/STU5/ValueSet-qicore-present-on-admission.html])
- Claim.diagnosis.sequence
- Claim.procedure.procedure
- Claim.procedure.procedure.CodeableConcept
- Claim.procedure.procedureReference (QI-Core Procedure)
- Claim.procedure.sequence
- Claim.diagnosis:
- Add Example and Guidance for:
- Principal diagnosis - use Claim.diagnosis.diagnosis and __ Claim.diagnosis.sequence = 1
- Principal procedure - use Claim.procedure.procedure and __ Claim.procedure.sequence = 1
- Present on Admission - use Claim.diagnosis.diagnosis and __ Claim.OnAdmission