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  1. FHIR Specification Feedback
  2. FHIR-44134

US Core Coverage Type Structure Update

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Medium Medium
    • US Core (FHIR)
    • 6.1.0
    • Cross-Group Projects
    • USCoreCoveragePatient
    • Profiles and Extensions
    • Coverage Profile.Type
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      RE: 

      Coverage.Type needs to modified to be hierarchical to meet this purpose

      We disagree.  FHIR's CodeableConcept allows for the representation of both types of code systems. The Coding elements within a CodeableConcept can reference codes from either type of system, and the CodeableConcept itself can represent a concept that may be hierarchical or flat in nature, depending on the specific use case.  Refer to Using Codes in Resources for more information.

       

       

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      RE:  Coverage.Type needs to modified to be hierarchical to meet this purpose We disagree.  FHIR's CodeableConcept allows for the representation of both types of code systems. The Coding elements within a CodeableConcept can reference codes from either type of system, and the CodeableConcept itself can represent a concept that may be hierarchical or flat in nature, depending on the specific use case.  Refer to Using Codes in Resources for more information.    
    • Brett Marquard/Eric Haas: 17-0-2

    Description

      Coverage Type is not in hierarchical in structure.  It does not meet the purpose of the source of payment typology code structure for health care service system data reporting for public health, local, state, and federal agencies that utilize data for monitoring utilization rates, assessing patterns of health care quality and access, and health care research by legislative and regulatory mandates. Coverage.Type needs to modified to be hierarchical to meet this purpose, for example, Coverage.Payer.Class. Plan.  CDC SOPT code system concept codes can be used to meet this purpose. 

      https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.3.221.5

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            lrz3@cdc.gov JennyCouse
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