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  1. FHIR Specification Feedback
  2. FHIR-46174

Provider, Location, Organization profiles not derived from US Core

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Medium Medium
    • US Da Vinci PAS (FHIR)
    • current
    • Financial Mgmt
    • PAS Claim Update
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      PASPractitionerRole does not inherit from US Core because the US Core profile has mandatory Practitioner AND Organization and we needed to use it for just a Practitioner.

      PASPractitioner and PASOrganization both inherit from the US Core profiles.

      Claim.provider and Claim.supportingInfo.careteam.provider reference PASOrganization and PASPractitionerRole.

      Claim.enterer and Claim.payee.party are not used in the PAS Claim.

      As part of the STU update, we will be updating all of the profiles that do or can derive from US Core to ensure compatibility.

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      PASPractitionerRole does not inherit from US Core because the US Core profile has mandatory Practitioner AND Organization and we needed to use it for just a Practitioner. PASPractitioner and PASOrganization both inherit from the US Core profiles. Claim.provider and Claim.supportingInfo.careteam.provider reference PASOrganization and PASPractitionerRole. Claim.enterer and Claim.payee.party are not used in the PAS Claim. As part of the STU update, we will be updating all of the profiles that do or can derive from US Core to ensure compatibility.
    • Bob Dieterle / Jeff Brown : 8-0-5

      https://build.fhir.org/ig/HL7/davinci-pas/StructureDefinition-profile-practitionerrole.html does not inherit from US Core practitioner role. There are also many references in the PAS ClaimUpdate profile that directly reference FHIR r4 resources instead of US Core. 

      There are constrains in US core needed to process a PA claim, such as NUCC Taxonomy, NPI, TIN, Address, etc.

      For example, the PAS PractitonerRole profile defined within PAS is based upon FHIR r4 practitonerRole profile, not US Core. The following is a list sample locations within PAS Claim Update that do not reference US core: 

      • claim.enterer
      • claim.supportingInfo.careteam.provider
      • claim.provider
      • claim.payee.party

            Unassigned Unassigned
            jlamb15 Josh Lamb
            Genevieve Morris, Josh Lamb, Linda Michaelsen
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            2 Start watching this issue

              Created:
              Updated:
              Resolved: