FHIR Chat · Billing Status · Orders and Observation WG

Stream: Orders and Observation WG

Topic: Billing Status


view this post on Zulip Richard Bagley (Feb 26 2019 at 20:45):

We are trying to figure out how to represent the idea the an order will not be free or the fees waived. How do you suggest we achieve this in FHIR?

view this post on Zulip Richard Townley-O'Neill (Feb 27 2019 at 00:21):

ChargeItem ?

view this post on Zulip Richard Bagley (Feb 27 2019 at 20:39):

I know it isn't listed in the documentation but could a Service Request be used in the link? Or is it better to reference the Diagnostic Report for this particular use?

view this post on Zulip Eric Haas (Feb 27 2019 at 21:11):

I know it isn't listed in the documentation but could a Service Request be used in the link?

Which link?

view this post on Zulip Richard Bagley (Feb 28 2019 at 01:11):

We are trying to connect a Charge Item to an Order. The documentation does not include Service Request in the options for service. I was wondering if it was intentional for some reason.

view this post on Zulip Lloyd McKenzie (Feb 28 2019 at 01:19):

@Simone Heckmann @Brian Postlethwaite

view this post on Zulip Brian Postlethwaite (Feb 28 2019 at 01:59):

The ChargeItem will hang off the encounter when it's provided. Hadn't considered how it would flow before that as yet.

view this post on Zulip Brian Postlethwaite (Feb 28 2019 at 01:59):

It is intended to be the link between the clinical and financial.

view this post on Zulip Richard Bagley (Feb 28 2019 at 15:18):

As a Laboratory that does their Patient processing without a Patient Service Center should we still be generating encounters for every order whether or not they are going to generate a Claim?

view this post on Zulip Lloyd McKenzie (Feb 28 2019 at 15:47):

Encounters are an aggregator for healthcare events. That aggregation can be useful irrespective of whether it's used to drive the claims process. Whether it's useful in your environment or commonly done by systems in your environment, you'd need to investigate. FHIR certainly doesn't require the use of encounters if there isn't a specific reason to use them.

view this post on Zulip Richard Bagley (Feb 28 2019 at 16:13):

Thanks!

view this post on Zulip Grahame Grieve (Mar 03 2019 at 19:42):

We are trying to figure out how to represent the idea the an order will not be free or the fees waived. How do you suggest we achieve this in FHIR?

view this post on Zulip Grahame Grieve (Mar 03 2019 at 19:42):

is the requester asking for it to be free, or the provider advising that it will be free?


Last updated: Apr 12 2022 at 19:14 UTC