FHIR Chat · Examples from Connectathon · CARIN IG for Blue Button®

Stream: CARIN IG for Blue Button®

Topic: Examples from Connectathon

Paul Bastide (Sep 10 2020 at 15:06):

@josh lamb shouldn't the query be _include=ExplanationOfBenefit:* ? @Lee Surprenant opened https://jira.hl7.org/browse/FHIR-27861 to ask for clarity with relation to the base spec.

Paul Bastide (Sep 10 2020 at 16:09):

@josh lamb @Lee Surprenant has run through the examples on the latest update and found some issues with the examples - no internal mapping right now.

Lee Surprenant (Sep 10 2020 at 16:13):

most of the issues are on the codings. i can dump my notes here or write them up more formally, whatever is most useful for you and others

Lee Surprenant (Sep 10 2020 at 18:35):

having heard no recommendation, here's a dump of my notes. this is with examples from the package.tgz for version 0.1.3 posted on build.fhir.org

Lee Surprenant (Sep 10 2020 at 18:39):

Change the "innetwork" category system from C4BBAdjudication to C4BBPayerAdjudicationStatus

"category": {
    "coding": [{
        "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication",
        "code": "innetwork"
    }]
},

Fix display codes:

Beneficiary Coinsurance Amount -> Co-insurance (interestingly the valueset omits the `-` on this one; instances need to match the codesystem display)
Submitted -> Submitted Amount
INSTITUTIONAL -> Institutional
PHARMACY -> Pharmacy

Change performing to primary (same code system)

"coding": [{
    "system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
    "code": "performing",
    "display": "Performing provider"
}]

Change C4BBAdjudication to C4BBPayerAdjudicationStatus

"supportingInfo": [{
    "sequence": 1,
    "category": {
        "coding": [{
            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory",
            "code": "billingnetworkcontractingstatus"
        }]
    },
    "code": {
        "coding": [{
            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication",
            "code": "contracted"
        }]
    }
}],

In BBEoBPharmacy case, just add the missing system
"system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus",

Add valid coding for the Pharmacy examples

"productOrService": {
    "coding": [
        {
            "system": "860518"
        }
    ]
},

Replace rxnorm codes with NDC ones

Michele Mottini (Sep 10 2020 at 18:43):

Thanks Lee

Josh Lamb (Sep 10 2020 at 20:50):

thanks for taking a look @Lee Surprenant . This is excellent feedback!

Josh Lamb (Sep 10 2020 at 20:52):

@Paul Bastide i thought that "_include=*" was correct but I would also be interested in clarification.

Lee Surprenant (Sep 14 2020 at 15:28):

josh lamb said:

thanks for taking a look Lee Surprenant . This is excellent feedback!

I've opened FHIR#28529 to track these issues.

Last updated: Apr 12 2022 at 19:14 UTC

Main menu