Stream: CARIN IG for Blue Button®
Topic: HL7 Validator and EOB Inpatient - Throwing Error on Revenue
Joel Hansen (Feb 02 2021 at 22:11):
Hi all,
Just checking, has anyone else has encountered a value set error when using the HL7 FHIR Validator on an EOB with a revenue code? Wondering if this is a valid error or if the HL7 validator tool just doesn't have access to the NUBC code set (which I think has to be licensed).
EOB except:
"revenue": {"coding": [ {
"system": "https://www.nubc.org/CodeSystem/RevenueCodes",
"code": "0125"
}]},
Error:
Error @ ExplanationOfBenefit.item[0].revenue (line 180, col39) : None of the codes provided are in the value set http://hl7.org/fhir/us/carin/ValueSet/carin-bb-revenue-center (http://hl7.org/fhir/us/carin/ValueSet/carin-bb-revenue-center), and a code from this value set is required) (codes = https://www.nubc.org/CodeSystem/RevenueCodes#0125)
Thank you,
Joel
Josh Lamb (Feb 03 2021 at 00:28):
The default terminology server will not have everything available. These error are expected for unrecognized codes.
Joel Hansen (Feb 03 2021 at 13:53):
Thanks @Josh Lamb
Art Huston (Mar 02 2021 at 19:41):
@Josh Lamb which terminology server should we be using instead of the default terminology server?
Josh Lamb (Mar 03 2021 at 01:00):
Hi @Art Huston , the only option is to use your own or to leverage an existing one as a service. I am not aware of any off the shelf offerings that include the needed code systems for USCore / Carin IG.
Art Huston (Mar 03 2021 at 21:35):
Thank you @Josh Lamb , where can we find an existing one to use as a service?
Josh Lamb (Mar 08 2021 at 19:44):
Sorry @Art Huston for the slow reply, I do not think there is one available to use as a service. The terminologies referenced are covered by IP and would not be made freely available. tx.fhir.org is the free terminology server and is already used by the validator.
Richard Braman (FLY.HEALTH) (Mar 11 2021 at 23:35):
ONC also has a terminology service that was developed to work with CCDA validation. It could be used to validate terminologies in FHIR just as easy. You have to license the codes (mostly from UMLS) but some from other orgs (CPT from AMA as an example) https://github.com/onc-healthit/code-validator-api/tree/master/codevalidator-api/docs
Richard Braman (FLY.HEALTH) (Mar 16 2021 at 12:15):
Josh Lamb, @Art Huston
I was reading the documentation for the r4 terminology server here:
http://hl7.org/fhir/R4/terminology-service.html
I am wondering why HL7 isn't updating the server to support the codes in the more popular IGs?
Also, anyone know where the source code for the tx server is? Is it in HAPI?
Also a persistent problem with validation is the urls dont resolve. I am willing to help in any of these areas if I can
Last updated: Apr 12 2022 at 19:14 UTC
