Stream: CARIN IG for Blue Button®
Topic: Payee types/party
Melanie Davies (Sep 28 2020 at 15:35):
Hello, looking for some clarification on the Payee backbone element. My understand is as follows:
- The types are: subscriber, provider, other; with beneficiary to be added (pending approval - https://jira.hl7.org/browse/FHIR-27008).
- ExplanationOfBenefit.payee.party references C4BBOrganization, C4BBPatient, C4BBPractictioner. The details on ExplanationOfBenefit.payee.party says "need to provide demographics if the payee is not 'subscriber' nor 'provider'." It has 1.1 cardinality so there must be a resource referenced for each Payee.
This is how we are modeling it:
- If type is "provider" then use C4BBOrganization or C4BBPractictioner
- If type is "beneficiary" then use C4BBPatient
- If type is "subscriber" then use C4BBPatient
- If type is "other" then use ???. Can "other" be an organization or a person or both? If a person, is C4BBPatient the appropriate resource type? I saw that RelatedPerson was previously referenced by the CARIN IG but has since been dropped.
Last updated: Apr 12 2022 at 19:14 UTC
