Stream: CARIN IG for Blue Button®
Topic: Understanding the use of explanationofbenefit-status
Fred Harmon (Apr 28 2021 at 17:28):
The CARIN BB implementation guide requires that the status field be populated and that it use one of the 4 values from http://hl7.org/fhir/R4/valueset-explanationofbenefit-status.html. I'm trying to get a better understanding of what these codes mean. I see their descriptions but I'm not sure if my situation would ever call for using anything other than "active".
It seems to me that this status isn't necessarily dependent on the data within the EOB itself but more of a general status for the resource. For example, "draft". Perhaps your system creates an EOB resource at some early stage of the adjudication process but that resource isn't really ready for primetime. Perhaps it doesn't have all the required fields yet....
Why is it that EoB has this field but for example, the Patient resource doesn't have this?
Thanks for any help you can provide in advance.
Michele Mottini (Apr 28 2021 at 18:40):
Partial answer: Patient does not have a status in the base FHIR specifications, it has an active flag that has a similar function (but it is not required by Carin BB)
Last updated: Apr 12 2022 at 19:14 UTC
