Stream: Da+Vinci+PDex+Plan-Net
Topic: Delivery-Method is too restrictive
Shamil Nizamov (Oct 12 2021 at 18:15):
Is it possible to relax the HealthcareService.delivery-method.type binding or add an "unknown" concept to the DeliveryMethodVS?
Currently it's too restrictive and does not allow to use the DAR extension.
Sean Mahoney (Oct 14 2021 at 17:57):
Shamil, It was previously decided that delivery method was a critical piece of information for provider directory. Allowing Data Absent Reason options will not be helpful to users. We will discuss again how to best handle these situations.
Shamil Nizamov (Oct 16 2021 at 17:09):
Most virtual visits began in 2020 and majority of the healthcare ecosystem did not care about it before. Also, from the payer standpoint, it was billed the same way. With that fact some EMR data models do not support it, at least one particular EMR I’m dealing with do not track it and they are puzzled now how to substitute the delivery method to be compliant.
FHIR-34140
Sean Mahoney (Oct 20 2021 at 16:52):
Shamil, we will discuss this situation and provide guidance soon on this.
Sean Mahoney (Oct 25 2021 at 15:56):
Shamil, we are putting a change request to make delivery method optional. Would that meet your requirements?
Shamil Nizamov (Oct 27 2021 at 19:09):
Yeah, that will work. Thank you.
Shamil Nizamov (Dec 16 2021 at 17:20):
I see that the IG is updated but an attempt to validate a HealthcareService resource instance without the delivery-method extension by the FHIR Validator failed with:
HealthcareService.extension:deliverymethod: minimum required = 1, but only found 0 (from http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-HealthcareService)
I wonder why the FHIR Validator is not taking the updated StructureDefinition from the package. Is it cached somewhere?
Corey Spears (Dec 17 2021 at 00:00):
The current version has a minimum cardinality of 1. The CI build (which will shortly going through an STU update peer review) has relaxed this to 0. Until that is published, I believe the validator will continue to use the latest published by default.
Last updated: Apr 12 2022 at 19:14 UTC
