Stream: Da+Vinci+PDex+Plan-Net
Topic: Which version of PDEX to use for 2021 release
Art Huston (Oct 15 2020 at 17:42):
DaVinci PDEX is continuing to evolve. For example, http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/hrex-coverage
was recently added, and it's unclear how this will co-exist with the CARIN Coverage http://build.fhir.org/ig/HL7/carin-bb/StructureDefinition-C4BB-Coverage.html.
With issues like this in mind, what is the recommended version to meet the CMS Interoperability rules and meet market expectations for 2021? It's obviously best to offer full support, but if means the target is constantly moving then implementation becomes difficult or impossible.
Saul Kravitz (Oct 15 2020 at 21:29):
Not trying to be annoying (although I may be succeeding), but: great question, wrong zulip stream. This one is for Plan-Net.
Took a look: Looks like HRex is just the base Coverage with 4 MS constraints, whereas CarinBB requires a lot more.
@Pat Taylor @Robert Dieterle
Robert Dieterle (Oct 15 2020 at 22:24):
Good question -- let me ask Mark to answer that question @Mark Scrimshire
Pat Taylor (Oct 16 2020 at 16:34):
@Mark Scrimshire to confirm from a PDex perspective but my understanding is that the PDex coverage information reflects the current coverage while the CARIN for BB coverage reflects information that was effective as of the admission or service data of the claim.
Mark Scrimshire (Oct 20 2020 at 14:54):
We are taking PDEX 0.1.25 to FM for approval.
http://build.fhir.org/ig/HL7/davinci-epdx/index.html
Last updated: Apr 12 2022 at 19:14 UTC
