FHIR Chat · validation · CARIN BB ExplanationOfBenefit

Stream: CARIN BB ExplanationOfBenefit

Topic: validation

Nathan (Mar 08 2021 at 21:29):

Hello, Validating c4bb ExplanationOfBenefit non-clinician - https://build.fhir.org/ig/HL7/carin-bb/ExplanationOfBenefit-ProfessionalEOBExample1.json.html with fhir validator shows this error:

    "severity": "error",
      "code": "code-invalid",
      "details": {
        "text": "None of the codes provided are in the value set http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator (http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator), and a code from this value set is required) (codes = http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus#innetwork)"
      },
      "expression": [
        "ExplanationOfBenefit.item[5].adjudication[6].category"
      ]

The resource looks good according to the StructureDefinitiion - https://build.fhir.org/ig/HL7/carin-bb/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html. Anyone has any idea? any way to turn off certain code/codesystem validation? Your help is greatly appreciated.

Corey Spears (Mar 08 2021 at 22:15):

@Nathan , This is a known defect in the IG. The inoutnetwork slice for item.adjudication has a category element with a required terminology binding that was not included in the discriminator value set. The short of it is: It isn't possible to create a Profession and NonClinician profile conformant resource instance with line items. This is a known issue (https://jira.hl7.org/browse/FHIR-30806) and is a high priority to fix ASAP.

Nathan (Mar 08 2021 at 22:24):

@Corey Spears Thank you very much!