Could coded goals be referenced in a value set? - PCDE #71

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Medium
    • US Da Vinci PCDE (FHIR)
    • STU3
    • Financial Mgmt
    • (profiles) [deprecated]
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      If coded goals are available, they should be sent; however, the expectation is that payers are unlikely to define goals in a coded fashion outside of case management activities. They may receive coded goals from providers, but there is not an expectation to code goals. If there are defined "goals" value sets in the future, this IG will align to include that value set and field.


      For Medicare plans, the goals could be used from STAR ratings quality measures-- these may be coded by the measure itself and therefore these could be reasonably used as "goals". If coded goals are available, they should be sent; however, the expectation is that payers are unlikely to define goals in a coded fashion outside of case management or quality measure activities. They may receive coded goals from providers, but there is not an requirement to code goals. If there are defined "goals" value sets in the future, this IG will align to include that value set and field.

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      If coded goals are available, they should be sent; however, the expectation is that payers are unlikely to define goals in a coded fashion outside of case management activities. They may receive coded goals from providers, but there is not an expectation to code goals. If there are defined "goals" value sets in the future, this IG will align to include that value set and field. For Medicare plans, the goals could be used from STAR ratings quality measures-- these may be coded by the measure itself and therefore these could be reasonably used as "goals". If coded goals are available, they should be sent; however, the expectation is that payers are unlikely to define goals in a coded fashion outside of case management or quality measure activities. They may receive coded goals from providers, but there is not an requirement to code goals. If there are defined "goals" value sets in the future, this IG will align to include that value set and field.
    • Robert Dieterle / Mary Kay McDaniel: 20-0-1
    • Clarification
    • Non-substantive

      Comment:

      Consider wheter there are any goals coded by the payer that should be refferened in a value set or code system in the "goals" field.

      Summary:

      Could coded goals be referenced in a value set?

            Assignee:
            Unassigned
            Reporter:
            jskapik
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: