This is a slippery slope and leaves it to payers—rather than the patient—to determine what is important to a patient's well-being. - PCDE #138

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Medium
    • US Da Vinci PCDE (FHIR)
    • STU3
    • Financial Mgmt
    • (profiles) [deprecated]
    • 4.3.1.2
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      For example, conveying that a patient has had a double-mastectomy in the past. That may not be related to 'active therapy', but would still be relevant in terms of the new payer knowing not to send reminders for mammogram treatments.

      (add language)

      The expectation is that the payer may have this kind of information available and should send it where it could be relevant to ongoing care activities; however, there is not a requirement to send information unless it is associated with active treatment.

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      For example, conveying that a patient has had a double-mastectomy in the past. That may not be related to 'active therapy', but would still be relevant in terms of the new payer knowing not to send reminders for mammogram treatments. (add language) The expectation is that the payer may have this kind of information available and should send it where it could be relevant to ongoing care activities; however, there is not a requirement to send information unless it is associated with active treatment.
    • Robert Dieterle / Mary Kay McDaniel: 20-0-1
    • Clarification
    • Non-substantive

      Existing Wording: For example, conveying that a patient has had a double-mastectomy in the past. That may not be related to 'active therapy', but would still be relevant in terms of the new payer knowing not to send reminders for mammogram treatments.

      Comment:

      This is a slippery slope and leaves it to payers—rather than the patient—to determine what is important to a patient's well-being. If the purpose of this IG is to address active treatments, the information exchange should be limited to those treatments only, absent a patient's specific consent.

      Summary:

      This is a slippery slope and leaves it to payers—rather than the patient—to determine what is important to a patient's well-being.

            Assignee:
            Unassigned
            Reporter:
            Terrence Cunningham
            Watchers:
            4 Start watching this issue

              Created:
              Updated:
              Resolved: