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Type:
Change Request
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Resolution: Persuasive with Modification
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Priority:
Highest
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US CARIN Blue Button (FHIR)
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0.1 [deprecated]
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Financial Mgmt
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(NA)
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Terminology
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Pat Taylor/Bob Dieterle: 21-0-0
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Correction
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Compatible, substantive
Ballot feedback was that the Terminology Section of the IG requires a major overall, renaming the Value Sets and Code Systems and updating links. Following is a recommended resolution for the DRG:
1) Delete Value Set CARINBBDRG
2) Define CMSDRG
3) Title: CMS-DRG
4) Description: DRGs (Diagnosis Related Group) are any of the payment categories that are used to classify patients and especially Medicare patients for the purpose of reimbursing hospitals for each case in a given category with a fixed fee regardless of the actual costs incurred. (There are several DRGs, such as MS (Medicare Severity)-DRGs, or AP (All Patient)-DRGs, requires defining their specific Value Sets and Code Systems.)
coding.system = url of the code system
coding.version = DRG Version Code
coding.code = the code value; e.g. '090'
coding.display = concept associated with the code; e.g. 'CONCUSSION WITHOUT CC/MCC'
5) Value Set for the MS DRG: http://hl7.org/fhir/us/ValueSet/cms-ms-drg
6) Code System for the MS DRG URI (new): http://www.cms.gov/ms-drg. Submit a request to define an OID named cms-ms-drg-cs.
7) Code System Definition:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software.html The link takes one to a list of files. The code set is owned by CMS and is available for use.
8) Bind the ValueSet to DRG.supportingInfo.code in the Inpatient Facility Profile
- relates to
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FHIR-26713 Define the various versions of DRGs (MS-DRG, AP-DRG, etc.) as an External Code System
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- Published
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FHIR-29650 Update External Code Systems and Value Sets per HTA and UTG definitions
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- Published
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FHIR-26706 The Terminology Section of the IG requires a major overhaul, renaming the Value Sets and Code Systems and updating links
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- Published
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