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Type:
Change Request
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Resolution: Unresolved
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Priority:
Medium
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FHIR Core (FHIR)
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R5
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Financial Mgmt
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ExplanationOfBenefit
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(many)
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R5
Change cardinality of claim.item.productOrService from 1..1 to 0..1. OR add reasons for it not being there. If there is a item.revenue, there does not need to be an item.productOrService .. in the US.
Will update description from:
Alternate Names | Drug Code; Bill Code; Service Code |
Comments | If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
To
Alternate Names | Base Specification: Drug Code; Bill Code; Service Code US Realm: Example - Procedure Code (CPT/HCPCS) |
Comments | Base Specification: If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. US Realm: Example - If a revenue code is present, then a CPT/HCPCS may or may not be present. |