Gap Analysis CDPDE EOB Reference Resources vs US

Gap Analysis | CDPDE EOB Reference Resources vs US Core CPCDS (the IG’s logical data model) will expand to accommodate the Must Support data elements from US Core, except communication-related elements highlighted in yellow. Required elements are underlined. The data elements to be added are defined in HL 7 FHIR® US Core Implementation Guide STU 3 Release 3. 1. 0 Resource Practioner. Role Practitioner Organization Patient © 2019 LEAVITT PARTNERS Current BB data elements US Core ‘Must Support’ data elements Practitioner (Ref), Organization (Ref), Code (Practitioner role with this (Practitioner functional role with this Organization – subset of Provider Specialty), Provider Specialty (NUCC Organization on the claim – Attending | Billing | Taxonomy), Location (Ref), Telecom, Endpoint (Ref) Rendering, etc. ), Location (Ref) The US Core Practioner. Role profile requires references to Practioner and Organization The EOB use of Practioner. Role is to identify the specialty of the performing provider on the Professional and Non. Clinician profile. The US Core requirement of Organization does not apply in this situation. CARIN BB will use the base R 4 profile. Identifier (NPI), name Identifier (Organization's NPI and/or Payer Identifier (NPI), active, name, Telecom, Address (except Service Facility Identifier) Address) US Core doesn’t address Payer Identifiers Identifier (Member id), Race Code, Ethnicity, Birth sex, Patient account number, Medical Patient Name, Gender code, Date of birth, Telecom, Address, record number, Patient Name, Gender code, Communication language Date of birth, Deceased, Date of death, County, State, Country, ZIP, Street Address 1