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#92 - Removed wh- prefixes
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Signed-off-by: Stuart Cox <22485529+coxstuart@users.noreply.github.com>
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coxstuart committed Sep 8, 2022
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10 changes: 5 additions & 5 deletions data/input/fsh/extensions/ClaimExtensions.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -113,7 +113,7 @@ Id: major-diagnostic-category
Title: "Major Diagnostic Category"
Description: "Body system or disease related groupings of clinical conditions, based on diagnosis codes"
* value[x] only CodeableConcept
* valueCodeableConcept from WHPayerMajorDiagnosticCategoryValueSet (extensible)
* valueCodeableConcept from PayerMajorDiagnosticCategoryValueSet (extensible)

Extension: NetworkId
Id: network-id
Expand All @@ -132,7 +132,7 @@ Id:             procedure-group
Title:          "Procedure Group"
Description:    "Code assigned to categorize related procedures"
* value[x] only CodeableConcept 
* valueCodeableConcept from WHPayerProcedureGroupValueSet (extensible)
* valueCodeableConcept from PayerProcedureGroupValueSet (extensible)

Extension: ParticipatingPlan
Id: participating-plan
Expand Down Expand Up @@ -164,9 +164,9 @@ Title: "Service Bill Days Count"
Description: "Number of days between the date of service and the date the claim was received"
* value[x] only unsignedInt

Extension: WhPayerPcpResponsibilityIndicator
Id: wh-payer-pcp-responsibility-indicator
Title: "Health Data Connect PCP Responsibility Indicator"
Extension: PayerPcpResponsibilityIndicator
Id: payer-pcp-responsibility-indicator
Title: "Payer PCP Responsibility Indicator"
Description: "Indicates whether the primary care physician is the physician considered either responsible or accountable for this claim"
* value[x] only string

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4 changes: 2 additions & 2 deletions data/input/fsh/extensions/ClaimResponseExtensions.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -9,7 +9,7 @@ Id: claim-adjustment-type
Title: "Claim Adjustment Type"
Description: "The code for the claim's adjustment type"
* value[x] only CodeableConcept
* valueCodeableConcept from WhPayerClaimAdjustmentTypeValueSet (extensible)
* valueCodeableConcept from PayerClaimAdjustmentTypeValueSet (extensible)

Extension: ClaimReceivedDate
Id: claim-received-date
Expand Down Expand Up @@ -70,7 +70,7 @@ Id: claim-response-item-status
Title: "Claim Response Item Status"
Description: "Payment status of claim item"
* value[x] only CodeableConcept
* valueCodeableConcept from WHPayerClaimStatusValueSet (extensible)
* valueCodeableConcept from PayerClaimStatusValueSet (extensible)

Extension: ClaimResponseBenefitPlan
Id: claim-response-benefit-plan
Expand Down
2 changes: 1 addition & 1 deletion data/input/fsh/extensions/ConditionExtensions.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -3,7 +3,7 @@ Id: condition-disease-course
Title: "Condition Disease Course"
Description: "Clinical course of the disease (how the disease behaves over time), such as acute versus chronic"
* value[x] only CodeableConcept
* valueCodeableConcept from WhConditionCourseValueSet (example)
* valueCodeableConcept from ConditionCourseValueSet (example)

Extension: ProblemType
Id: problem-type
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8 changes: 4 additions & 4 deletions data/input/fsh/extensions/EligibilityExtensions.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -194,7 +194,7 @@ Description:    "Code indicating the regular shift which the employee is sched
Extension: EmployeeStatus
Id: employee-status
Title: "Employee Status"
Description: "Status of the employee based on one or more code systems. Example codes include HIPAA (HipaaEmployeeStatusCodeSystem), Payer (WhPayerEmployeeStatusCodeSystem) or customer-specific codes."
Description: "Status of the employee based on one or more code systems. Example codes include HIPAA (HipaaEmployeeStatusCodeSystem), Payer (PayerEmployeeStatusCodeSystem) or customer-specific codes."
* value[x] only CodeableConcept

Extension: EmployeeSubBusinessUnit
Expand Down Expand Up @@ -341,8 +341,8 @@ Title: "Union Worker Indicator"
Description: "Indicator that the contract holder (subscriber) belongs to a union"
* value[x] only string

Extension: WhPayerRecordPopulationCount
Id: wh-payer-record-population-count
Title: "Health Data Connect Record Population Count"
Extension: PayerRecordPopulationCount
Id: payer-record-population-count
Title: "Payer Record Population Count"
Description: "Specifies whether the member should be counted as eligible for the coverage period"
* value[x] only integer
90 changes: 45 additions & 45 deletions data/input/fsh/extensions/InsurancePlanExtensions.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -124,92 +124,92 @@ Title: "Vision Fully Insured Indicator"
Description: "Indicator of the fully insured vision coverage for the member or employee"
* value[x] only string

Extension: WhPayerDentalCoverageIndicator
Id: wh-payer-dental-coverage-indicator
Title: "Dental Coverage Indicator"
Extension: PayerDentalCoverageIndicator
Id: payer-dental-coverage-indicator
Title: "Payer Dental Coverage Indicator"
Description: "Indicates whether the member has dental benefit coverage: Y or N"
* value[x] only string

Extension: WhPayerDrugCoverageIndicator
Id: wh-payer-drug-coverage-indicator
Title: "Drug Coverage Indicator"
Extension: PayerDrugCoverageIndicator
Id: payer-drug-coverage-indicator
Title: "Payer Drug Coverage Indicator"
Description: "Indicates whether the member has drug benefit coverage: Y or N"
* value[x] only string

Extension: WhPayerHearingCoverageIndicator
Id: wh-payer-hearing-coverage-indicator
Title: "Hearing Coverage Indicator"
Extension: PayerHearingCoverageIndicator
Id: payer-hearing-coverage-indicator
Title: "Payer Hearing Coverage Indicator"
Description: "Indicates whether the member has hearing benefit coverage: Y or N"
* value[x] only string

Extension: WhPayerLongtermCareCoverageIndicator
Id: wh-payer-long-term-care-coverage-indicator
Title: "Longterm Care Coverage Indicator"
Extension: PayerLongtermCareCoverageIndicator
Id: payer-long-term-care-coverage-indicator
Title: "Payer Longterm Care Coverage Indicator"
Description: "Indicates whether the member or employee has long-term care benefit coverage"
* value[x] only string

Extension: WhPayerManagedCarePlanType
Id: wh-payer-managed-care-plan-type
Title: "Managed Care Plan Type"
Extension: PayerManagedCarePlanType
Id: payer-managed-care-plan-type
Title: "Payer Managed Care Plan Type"
Description: "Code for the managed care plan type under which the eligible individual is enrolled"
* value[x] only CodeableConcept

Extension: WhPayerMedicalCoverageIndicator
Id: wh-payer-medical-coverage-indicator
Title: "Medical Coverage Indicator"
Extension: PayerMedicalCoverageIndicator
Id: payer-medical-coverage-indicator
Title: "Payer Medical Coverage Indicator"
Description: "Indicates whether the member has medical benefit coverage: Y or N"
* value[x] only string

Extension: WhPayerMentalHealthAmbulatoryCoverageIndicator
Id: wh-payer-mental-health-ambulatory-coverage-indicator
Title: "Mental Health Ambulatory Coverage Indicator"
Extension: PayerMentalHealthAmbulatoryCoverageIndicator
Id: payer-mental-health-ambulatory-coverage-indicator
Title: "Payer Mental Health Ambulatory Coverage Indicator"
Description: "Indicates whether the member has mental health ambulatory benefit coverage: Y or N. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting."
* value[x] only string

Extension: WhPayerMentalHealthDayNightCoverageIndicator
Id: wh-payer-mental-health-day-night-coverage-indicator
Title: "Mental Health Day Night Coverage Indicator"
Extension: PayerMentalHealthDayNightCoverageIndicator
Id: payer-mental-health-day-night-coverage-indicator
Title: "Payer Mental Health Day Night Coverage Indicator"
Description: "Indicates whether the member has mental health day-night benefit coverage: Y or N. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting."
* value[x] only string

Extension: WhPayerMentalHealthInpatientCoverageIndicator
Id: wh-payer-mental-health-inpatient-coverage-indicator
Title: "Mental Health Inpatient Coverage Indicator"
Extension: PayerMentalHealthInpatientCoverageIndicator
Id: payer-mental-health-inpatient-coverage-indicator
Title: "Payer Mental Health Inpatient Coverage Indicator"
Description: "Indicates whether the member has mental health Inpatient benefit coverage: Y or N. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting."
* value[x] only string

Extension: WhPayerPsychCoverageIndicator
Id: wh-payer-psych-coverage-indicator
Title: "Psychiatric Coverage Indicator"
Extension: PayerPsychCoverageIndicator
Id: payer-psych-coverage-indicator
Title: "Payer Psychiatric Coverage Indicator"
Description: "Indicates whether the member has mental health and substance abuse benefit coverage: Y or N"
* value[x] only string

Extension: WhPayerShorttermCareCoverageIndicator
Id: wh-payer-short-term-care-coverage-indicator
Title: "Shortterm Care Coverage Indicator"
Extension: PayerShorttermCareCoverageIndicator
Id: payer-short-term-care-coverage-indicator
Title: "Payer Shortterm Care Coverage Indicator"
Description: "Indicates whether the member or employee has short-term care benefit coverage"
* value[x] only string

Extension: WhPayerSubstanceAbuseAmbulatoryCoverageIndicator
Id: wh-payer-substance-abuse-ambulatory-coverage-indicator
Title: "Substance Abuse Ambulatory Coverage Indicator"
Extension: PayerSubstanceAbuseAmbulatoryCoverageIndicator
Id: payer-substance-abuse-ambulatory-coverage-indicator
Title: "Payer Substance Abuse Ambulatory Coverage Indicator"
Description: "Indicator of Substance Abuse (chemical dependency) Ambulatory benefit coverage for the member. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting."
* value[x] only string

Extension: WhPayerSubstanceAbuseDayNightCoverageIndicator
Id: wh-payer-substance-abuse-day-night-coverage-indicator
Title: "Substance Abuse Day-Night Coverage Indicator"
Extension: PayerSubstanceAbuseDayNightCoverageIndicator
Id: payer-substance-abuse-day-night-coverage-indicator
Title: "Payer Substance Abuse Day-Night Coverage Indicator"
Description: "Indicator of Substance Abuse (chemical dependency) day-night benefit coverage for the member. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting."
* value[x] only string

Extension: WhPayerSubstanceAbuseInpatientCoverageIndicator
Id: wh-payer-substance-abuse-inpatient-coverage-indicator
Title: "Substance Abuse Inpatient Coverage Indicator"
Extension: PayerSubstanceAbuseInpatientCoverageIndicator
Id: payer-substance-abuse-inpatient-coverage-indicator
Title: "Payer Substance Abuse Inpatient Coverage Indicator"
Description: "Indicator of Substance Abuse (chemical dependency) inpatient benefit coverage for the member. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting."
* value[x] only string

Extension: WhPayerVisionCoverageIndicator
Id: wh-payer-vision-coverage-indicator
Title: "Vision Coverage Indicator"
Extension: PayerVisionCoverageIndicator
Id: payer-vision-coverage-indicator
Title: "Payer Vision Coverage Indicator"
Description: "Indicates whether the member has vision benefit coverage: Y or N"
* value[x] only string
2 changes: 1 addition & 1 deletion data/input/fsh/resources/basic/CDM_Basic.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -14,4 +14,4 @@ Description: "Basic is a special type of resource that doesn't correspond to
* identifier.value 1..1
* identifier.type from IdentifierTypeValueSet (extensible)

* code from WhBasicResourceTypeValueSet (preferred)
* code from BasicResourceTypeValueSet (preferred)
2 changes: 1 addition & 1 deletion data/input/fsh/resources/basic/CDM_BasicPII_Instance.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -20,7 +20,7 @@ Description: "Sample of a CDM Basic Resource with PII token"
* identifier.system = "http://ibm.com/CodeSystem/local-pii-identifier"
* identifier.value = "2d86c4246a3c1eb516628bf324w6b9b3"

* code = WhBasicResourceTypeCodeSystem#patient-tokens
* code = BasicResourceTypeCodeSystem#patient-tokens
* subject = Reference(CDMPatientInstance)
* created = "2017-07-25"

12 changes: 6 additions & 6 deletions data/input/fsh/resources/claim/CDM_Claim.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -14,7 +14,7 @@ Description: "A provider issued list of professional services and products wh
* identifier.type from IdentifierTypeValueSet (extensible)

* type from ClaimTypeValueSet (extensible)
* subType from WhClaimSubtypeValueSet (extensible)
* subType from ClaimSubtypeValueSet (extensible)
* supportingInfo.category from ClaimSupportingInfoCategoryValueSet (extensible)
* supportingInfo.code from ClaimSupportingInfoTypeValueSet (extensible)

Expand All @@ -24,12 +24,12 @@ Description: "A provider issued list of professional services and products wh
* diagnosis.extension contains MajorDiagnosticCategory named majorDiagnosticCategory 0..1
* diagnosis.extension[majorDiagnosticCategory] ^short = "The body system or disease related groupings of clinical conditions, based on diagnosis codes"
* diagnosis.extension[majorDiagnosticCategory] ^definition = "The body system or disease related groupings of clinical conditions, based on diagnosis codes"
* diagnosis.extension[majorDiagnosticCategory].valueCodeableConcept from WHPayerMajorDiagnosticCategoryValueSet (extensible)
* diagnosis.extension[majorDiagnosticCategory].valueCodeableConcept from PayerMajorDiagnosticCategoryValueSet (extensible)

* procedure.extension contains ProcedureGroup named procedureGroup 0..1
* procedure.extension[procedureGroup] ^short = "Code assigned to categorize related procedures"
* procedure.extension[procedureGroup] ^definition = "Code assigned to categorize related procedures"
* procedure.extension[procedureGroup].valueCodeableConcept from WHPayerProcedureGroupValueSet (extensible)
* procedure.extension[procedureGroup].valueCodeableConcept from PayerProcedureGroupValueSet (extensible)

* item.extension contains CapitatedServiceIndicator named capitatedServiceIndicator 0..1
* item.extension[capitatedServiceIndicator] ^short = "Indicates whether this service (encounter record) was capitated"
Expand Down Expand Up @@ -121,7 +121,7 @@ Description: "A provider issued list of professional services and products wh
* extension[submissionType] ^short = "Customer-specific code for the type of electronic submission"
* extension[submissionType] ^definition = "Customer-specific code for the type of electronic submission"

* extension contains WhPayerPcpResponsibilityIndicator named whPayerPcpResponsibilityIndicator 0..1
* extension[whPayerPcpResponsibilityIndicator] ^short = "Indicates whether the primary care physician is the physician considered either responsible or accountable for this claim"
* extension[whPayerPcpResponsibilityIndicator] ^definition = "Indicates whether the primary care physician is the physician considered either responsible or accountable for this claim"
* extension contains PayerPcpResponsibilityIndicator named payerPcpResponsibilityIndicator 0..1
* extension[payerPcpResponsibilityIndicator] ^short = "Indicates whether the primary care physician is the physician considered either responsible or accountable for this claim"
* extension[payerPcpResponsibilityIndicator] ^definition = "Indicates whether the primary care physician is the physician considered either responsible or accountable for this claim"

4 changes: 2 additions & 2 deletions data/input/fsh/resources/claim/CDM_ClaimResponse.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -42,7 +42,7 @@ Description: "This resource provides the adjudication details from the proce
* payment.extension contains ClaimAdjustmentType named claimAdjustmentType 0..*
* payment.extension[claimAdjustmentType] ^short = "The code for the type of adjustment for the claim"
* payment.extension[claimAdjustmentType] ^definition = "The code for the type of adjustment for the claim"
* payment.extension[claimAdjustmentType].valueCodeableConcept from WhPayerClaimAdjustmentTypeValueSet (extensible)
* payment.extension[claimAdjustmentType].valueCodeableConcept from PayerClaimAdjustmentTypeValueSet (extensible)

* payment.extension contains DispositionReason named dispositionReason 0..*
* payment.extension[dispositionReason] ^short = "Customer-specific code for the disposition reason, as related to how the claim was paid"
Expand All @@ -56,7 +56,7 @@ Description: "This resource provides the adjudication details from the proce

//Extension for claim status at item level
* item.extension contains ClaimResponseItemStatus named claimResponseItemStatus 0..1
* item.extension[claimResponseItemStatus].valueCodeableConcept from WHPayerClaimStatusValueSet (extensible)
* item.extension[claimResponseItemStatus].valueCodeableConcept from PayerClaimStatusValueSet (extensible)
* item.extension[claimResponseItemStatus] ^short = "The status of claim payment on claim item"
* item.extension[claimResponseItemStatus] ^definition = "The status of claim payment on claim item"

Expand Down
Original file line number Diff line number Diff line change
Expand Up @@ -25,7 +25,7 @@ Description: "Sample of a CDM Drug Claim Response"
* extension[claimStatus].valueCodeableConcept = http://acme-health.com/CodeSystem/local-claim-status#LocClaimSts
* extension[claimReceivedDate].valueDate = "2017-06-01"

* type.coding[0] = WhPayerClaimTypeCodeSystem#pharmacy
* type.coding[0] = PayerClaimTypeCodeSystem#pharmacy
* type.coding[1] = http://acme-health.com/CodeSystem/local-claim-type#Pharmacy

* use = #claim
Expand Down Expand Up @@ -81,7 +81,7 @@ Description: "Sample of a CDM Drug Claim Response"
* item.adjudication[19].category = AdjudicationCategoryCodeSystem#medicare-paid
* item.adjudication[19].amount.value = 0.00

* item.extension[claimResponseItemStatus].valueCodeableConcept = WhPayerClaimStatusCodeSystem#P "Paid"
* item.extension[claimResponseItemStatus].valueCodeableConcept = PayerClaimStatusCodeSystem#P "Paid"
* item.extension[claimResponseBenefitPlan].valueReference = Reference(CoverageDrugExample)

* item.extension[rxFormularyIndicator].valueString = "N"
Expand All @@ -96,6 +96,6 @@ Description: "Sample of a CDM Drug Claim Response"
* payment.type = PAYMENT-TYPE#complete
* payment.amount.value = 5.00
* payment.adjustmentReason[0] = http://acme-health.com/CodeSystem/local-adjustment-reason#local-adj-reason
* payment.extension[claimAdjustmentType][0].valueCodeableConcept = WhPayerClaimAdjustmentTypeCodeSystem#1
* payment.extension[claimAdjustmentType][0].valueCodeableConcept = PayerClaimAdjustmentTypeCodeSystem#1
* payment.extension[claimAdjustmentType][1].valueCodeableConcept = http://acme-health.com/CodeSystem/local-claim-adjustment-type#LocalClaimAdjType
* payment.extension[dispositionReason][0].valueCodeableConcept = http://acme-health.com/CodeSystem/local-disposition-reason#record-in-error-correct-and-resubmit
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