From e6ba61196fe5e16b9bce038dff03cd1104430dee Mon Sep 17 00:00:00 2001 From: Greg Pfadenhauer Date: Fri, 9 Aug 2024 15:56:21 -0400 Subject: [PATCH] BCDA-8126: Add NDC and ADM_TYP_CD to PAC Data Dictionary (#210) MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit ## 🎫 Ticket https://jira.cms.gov/browse/BCDA-8126 ## 🛠 Changes 1. ### Uploaded a new version of the Partially Adjudicated Claims Data Dictionary with the following changes: a) Added the following rows to the Institutional-FISS tab FISS Business Name | Field Name | Field Description | Additional Information | CCLF File | CCLF FIeld | CMS Code List, if any | FHIR Resource (C= claim, CR = claim response) | FHIR R4 Element | FHIRPath | Hard-coded Values for Sandbox Data -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- National Drug Code (NDC) | NDC | This field identifies the NDC assigned to each medication. |   | No direct equivalent | No direct equivalent | None | C | item[N].detail[N].productOrService.coding[N].code | item[%n].productOrService.extension.where(url='http://hl7.org/fhir/sid/ndc').valueCoding.code |   National Drug Code (NDC) Quantity | NDC-QTY | This field identifies the quantity of the NDC medication administered. |   | No direct equivalent | No direct equivalent | None | C | item[N].detail[N].quantity.value | item[%n].quantity.value |   National Drug Code (NDC) Quantity Qualifier | NDC-QTY-QUAL | This field identifies the measurement qualifier for the quantity of the NDC medication administered |   | No direct equivalent | No direct equivalent | None | C | item[N].detail[N].quantity.unit | item[%n].modifier.coding.where(system='http://unitsofmeasure.org').code |   Admission Type Code | ADM-TYP-CD | Indicates the type and priority of inpatient services. |   | CCLF1 | CLM_ADMSN_TYPE _CD | Claim Admission Type Code include: 0 = Blank 1 = Emergency 2 = Urgent 3 = Elective 4 = Newborn 5 = Trauma Center 6-8 = Reserved 9 = Unknown | C | supportingInfo[N].coding[N].code | supportingInfo.where(code.coding.where(system='https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit')).code.coding.code | b) Added the following rows to the Professional-MCS tab MCS Business Name | Field Name | Field Description | Additional Information | CCLF File | CCLF Field | CMS Code List, if any | FHIR Resource | FHIR R4 Element | FHIRPath | Hard-coded Values for Sandbox Data -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- Detail level NDC (National Drug Code) | DTL-NDC | This field holds the data from segment 2410-LIN03 of claims submitted in 5010A1 format. |   | No direct equivalent | No direct equivalent | None | C | item[N].detail[N].productOrService.coding[N].code | item[%n].productOrService.extension.where(url='http://hl7.org/fhir/sid/ndc').valueCoding.code |   Detail level NDC (National Drug Code) Units | NDC-UNIT-COUNT | This field holds the data from 5010A format 2410 CTP04 claims. |   | No direct equivalent | No direct equivalent | None | C | item[N].detail[N].quantity.value | item[%n].quantity.value | c) Updated the Change Log tab d) Incremented the version # to 1.1.0 in the Overview tab 2. Reference new PAC data dictionary following the pattern established in #191 3. Remove the old PAC data dictionary ## ℹ️ Context This change updates the data dictionary for partially adjudicated claims to reflect new fields added to partially adjudicated claims in May 2024. ## 🧪 Validation Deployed to [staging](https://stage.bcda.cms.gov/partial.html#data-dictionary) and confirmed both file download links work as expected in the PAC Data Dictionary & PAC FAQ sections --- _includes/partial/data_dictionary.html | 2 +- _includes/partial/faq.html | 2 +- ..._Partially_Adjudicated_Data_Dictionary.xlsx | Bin 0 -> 56916 bytes ...ated_Data_Dictionary_v1.0.0_2023_05_16.xlsx | Bin 613835 -> 0 bytes 4 files changed, 2 insertions(+), 2 deletions(-) create mode 100644 assets/data/BCDA_Partially_Adjudicated_Data_Dictionary.xlsx delete mode 100644 assets/data/BCDA_Partially_Adjudicated_Data_Dictionary_v1.0.0_2023_05_16.xlsx diff --git a/_includes/partial/data_dictionary.html b/_includes/partial/data_dictionary.html index d2ebbde..12c2fe9 100644 --- a/_includes/partial/data_dictionary.html +++ b/_includes/partial/data_dictionary.html @@ -1,5 +1,5 @@
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The BCDA Partially Adjudicated Claims data provides the following two (2) new resource types under the FHIR® specification for REACH ACOs with BCDA credentials. Download the Data Dictionary for the Partially Adjudicated Claims Data here. +

The BCDA Partially Adjudicated Claims data provides the following two (2) new resource types under the FHIR® specification for REACH ACOs with BCDA credentials. Download the Data Dictionary for the Partially Adjudicated Claims Data here.