Da Vinci Payer Data exchange Implementation Guide Release 0.1.0

This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

3-6-4 US Core Location

The US Core Location profile SHALL be used to record location/facility-specific information.

The essential fields to be provided in the US Core Location resource are:

R4 Hierarchical Name R4 Name Card. Type
Location Location 0..*  
Location.id id 0..1 id
Location.status status 0..1 code
Location.name name 1..1 string
Location.telecom telecom 0..* ContactPoint
Location.address address 0..1 Address
Location.address.line line 0..* string
Location.address.city city 0..1 string
Location.address.state state 0..1 string
Location.address.postalCode postalCode 0..1 string
Location.managingOrganization managingOrganization 0..1 Reference(US Core Organization Profile)

3-6-4-1 Health Plan Mapping Assistance

A collaboration of Health Plan experts have performed an evaluation of claims information and developed a mapping of data for Members to the US Core Location profile. This is shown below as an assistance to implementers:

Line PayerSourceRecord CMS BB 2.0 Field Data Descriptor FHIR Profile Profile Field ValueSet Notes
15.1 Claim   Claim bill facility type code US Core Location .type http://hl7.org/fhir/R4/v3/ServiceDeliveryLocationRoleType/vs.html  
5.1 Claim-Provider   Claim site of service NPI US Core Location .identifier.value    
16.1 Claim-Provider   Claim service location NPI US Core Location .identifier.value    
7.1 Claim-Pharmacy   Pharmacy service type code US Core Location .type    

Where an entry is provided in the CMS BB2.0 FIELD column the definition of the field can be reviewed using the following URL:

https://bluebutton.cms.gov/resources/variables/{CMS_BB2.0_FIELD}/

Where {CMS_BB2.0_FIELD} is replaced with the Field value in lower case. For example:

https://bluebutton.cms.gov/resources/variables/bene_id/ https://bluebutton.cms.gov/resources/variables/dob_dt/

3-6-4-2 Example Location Resource

An example mapping of a Location resource is shown here:

{
  "resourceType" : "Location",
  "id" : "hl7east",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">

Generated Narrative with Details

id: hl7east

meta:

identifier: 29

status: active

name: Health Level Seven International - Amherst

description: HL7 Headquarters - East

telecom: ph: (+1) 734-677-7777

address: 3300 Washtenaw Avenue, Suite 227 Amherst MA 01002 USA

Positions

<table class=\"grid\">-LongitudeLatitude*-72.51985442.373222</table>

managingOrganization: Health Level Seven International

</div>" }, "identifier" : [ { "system" : "http://www.acme.org/location", "value" : "29" } ], "status" : "active", "name" : "Health Level Seven International - Amherst", "description" : "HL7 Headquarters - East", "telecom" : [ { "system" : "phone", "value" : "(+1) 734-677-7777" } ], "address" : { "line" : [ "3300 Washtenaw Avenue, Suite 227" ], "city" : "Amherst", "state" : "MA", "postalCode" : "01002", "country" : "USA" }, "position" : { "longitude" : -72.519854, "latitude" : 42.373222 }, "managingOrganization" : { "display" : "Health Level Seven International" } }

Refer to the US Core Additional examples of the US Core R4 Implementation Guide for further examples of completed US Core Location Profiles .