CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.1.0-snapshot1 - STU 2.1 prepublication draft United States of America flag

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0-snapshot1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

Change Notes

Page standards status: Informative

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®) was developed under the CARIN Alliance.

Changes and Updates for Version 2.1.0 (from version 2.0.0)

The current official published version of CARIN BB for FHIR R4

  • Changed base profile of the Patient, Coverage, Practitioner, Organization, and RelatedPerson to US Core 6.1 and added complies with requirements to US Core 3.1.1 where there was a profile in that version (FHIR-46374) *. Note: Most of the changes from US Core 3.1.1 to 6.1 are reductions in Must Support requirements, but there are a small number of breaking changes to note, including:
    • The Coverage profile now requires the member identifier, if present, to have a type of MB from system http://terminology.hl7.org/CodeSystem/v2-0203. The previous version of this profile did not have specific requirements for the member ID, though the example had a member ID that matched US Core 6.1 requirements.
    • The Coverage profile now has an extensible binding to a ValueSet to Coverage.type, where there was no previous binding.
    • The Organization and Practitioner profiles now have ID validation checks for NPI and CLIA numbers
  • Added "Basis" profiles for all EOB types that identify all data requirements excluding financial data. This is made available for other IGs (e.g. Da Vinci PDex) that need communicate EOB information to parties other than the patient/member. This does not represent any change of conformance requirements for the existing EOB profiles. (FHIR-40999 and FHIR-40820)
  • Corrected the ICD-9 CodeSystem url (changed from http://terminology.hl7.org/CodeSystem/icd9 to http://hl7.org/fhir/sid/icd-9-cm) (FHIR-41791)
  • Corrected several invariants that either had the wrong context or an expression that returned false negatives if the element of interest had multiple iterations (FHIR-46276)
  • Added a masked Data Absent Reason Code to the Diagnosis Codes ValueSet to allow for masking of sensitive diagnosis codes. (FHIR-40441)
  • Reduced meta.profile requirements for all profiles. meta.profile still required, but the invariant checking for the profile url of this guide is no longer an error, but a informational warning. (FHIR-41498)
  • Fixed the expression for the Service Start Date SearchParameter (FHIR-46376)
  • Added the ability for the ExplanationOfBenefit.provider to be an Organization for the Oral EOB Profile (FHIR-44662)
  • Removed the inclusion of codes in Benefit Payment Status from the (FHIR-40245)
  • Updated guidance for the Service Date Search Parameter to state that the search parameter is to simplify the search in case the client does not know the specific date type to search for based on EOB type. (FHIR-41634)
  • Clarified search removing the need for a patient search argument in the Capability Statement. (FHIR-41628)
  • Improved the EOB Professional 1 example to include more realistic amounts and a payee. (FHIR-43464)
  • Updated the menu structure adding support links. (FHIR-46270)

Changes and Updates for Version 2.0.0 (from version 1.1.0)

The current official published version of CARIN BB for FHIR R4

Changes and Updates for Version 1.1.0

STU Update of STU 1

Note: Items marked with an "*" are non-compatible with earlier versions - Existing data may not be valid against the new specification.