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BCDA-8126: Add NDC and ADM_TYP_CD to PAC Data Dictionary (#210)
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## 🎫 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
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greg-pf authored Aug 9, 2024
1 parent dd3df58 commit e6ba611
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2 changes: 1 addition & 1 deletion _includes/partial/data_dictionary.html
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<div>
<p>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 <a href="/assets/data/BCDA_Partially_Adjudicated_Data_Dictionary_v1.0.0_2023_05_16.xlsx" target="blank" class="in-text__link">here</a>.
<p>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 <a href="/assets/data/BCDA_Partially_Adjudicated_Data_Dictionary.xlsx" target="blank" class="in-text__link">here</a>.
</p>
<ul>
<li>
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2 changes: 1 addition & 1 deletion _includes/partial/faq.html
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</p>
<div class="ds-u-font-weight--bold">4) Where can I find the Data Dictionary to learn more about the data fields that are included in BCDA Partially Adjudicated Claims data?
</div>
<p>The Data Dictionary for the BCDA Partially Adjudicated Claims data can be found <a href="/assets/data/BCDA_Partially_Adjudicated_Data_Dictionary_v1.0.0_2023_05_16.xlsx" target="blank" class="in-text__link">here</a>.
<p>The Data Dictionary for the BCDA Partially Adjudicated Claims data can be found <a href="/assets/data/BCDA_Partially_Adjudicated_Data_Dictionary.xlsx" target="blank" class="in-text__link">here</a>.
</p>
<div class="ds-u-font-weight--bold">5) In analyzing events like tests and referrals for Low-Value Care patients, is there any benefit to using partially adjudicated claims if the event was already completed?
</div>
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