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[Gnumed-devel] Re: Billing revisited

From: Jim Busser
Subject: [Gnumed-devel] Re: Billing revisited
Date: Sat, 30 May 2009 07:30:32 -0700

I see there now exists in v11 the beginnings of a bill schema schema.html#bill.schema

Comparing to my posting of "Billing revisited" of 5-Mar-09 @10:46 the following are provided for although under different names:

        key to encounter (default current encounter)
        date time (default date time of encounter, needs to be modifiable)
        clinician (default clinician from the encounter)
        site of care (default keyed encounter's location type)
        status (default incomplete;approved;transferred)

the following are not. We maybe need to resolve whether to create and maintain, in the items table, fields that are so granular as currency and amounts. I suggest not, since amounts per-fee-code will live in reference tables and there exist further complexities like the numbers of units to bill, duration of visit etc.

It was for this reason I was thinking that a comment to the billing clerk "bill 3 x code" would suffice, and any more complexity desired to be stored within the item could be achieved as an abstraction in data_formatted much like an HL7 message that is internally delimited with "|" and "^":

        billable (default "true"; false; null)
        key to patient (default current patient)
        alt_clinician (default current user clinician)
        data_narrative (free text vs blob?)
        data_formatted (free text)
        comment (free text to guide the billing clerk)

Can we add a table
having fields:
        fee_key (auto-increment)
        fee_code (free text)
        fee_description (free text)

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