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Difference between revisions of "Payment FHIR Resource Proposal"

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Current version: https://confluence.hl7.org/display/FHIR/Payment+FHIR+Resource+Proposal<div style="float: left;">[[Image:OpenHotTopic.GIF|35px| ]]</div>
 
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This page documents a [[:category:Pending FHIR Resource Proposal|Pending]] [[:category:FHIR Resource Proposal|FHIR Resource Proposal]]
 
This page documents a [[:category:Pending FHIR Resource Proposal|Pending]] [[:category:FHIR Resource Proposal|FHIR Resource Proposal]]
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=Payment=
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=FinancialTransaction=
  
 
<!-- Resource names should meet the following characteristics:
 
<!-- Resource names should meet the following characteristics:
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==FHIR Resource Development Project Insight ID==
 
==FHIR Resource Development Project Insight ID==
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<!-- Please specify the id of your work group’s PSS for doing FHIR work.  (If submitted but not yet approved, just write “pending”.) The link to the PSS template can be found here: http://gforge.hl7.org/gf/download/docmanfileversion/6832/9398/HL7FHIR_DSTUballotPSS-20120529.doc -->
 
994
 
994
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<!-- Please specify the id of your work group’s PSS for doing FHIR work.  (If submitted but not yet approved, just write “pending”.) The link to the PSS template can be found here: http://gforge.hl7.org/gf/download/docmanfileversion/6832/9398/HL7FHIR_DSTUballotPSS-20120529.doc -->
 
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==Scope of coverage==
 
==Scope of coverage==
  
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As a rule, resources should encompass all of these aspects.
 
As a rule, resources should encompass all of these aspects.
 
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This resource provides the ability to accurately track the different payment and adjustment transactions toward balances on an account.
  
 
==RIM scope==
 
==RIM scope==
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* Have the characteristics of high cohesion & low coupling – need to explore whether coupling is good some places, not elsewhere – layers from Bo’s document  
 
* Have the characteristics of high cohesion & low coupling – need to explore whether coupling is good some places, not elsewhere – layers from Bo’s document  
 
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Tracking financial information is vital in Patient Accounting and Patient Administration systems in many Healthcare Organizations. This resource provides the ability to accurately track the different payments and adjustments toward balances on the account. ChargeItems (can) result in an increase in the balance on an Account.  We now need a method to pay down that balance (i.e. post payments).
  
 
==Expected implementations==
 
==Expected implementations==
  
 
<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
 
<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
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*Any solution that tracks financial accounting, payment, and billing information
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*Patient apps that support self-pay payments
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*Patient apps that show how a current balance was calculated
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*Interested parties: Cerner, payment processors, healthcare providers, healthcare systems.
  
 
==Content sources==
 
==Content sources==
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Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider? -->
 
Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider? -->
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Existing normative V3 and V2 specifications
  
 
==Example Scenarios==
 
==Example Scenarios==
  
 
<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this resource.  They should demonstrate the full scope of the resource and allow exercising of the resources capabilities (full element coverage, inclusion & omission of optional elements, repeating and singleton repeating elements, etc.) -->
 
<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this resource.  They should demonstrate the full scope of the resource and allow exercising of the resources capabilities (full element coverage, inclusion & omission of optional elements, repeating and singleton repeating elements, etc.) -->
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*Patient online bill pay payments
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*Point of service payments for co-pays
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*Back office collection payments over the phone or mail
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*Lockbox payments
  
 
==Resource Relationships==
 
==Resource Relationships==
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Reference to resources is really only relevant at the "same or higher level" (Bo – fix this wording)
 
Reference to resources is really only relevant at the "same or higher level" (Bo – fix this wording)
 
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Reference to:
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*Account
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*Encounter
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*ChargeItem
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*Claim
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*Patient|Group|RelatedPerson (subject)
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Referenced by:
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*Payment
  
 
==Resource Boundaries==
 
==Resource Boundaries==

Latest revision as of 15:18, 31 October 2019

Current version: https://confluence.hl7.org/display/FHIR/Payment+FHIR+Resource+Proposal
OpenHotTopic.GIF

This page documents a Pending FHIR Resource Proposal



FinancialTransaction

Owning work group name

Financial Management

Committee Approval Date:

PA Approval on 10/24/2018 Riki Merrick/Kathleen Connor:4-0-0

Contributing or Reviewing Work Groups

Patient Administration

FHIR Resource Development Project Insight ID

994

Scope of coverage

This resource provides the ability to accurately track the different payment and adjustment transactions toward balances on an account.

RIM scope

Resource appropriateness

Tracking financial information is vital in Patient Accounting and Patient Administration systems in many Healthcare Organizations. This resource provides the ability to accurately track the different payments and adjustments toward balances on the account. ChargeItems (can) result in an increase in the balance on an Account. We now need a method to pay down that balance (i.e. post payments).

Expected implementations

  • Any solution that tracks financial accounting, payment, and billing information
  • Patient apps that support self-pay payments
  • Patient apps that show how a current balance was calculated
  • Interested parties: Cerner, payment processors, healthcare providers, healthcare systems.

Content sources

Existing normative V3 and V2 specifications

Example Scenarios

  • Patient online bill pay payments
  • Point of service payments for co-pays
  • Back office collection payments over the phone or mail
  • Lockbox payments

Resource Relationships

Reference to:

  • Account
  • Encounter
  • ChargeItem
  • Claim
  • Patient|Group|RelatedPerson (subject)

Referenced by:

  • Payment

Resource Boundaries

Timelines

gForge Users

When Resource Proposal Is Complete

When you have completed your proposal, please send an email to FMGcontact@HL7.org

FMG Notes

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