Da Vinci PDex-plan-net FHIR IG Proposal

Da Vinci Payer Data exchange Plan Network (PDex-plan-net) Implementation Guide

Owning work group name

Financial Management

Committee Approval Date:

Please enter the date that the committee approved this IGproposal

Publishing Lead

Mark Scrimshire, mark@ekivemark.com

Contributing or Reviewing Work Groups

Attachments

Scope of coverage

This guide will define the exchange methods and interoperability "standards" and specific use of FHIR resources to support Health Plan member-authorized exchange of healthcare directory and pharmacy directory information for members and third-party applications.

Involved parties

This implementation guide has been developed by U.S. EHR and Payer organizations as part of the Da Vinci project.

Content sources

Requirements are drawn from payer and provider organizations as part of the Da Vinci initiative.

Example Scenarios

1. An Authenticated Member at a Health Plan will be able to use an OAuth2.0 authorization to permit a Third-Party Application to access the Health Plan's FHIR API to read the Plan's Healthcare Network Directory. 2. An Authenticated Member at a Health Plan will be able to use an OAuth2.0 authorization to permit a Third-Party Application to access the Health Plan's FHIR API to read the Plan's Pharmacy Network Directory.

IG Relationships

This guide will reference, where possible, the "standards" defined by the Da Vinci Health Record exchange (HRex) Framework Implementation Guide which in turn will utilize prior work from Argonaut, US Core, and QI Core efforts for FHIR DSTU2, STU3, and R4.

This Guide will also be referenced by the Da Vinci Payer Data Exchange (PDex) Implementation Guide and will in turn reference the Validated Healthcare Directory Implementation Guide.

Timelines

Submit for STU Ballot (Second Ballot Cycle) 2019 Sep Early Ballot

When IG Proposal Is Complete

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