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Difference between revisions of "ProductPlan Resource Proposal"

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==Contributing or Reviewing Work Groups==
==Contributing or Reviewing Work Groups==
* Financial Management
* Financial Management
* Seeking interested workgroups
* Seeking other interested workgroups
==FHIR Resource Development Project Insight ID==
==FHIR Resource Development Project Insight ID==

Revision as of 11:28, 14 May 2018


Owning work group name

Patient Administration

Committee Approval Date:

Contributing or Reviewing Work Groups

  • Financial Management
  • Seeking other interested workgroups

FHIR Resource Development Project Insight ID


Scope of coverage

A product is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products typically differ by network type and/or coverage benefits. A plan pairs the health insurance coverage benefits under a product with the particular cost sharing structure offered to a consumer. A given product may comprise multiple plans.

ProductPlan describes a health insurance offering comprised of a list of covered benefits (i.e. the product), costs associated with those benefits (i.e. the plan), and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc.

RIM scope


Resource appropriateness

Expected implementations

The ONC has indicated that they desire to create a service that uses this capability where they will be distributing aggregated healthcare directory data from a central service to Organizations for local usage (based on a specific data usage agreement)

Content sources

Example Scenarios

  • Centralized Healthcare Directory service
  • Distributed/Federated Provider Directory service
  • Aggregated Directory Service

Resource Relationships

Reference(any) - Our initial requirements are needed against:

  • Organization
  • Location

We do not currently expect other resources to specifically reference ProductPlan


Sept Ballot 2018 - draft was in Jan 2018 Comment ballot

gForge Users

  • brian_pos
  • Cooper Thompson
  • Andrew Torres

When Resource Proposal Is Complete

When you have completed your proposal, please send an email to

FMG Notes