ProductPlan Resource Proposal

From HL7Wiki
Revision as of 11:28, 14 May 2018 by Brianpos (talk | contribs)
Jump to navigation Jump to search

ProductPlan

Owning work group name

Patient Administration

Committee Approval Date:

Contributing or Reviewing Work Groups

  • Financial Management
  • Seeking interested workgroups

FHIR Resource Development Project Insight ID

1345

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

unknown

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

Timelines

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 FMGcontact@HL7.org

FMG Notes