Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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FHIR Core (FHIR)
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STU3
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Patient Administration
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InsurancePlan
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8.36.7
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Brian Postlethwaite / Sonja Ziegler : 5-0-0
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Clarification
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Non-substantive
Description
In the US domain, most commercial insurance coverage is identified by the combination of a plan number and group number. In HL7 V2 terms that would correspond to the IN1-2 and IN1-8 fields. Practitioners have to know both numbers to determine whether a particular service is covered for a patient. I assume both numbers should go in the InsurancePlan.identifier element but the documentation is rather vague. Could we please make that explicit by giving some examples at the end of the definition? It could be something like "Identifiers may include plan number, group number, or other values assigned to a particular set of coverage rather than to an individual person or organization." And we should also include those IN1-2 and IN1-8 mappings on the Mappings tab.
Also assuming that InsurancePlan.identifier is the correct place for plan number and group number then we probably will also need a vocabulary proposal to enhance the identifier-type value set with additional Identifier types for plan number and group number.
Attachments
Issue Links
- relates to
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FHIR-24827 Add InsurancePlan.parent for modeling hierarchical product families
- Applied