Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-33185

Create a profile to represent subscribable Insurance plan

    XMLWordPrintableJSON

Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci Drug Formulary (FHIR)
    • current
    • Pharmacy
    • Formulary Coverage Plan [deprecated]
    • Hide

      Add Payer Insurance Plan profile on InsurancePlan with an extension pointing the a Formulary profile on InsurancePlan in an extension under coverage.

      Include cost sharing information for the formulary under plan.

      Use the same codes as Da Vinci plan-net InsurancePlan.type. All other elements are compatible with Plan-net InsurancePlan, but cardinalities and Must Support are not the same across use cases.

      Show
      Add Payer Insurance Plan profile on InsurancePlan with an extension pointing the a Formulary profile on InsurancePlan in an extension under coverage. Include cost sharing information for the formulary under plan. Use the same codes as Da Vinci plan-net InsurancePlan.type. All other elements are compatible with Plan-net InsurancePlan, but cardinalities and Must Support are not the same across use cases.
    • Corey Spears / Scott Robertson: 12-0-0
    • Enhancement
    • Non-compatible

    Description

      Create a profile that is directly subscribable, which may have sub-plans that represent a drug plan (Formulary). This plan would represent the plan that a member belongs to and would point (or has members to) a drug/formulary plan.

      This plan need to line up with the Da Vinci Plan-net Insurance plan, as they are the same general concept.

      Attachments

        Activity

          People

            Unassigned Unassigned
            corey_spears Corey Spears
            Watchers:
            1 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: