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Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementWhy FHIR?

Discussion around why FHIR vs. other version of HL7


Discussion TopicInsurance Plan vs. Coverage

Initial discussion. Will need to review in Baltimore.

Insurance plan. Supply the information that you would share with an Insurance Exchange, what plans does an insurance company offer, no individual pricing. Useful from registry perspective, network information. Providers could find another provider within the network. What plans cover at a high level. Registry of types of plans offered.

Coverage is an instance of the insurance card.

There is a logical link between the Insurance Plan and Coverage. But, so far there has been no requirement that the two must be linked. Could add a link between the Coverage and the Insurance Plan.

AI: Consider adding reference from coverage to insurance plan. When would the reference be required? Needed in R4? Will be added as a tracker item, will be discussed Wednesday during the tracker discussion. 


Discussion TopicContinue review of the LOB, Contract Type, etc spreadsheet



Discussion TopicProgram Resource - PSS creation, FHIR Resource request/creation

Updated WG with the changes made.

Need to create a FHIR Resource Request

NO UPDATES for this meeting. MK has not completed task.

MK to begin work on the resource request
Management

Next agenda: see WGM meeting agenda

Next Meeting: WGM Baltimore

  1. WGM agenda
    1. Pharmacy questions
  2. Continue review of the LOB, Contract.type, etc.
  3. Program Resource – PSS creation, FHIR Resource request/creation


 Adjournment
 Adjourned at

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    Consider adding reference from coverage to insurance plan. When would the reference be required? Needed in R4? Will be added as a tracker item, will be discussed Wednesday during the tracker discussion. 

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