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Type:
Change Request
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Resolution: Unresolved
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Priority:
Medium
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FHIR Core (FHIR)
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STU3
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Financial Mgmt
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Coverage
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Enhancement
Variances to be harmonized: value set bindings, cardinality, etc.
For example:
* Coverage.type is 0..1 and binds to valueset-coverage-type (e.g. HMO, PPO, dental, LTC, vision)
* InsurancePlan.type (product type) is 0..* and binds to valueset-insuranceplan-type (e.g. medical, dental)
* InsurancePlan.coverage.type (one type per coverage) and has no binding, but definition implies medical, dental, LTC. Why is this different than InsurancePlan.type?
Recommentation is to:
- Change Coverage.type to 0..* (FM)
* Change InsurancePlan.type and/or InsurancePlan.coverage.type to bind to the same value set (valueset-coverage-type) as well as differentiate between why both of these types are needed? (logged to PA as https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=24915)
- relates to
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FHIR-13024 ActHealthInsuranceTypeCode expansion
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- Triaged
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FHIR-14127 Additional coverage types
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- Triaged
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FHIR-20361 Coverage needs a new element for activated components of their plan
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- Triaged
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