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Develop FHIR resources for Financial Management

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Basics

Develop FHIR resources for Financial Management

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- Other -



Supplement to a Current Standard

Details

This project will identify and define the initial set of 'key' FHIR resources related to the domain of Financial Management. These resources will be defined using the available FHIR tooling and in accordance with documented quality guidelines and balloted as part of the initial FHIR specification. Possible FHIR resources to be produced include: Billable Service Invoice, Patient Accounts, Claim, Explanation of Benefit, Remittance Advice, Reversals, Pre-Authorization/Pre-Determination, Coverage, Eligibility and other resource corollaries of existing CMETs. In addition, as the committee deems appropriate and time availability permits, it will define a small number of FHIR extensions relevant to domain content and expected to be necessary to support consistent early implementations.


FHIR is a major new initiative by HL7 intended to significantly speed and enhance interoperability between healthcare systems. The FHIR methodology is dependent on the existence of a number of discrete data structure definitions called 'resources'. This project will create the set of essential resource definitions related to the domain of Financial Administration.



Resource proposals have been submitted and endorsed for development by FHIR governance body - Target: July, 2014 First DSTU ballot of FHIR resources - Target: Sept 2014 Resources pass DSTU ballot - Target: Jan 2015 This project will not ballot directly. Instead, content will be combined with resources from other committees and jointly balloted as part of the FHIR DSTU ballot (managed as a distinct TSC project).


http://wiki.hl7.org/index.php?title=Financial_Management_FHIR_Resource_Development

In producing resources, the committee will rely primarily on existing internationally reviewed Financial Management standards and will also consult specifications from a wide variety of external organizations, including: X12, NCPDP, CDAnet and Blue Button. However, this consultation will not require direct interaction with these other organizations. (Though some may be involved in the ballot review process.)

The artifacts produced by this project will be balloted as part of the FHIR DSTU project (Project Insight ID TBD).

Payors,N/A,HIS





Don't Know

N/A


Other Stakeholders: eClaim and eBilling Implementers
Organization & Realm

Universal

People

Paul Knapp



Financial Management Work Group


Status & Dates

Active

Active Project (Resources assigned to pjt)

08/23/2022

09/01/2033

2033 Sept WGM/Ballot

09/01/2033

2033 Sept WGM/Ballot

Approvals

04/29/2013








System Info



View Ballot Items (with NIBs)




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