Stream: Da Vinci/plan-net-connectathon
Topic: HealthcareService
Dave Shekhar (Nov 03 2020 at 21:12):
Can we pass (Health) Plan Code in HealthcareService.identifier for Plan Specific Search for HealthcareService endpoint? Da Vinci Plan-Net reference server had a search parameter for HealthcareService.eligibility.code but I don't see it anymore. TIA.
Lloyd McKenzie (Nov 03 2020 at 21:25):
See discussion here: https://chat.fhir.org/#narrow/stream/179166-implementers/topic/Resources
@Dave Shekhar it's best practice to only raise a question on one stream and, if necessary just let other streams know where the conversation is happening rather than answering the same question in multiple places (and thus splitting the conversation into multiple parts)
Saul Kravitz (Nov 04 2020 at 14:19):
Hi @Dave Shekhar .
For the search parameters that you can reasonably expect every server to support, you should rely on the IG's capability statement: https://build.fhir.org/ig/HL7/davinci-pdex-plan-net/CapabilityStatement-plan-net.html#resource--details
image.png
Identifier isn't on the list. The expected way to find a HealthcareService for a plan is via the plan's networks. Networks have a many-to-many relationship with InsurancePlans. So you need to navigate the links from OrganizationAffiliation and Network and HealthcareService to find healthcare services associated with networks that are part of the plan.
Dave Shekhar (Nov 04 2020 at 20:39):
Hi @Saul Kravitz To represent "a" Pharmacy when implementing Da Vinci Plan-Net IG, my understanding is we should use PlannetHealthcareService instead of PlannetOrganization based on FHIR HealthcareService.type (https://www.hl7.org/fhir/valueset-service-type.html). Can you please confirm?
Saul Kravitz (Nov 04 2020 at 23:16):
Hi @Dave Shekhar -- healthcareService is intended to support a 'member-oriented' query interface. The other profiles provide a 'payer-oriented' view of the world. To represent a pharmacy you need: HealthcareService, Organization, OrganizationAffiliation, Location, and Network. Please take a look at the examples in the IG here https://build.fhir.org/ig/HL7/davinci-pdex-plan-net/patterns.pptx and the discussion here https://build.fhir.org/ig/HL7/davinci-pdex-plan-net/implementation.html#Representing .
Last updated: Apr 12 2022 at 19:14 UTC
