Stream: Care Plan/Care Coordination
Topic: Custom Extension/Flag Resource - Medicaid Eligible status
Vishak OS (Sep 23 2020 at 16:07):
Hi All,
I'm into the space that aggregates data from multiple sources and provides a complete clinical summary of a patient for better patient care.
I would like to cross check if the below statements are mapped to the correct resources.I would really appreciate the feedback on this. Thank you.
a. Status to show if a patient is eligible for Medicaid?
An extension to the Patient resource with a reference to a Flag Resource?
b Who's the Current Managed Care Plan provider ( eg; HealthFirst PHSP, Inc) & primary care physician (eg; Dr. John, Doe) for the patient?
* Care Team resource ?
* Adding an extension at the Patient resource with reference to Care Team ?
The thought process behind adding a highlight was to give a highlight.
c. All the active medicaid restrictions present for the patient? - (Info about the provider, the pharmacy the patient is restricted to use under medic)
Using Flag resource and providing it in List.
GET {Base_Url}/Flag?patient=123&_list=$current-medicaidrestrictions
Lloyd McKenzie (Sep 23 2020 at 16:35):
a) This should be represented with a Coverage resource - Medicaid is just another type of insurance coverage
b) @Paul Knapp
c) InsurancePlan I think
Vishak OS (Sep 23 2020 at 18:35):
Lloyd McKenzie said:
a) This should be represented with a Coverage resource - Medicaid is just another type of insurance coverage
b) Paul Knapp
c) InsurancePlan I think
Thanks a lot @Lloyd McKenzie for the swift reply.
Regarding option c: Insurance Plan Resource, am little unsure about the usage of this resource for the requirement.
May i bring little more clarity on the restriction that I've.
When an active restriction is present - The patient can only receive the service(s) from providers(s) identified below.
Eg;
Restriction Type | Restriction Provider
Inpatient | (begin date : date) : ABC Hospital - Address with Contact Detail
Physician | (begin date : date) : Practitioner, Address with Contact Detail
Pharmacy | (begin date: date) : Pharmacy Name, Address with Contact Detail
I would like to find a resource to provide this info. Thank you
Lloyd McKenzie (Sep 23 2020 at 19:15):
@Paul Knapp can provide the best guidance, but he may be slow to respond given that the HL7 working group meeting is on this week.
Vishak OS (Sep 23 2020 at 19:25):
Thanks for the info Llyod.
Last updated: Apr 12 2022 at 19:14 UTC
