Personal Health Record System Functional Model, Release 2
0.1.0 - CI Build

Personal Health Record System Functional Model, Release 2 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Requirements: S.2.1 Capture and Read Health Insurance Account and Benefit Information (Function)

Active as of 2024-01-31
S.2.1#01 SHOULD

The system SHOULD provide the ability to capture health insurance benefit information.
S.2.1#02 SHOULD

The system SHOULD provide the ability to render health insurance benefit information.
S.2.1#03 SHOULD

The system SHOULD provide the ability to manage multiple payer sources of health insurance benefits information.
S.2.1#04 SHOULD

The system SHOULD capture insurance type (e.g., medical or dental).
S.2.1#05 SHOULD

The system SHOULD provide the ability to capture insurer(s) contact information.
S.2.1#06 MAY

The system MAY provide the ability for a PHR Account Holder to determine and present estimated PHR Account Holder responsibility and insurance covered costs for an healthcare-related event.
S.2.1#07 SHOULD

The system SHOULD provide the ability for a PHR Account Holder to determine and present final PHR Account Holder responsibility and insurance determination for an event.
S.2.1#08 SHOULD

The system SHOULD provide the ability to store, determine, and present (i.e., track) multiple categories of account distributions related to the varied financial implications of funds usage in Consumer-Directed Health Plan (CDHP) accounts according to the PHR Account Holder's authorization, organizational policy, and/or jurisdictional law.