HL7 Personal Health Record System Functional Model, Release 2
2.0.1-ballot - Normative Ballot

HL7 Personal Health Record System Functional Model, Release 2, published by EHR WG. This guide is not an authorized publication; it is the continuous build for version 2.0.1-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phrsfm-ig/ and changes regularly. See the Directory of published versions

Requirements: S.2 Financial Management (Header)

Page standards status: Informative
Statement N:

The purpose of this section is to provide the system support in managing financial information related to benefit plan coverage and service utilization.

 Description I:

The PHR Account Holder (or the PHR Account Holder's Proxy) may desire to review health insurance plan coverage information, health-related financial data, and/or health-related administrative data. Additionally, the PHR Account Holder may desire to share certain clinical, financial, and/or administrative data with other stakeholdrs in order to coordinate health care service coverage and financial payments.

Example(s): The PHR Account Holder may desire to know whether the financial costs of an eye examination, eyeglasses, and/or contact lens are covered under the PHR Account Holder's insurance plan. The PHR Account Holder may desire to create a report that shows the current amount of money that has been applied towards. a deductible threshold for a given insurance plan.