A decision supporting tool for Additional Health Services data
Ministry of Finance, Capital Market Authority, Ministry of Health, e-government, HMO’s, Outburn Ltd.
The Project’s objective is presenting information about coverages of health products to citizens, including Further Health Services plans using specific website for health and nursing insurances - “A decision supporting tool”
The group’s study case
Presenting information about coverages of health products to citizens, including Further Health Services plans using a specific website for health and nursing insurances - “A decision supporting tool”.
As part of the project, the new portal will present the active insurable layer including current coverages, the catalog cost and the coverage start date.
The portal objective - providing the insured with the ability to obtain an educated decision regarding their current insurance.
On the first step the portal will present data only for insured adults.
On the second step the portal will make it possible to receive data for minors which are associated with an adult in the HMO’s records.
The project’s world of content
Further Health services insurance data.
Solution's Architecture
On HMO’s end - FHIR server / FHIR Facade
On MOH’s end - Tibco BW6 with FHIR Plugin- FHIR FaçadeTibco BW6 with FHIR Plugin- FHIR Façade
Profiles to be characterized in the project
Patient, Coverage
Terminology to be used
A coding system to define a paying entity (Further Health Services identification)
A coding system to define Further Health Services layers for each HMO
Project Status
Business process characterization and modeling data on FHIR are completed.
Developing a process for reception and transmission of data to the Capital Market at MOH is completed.
In stages of Integration with Capital Market and e-government.
Clalit HMO has taken the project into its work plan.
Leumit and Maccabee HMOs are expected to finish the development at the beginning of November 2022.
