Continuity of care - Form 17

Meuhedet HMO, Tel Aviv Sourasky Medical Center

Building a FHIR interface for an automated approval of obligation forms between hospitals and the insuring HMO.

The interface allows patients who arrive at the hospital to pass their magnetic card on the “Kiosk”, by which a query to the HMO is performed to make sure there is a valid obligation.

Thanks to the interface, the patient can go straight to the doctor and don’t need to stand in the front desk line. The interface allows optimization of the system, saving in human resources and a significant improvement of the patients’ journey.

The group’s study case

• Building a FHIR interface for an automated approval of obligation forms between hospitals and the insuring HMO.

• The interface allows patients who arrive at the hospital to pass their magnetic card on the “Kiosk”, by which a query to the HMO is performed to make sure there is a valid obligation. Thanks to the interface, the patient can go straight to the doctor and don’t need to stand in the front desk line. The interface allows optimization of the system, saving in human resources and a significant improvement of the patients’ journey.

  
  

The project’s world of content

Form 17 

Solution’s Architecture

On Meuhedet's end - ESB TIBCO ON PREMISE

On Ichilov's (Tel Aviv Sourasky) end - HEALTH SHARE HEALTH CONNECT

The process is based on passing a card in a “kiosk” stand.

Profiles to be characterized in the project

EligibilityRequest, Eligibility Response, Bundle , Coverage 

Terminology to be used

Ministry of Health service codes

Error codes - coding that was made for the project and for future use in other HMO’s / hospitals.

Project Status

The work on the project is done.

Meetings

Community Meeting's Recording - Form 17 - 7.2.22

Community Meeting's Presentation - Form 17 - 7.2.22