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Mapping between product actions and product entity

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Ideal data structure

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Realist data structure for openIMIS

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Insuree coverage plan are today configured in the product with

  • item and service list

  • limits on care (e.g. number of delivery …)

In the Realist data structure for openIMIS this part stays with the product because without the Insuree coverage plan, contribution plan , nor pool, nor PP&R plan the product will be a simple mapping table.

Provider Payment plan are today configured in the product with:

  • price list (not in product, but should be incorporated and location should have the possibility to have more than one price list)

  • deductible

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Contribution plan are today configured in the product with:

  • lumsum

  • policy value

  • threshold

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