...
OpenIMIS table - EligibilityResponse
FHIR R4 field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
patient | eligibility_request | not mapped | |
insurance.item.benefit.allowedUnsignedInt | prod_id / total_admissions_left / total_visits_left / total-consultations_left / total_surgeries_left / total_deliveries_left / total_antenatals_left / service_left / item_left | item field contains all the information mapped to all listed fields benefitBalance is redefined as item and financial as item.benefit | mapped |
insurance.item.benefit.allowedMoney | consultation_amount_left / surgery_amount_left / delivery_amount_left / hospitalization_amount_left / antenatal_amount_left | item field contains all the information mapped to all listed fields benefitBalance is redefined as item and financial as item.benefit | mapped |
insurance.item.excluded | is_item_ok / is_service_ok | item field contains all the information mapped to all listed fields | mapped |
Example JSON representation of content:
| Code Block | ||
|---|---|---|
| ||
{
"resourceType": "CoverageEligibilityResponse",
"status": "active",
"purpose": [
"benefits"
],
"patient": {
"reference": "Patient/070707070"
},
"created": "2021-09-28",
"request": {
"reference": "CoverageEligibilityRequest"
},
"outcome": "complete",
"insurer": {
"reference": "openIMIS"
},
"insurance": [
{
"item": [
{
"category": {
"text": "total_admissions"
},
"benefit": [
{
"allowedUnsignedInt": 0
}
]
},
{
"category": {
"text": "total_visits"
},
"benefit": [
{
"allowedUnsignedInt": 0
}
]
},
{
"category": {
"text": "total_consultations"
},
"benefit": [
{
"allowedUnsignedInt": 0
}
]
},
{
"category": {
"text": "total_surgeries"
},
"benefit": [
{
"allowedUnsignedInt": 0
}
]
},
{
"category": {
"text": "total_deliveries"
},
"benefit": [
{
"allowedUnsignedInt": 0
}
]
},
{
"category": {
"text": "total_antenatal"
},
"benefit": [
{
"allowedUnsignedInt": 0
}
]
},
{
"category": {
"text": "consultation_amount"
},
"benefit": [
{
"allowedMoney": {
"value": 0
}
}
]
},
{
"category": {
"text": "surgery_amount"
},
"benefit": [
{
"allowedMoney": {
"value": 0
}
}
]
},
{
"category": {
"text": "delivery_amount"
},
"benefit": [
{
"allowedMoney": {
"value": 0
}
}
]
},
{
"category": {
"text": "hospitalization_amount"
},
"benefit": [
{
"allowedMoney": {
"value": 0
}
}
]
},
{
"category": {
"text": "antenatal_amount"
},
"benefit": [
{
"allowedMoney": {
"value": 0
}
}
]
},
{
"category": {
"text": "service_left"
},
"benefit": [
{
"allowedUnsignedInt": 0
}
]
},
{
"category": {
"text": "item_left"
},
"benefit": [
{
"allowedUnsignedInt": 0
}
]
},
{
"category": {
"text": "is_service_ok"
},
"excluded": false
},
{
"category": {
"text": "is_item_ok"
},
"excluded": false
}
]
}
]
} |