Page Comparison

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Most of the work would be on the UI/UX to fit FHIR insurance models and insurance/opeIMIS business processes (the project can do one or multiple processes)  : Registration, Enrolment, Renewal, Client Portal, Claiming, Claiming Audits/feedback

User is Healthcare worker OR enrollment officer

User can be the insuree (Client Portal) - Out of scope

Expected outcome

POC that will implement of the business processes of openimis following the agile methodology with this product backlog ordered by priority (up to point 4 will be already a success)

1. Set-up the project

2. Authenticate a user with openIMIS as backend (FHIR login)

   1. at least once online, then local auth possible if not network

3. Retrieve the user preferences (language, locations, organisation etc )

   1. for offline usage

      1. Location (Location)

      2. HealthFacility (Organitation)

      3. Users (Praticionner ? OE and CA)

      4. List

         1. Product (InsurancePlan)

            1. Pricing/limits ? TBC

         2. items (Medications)

         3. services (ActiviyDefintion)

         4. diagnosis (CodeSystem)

         5. hardcoded : claim type etc… Codesytem

   2. Saving data : Can the app use StructureDefintion ?

      1. hold the extension (new properties etc)

      2. hold constrainst

4. Check insurance coverage based on insurance number

   1. CoverageEligibility

   2. Coverage

5. Enable the registration of a new insuree

   1. Insuree : registration of a person in the system

6. Enable the update of an existing insuree 

   1. Insuree

7. Enable the enrolment of an insuree on a product (payment not included)

   1. Enrolment into a product/policy (including payment): Contract

   2. challenge: define the price offline (TBD)

8. Add beneficiary on a policy

   1. create/update Insuree

   2. add add the beneficiary on the contract

9. Register and submit new claims using items and services defined in openimis

   1. claim and claimResponse (kind of async)

   2. Challenge: high input density

10. manage pricelist (TBD)

    1. items

    2. services

Required skills 

Python3

Django Framework, Django Rest Framework

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