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Api Root

openIMIS FHIR R4 Implementation Guide

https://

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openimis.github.io/openimis_fhir_r4_

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ig/index.html

openIMIS FHIR R4

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Mapping Overview Table

Profiles

FHIR R4 Resource

openIMIS FHIR R4

Resource

Profile

openIMIS database tables

Notes

Claim

Status

openIMIS Claim

Request properties are mapped to Claim

mostly mapped

ClaimResponse

ClaimResponse

openIMIS Claim Response

Response properties are mapped to Claim

mostly mapped

Coverage

openIMIS Coverage

tblPolicy

mostly mapped

Patient

openIMIS Patient

tblInsuree

mostly mapped

tblInsurees

Group

openIMIS Group

tblFamilies

Practitioner

openIMIS Claim Administrator Practitioner

tblClaimAdmin

used to represent base fields of Claim

Administrator (without relation with health facility- FHIR R4 Location)

mapped

PractitionerRole

tblClaimAdmin

used to represent a relation between base ClaimAdmin (FHIR R4 Partitioner) and Health facility (FHIR R4 Location)

mapped

Location

  • tblHF

  • tblLocation

FHIR R4 location.mode field is used to switch between mapping from tblHF and tblLocations

mostly mapped

CoverageEligibilityRequest

CoverageEligibilityRequest

mostly mapped

CoverageEligibilityResponse

CoverageEligibilityResponse

mostly mapped

CommunicationRequest

tblFeedback

mapped

Condition

tblICDCodes

mapped

Medication

tblItems

mapped

ActivityDefinition

tblServices

mapped

Resources for the FHIR R4 mapping

Contributors

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Contributors

Swiss TPH (Dragos Dobre) / Faris Ahmetasevic - FHIR R4 Integration - bachelor thesis - Swiss TPH

Swiss TPH (Dragos Dobre) / SolDevelo (Damian Borowiecki) - openIMIS AI-based Claim Adjudication - Digital Square - GIZ

Swiss TPH (Dragos Dobre, Patrick Delcroix) / SolDevelo (Damian Borowiecki, Seweryn Niedzielski, Kamil Malinowski) - Project: E0 Shelf Readiness - Digital Square - BMGF

Swiss TPH (Dragos Dobre) / SolDevelo (Damian Borowiecki) - openIMIS AI-based Claim Adjudication - Swiss TPH Investment Fund