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Table of Contents

Overview

Date: 03.06.2020

Objective: Align scope and roadmap for Formal Sector Intergration

...

Date

Topic

Presenter

Comments

13.05.2020

Overview of Formal Sector requirements from Nepal

GIZ Nepal

Formal Sector Workshop Series (I)

20.05.2020

Gap analysis and conception for core modules

SwissTPH

Formal Sector Workshop Series (II)

27.05.2020

Overview of the Product Roadmap for the openIMIS modular re-architecture

BlueSquare

Formal Sector Workshop Series (III)

03.06.2020

Gap analysis and conception for APIs

Healthix

Align the Product Roadmap

Developers Committee

Presentation

View file
nameHealthix Ke - Single-Batch-Registration.pptx

Minutes

Entities

Workflows

Workflows: verify with https://wiki.ohie.org/display/SUB/Health+Financing+Workflows

  • registration of employer

  • registration of employee & family

  • eligibility checks

    • currently eligibility checks in SOSYS, but have to be done in openIMIS (to be verified from Nepali side)

    • can/should an eligibility check be possible to be passed through openIMIS to 3rd party system?

      • should be possible in the new architecture, would need to register to openIMIS events

      • current quick fix: product switch / event interception

    • Version 1 solution: verification in openIMIS, needed information comes from SOSYS

    • Version 2 (sometime 2021): pass through mechanism,

  • presentation on claiming will come next week

APIs

  • existing FHIR API can be changed: The OpenIMIS API openIMIS FHIR module (currently R3, moving to R4)

  • Can attributes be added to the official FHIR documentation? (currently on R4)

  • Also work with extensions & codeable concepts.

  • FHIRBox: Is that an existing product or would that be something that could be done through OpenHIM?

    • Not an existing product, just a project codename, but an existing service in Kenyan context

    • Implementation must work in the OpenHIE context (e.g OpenHIM)

Dependencies

Questions - Challenges - Issues

  • Were there discussions with the KE NHIF?

    • meta data information from LindaMama project.

  • Do you have all the needed documents from Social Security Fund in Nepal?

    • by the end of this week - still needs translations

Next week:

  • presentation on claims (Healthix)

  • discussion on timeline

Additional Resources