Overview

Date: 10.06.2020

Objective: Align scope and roadmap for Formal Sector Integration

...

Presentation

Minutes

Entities

Workflows

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

• claims management

  • Submit claim: compare to https://wiki.ohie.org/display/SUB/Health+Financing+Workflows#HealthFinancingWorkflows-Submitclaim

  • Track claims: compare to https://wiki.ohie.org/display/SUB/Health+Financing+Workflows#HealthFinancingWorkflows-Trackstatusofclaim

APIs

• Submit Claims

• Track Claims

Dependencies

• FHIRBox

  • Integration with existing structures

  • Do you need any batch (or scheduled) processing (sys admin point of view) in openIMIS? [!! capability will be added to the stack along Beneficiary Enrollment migration, expected delivery: 08/2020]

  • What is the healthix fhir box ? an openIMIS module ? is internal or external to openIMIS?

    Micro service external to openIMIS running on same server

  • Do you use the openIMIS FHIR module? How Healthix FHIR Box is interacting with openIMIS?

Questions - Challenges - Issues

Next week:

• Where did you find the information that the claim from insurees are sent to openIMIS ? same question for pension ?

  • From SOSYS processes. will be reviewed

• Why the assessment of the claim is done on SOSYS ? is it only about the valuated claims ?

• why status not done from openIMIS ? I believed that the employer has access to SOSYS, is it also the case provider ?

Additional Resources

• Support for formal sector schemes - Incubator page in this wiki

• http://hl7.org/fhir/financial-module.html - FHIR R4 objects (financial Module)

  • The OpenIMIS API openIMIS FHIR module

• OpenHIE Health Financing Group: https://wiki.ohie.org/display/SUB/Health+Financing+towards+UHC+Subcommunity

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

• JLN Processes Background - Joint Learning Network for UHC

  • Glossary: Glossary

• Product Roadmap

  • Beneficiary Enrollment

  • Persons & Families module scope

  • Policies module scope

  • Contributions module scope

• FHIR in openIMIS

  • The OpenIMIS API openIMIS FHIR module

• SolDevelo FHIR modules (example of BAHMNI)

  • https://soldevelofoundation.org/new-modules-for-openmrs-and-openimis/