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As presented in Input data model wiki page, the AI algorithm input data is represented as FHIR R4 models. This is why, to develop the AI algorithm, we need to migrate the openIMIS data to FHIR. For this, we will use the openIMIS to FHIR migration tool.

The following table represents the number of claims resources that are extracted from the available database.

Resource

Count

File size

Example

ClaimResponse

531 900 records

2 730 366 218 bytes

Expand
titleClaimResponse Example

{ "entry": [{"fullUrl": "http://127.0.0.1:8000/api_fhir_r4/ClaimResponse/FCD34CB1-2630-4E21-88EE-C38521C09F0D","resource": {"resourceType": "ClaimResponse","billablePeriod": {"end": "2016-05-16","start": "2016-05-16"},"diagnosis": [{"diagnosisReference": {"reference": "Condition/M13"}, "sequence": 1, "type": [{"coding": [{"code": "icd_0"}]}]}], "enterer": {"reference": "Practitioner/73371CFC-9C4D-4F71-B64E-6C858E0B9876"}, "created": "2020-07-27", "id": "FCD34CB1-2630-4E21-88EE-C38521C09F0D","identifier": [{"type": {"coding": [{"code": "UUID","system": "https://hl7.org/fhir/valueset-identifier-type.html"}]},"use": "usual","value": "FCD34CB1-2630-4E21-88EE-C38521C09F0D"},{"type": {"coding": [{"code": "MR","system": "https://hl7.org/fhir/valueset-identifier-type.html"}]},"use": "usual","value": "601"}],"insurer": {"reference": "Organization/openIMIS"},"item": [{"adjudication": [{"amount": {"currency": "USD","value": 80.00},"category": {"coding": [{"code": "2"}],"text": "entered"},"reason": {"coding": [{"code": "0"}]},"value": 1.00},{"amount": {"currency": "USD","value": 80.00},"category": {"coding": [{"code": "4"}],"text": "checked"},"reason": {"coding": [{"code": "0"}]},"value": 1.00},{"amount": {"currency": "USD","value": 80.00},"category": {"coding": [{"code": "8"}],"text": "processed"},"reason": {"coding": [{"code": "0"}]},"value": 1.00},{"amount": {"currency": "USD","value": 80.00},"category": {"coding": [{"code": "16"}],"text": "valuated"},"reason": {"coding": [{"code": "0"}]}}],"extension": [{"url": "ActivityDefinition","valueReference": {"reference": "ActivityDefinition/3B4193F7-37EA-4B6E-BD5E-87F08752526A"}}],"itemSequence": 1}],"outcome": "valuated","patient": {"reference": "Patient/39418469-FC67-4363-BB51-B59B19FDBB47"},"request": {"reference": "Claim/FCD34CB1-2630-4E21-88EE-C38521C09F0D"},"requestor": {"reference": "HealthcareService/36ECB0DB-E942-4A2D-A0C5-33ED4D00419D"},"status": "Not Selected","total": [{"amount": {"currency": "USD","value": 80.00},"category": {"coding": [{"code": "submitted","display": "Submitted Amount","system": "http://terminology.hl7.org/CodeSystem/adjudication.html"}],"text": "Claimed"}},{"amount": {"currency": "USD","value": 80.00},"category": {"coding": [{"code": "benefit","display": "Benefit Amount","system": "http://terminology.hl7.org/CodeSystem/adjudication.html"}],"text": "Approved"}}],"type": {"text": "O"},"use": "claim"}}
]}