Contents
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Change Log
Version | Date | Changes made |
|---|---|---|
Version 1 | February 6th 2020 | - |
Version 2 | May 26th 2020 | Updated Claims Management Program Design Claim – Service program Stage Claim – Item program Stage |
Executive Summary
The following document details out the overall system design, approach, and the functionalities available in the envisaged openIMIS-DHIS2 integrated instance. This document builds on the requirements document shared with GIZ/Digital Square team in August 2019. The report has the following parts:
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The last section proposes the kind of users/user roles the system should have to be of use to all stakeholders involved in the health insurance data in the country/region of implementation.
System Overview
The integrated openIMIS-DHIS2 integrated system will have the following key functionalities, which will encompass all the requirements mentioned in the requirements document. The below functionalities will be suitable for all openIMIS implementations, and minor modifications will be required to manage the localised context of the country.
Availability of reporting hierarchies as per the structure defined in openIMIS by defining the appropriate levels in DHIS2, the reporting hierarchies will further complement the programs designed for storing the incoming data from openIMIS for client enrollments and claims management.
Provision for data import for openIMIS on a daily frequency which will have the data received for new policy enrollments, updates in the policy status, new claims submissions, updates in the status of the submitted claims as they get processed.
Availability of all data dimensions required for data analysis such as groups and group sets for organisation units, data elements, and indicators.
Availability of dashboards for different stakeholders and indicator groups (Beneficiary Management, Claims Management, and Operational Indicators).
Supporting spatial analysis of data using the GIS apps in DHIS2 depending upon the availability of the shapefiles of the country which can be configured into DHIS2.
Design and Development Approach
The system will be designed using the latest stable release DHIS2 2.32, which can be further upgraded to higher versions. The below sections define how the contents defined in the requirements document will be configured in DHIS2.
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