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FHIR Resource

OpenIMIS database table

notes

mapping status

Claim

tblClaim

Request properties are mapped to Claim

ClaimResponse

tblClaim

Response properties are mapped to Claim

Coverage

tblPolicy

Patient

tblInsuree

Practitioner

tblClaimAdmin

used to represent base fields of Claim Administrator (without relation with health facility- FHIR Location)

PractitionerRole

tblClaimAdmin

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

Location

tblHF / tblLocations

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

EligibilityRequest

EligibilityRequest

CommunicationRequest

tblFeedback

...

FHIR field

OpenIMIS field

notes

mapping status

Identifier

tblClaim.ClaimID / tblClaim.ClaimUUID / tblClaim.ClaimCode

Claim can have multiple identifiers. The most important one is mapped from ClaimCode

patient

tblClaim.InsureeID

billablePeriod

tblClaim.DateFrom / tblClaim.DateTo

date from and date to are mapped to a period of time

diagnosis

tblClaim.ICDID / tblClaim.ICDID1 / tblClaim.ICDID2 / tblClaim.ICDID3 / tblClaim.ICDID4

ICDID values are mapped to a list of diagnosis

outcome

tblClaim.ClaimStatus

provider

tblClaim.Adjuster

total

tblClaim.Claimed

created

tblClaim.DateClaimed

information

tblClaim.Explanation / tblClaim.GuaranteeId / tblClaimItems.Availability / tblClaimItems.Explanation / tblClaimServices.Explanation

information category is distinguishing the type of information

facility

tblClaim.HFID

enterer

tblClaim.ClaimAdminId

type

tblClaim.VisitType

item.service

tblClaimItems.ItemId / tblClaimServices.ServiceID

item.quantity

tblClaimItems.QtyProvided / tblClaimServices.QtyProvided

item.unitPrice

tblClaimItems.PriceAsked / tblClaimServices.PriceAsked

...