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List of content:

Description:

More information can be found here (also configuration and example of representation): EligibilityRequest

FHIR resource:

EligibilityResponse

Fields mapping:

Table legend:

ColorDescription

Mapped - the final choice, the most suitable choice

Need to be found the best place for the field (not mapped currently)

Currently not important - not mapped

EligibilityResponse Mapping:

The FHIR EligibilityResponse mapping covers all field required by the OpenIMIS EligibilityResponse (link)

openIMIS fieldFHIR fieldNoteSTPHMapping status
self.eligibility_request
patient
A reference which helps determine the specific insuree (perhaps we can base only on patient chfid).


self.prod_idinsurance.benefitBalance.financial.allowedUnsignedIntThe concept used t represent the service code
mapped
self.total_admissions_left
insurance.benefitBalance.financial.allowedUnsignedIntThe concept used t represent the item code
mapped
self.total_visits_left
insurance.benefitBalance.financial.allowedUnsignedInt

mapped
self.total_consultations_left
insurance.benefitBalance.financial.allowedUnsignedInt

mapped
self.total_surgeries_left
insurance.benefitBalance.financial.allowedUnsignedInt

mapped
self.total_delivieries_left
insurance.benefitBalance.financial.allowedUnsignedInt

mapped
self.total_antenatal_left
insurance.benefitBalance.financial.allowedUnsignedInt

mapped
self.consultation_amount_left
insurance.benefitBalance.financial.allowedMoney

mapped
self.surgery_amount_left
insurance.benefitBalance.financial.allowedMoney

mapped
self.delivery_amount_left
insurance.benefitBalance.financial.allowedMoney

mapped
self.hospitalization_amount_left
insurance.benefitBalance.financial.allowedMoney

mapped
self.antenatal_amount_left
insurance.benefitBalance.financial.allowedMoney

mapped
self.min_date_service




self.min_date_item




self.service_leftinsurance.benefitBalance.financial.allowedUnsignedInt

mapped
self.item_leftinsurance.benefitBalance.financial.allowedUnsignedInt

mapped
self.is_item_okinsurance.benefitBalance.excludedNotice: the FHIR field contains information about excluding so the OpenIMIS value will be negated
mapped
self.is_service_ok
insurance.benefitBalance.excludedNotice: the FHIR field contains information about excluding so the OpenIMIS value will be negated
mapped
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