Nepal Health Facilities integration

Objective: Integrate openIMIS with Health Facilities through FHIR module

limitations of FHIR module and what are the permissions

Minutes;

• meeting with 9 devs from Nepal partners

• developed their own MRS

• some are already integrated with DHIS2 using default API => 1to1 connexion

• endpoints to be used:

  1. Get the Master Data from REST API

  2. Enquire the Insuree/Patient with EligibilityRequest and Patient search by Insuree Id

  3. Send Claims with POST Claim

  4. Get Claim status with GET ClaimResponse/UUID

• features:

  • medical items and services to be dld (once then incrementally updated?) =>

    • doesn’t

    • use REST API to dld the data

  • eligibility request => enquiring (live requests based on chfid >> what hit rate expected?, can we (openIMIS) support/‘offer’?)

    • Patient information not part of the EligibilityResponse

    • use the Patient resource with the search by the identifier with the Insuree number

  • claim submission (Claim Attachments too?) (single submit or bulk submits? >> what hit rate, can we (openIMIS) support/‘offer’?)

  • claimRequest => get the situation of the Claim (live requests based on claim id >> what hit rate expected?, can we (openIMIS) support/‘offer’?)

• Security

  • Connection restriction (by IP of the external APP)

  • Authentication

    • technical user connecting (the application)

    • ‘real user’ identity in the external app >> the other app & openIMIS have to share the “login definitions” (or auto-provisioning - with a “default role… and HF?”)

      • shared SSO (external share the signed token to prove user is who he claim to be)

      • plain username transmitted (in hearder,…) - openIMIS ‘trust’ the other application

  • Authorization

    Open

    

     

    • per FHIR resource ?

    • ‘fine grained’ (limited accès to claims of user-registered HF,…)?

      • WARNING: eligibility (FHIR) request is bound to the stored-proc : any fine grained security would have to be made in the stored proc (if not already done)

• Performances

  • How do we “protect against”/”temper” load generated on openIMIS by API calls (balance resources with openIMIS “interactive” users)?

  • Serve ‘static’/'meta' (/…) data from mirrored DB?

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