2020-05-20 Formal Sector Workshop Series (II)

Overview

Date: 20.05.2020

Objective: Align scope and roadmap for Formal Sector Integration

Participants:

  • @Patrick Delcroix

  • @Fourie, Carl

  • @Uwe Wahser

  • @Dragos Dobre

  • @Saurav Bhattarai

  • @Xavier Gillmann (Unlicensed)

  • @Eric Darchis

  • @Purushottam Sapkota

  • @Doreen G. Wamiti

  • @tabea.boateng

  • @Maguette T. NDONG

  • @Nirmal Dhakal

 

 

Topic Proposals:

Date

Topic

Presenter

Comments

Date

Topic

Presenter

Comments

13.05.2020

Overview of Formal Sector requirements from Nepal

GIZ Nepal

https://openimis.atlassian.net/wiki/spaces/OP/pages/1362427912

20.05.2020

Gap analysis and conception for core modules

SwissTPH

 

27.05.2020

Gap analysis and conception for APIs

Healthix

 

03.06.2020

Overview of the https://openimis.atlassian.net/wiki/spaces/OP/pages/40763442 for the openIMIS modular re-architecture

BlueSquare

 

 

Align the https://openimis.atlassian.net/wiki/spaces/OP/pages/40763442

 

Presentation

Minutes

Entities

Workflows

  • Enrolment:

    • Employer can directly add an insuree. → FHIR interface required from familly ? not required in NEPAL.

    • How to deal Employee without ID, should we document dummy insuree ?

    • Bulk upload of the employee list might be required (Which format ?)

    • other countries / schemes: employee registers himself at a branch office of the scheme operator

  • adding insuree in openIMIS

    • No change is foreseen in that concept but if there is a portal to add the insuree (checking process might be required)

  • Premium collection

APIs

  • FHIR coverage: list of employees

  • FHIR paymentNotice: is this the same as claim payment?

    • PaymentNotice: "This same resource may be used by employers and insurance exchanges to advise payers that premium payments have been issued and settled."

  • FHIR contract: contribution collection

  • FHIR organisation: policy holder

Dependencies

  • Policy module migrated

  • Payment module migrated

  • Contribution module migrated

Questions - Challenges - Issues

  • add your question & thoughts here

  • need to plan which openIMIS components/modules/DB-tables need to be touched when

  • create wiki pages as soon as possible on formal sector entities & workflows to allow cross-linking (e.g. to JLN, FHIR, glossary, modules etc)

Additional Resources

 

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