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 |
---|---|---|---|
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
Contribution plan instead of regime (is that what FHIR calls insurance plan?: http://hl7.org/fhir/insuranceplan.html)
Policy (= contract http://hl7.org/fhir/contract.html)
Policy holder (=Employer)
Insuree (also Group of Insurees = Families)
Contribution (= Premium) , Contribution collection → list of employees & their parameters
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
- Incubator page in this wiki
http://hl7.org/fhir/financial-module.html - FHIR R4 objects (financial Module)
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