Overview

Date: 07.10.2020

Objective: Weekly Co-ordination call of the Formal Sector developers

Participants:

Topic Proposals:

Date	Topic	Presenter	Comments

Date	Topic	Presenter	Comments
	verify field mapping after review	@dave mutinda
	align business processes (SOSYS - openIMIS)
	definitions (processes & fields) - eg. technical names
	Status of the Conceptualisation	@Patrick Delcroix
	SOSYS presentation

Presentations / Attachments

	File	Modified

No files shared here yet.

SOSYS:
- eligibility request openIMIS → SOSYS
  - if failed, openIMIS will manage
- automated claims management (openIMIS)
- invoice notice (openIMIS → SOSYS)

SOSYS wants to use their system over openIMIS for employer management
SOSYS wishes only to send the “enrollment“ (insuree + dependent) data to openIMIS, the name of the employer could be included, all the insurance product are the same, → batch registration
SOSYS will provide a service that could be called automatically (every day)
SSF want still to be able to add manually data on openIMIS
SOSYS needs API need to replace an Excel file (content unknown), apparently from IMIS (Maybe excel reports for claims valuation)

Issues:

How openIMIS will know how to update the removed insuree
How openIMIS will keep the manual entry (not being erase by every day update)
Which kind of data will be sent every day, only the changes or full dump (clear performance risks)
SPTH formal sector will be useless, quick fix should be enough
funding function of openIMIS will be useless (relative pricing, matching funds, …)

Issues:

Enrollment should use the contract resource (From the FHIR page, enrollment is used the amend a contract by adding insuree)
Lacks the formal sector flows:
- enroll company
- group contract/enrollment including multiple offer (insurance product)
- payments
@Daniel Futerman How can propose updates ?
- sign up to the openHIE wiki
- join the monthly UHC call of openHIE (next one: Thursday at 16:00 CET):
  - https://iu.zoom.us/j/154938887?pwd=WEtHK0llaWZmTWtmTnhPUlVqRmlGUT09
  - https://wiki.ohie.org/display/resources/Health+Financing+towards+UHC+Call

SwissTPH

3 shell back end module delivered on github
Calculation module will use a function to manage the event error
- Django signal are not run in parallel, meaning that the sender of the signal can check the result for the signal processing.