2019-04-12 PossibleHealth -Phase I Dependencies Discussion I

Date

Apr 12, 2019

Participants

• @laxman manandhar

• Dragos

• Kamil

• Arkadiusz

• Dipak

Discussion topics

1. Bahmni-openIMIS integration project

   1. Phase I (OPD insurance claims ) includes following features

      1. Eligibility check

      2. Balance check

      3. Submit claims

      4. Track claims

   2. Timeline : As discussed in our harmonized work plan we need to deliver phase I end of july including Deployment and training in Hospital

   3. Architecture of integration: Bahmni-OpenIMIS Integration Architecture

2. Identify for which functions we need to use existing web services https://demo.openimis.org/Services/imisservices.asmx

   1. isValidLogin - validates some user credentials

   2. EnquireInsuree - get details about an insuree

   3. InsureeNumberExist - check if insuree exists

   4. UploadClaim - upload a claim xml file to the server

   5. getClaimStats - get the claim status

   6. isValidClaim - insert the claim xml file in the DB and check if it is valid

3. Identify for which functions we will use fhir resources ?

   1. Eligibility request and response - module in April 2020?

   2. Claim - module - october

4. Dependencies tracking

   1. SwissTPH for exiting web services

      1. list of Medical items and services with codes and details.

         1. API/Webservices (TBD in next openIMIS meeting)

      2. Balance check functions

         1. Request to openIMIS implementers community for this feature

      3. Eligibility Fhir fields and logic for required FHIR resource mappings

   2. Soldevelo for Fhir resources mapping

      1. Fhir-resources mapping

         1. What are the request/response logics that needs to addressed by maintenance team or New architecture team?

            1. CoverageEligibilty

            2. Insurance Claims and related other fhir resources

            3. Bluesquare will be adding fields logics

            4. Soldevelo will expose fhir data using fhir api

      2. Openmrs-fhir-module : are you planning to generate all insurance fhir resources from this module

      3. Openmrs-insuranceclaims-module : billing and claims , fhir client?

      4. Fhir-client : sync 2.0 : refer this

   3. Login authentication (BlueSquare)

      1. Is this for new application ?

      2. Send Email from Xavier

5. Dev/QA Platform for openIMIS (TBD in next openIMIS meeting)

   1. Bahmni- integration will be using these Dev/QA platform

   2. Openmrs- integration will need these as well

Action items

Decisions