EligibilityResponse

List of content:

Description:

More information can be found here (also configuration and example of representation): EligibilityRequest

FHIR resource:

EligibilityResponse

Fields mapping:

Table legend:

Color

Description

Color

Description



Mapped - the final choice, the most suitable choice



Need to be found the best place for the field (not mapped currently)



Currently not important - not mapped

EligibilityResponse Mapping:

The FHIR EligibilityResponse mapping covers all field required by the OpenIMIS EligibilityResponse (link)

openIMIS field

FHIR field

Note

STPH

Mapping status

self.eligibility_request

patient

A reference which helps determine the specific insuree (perhaps we can base only on patient chfid).





self.prod_id

insurance.benefitBalance.financial.allowedUnsignedInt

The concept used t represent the service code



mapped

self.total_admissions_left

insurance.benefitBalance.financial.allowedUnsignedInt

The concept used t represent the item code



mapped

self.total_visits_left

insurance.benefitBalance.financial.allowedUnsignedInt





mapped

self.total_consultations_left

insurance.benefitBalance.financial.allowedUnsignedInt





mapped

self.total_surgeries_left

insurance.benefitBalance.financial.allowedUnsignedInt





mapped

self.total_delivieries_left

insurance.benefitBalance.financial.allowedUnsignedInt





mapped

self.total_antenatal_left

insurance.benefitBalance.financial.allowedUnsignedInt





mapped

self.consultation_amount_left

insurance.benefitBalance.financial.allowedMoney





mapped

self.surgery_amount_left

insurance.benefitBalance.financial.allowedMoney





mapped

self.delivery_amount_left

insurance.benefitBalance.financial.allowedMoney





mapped

self.hospitalization_amount_left

insurance.benefitBalance.financial.allowedMoney





mapped

self.antenatal_amount_left

insurance.benefitBalance.financial.allowedMoney





mapped

self.min_date_service









self.min_date_item









self.service_left

insurance.benefitBalance.financial.allowedUnsignedInt





mapped

self.item_left

insurance.benefitBalance.financial.allowedUnsignedInt





mapped

self.is_item_ok

insurance.benefitBalance.excluded

Notice: the FHIR field contains information about excluding so the OpenIMIS value will be negated



mapped

self.is_service_ok

insurance.benefitBalance.excluded

Notice: the FHIR field contains information about excluding so the OpenIMIS value will be negated



mapped



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