FHIR EligibilityResponse

OpenIMIS table - https://openimis.atlassian.net/wiki/spaces/OP/pages/814153821

FHIR field	OpenIMIS field	notes	mapping status

FHIR field	OpenIMIS field	notes	mapping status
patient	eligibility_request		not mapped
insurance.benefitBalance.financial.allowedUnsignedInt	prod_id / total_admissions_left / total_visits_left / total-consultations_left / total_surgeries_left / total_deliveries_left / total_antenatals_left / service_left / item_left	benefitBalance field contains all the information mapped to all listed fields	mapped
insurance.benefitBalance.financial.allowedMoney	consultation_amount_left / surgery_amount_left / delivery_amount_left / hospitalization_amount_left / antenatal_amount_left	benefitBalance field contains all the information mapped to all listed fields	mapped
insurance.benefitBalance.excluded	is_item_ok / is_service_ok	benefitBalance field contains all the information mapped to all listed fields	mapped

Example JSON representation of content:

{
  "resourceType": "EligibilityResponse",
  "insurance": [
    {
      "benefitBalance": [
        {
          "category": {
            "text": "total_admissions"
          },
          "financial": [
            {
              "allowedUnsignedInt": 1
            }
          ]
        },
        {
          "category": {
            "text": "total_visits"
          },
          "financial": [
            {
              "allowedUnsignedInt": 3
            }
          ]
        },
        {
          "category": {
            "text": "total_consultations"
          },
          "financial": [
            {
              "allowedUnsignedInt": 23
            }
          ]
        },
        {
          "category": {
            "text": "total_surgeries"
          },
          "financial": [
            {
              "allowedUnsignedInt": 5
            }
          ]
        },
        {
          "category": {
            "text": "total_deliveries"
          },
          "financial": [
            {
              "allowedUnsignedInt": 2
            }
          ]
        },
        {
          "category": {
            "text": "total_antenatal"
          },
          "financial": [
            {
              "allowedUnsignedInt": 11
            }
          ]
        },
        {
          "category": {
            "text": "consultation_amount"
          },
          "financial": [
            {
              "allowedMoney": {
                "value": 123.21
              }
            }
          ]
        },
        {
          "category": {
            "text": "surgery_amount"
          },
          "financial": [
            {
              "allowedMoney": {
                "value": 12.11
              }
            }
          ]
        },
        {
          "category": {
            "text": "delivery_amount"
          },
          "financial": [
            {
              "allowedMoney": {
                "value": 26.0
              }
            }
          ]
        },
        {
          "category": {
            "text": "hospitalization_amount"
          },
          "financial": [
            {
              "allowedMoney": {
                "value": 42.0
              }
            }
          ]
        },
        {
          "category": {
            "text": "antenatal_amount"
          },
          "financial": [
            {
              "allowedMoney": {
                "value": 59.14
              }
            }
          ]
        },
        {
          "category": {
            "text": "service_left"
          },
          "financial": [
            {
              "allowedUnsignedInt": 12
            }
          ]
        },
        {
          "category": {
            "text": "item_left"
          },
          "financial": [
            {
              "allowedUnsignedInt": 1
            }
          ]
        },
        {
          "category": {
            "text": "is_service_ok"
          },
          "excluded": false
        },
        {
          "category": {
            "text": "is_item_ok"
          },
          "excluded": true
        }
      ]
    }
  ]
}

openIMIS

FHIR EligibilityResponse

Example JSON representation of content:

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