FHIR EligibilityResponse

FHIR Resource - EligibilityResponse

OpenIMIS table - EligibilityResponse

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 } ] } ] }

 

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