FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
Claim | tblClaim | ||
ClaimResponse | tblClaim | ||
Coverage | tblPolicy | ||
Patient | tblInsuree | ||
Practitioner | tblClaimAdmin | ||
PractitionerRole | tblClaimAdmin | ||
Location | tblHF / tblLocations | ||
EligibilityRequest | EligibilityRequest | ||
CommunicationRequest | tblFeedback |
Claim
FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
Identifier | tblClaim.ClaimID / tblClaim.ClaimUUID / tblClaim.ClaimCode | ||
patient | tblClaim.InsureeID | ||
billablePeriod | tblClaim.DateFrom / tblClaim.DateTo | ||
diagnosis | tblClaim.ICDID / tblClaim.ICDID1 / tblClaim.ICDID2 / tblClaim.ICDID3 / tblClaim.ICDID4 | ||
outcome | tblClaim.ClaimStatus | ||
provider | tblClaim.Adjuster | ||
total | tblClaim.Claimed | ||
created | tblClaim.DateClaimed | ||
information | tblClaim.Explanation / tblClaim.GuaranteeId / tblClaimItems.Availability / tblClaimItems.Explanation / tblClaimServices.Explanation | ||
facility | tblClaim.HFID | ||
enterer | tblClaim.ClaimAdminId | ||
type | tblClaim.VisitType | ||
item.service | tblClaimItems.ItemId / tblClaimServices.ServiceID | ||
item.quantity | tblClaimItems.QtyProvided / tblClaimServices.QtyProvided | ||
item.unitPrice | tblClaimItems.PriceAsked / tblClaimServices.PriceAsked |
ClaimResponse
FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
outcome | tblClaim.ClaimStatus | ||
payment.adjustmentReason | tblClaim.Adjustment | ||
totalBenefit | tblClaim.Approved | ||
payment.date | tblClaimed.DateProcessed | ||
communicationRequest | tblClaim.feedbackId | ||
error | tblClaim.rejectionReason | ||
item.adjudication.reason | tblClaimItems.ClaimItemStatus / tblClaimItems.RejectionReason / tblClaimServices.RejectionReason | ||
item.adjudication.value | tblClaimItems.QtyApproved | ||
item.adjudication.amount | tblClaimItems.PriceAdjusted / tblClaimItems.PriceApproved / tblClaimitems.PriceValuated / tblClaimItems.LimitationValue / tblClaimItems.RemuneratedAmount / tblClaimItems.DeductableAmount / tblClaimItems.ExceedCeilingAmount / tblClaimServices.PriceAdjusted / tblClaimServices.PriceApproved / tblClaimServices.PriceValuated / tblClaimServices.LimitationValue / tblClaimServices.RemunratedAmount / tblClaimServices.DeductableAmount / tblClaimServices.ExceededCeilingAmount | ||
processNote | tblClaimItems.Justification / tblClaimItems.PriceOrigin / tblClaimServices.Justification / tblClaimServices.Limitation / tblClaimServices.PriceOrigin |
Coverage
FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
Identifier | PolicyID / PolicyUUID | ||
policyHolder | FamilyID | ||
period | StartDate / ExpiryDate | ||
status | PolicyStatus | ||
contract.valuedItem.net | PolicyValue | ||
grouping | ProdID | ||
contract.agent.actor | OfficerID |
Patient
FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
Identifier | InsureeID / CHFID / passport / TypeOfId | ||
RelatedPerson | FamilyID | ||
name | LastName / OtherNames | ||
birthDate | DOB | ||
gender | Gender | ||
maritalStatus | Marital | ||
RelatedPerson.Relationship | IsHead | ||
telecom | Phone / Email | ||
photo | PhotoID | ||
photo.creation | PhotoDate | ||
managingOrganization | HFID | ||
address | CurrentAddress / GeoLocation |
Practitioner
FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
identifier | claimAdminID / claimAdminCode | ||
name | LastName / OtherNames | ||
birthDate | DOB | ||
telecom | Phone / EmailId |
Location
FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
Identifier | HfId / HFCode | ||
name | HFName | ||
type | HFLevel | ||
Address | HFAddress | ||
partOfReference | LocationId | ||
telecom | Phone / Fax / eMail |