2020-06-10 Formal Sector Workshop Series (V)

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Last updated: Sept 11, 2020

2 min read

1 Overview
2 Presentation
3 Minutes
- 3.1 Entities
- 3.2 Workflows
- 3.3 APIs
- 3.4 Dependencies
4 Questions - Challenges - Issues
- 4.1 Next week:
5 Additional Resources

Overview

Date: 10.06.2020

Objective: Align scope and roadmap for Formal Sector Integration

Participants:

@Fourie, Carl
@Uwe Wahser
@Maguette T. NDONG
@tabea.boateng
@Doreen G. Wamiti
@Patrick Delcroix
@Dragos Dobre
@Nirmal Dhakal
@Xavier Gillmann (Unlicensed)
@Siddharth Srivastava
@Neema Massawe
@Purushottam Sapkota

Topic Proposals:

Date	Topic	Presenter	Comments

Date	Topic	Presenter	Comments
13.05.2020	Overview of Formal Sector requirements from Nepal	GIZ Nepal	2020-05-13 Formal Sector Workshop Series (I)
20.05.2020	Gap analysis and conception for core modules	SwissTPH	2020-05-20 Formal Sector Workshop Series (II)
27.05.2020	Overview of the Product Roadmap for the openIMIS modular re-architecture	BlueSquare
03.06.2020	Gap analysis and conception for APIs (I)	Healthix
10.06.2020	Gap analysis and conception for APIs (II)	Healthix
	Align the

Presentation

Minutes

Entities

Workflows

Workflows: verify with https://wiki.ohie.org/display/SUB/Health+Financing+Workflows

claims management
- Submit claim: compare to https://wiki.ohie.org/display/SUB/Health+Financing+Workflows#HealthFinancingWorkflows-Submitclaim
- Track claims: compare to https://wiki.ohie.org/display/SUB/Health+Financing+Workflows#HealthFinancingWorkflows-Trackstatusofclaim

APIs

Submit Claims
Track Claims

Dependencies

FHIRBox
- Integration with existing structures
- Do you need any batch (or scheduled) processing (sys admin point of view) in openIMIS? [!! capability will be added to the stack along Beneficiary Enrollment migration, expected delivery: 08/2020]
- What is the healthix fhir box ? an openIMIS module ? is internal or external to openIMIS?
  Micro service external to openIMIS running on same server
- Do you use the openIMIS FHIR module? How Healthix FHIR Box is interacting with openIMIS?

Questions - Challenges - Issues

Next week:

Where did you find the information that the claim from insurees are sent to openIMIS ? same question for pension ?
- From SOSYS processes. will be reviewed
Why the assessment of the claim is done on SOSYS ? is it only about the valuated claims ?
why status not done from openIMIS ? I believed that the employer has access to SOSYS, is it also the case provider ?

Additional Resources

- Incubator page in this wiki
http://hl7.org/fhir/financial-module.html - FHIR R4 objects (financial Module)
OpenHIE Health Financing Group: https://wiki.ohie.org/display/SUB/Health+Financing+towards+UHC+Subcommunity
- Workflows: https://wiki.ohie.org/display/SUB/Health+Financing+Workflows
JLN Processes
- Glossary:
FHIR in openIMIS
SolDevelo FHIR modules (example of BAHMNI)
- https://soldevelofoundation.org/new-modules-for-openmrs-and-openimis/

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