...
Info |
---|
The initial set of draft workflows are FHIR-based workflows leveraging Health Financing and FHIR workflows and ongoing work on Integrating openIMIS health financing into the OpenHIE Landscape. The workflows are being documented by the OpenHIE community and will be included in the OpenHIE Specification. |
Beneficiary Enrollment
Query Beneficiary
//query for beneficiary - should come close to mirror CR workflow.
Check enrollment status
Code Block |
---|
title Check enrollment status
PoS->PoS: [1] Register patient
PoS->IOL: [2] FHIR Coverage resource search
IOL->IOL: [3] Validate FHIR resource
IOL->openIMIS: [4] Search for beneficiary
openIMIS->IOL: [5] Return beneficiary details
IOL->PoS: [6] Return FHIR Coverage resource
PoS->PoS: [7] Add details to patient record |
...
Code Block |
---|
title Submit claim
PoS->PoS: [1] Fetch patient visit data
PoS->IOL: [2] Submit FHIR Claim {use=complete} resource
IOL->IOL: [3] Validate FHIR resource
IOL->openIMIS: [4] Submit patient claim
openIMIS->openIMIS: [5] Process claim
openIMIS->IOL: [6] Return claim outcomes
IOL->PoS: [7] Return FHIR ClaimResponse resource
PoS->PoS: [8] Process response |
Indicator Reporting
openIMIS Indicator Reporting
Image Added
Code Block |
---|
title openIMIS Indicator Reporting
openIMIS->openIMIS: [1] Generate indicators to meet reporting needs
openIMIS->IOL: [2] Submit report
IOL->IOL: [3] Validate report / indicators
IOL->IOL: [4] Transform report (e.g. FHIR Measure Report to ADX)
IOL->HMIS: [5] Submit to HMIS
HMIS->HMIS: [6] Evaluate and persist report / indicators |
openIMIS Patient Level Indicator Reporting
Image Added
Code Block |
---|
title openIMIS Patient Level Indicator Reporting
openIMIS->openIMIS: [1] Generate FHIR resources to meet reporting needs
openIMIS->IOL: [2] Submit FHIR resources
IOL->IOL: [3] Validate FHIR resources
IOL->FHIR Server: [4] Persist FHIR resources
CQL Engine->CQL Engine: [5] Trigger / external request for report
CQL Engine->FHIR Server: [6] Evaluate FHIR Measure(s) / Measure Report(s)
CQL Engine->IOL: [7] Submit to DHIS2
IOL->IOL: [8] Validate FHIR Measure(s) / Measure Report(s)
IOL->IOL: [9] Transform report (e.g. FHIR Measure Report to ADX)
IOL->HMIS: [10] Submit to HMIS
HMIS->HMIS: [11] Evaluate and persist report / indicators |
Other HF Workflows
- Policy lookup and query – know who is associated to which policy | Stems from a use case in India where 1 family gets a single card / policy number and all members are associated to that policy.
Other HIE Workflows
- 'Patient leaves treatment setting' workflows
- Explanation of benefit and payment reconciliation
- Client Registry (CR) interactions
- Beneficiary enrolment
- Beneficiary verification
- Terminology Services (TS) and Product Registry (PR)
- Terminology and product code sync
- ...