This document provides a high-level overview of the current activities of the Health Financing towards UHC / Health Insurance activities for 2019.

2019

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Subcommunity.

Roadmap

Working directory: https://drive.google.com/drive/folders/11HZDMd2F8U8f0ZK-H4BQjLHLzGoa8eW5 

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• Pre-validation of claims
• Claim submission
• Beneficiary enrolment

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• Pre-validation of claims
• Claim submission
• Beneficiary enrolment

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• Pre-validation of claims
• Claim submission
• Beneficiary enrolment

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Ideas/Backlog (Ideas to be confirmed and scheduled):

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• Client / Beneficiary registration
• Client / Beneficiary validation
• Claim submission
• Claim result (???)

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1. wip - Bugfix latest standards document:
   1. https://github.com/openhie/arch-spec 
   2. https://github.com/openhie/openhie-specification/tree/5.0/introduction/openhie-finance-and-insurance-services-workflows (pull requests against main branch)
2. wip - IHE application for an FISh profile
   1. Proposals: https://github.com/IHE/IT-Infrastructure/tree/master/Proposal
   2. contact to HL7 / Gravity project
3. Define functional requirements for the FIS component: https://guides.ohie.org/arch-spec/openhie-component-specifications-1/openhie-finance-and-insurance-service
4. Which are the next workflows? 
   1. Reporting
   2. Patient level reporting
   3. JLN review for other workflows
      
5. Object model
   
6. Nepal use case documentation (find write up or publication)
   

1. Curation of available platforms (such as

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1. openIMIS etc)

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1. and other that are involved in the workflows
   1. e.g. client registry
2. Anything to prepare for Sri Lanka - OHIE24

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