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As part of the overall software development investments into the openIMIS technology stack, global good developers were invited to propose development projects that would introduce openIMIS interoperability with other global goods from the OpenHIE architecture. In a co-creation process that was managed by the Digital Square platform, three proposals were selected and funded to develop an integration of openIMIS with DHIS2, OpenMRS and Bahmni on the basis of the HL7 FHIR interoperability standard. The three teams were integrated into the openIMIS developers committee to enable a seamless integration into the openIMIS roadmap and release cycle. In addition, the openIMIS community has been working with the OpenHIE community to ensure that data exchange processes and requirements meet the needs of healthcare financing communities, and to develop and adapt OpenHIE workflows to incorporate health finance data sharing use cases and country needs. The figure below illustrates the anticipated role of openIMIS as it is integrated into the OpenHIE landscape, supporting health financing and insurance business domain services within a health information exchange (HIE).

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Health Financing Interoperability Use Cases

openIMIS now possesses a set of HL7 FHIR compatible APIs that allow the exchange of patient and claim data with other information systems in the health sector. Countries and organisations that have adopted an eHealth strategy based on HL7 FHIR are able to implement more efficient digital workflows to strengthen their road to UHC. The standards-based approach also opens up opportunities for supporting a range of HIE workflows and interacting with other HIE components and registries (e.g. Shared Health Record, Client Registry, Facility Registry, Product Registry, Terminology Services), as well as a move towards openIMIS in the role of a health financing for UHC OpenHIE reference technology.

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