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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

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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
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