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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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  • 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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