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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 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
  • ...