openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build

openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

Table of Contents

..0 Table of Contents
...1 openIMIS FHIR Overview
...2 Enrollment Use Case
...3 Enquire Use Case
...4 Claiming Use Case
...5 Security management
...6 Credits
...7 Artifacts Summary
....7.1 openIMIS Capability Statement
....7.2 openIMIS ActivityDefinition
....7.3 openIMIS Bill
....7.4 openIMIS Claim
....7.5 openIMIS Claim Administrator Practitioner
....7.6 openIMIS Claim Administrator Practitioner Role
....7.7 openIMIS Claim Response
....7.8 openIMIS Communication
....7.9 openIMIS CommunicationRequest
....7.10 openIMIS Contract
....7.11 openIMIS Coverage
....7.12 openIMIS CoverageEligibilityRequest
....7.13 openIMIS CoverageEligibilityResponse
....7.14 openIMIS Enrolment Officer Practitioner
....7.15 openIMIS Enrolment Officer Practitioner Role
....7.16 openIMIS Group
....7.17 openIMIS Health Facility Organization
....7.18 openIMIS Insurance Organization
....7.19 openIMIS Insurance Plan
....7.20 openIMIS Invoice
....7.21 openIMIS Location
....7.22 openIMIS Medication
....7.23 openIMIS Patient
....7.24 openIMIS Payment Notice
....7.25 openIMIS Policy Holder Organization
....7.26 openIMIS Subscription
....7.27 Level (ActivityDefinition)
....7.28 Location Reference (Address)
....7.29 Municipality (Address)
....7.30 Item Reference (Claim)
....7.31 Payload Type (CommunicationRequest | Communication)
....7.32 Premium (Contract)
....7.33 Policy Status (Coverage)
....7.34 Date (Coverage)
....7.35 Poverty Status (Group)
....7.36 Confirmation (Group)
....7.37 Poverty Status (Group)
....7.38 Group Type (Group)
....7.39 Conversion Product (InsurancePlan)
....7.40 Discount (InsurancePlan)
....7.41 Max Installments (InsurancePlan)
....7.42 Period (InsurancePlan)
....7.43 Cycle Start (InsurancePlan)
....7.44 Frequency (Medication)
....7.45 Level (Medication)
....7.46 Medication Type (Medication)
....7.47 UsageContext (Medication)
....7.48 Health Facility Care Type (Organization)
....7.49 Legal Forms (Organization)
....7.50 Health Facility Level (Organization)
....7.51 Activity (Organization)
....7.52 Legal Forms (Organization)
....7.53 Card Issued (Patient)
....7.54 Education Level (Patient)
....7.55 Group Reference (Patient)
....7.56 Identification (Patient)
....7.57 IsHead (Patient)
....7.58 Profession (Patient)
....7.59 Vulnerability Status (Patient)
....7.60 Substitution Reference (PractitionerRole)
....7.61 Unit Price (Medication|ActivityDefinition)
....7.62 Level (ActivityDefinition)
....7.63 Service Type (ActivityDefinition)
....7.64 Usage Context Type (ActivityDefinition)
....7.65 Usage Context for Venue Type (ActivityDefinition)
....7.66 Usage Context for Workflow Type (ActivityDefinition)
....7.67 ChargeItem (Bill Invoice)
....7.68 Type (Bill Invoice)
....7.69 Category of the item (Claim)
....7.70 Rejection reasons (Claim)
....7.71 Status of the claim (Claim|ClaimResponse)
....7.72 Category of the supporting info (Claim)
....7.73 Visit Type Codes (Claim)
....7.74 Claim Feedback Status (CommunicationRequest)
....7.75 Premium Category (Contract)
....7.76 Premium Payer (Contract)
....7.77 Premium Type (Contract)
....7.78 Resource Party Role (Contract)
....7.79 Scope (Contract)
....7.80 Status Codes (Contract)
....7.81 Type of benefit as amount left (Coverage)
....7.82 Type of benefit (Coverage)
....7.83 Type of benefit as total left (Coverage)
....7.84 Partial categories of the item (Coverage)
....7.85 Category of the item (Coverage)
....7.86 Coverage Status (Coverage)
....7.87 ICD 10 Level 1 diagnosis
....7.88 Feedback Payload (CommunicationRequest | Communication)
....7.89 Feedback Status (CommunicationRequest)
....7.90 Confirmation Types (Group)
....7.91 Group Type (Group)
....7.92 Coverage Benefit Limit Types (InsurancePlan)
....7.93 Coverage Type (InsurancePlan)
....7.94 General Cost Type (InsurancePlan)
....7.95 Publication Status (InsurancePlan)
....7.96 ChargeItem (Invoice)
....7.97 PriceComponent Type (Invoice)
....7.98 Status (Invoice)
....7.99 Type (Invoice)
....7.100 Location Type (Location)
....7.101 Item Type (Medication)
....7.102 Level (Medication)
....7.103 openIMIS Identifiers Value Set
....7.104 Health Facility Care Type (Organization)
....7.105 Legal Forms (Organization)
....7.106 Health Facility Level (Organization)
....7.107 Activity (Organization)
....7.108 Legal Forms (Organization)
....7.109 Contact Relationship (Patient)
....7.110 Education Level (Patient)
....7.111 Identification Type (Patient)
....7.112 Marital Status (Patient)
....7.113 Profession (Patient)
....7.114 Practitioner Qualification Type
....7.115 Usage Context for Age Type (ActivityDefinition|Medication)
....7.116 Usage Context for Gender Type (ActivityDefinition|Medication)
....7.117 Level (ActivityDefinition)
....7.118 Service Type (ActivityDefinition)
....7.119 Usage Context for Workflow Type (ActivityDefinition)
....7.120 ChargeItem (Bill Invoice)
....7.121 Type (Bill Invoice)
....7.122 Category of the item (Claim)
....7.123 Rejection Reasons (Claim)
....7.124 Status of the claim (Claim|ClaimResponse)
....7.125 Category of the supporting info (Claim)
....7.126 Visit Type (Claim)
....7.127 Premium Category (Contract)
....7.128 Premium Payer (Contract)
....7.129 Premium Type (Contract)
....7.130 Resource Party Role (Contract)
....7.131 Scope (Contract)
....7.132 Type of benefit (Coverage)
....7.133 Category of the item (Coverage)
....7.134 ICD 10 Level 1 diagnosis (Claim)
....7.135 Feedback Payload (CommunicationRequest | Communication)
....7.136 Feedback Status (CommunicationRequest)
....7.137 Confirmation Types (Group)
....7.138 Group Type (Group)
....7.139 Coverage Benefit Limit Types (InsurancePlan)
....7.140 General Cost Type (InsurancePlan)
....7.141 ChargeItem (Invoice)
....7.142 Type (Invoice)
....7.143 Location Type (Location)
....7.144 Item Type (Medication)
....7.145 Level (Medication)
....7.146 openIMIS Identifiers (All)
....7.147 Health Facility Care Type (Organization)
....7.148 Legal Forms (Organization)
....7.149 Health Facility Level (Organization)
....7.150 Activity (Organization)
....7.151 Legal Forms (Organization)
....7.152 Contact Relationship (Patient)
....7.153 Education Level (Patient)
....7.154 Identification Type (Patient)
....7.155 Profession (Patient)
....7.156 Qualification Type (Practitioner)
....7.157 Usage Context for Age Type (ActivityDefinition|Medication)
....7.158 AspirinMedication
....7.159 Claim001
....7.160 ClaimResponse001
....7.161 Claim001Communication
....7.162 Claim001CommunicationRequest
....7.163 ContributionInvoiceSubscription
....7.164 GeneralConsultationService
....7.165 InformalSectorContract
....7.166 InformalSectorContributionInvoice
....7.167 Jamu-municipality
....7.168 Jamula-village
....7.169 Jimara-district
....7.170 JoeDoeCoverage
....7.171 JoeDoeEnquiring
....7.172 JoeDoeEnquiringResponse
....7.173 MyTradePolicyHolder
....7.174 RX01
....7.175 RX02
....7.176 RaptaDistrictHospital
....7.177 Roberts-Jeb-EO
....7.178 Rushila-Dani-CA
....7.179 Upper-River-Region
....7.180 doe-family
....7.181 jane-doe
....7.182 john-doe
....7.183 openIMIS-Implementation