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A global good for health financing operations

openIMIS @ OpenMRS 2019 Hackathon,

Maputo, 06.11.2019

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What is openIMIS?

openIMIS is an

  • open source software for improving health financing operations by digitizing the link between patients, providers and payers.

Based on a

  • community of developers, users and implementers.

With the joint mission to

  • increase and improve universal health coverage (UHC).

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Teams in Developers Committee

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Continuity

Re-Architecture

Maintenance & Support

Modular Transformation

Digital Square Notice C1

SwissTPH

SolDevelo

BlueSquare

HISP India

SwissTPH

SolDevelo

Possible Health

Interoperability

Coordination Desk

GIZ

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Interoperability with OpenMRS and Bahmni

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Business Domain Services

Health Financing & Insurance

Workflows:

  • Beneficiary enrollment
    • Check enrollment status
    • Enrol beneficiary
  • Claim submission
    • Check beneficiary validity
    • Check beneficiary balance/treatment options
    • Preauthorization of claim
    • Track status of claim
    • Submit claim

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Health Financing and FHIR

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http://hl7.org/fhir/STU3/financial-module.html#order

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Goals for the Hackathon

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Goals:

  • Level 1:

Do the peer-to-peer connections work?

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  • Level 2:

Can we set this up using the OpenHIM?

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Anyone:

  • Feel free to join.