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Integrating openIMIS with Bahmni: A Nepal-Based Proof-of-Concept Project

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Possible Health

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Registration

Clinical Services

Lab Services

Inpatient Management

Stock Management

Reporting

PACS Integration

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Dhis2 Integration

IPD Module

Insurance Integration(IMIS)

Billing and Accounting

NepalEHR

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What is Nepal EHR ?

  • Distribution on top of Bahmni (Openmrs,Openelis,OpenERP/ODOO)
  • Customizations for Nepal Specific Features : Nepali Calendars, Observation Templates, Configurations etc.
  • Dhis2 Reporting
  • OpenIMIS Integration
  • We aim to create an efficient and accountable digital healthcare system that is affordable to the government.

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Public-private partnership

50 Beds

2K inpatients per year

70K patients treated per year

200 – 500 patients per day

Bayalpata Hospital, Achham in far-west Nepal

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Insurance-Integration proposed Workflow

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OpenIMIS-Bahmni Integration architecture

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Proposed Integration Approach

1. Conduct Bahmni EHR User Interface changes to support collecting and displaying insurance related information of patient.

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Proposed Integration Approach

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Proposed Integration Approach

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Proposed Integration Approach

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2. Develop IMIS-Connect java based rest application which can be plugged in as a service on existing Bahmni environment and acts as a gateway for communication with insurance system (openIMIS), with Bahmni. Major functions include:

  • Validity check
  • Balance check
  • Submit claims
  • Track status of the claims
  • Resubmit the rejected claims

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Proposed Integration Approach

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3. Build IMIS-ERP module to tag the billing encounters of the insurance-eligible patient as claimables or billables.

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4. Change Odoo UI as required for claims processing features.

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5. Change Odoo UI for generating reports for claims and non-claims

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Proposed Integration Approach

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Proposed Integration Approach

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Proposed Integration Approach

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Workplan and Schedule

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Workplan and Schedule

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Bahmni Demo

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Expected decisions from the workshop

  1. Interoperability layer : OpenHIE/OpenHIM
  2. Protocols for data exchange : HL7-FHIR
  3. Webservices of existing OpenIMIS: SOAP/REST
  4. Webservices for proposed architecture :
  5. Data from OpenIMIS : service codes/rate/items/ICDs etc.
  6. Openmrs and bahmni integration with OpenIMIS approach similarities and reusability
  7. Timeline for the developments : Integration