OpenHIE Architecture Specification
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OpenHIE Architecture Specification
5.0-en
Specification Overview
How to use the Specification
Architecture Specification
OpenHIE Component Specifications
Workflow (Exchange) Specification
Aggregate Reporting Workflows
Alerting / Sending Reminders or Information
Care Services Discovery
Laboratory Work Flows
Patient Identity Management Workflows
Shared Health Record
Terminology Service Workflows
Vaccine Workflows
OpenHIE Finance and Insurance Services Workflows
HFW-001: Enroll Beneficiary
HFW-002: Query Beneficiary
HFW-003: Check Coverage Eligibility
HFW-004: Claiming
HFW-005: Claim Tracking
How to Provide Feedback and Input
Change Log and Versioning
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OpenHIE Finance and Insurance Services Workflows
This collection of workflows allows an external system with access to the HIE to save and retrieve Finance and Insurance Information.
The workflows are designed to support the following types of data exchanges with systems that have access to the HIE.
  1. 1.
    A point-of-care system can enroll a beneficiary
  2. 2.
    A point-of-care system can search for a beneficiary in the Finance and Insurance Services system
  3. 3.
    A point-of-care system can check a beneficiary's eligibility
  4. 4.
    A point-of-care system can run a pre-determination, pre-authorization and claim
  5. 5.
    A point-of-care system can track a claim's status
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Vaccine Workflows
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HFW-001: Enroll Beneficiary
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