HFW-002: Query Beneficiary
The PoS system is searching for beneficiary master data in the FIS based on a specific query (e.g. by name, ID, age etc …). The FIS returns all master data from the CR and adds FIS specific master data .
Example use case: An insurance agent is looking for information about a beneficiary to respond to a service desk call.
Workflow Maturity |
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Standards | |
Assumptions & Prerequisites | None |
Actors |
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Validations | The IOL should validate the FHIR resources being submitted. |
title HFW-002: Query Beneficiary
participant PoS
participant IOL
participant FIS
participant CR
opt
note over PoS, CR
Assumes that querying of CR is done here
PoS->HIE: [1] Fetch patient (CRWF-3,4)
end Note
end opt
PoS->IOL: [2] Submit Patient/Beneficiary Query (Demographics / ID)
IOL->FIS: [3] Forward Query details
FIS->FIS: [4] Process query
FIS->IOL: [5] Return Beneficiary Details response
IOL->PoS: [6] Forward Beneficiary Details response
Ref | Interaction | Endpoint | Data | Transaction Spec |
---|---|---|---|---|
1 | Fetch / Register patient | CR | | (CRWF-1,3,4) |
2 | Submit Patient/Beneficiary Query | IOL | | |
3 | Forward Query details | FIS | FHIR Patient | |
4 | Process query | internal | | |
5 | Return Beneficiary Details response | IOL | FHIR Patient | |
6 | Forward Beneficiary Details response | POS | | |
Last modified 1yr ago