Uzbekistan Digital Health Platform
0.5.0 - ci-build
Uzbekistan Digital Health Platform
0.5.0 - ci-build
Uzbekistan Digital Health Platform, published by Ministry of Health of the Republic of Uzbekistan. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/uzinfocom-org/digital-health-ig/ and changes regularly. See the Directory of published versions
In the healthcare system of the Republic of Uzbekistan, care is paid for by payors — organizations that finance the services of providers (healthcare organizations). Today the only payor is the State Health Insurance Fund (SHIF), though the model allows for others in the future. This page describes how payors themselves are identified in the UZ Core profiles, and how a payor identifies the providers it has contracted with.
A payor is an organization (Organization with type.coding = #pay). Today a payor is identified by its tax identifier (Soliq), the same universal legal-entity identifier that any organization in the Republic carries.
A payor (such as SHIF) maintains its own registry of the providers it has contracted with and assigns each of them a registration number within that registry. In FHIR this identifier is modelled as follows:
PRN ("Provider number") — it identifies the provider, not the payor;system — the namespace of the specific payor;value — unique within the payor's namespace: one code corresponds to exactly one organization;assigner — a reference to the payor organization that assigned the code.Each payor uses its own namespace and its own code format. A single provider may carry several such identifiers — one per payor it works with.
A payor contracts with a legal entity, so the contracted organization always has a tax identifier (Soliq); it is to this legal entity that the payor assigns its code (PRN) and to which the contract is tied.
Care, however, may be delivered by branches of that legal entity. A branch is modelled as a separate Organization linked to the head organization through partOf. A branch is not always a separate economic entity and may not have its own taxId. Therefore the existence of a contract with the payor is determined not from the branch itself but from the head legal entity: from the branch, follow partOf up to the organization that has a taxId (and the payor's code), and check the contract against it.
SHIF is a payor (type.coding = #pay); as an organization it is identified by its tax identifier (Soliq). To the providers that have contracted with it, the Fund assigns a code within its own namespace:
system: https://dhp.uz/fhir/core/sid/org/uz/shifPRN ("Provider number")^[A-Z]{3}[0-9]{6}$ — 3 uppercase Latin letters followed by 6 digits (e.g., OAA000024)assigner: a reference to the SHIF organizationFor the concrete system URIs and a JSON example, see Identifier systems.