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lacarmen merged 3 commits into from
Apr 8, 2026
Merged

Feat: Add oma uninsured service fees to private billing form #114

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9091c94
feat: add oma uninsured service fees to prive billing form
LiamStanziani Mar 24, 2026
c9f6f63
fix: removed trailing white space in some DB entries, removed IGNORE …
LiamStanziani Mar 24, 2026
eb94eab
fix: added ctl_billingservice OMA_C01 entry
LiamStanziani Mar 24, 2026
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80 changes: 77 additions & 3 deletions database/mysql/oscardata_on.sql
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Original file line number Diff line number Diff line change
Expand Up @@ -11546,6 +11546,47 @@ INSERT INTO `billingservice` (`service_code`, `description`, `value`, `percentag
('Z943A', '----', '102.00', NULL, '2009-10-24', 'ON', '00'),
('Z944A', '----', '89.75', NULL, '2010-10-01', 'ON', '00');

--
-- OMA Uninsured Services Fees (OMD Conformance PC13.19)
-- See: https://github.com/openo-beta/Open-O/issues/2381
--

INSERT INTO billingservice (service_compositecode,service_code,description,value,percentage,billingservice_date,specialty,region,anaesthesia,termination_date,displaystyle,sliFlag,gstFlag) VALUES
('','_OMA_A003','General Assessment','253.35','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_A007','Intermediate Assessment','110.10','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_A110','Periodic oculo-visual assessment (by a General/Family practitioner)','141.85','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_C01','Patient interview for practice admission','128.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F01','Form completion for physicals for schools, camps, pre-school, daycare, university/educational institutions','37.25','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F02','Form completion for physicals for pre-employment certification of fitness/fitness clubs or hospital/nursing home employee','49.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F03','Children''s Aid Society (CAS) application for prospective foster parent','252.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F04','CRA Disability Tax Credit Certificate (form T2201)','150.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F05','Insurance Certificate OCF- 3 Disability Certificate','262.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F06','Insurance Certificate OCF-18 Treatment Plan','278.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F07','Insurance Certificate OCF-23 Treatment Confirmation','262.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F08','Attending Physician''s Statement','200.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F09','Insurance Medical Examination (assessment and report)','200.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F10','Medical Report for a CPP Disability Benefit (SCISP-2519)','85.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F11','CPP Narrative Medical Report','150.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F12','Medical certificate employment insurance sickness benefits INS5140','52.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F13','Travel cancellation insurance form','164.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F14','Life insurance death certificate','50.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F15','Insurance Certificate OCF-19 Determination of Catastrophic Impairment','155.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F16','System-Specific or Disease Specific Questionnaire','125.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F17','System-Specific Examination','152.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F18','Assessments: Clarification Report','300.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F19','Assessments: Full Narrative Report','350.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F20','Assessments: Independent Medical Examination','200.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F21','Terminal Illness Medical Attestation for a Disability Benefit (ISP2530B)','85.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F22','Reassessment Medical Report (ISP2509)','25.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F23','Scannable Impairment Evaluation (IMPAIR)','50.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F24','Medical Report – Recurrence of the Same Medical Problem (ISP2525)','25.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F25','Drivers medical examination (form only)','77.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_G010','Urinalysis – without microscopy','7.65','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_N01','Sick notes (includes return to work/school notes)','26.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_N02','Fitness to work notes','50.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_RECOR','Electronic Transfer of Records','30.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_RX','Dispensing service fee','20.75','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0);

--
-- Dumping data for table 'clinic'
--
Expand Down Expand Up @@ -12540,9 +12581,42 @@ INSERT INTO ctl_billingservice (servicetype_name,servicetype,service_code,servic
INSERT INTO ctl_billingservice (servicetype_name,servicetype,service_code,service_group_name,service_group,status,service_order) VALUES ('General Practice','MFP','B994A','Premium','Group3','A',35);
INSERT INTO ctl_billingservice (servicetype_name,servicetype,service_code,service_group_name,service_group,status,service_order) VALUES ('Service','TST','A007A',' Description 3','Group3','A',1);
INSERT INTO ctl_billingservice (servicetype_name,servicetype,service_code,service_group_name,service_group,status,service_order) VALUES ('Service','TST','A008A',' Description 3','Group3','A',2);
INSERT INTO ctl_billingservice (servicetype_name,servicetype,service_code,service_group_name,service_group,status,service_order) VALUES ('PRIVATE','PRI','A007A',' Group 1 Name','Group1','A',1);
INSERT INTO ctl_billingservice (servicetype_name,servicetype,service_code,service_group_name,service_group,status,service_order) VALUES ('PRIVATE','PRI','A007A',' Group 2 Name','Group2','A',1);
INSERT INTO ctl_billingservice (servicetype_name,servicetype,service_code,service_group_name,service_group,status,service_order) VALUES ('PRIVATE','PRI','A007A',' Group 3 Name','Group3','A',1);
-- OMA Uninsured Services Fees - PRIVATE form mappings (OMD Conformance PC13.19)
INSERT INTO ctl_billingservice (servicetype_name,servicetype,service_code,service_group_name,service_group,status,service_order) VALUES
('PRIVATE','PRI','_OMA_A003','Assessments','Group2','A',1),
('PRIVATE','PRI','_OMA_A007','Assessments','Group2','A',2),
('PRIVATE','PRI','_OMA_A110','Assessments','Group2','A',3),
('PRIVATE','PRI','_OMA_F01','Forms','Group1','A',2),
('PRIVATE','PRI','_OMA_F02','Forms','Group1','A',3),
('PRIVATE','PRI','_OMA_F03','Forms','Group1','A',4),
('PRIVATE','PRI','_OMA_F04','Forms','Group1','A',5),
('PRIVATE','PRI','_OMA_F05','Forms','Group1','A',6),
('PRIVATE','PRI','_OMA_F06','Forms','Group1','A',7),
('PRIVATE','PRI','_OMA_F07','Forms','Group1','A',8),
('PRIVATE','PRI','_OMA_F08','Assessments','Group2','A',5),
('PRIVATE','PRI','_OMA_F09','Assessments','Group2','A',6),
('PRIVATE','PRI','_OMA_F10','Assessments','Group2','A',7),
('PRIVATE','PRI','_OMA_F11','Assessments','Group2','A',8),
('PRIVATE','PRI','_OMA_F12','Assessments','Group2','A',4),
('PRIVATE','PRI','_OMA_F13','Forms','Group1','A',11),
('PRIVATE','PRI','_OMA_F14','Forms','Group1','A',12),
('PRIVATE','PRI','_OMA_F15','Forms','Group1','A',13),
('PRIVATE','PRI','_OMA_F16','Assessments','Group2','A',10),
('PRIVATE','PRI','_OMA_F17','Assessments','Group2','A',11),
('PRIVATE','PRI','_OMA_F18','Assessments','Group2','A',12),
('PRIVATE','PRI','_OMA_F19','Assessments','Group2','A',13),
('PRIVATE','PRI','_OMA_F20','Assessments','Group2','A',14),
('PRIVATE','PRI','_OMA_F21','Forms','Group1','A',14),
('PRIVATE','PRI','_OMA_F22','Assessments','Group2','A',15),
('PRIVATE','PRI','_OMA_F23','Assessments','Group2','A',16),
('PRIVATE','PRI','_OMA_F24','Assessments','Group2','A',17),
('PRIVATE','PRI','_OMA_F25','Assessments','Group2','A',9),
('PRIVATE','PRI','_OMA_G010','Procedures','Group3','A',2),
('PRIVATE','PRI','_OMA_N01','Forms','Group1','A',9),
('PRIVATE','PRI','_OMA_N02','Forms','Group1','A',10),
('PRIVATE','PRI','_OMA_RECOR','Forms','Group1','A',1),
('PRIVATE','PRI','_OMA_RX','Procedures','Group3','A',1),
('PRIVATE','PRI','_OMA_C01','Assessments','Group2','A',18);

--
-- Dumping data for table 'ctl_billingservice_premium'
Expand Down
82 changes: 82 additions & 0 deletions database/mysql/updates/update-2026-03-24-oma-uninsured-service-fees.sql
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Original file line number Diff line number Diff line change
@@ -0,0 +1,82 @@
-- OMA Uninsured Services Fees for Ontario Private Billing
-- OMD Conformance Requirement PC13.19
-- Adds 34 OMA fee codes to the billingservice table and maps them to the PRIVATE billing form
-- See: https://github.com/openo-beta/Open-O/issues/2381

-- Deactivate legacy placeholder PRIVATE form mappings (replaced by OMA codes below)
UPDATE ctl_billingservice SET status = 'I' WHERE servicetype = 'PRI' AND service_code = 'A007A' AND service_group_name IN (' Group 1 Name', ' Group 2 Name', ' Group 3 Name');

-- Billing service codes (private codes use underscore prefix, region=NULL)
INSERT INTO billingservice (service_compositecode,service_code,description,value,percentage,billingservice_date,specialty,region,anaesthesia,termination_date,displaystyle,sliFlag,gstFlag) VALUES
('','_OMA_A003','General Assessment','253.35','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_A007','Intermediate Assessment','110.10','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_A110','Periodic oculo-visual assessment (by a General/Family practitioner)','141.85','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_C01','Patient interview for practice admission','128.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F01','Form completion for physicals for schools, camps, pre-school, daycare, university/educational institutions','37.25','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F02','Form completion for physicals for pre-employment certification of fitness/fitness clubs or hospital/nursing home employee','49.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F03','Children''s Aid Society (CAS) application for prospective foster parent','252.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F04','CRA Disability Tax Credit Certificate (form T2201)','150.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F05','Insurance Certificate OCF- 3 Disability Certificate','262.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F06','Insurance Certificate OCF-18 Treatment Plan','278.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F07','Insurance Certificate OCF-23 Treatment Confirmation','262.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F08','Attending Physician''s Statement','200.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F09','Insurance Medical Examination (assessment and report)','200.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F10','Medical Report for a CPP Disability Benefit (SCISP-2519)','85.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F11','CPP Narrative Medical Report','150.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F12','Medical certificate employment insurance sickness benefits INS5140','52.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F13','Travel cancellation insurance form','164.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F14','Life insurance death certificate','50.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F15','Insurance Certificate OCF-19 Determination of Catastrophic Impairment','155.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F16','System-Specific or Disease Specific Questionnaire','125.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F17','System-Specific Examination','152.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F18','Assessments: Clarification Report','300.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F19','Assessments: Full Narrative Report','350.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F20','Assessments: Independent Medical Examination','200.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F21','Terminal Illness Medical Attestation for a Disability Benefit (ISP2530B)','85.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F22','Reassessment Medical Report (ISP2509)','25.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F23','Scannable Impairment Evaluation (IMPAIR)','50.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F24','Medical Report – Recurrence of the Same Medical Problem (ISP2525)','25.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_F25','Drivers medical examination (form only)','77.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_G010','Urinalysis – without microscopy','7.65','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_N01','Sick notes (includes return to work/school notes)','26.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_N02','Fitness to work notes','50.00','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_RECOR','Electronic Transfer of Records','30.00','0.00','2026-03-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0),
('','_OMA_RX','Dispensing service fee','20.75','0.00','2026-01-01',NULL,NULL,NULL,'9999-12-31',NULL,0,0);

-- Map billing codes to the PRIVATE billing form with group organization
-- Group1 = Forms, Group2 = Assessments, Group3 = Procedures
INSERT INTO ctl_billingservice (servicetype_name,servicetype,service_code,service_group_name,service_group,status,service_order) VALUES
('PRIVATE','PRI','_OMA_A003','Assessments','Group2','A',1),
('PRIVATE','PRI','_OMA_A007','Assessments','Group2','A',2),
('PRIVATE','PRI','_OMA_A110','Assessments','Group2','A',3),
('PRIVATE','PRI','_OMA_F01','Forms','Group1','A',2),
('PRIVATE','PRI','_OMA_F02','Forms','Group1','A',3),
('PRIVATE','PRI','_OMA_F03','Forms','Group1','A',4),
('PRIVATE','PRI','_OMA_F04','Forms','Group1','A',5),
('PRIVATE','PRI','_OMA_F05','Forms','Group1','A',6),
('PRIVATE','PRI','_OMA_F06','Forms','Group1','A',7),
('PRIVATE','PRI','_OMA_F07','Forms','Group1','A',8),
('PRIVATE','PRI','_OMA_F08','Assessments','Group2','A',5),
('PRIVATE','PRI','_OMA_F09','Assessments','Group2','A',6),
('PRIVATE','PRI','_OMA_F10','Assessments','Group2','A',7),
('PRIVATE','PRI','_OMA_F11','Assessments','Group2','A',8),
('PRIVATE','PRI','_OMA_F12','Assessments','Group2','A',4),
('PRIVATE','PRI','_OMA_F13','Forms','Group1','A',11),
('PRIVATE','PRI','_OMA_F14','Forms','Group1','A',12),
('PRIVATE','PRI','_OMA_F15','Forms','Group1','A',13),
('PRIVATE','PRI','_OMA_F16','Assessments','Group2','A',10),
('PRIVATE','PRI','_OMA_F17','Assessments','Group2','A',11),
('PRIVATE','PRI','_OMA_F18','Assessments','Group2','A',12),
('PRIVATE','PRI','_OMA_F19','Assessments','Group2','A',13),
('PRIVATE','PRI','_OMA_F20','Assessments','Group2','A',14),
('PRIVATE','PRI','_OMA_F21','Forms','Group1','A',14),
('PRIVATE','PRI','_OMA_F22','Assessments','Group2','A',15),
('PRIVATE','PRI','_OMA_F23','Assessments','Group2','A',16),
('PRIVATE','PRI','_OMA_F24','Assessments','Group2','A',17),
('PRIVATE','PRI','_OMA_F25','Assessments','Group2','A',9),
('PRIVATE','PRI','_OMA_G010','Procedures','Group3','A',2),
('PRIVATE','PRI','_OMA_N01','Forms','Group1','A',9),
('PRIVATE','PRI','_OMA_N02','Forms','Group1','A',10),
('PRIVATE','PRI','_OMA_RECOR','Forms','Group1','A',1),
('PRIVATE','PRI','_OMA_RX','Procedures','Group3','A',1),
('PRIVATE','PRI','_OMA_C01','Assessments','Group2','A',18);
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