LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

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Resource Profile: CDMClaim - Mappings

Active as of 2022-11-10

Mappings for the cdm-claim resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

CDMClaim
Claim	Request
identifier	Request.identifier
status	Request.status
patient	Request.subject
created	Request.authoredOn
insurer	Request.performer
provider	Request.requester
priority	Request.priority
related
claim	Request.replaces
supportingInfo	Request.supportingInfo
diagnosis	Request.reasonReference
insurance
identifier	Request.identifier
item
encounter	Request.context

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

CDMClaim
Claim
identifier	FiveWs.identifier
status	FiveWs.status
type	FiveWs.class
subType	FiveWs.class
use	FiveWs.class
patient	FiveWs.subject[x], FiveWs.subject
billablePeriod	FiveWs.done[x]
created	FiveWs.recorded
enterer	FiveWs.author
provider	FiveWs.source
referral	FiveWs.cause
facility	FiveWs.where[x]
careTeam
provider	FiveWs.actor
insurance
identifier	FiveWs.identifier
item
serviced[x]	FiveWs.done[x]
location[x]	FiveWs.where[x]

Mappings for RIM Mapping (http://hl7.org/v3)

CDMClaim
Claim	Entity. Role, or Act
meta	n/a, N/A
text	Act.text?
extension
extension (aggregateClaimIndicator)
extension (claimSnapshotProviderName)
extension (claimSnapshotProviderZipCode)
extension (companyCode)
extension (employeeBusinessUnit)
extension (employer)
extension (financialSystem)
extension (claimCategory)
extension (claimStatus)
id	n/a
url	N/A
value[x]	N/A
value[x] (valueCodeableConcept)	N/A
modifierExtension	N/A
identifier
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
related
id	n/a
extension	n/a
modifierExtension	N/A
payee
id	n/a
extension	n/a
modifierExtension	N/A
careTeam
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo
id	n/a
extension	n/a
modifierExtension	N/A
diagnosis
id	n/a
modifierExtension	N/A
procedure
id	n/a
modifierExtension	N/A
insurance	Coverage
id	n/a
modifierExtension	N/A
accident
id	n/a
extension	n/a
modifierExtension	N/A
item
id	n/a
modifierExtension	N/A
quantity
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
detail
id	n/a
extension	n/a
modifierExtension	N/A
subDetail
id	n/a
extension	n/a
modifierExtension	N/A