LinuxForHealth FHIR Implementation Guide
8.0.0 - draft United States of America flag

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

Resource Profile: CDMClaimResponse - Mappings

Active as of 2022-11-10

Mappings for the cdm-claim-response resource profile.

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

CDMClaimResponse
ClaimResponseEvent
   identifierEvent.identifier
   statusEvent.status
   createdEvent.occurrence[x]
   insurerEvent.performer
   requestEvent.basedOn
   dispositionEvent.note

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

CDMClaimResponse
ClaimResponse
   identifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   subTypeFiveWs.class
   useFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   createdFiveWs.recorded
   requestorFiveWs.source
   requestFiveWs.why[x]
   addItem
      providerFiveWs.source
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]

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

CDMClaimResponse
ClaimResponseEntity. Role, or Act
   metan/a, N/A
   textAct.text?
   modifierExtensionN/A
   identifier
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   item
      idn/a
      modifierExtensionN/A
      adjudication
         idn/a
         modifierExtensionN/A
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A
   addItem
      idn/a
      extensionn/a
      modifierExtensionN/A
      modifier24.C, 24.D mods
      programCode24.H
      serviced[x]24.A
      location[x]24.B
      quantity24.G
      net24.F
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         modifier24.C, 24.D mods
         quantity24.G
         net24.F
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A
            modifier24.C, 24.D mods
            quantity24.G
            net24.F
   adjudication
      idn/a
      modifierExtensionN/A
   total
      idn/a
      extensionn/a
      modifierExtensionN/A
   payment
      idn/a
      modifierExtensionN/A
   processNote
      idn/a
      extensionn/a
      modifierExtensionN/A
   insuranceCoverage
      idn/a
      extensionn/a
      modifierExtensionN/A
   error
      idn/a
      extensionn/a
      modifierExtensionN/A