R6 Ballot (3rd Draft) FHIR CI-Build

This page is part of the FHIR Specification v6.0.0-ballot3: Release 6 Ballot (3rd Draft) (see Ballot Notes ). The current version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
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13.6.9 Resource Claim - Mappings

Maturity Level : N/A
Responsible Owner: Financial Management icon Work Group Standards Status : Informative Security Category : Patient Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

RIM Mapping

Mappings for the Claim resource (see Mappings to Other Standards for further information & status).

13.6.9.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews icon )

Claim financial.billing
    identifier FiveWs.identifier
    status FiveWs.status
    type FiveWs.class
    subType FiveWs.class
    use FiveWs.class
    patient     subject 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]
        provider FiveWs.actor
        identifier FiveWs.identifier
        serviced[x] FiveWs.done[x]
        location[x] FiveWs.where[x]

13.6.9.2 Workflow Pattern ( http://hl7.org/fhir/workflow icon )

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

13.6.9.3 RIM Mapping ( http://hl7.org/v3 icon )

Claim
    insurance Coverage