R4 Ballot #1 #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: (v3.5.0: R4 Ballot 2). #2). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

13.7.6 Resource ClaimResponse - Mappings

Financial Management Work Group Maturity Level : N/A Ballot Status : Informative Compartments : Patient , Practitioner

Mappings:

FiveWs Pattern

Workflow Pattern

RIM Mapping

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

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

ClaimResponse
    identifier FiveWs.identifier
    status FiveWs.status
    type FiveWs.class
    subType FiveWs.class
    use FiveWs.class
    patient FiveWs.subject[x]
    created FiveWs.recorded
    requestProvider FiveWs.source
    request FiveWs.why[x]
        provider FiveWs.source
        serviced[x] FiveWs.done[x]
        location[x] FiveWs.where[x]

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

ClaimResponse Event
    identifier Event.identifier
    status Event.status
    created Event.occurrence[x]
    insurer Event.performer
    request Event.basedOn
    disposition Event.note

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

ClaimResponse
        modifier 24.C, 24.D mods
        programCode 24.H
        serviced[x] 24.A
        location[x] 24.B
        quantity 24.G
        net 24.F
            modifier 24.C, 24.D mods
            quantity 24.G
            net 24.F
                modifier 24.C, 24.D mods
                quantity 24.G
                net 24.F
    insurance Coverage