This page is part of the FHIR Specification v6.0.0-ballot3: v6.0.0-ballot4: Release 6 Ballot (3rd Draft) (1st Full Ballot) (see Ballot Notes ). The current version is 5.0.0 . For a full list of available versions, see the Directory of published versions for published versions

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13.6.9 16.6.9 Resource Claim - Mappings

Maturity Level : N/A

Responsible Owner: Financial Management Work Group

Standards Status : Informative

Security Category : Patient

Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

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

13.6.9.1 16.6.9.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews )

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

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 16.6.9.3 RIM Mapping ( http://hl7.org/v3 )

Claim
insurance	Coverage