Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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

13.6.7 13.6.9 Resource Claim - Mappings

Financial Management icon Work Group Maturity Level : N/A Standards Status : Informative Security Category : Patient Compartments : Device , Encounter , 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).

13.6.7.1 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 FiveWs.subject[x]
    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]

13.6.7.2 13.6.9.2 Workflow Pattern ( http://hl7.org/fhir/workflow icon )

Claim Request
    identifier Request.identifier
    status Request.status
    patient 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

13.6.7.3 13.6.9.3 RIM Mapping ( http://hl7.org/v3 icon )

Claim
    insurance Coverage