STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). 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

13.1.6 Resource Claim - Mappings

Mappings:

Mappings for the claim resource.

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

Claim
    identifier
    status
    type
    subType
    ruleset
    originalRuleset
    created
    billablePeriod
    insurer[x]
    provider[x]
    organization[x]
    use
    priority
    fundsReserve
    enterer[x]
    facility[x]
    related
        claim[x]
        relationship
        reference
    prescription[x]
    originalPrescription[x]
    payee
        type
        resourceType
        party[x]
    referral[x]
    information
        category
        code
        timing[x]
        value[x]
    diagnosis
        sequence
        diagnosis
        type
        drg
    procedure
        sequence
        date
        procedure[x]
    patient[x]
    coverageCoverage
        sequence
        focal
        coverage[x]
        businessArrangement
        preAuthRef
        claimResponse
        originalRuleset
    accident
        date
        type
        location[x]
    employmentImpacted
    hospitalization
    item
        sequence
        careTeam
            provider[x]
            responsible
            role
            qualification
        diagnosisLinkId
        revenue
        category
        service
        modifier
        programCode
        serviced[x]
        location[x]
        quantity
        unitPrice
        factor
        points
        net
        udi
        bodySite
        subSite
        detail
            sequence
            revenue
            category
            service
            modifier
            programCode
            quantity
            unitPrice
            factor
            points
            net
            udi
            subDetail
                sequence
                revenue
                category
                service
                modifier
                programCode
                quantity
                unitPrice
                factor
                points
                net
                udi
        prosthesis
            initial
            priorDate
            priorMaterial
    total
    missingTeeth
        tooth
        reason
        extractionDate