STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). 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

7.1.6 Resource Claim - Mappings

Mappings:

RIM

Mappings for the claim resource.

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

Claim
    type
    subType
    identifier
    ruleset
    originalRuleset
    created
    billablePeriod
    target[x]
    provider[x]
    organization[x]
    use
    priority
    fundsReserve
    enterer[x]
    facility[x]
    related
        claim[x]
        relationship
        reference
    prescription[x]
    originalPrescription[x]
    payee
        type
        party[x]
    referral[x]
    occurrenceCode
    occurenceSpanCode
    valueCode
    diagnosis
        sequence
        diagnosis
    procedure
        sequence
        date
        procedure[x]
    specialCondition
    patient[x]
    coverageCoverage
        sequence
        focal
        coverage[x]
        businessArrangement
        preAuthRef
        claimResponse
        originalRuleset
    accidentDate
    accidentType
    accidentLocation[x]
    interventionException
    onset
        time[x]
        type
    employmentImpacted
    hospitalization
    item
        sequence
        type
        provider[x]
        supervisor[x]
        providerQualification
        diagnosisLinkId
        service
        serviceModifier
        modifier
        programCode
        serviced[x]
        place
        quantity
        unitPrice
        factor
        points
        net
        udi
        bodySite
        subSite
        detail
            sequence
            type
            service
            programCode
            quantity
            unitPrice
            factor
            points
            net
            udi
            subDetail
                sequence
                type
                service
                programCode
                quantity
                unitPrice
                factor
                points
                net
                udi
        prosthesis
            initial
            priorDate
            priorMaterial
    total
    additionalMaterial
    missingTeeth
        tooth
        reason
        extractionDate