R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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 GroupMaturity Level: N/ABallot Status: Informative Compartments: Patient, Practitioner

Mappings:

FiveWs Pattern

Workflow Pattern

RIM Mapping

Mappings for the claimresponse resource.

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

ClaimResponse
    identifierFiveWs.identifier
    statusFiveWs.status
    createdFiveWs.recorded
    requestProviderFiveWs.source
    requestOrganizationFiveWs.source
    requestFiveWs.why[x]

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

ClaimResponseEvent
    identifierEvent.identifier
    statusEvent.status
    createdEvent.occurrence[x]
    insurerEvent.performer
    requestEvent.basedOn
    dispositionEvent.note

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

ClaimResponse
        modifier24.C, 24.D mods
    insuranceCoverage