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13.7.9 Resource ClaimResponse - Mappings

Financial Management icon Work GroupMaturity Level: N/AStandards Status: InformativeSecurity Category: Patient Compartments: Patient, Practitioner

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

RIM Mapping

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

13.7.9.1 FiveWs Pattern Mapping (http://hl7.org/fhir/fivews icon)

ClaimResponse financial.billing
    identifier FiveWs.identifier
    status FiveWs.status
    type FiveWs.class
    subType FiveWs.class
    use FiveWs.class
    patient FiveWs.subject[x]
    created FiveWs.recorded
    requestor FiveWs.source
    request FiveWs.why[x]
        provider FiveWs.source
        serviced[x] FiveWs.done[x]
        location[x] FiveWs.where[x]

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

ClaimResponse Event
    identifier Event.identifier
    status Event.status
    created Event.occurrence[x]
    insurer Event.performer
    request Event.basedOn
    disposition Event.note

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

ClaimResponse
        modifier 24.C, 24.D mods
        programCode 24.H
        serviced[x] 24.A
        location[x] 24.B
        quantity 24.G
        net 24.F
            modifier 24.C, 24.D mods
            quantity 24.G
            net 24.F
                modifier 24.C, 24.D mods
                quantity 24.G
                net 24.F
    insurance Coverage