Da Vinci - Coverage Requirements Discovery
1.0.0 - STU 1
Da Vinci - Coverage Requirements Discovery
1.0.0 - STU 1
This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
Mappings for the profile-claimresponse resource profile.
| ClaimResponse | ||
| ClaimResponse | Event | |
| identifier | Event.identifier | |
| status | Event.status | |
| created | Event.occurrence[x] | |
| insurer | Event.performer | |
| request | Event.basedOn | |
| disposition | Event.note | |
| ClaimResponse | ||
| ClaimResponse | ||
| identifier | FiveWs.identifier | |
| status | FiveWs.status | |
| type | FiveWs.class | |
| subType | FiveWs.class | |
| use | FiveWs.class | |
| patient | FiveWs.subject[x], FiveWs.subject | |
| created | FiveWs.recorded | |
| requestor | FiveWs.source | |
| request | FiveWs.why[x] | |
| addItem | ||
| provider | FiveWs.source | |
| serviced[x] | FiveWs.done[x] | |
| location[x] | FiveWs.where[x] | |
| ClaimResponse | ||
| ClaimResponse | Entity. Role, or Act | |
| text | Act.text? | |
| contained | N/A | |
| extension | N/A | |
| modifierExtension | N/A | |
| item | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| adjudication | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| addItem | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| modifier | 24.C, 24.D mods | |
| programCode | 24.H | |
| serviced[x] | 24.A | |
| location[x] | 24.B | |
| quantity | 24.G | |
| net | 24.F | |
| adjudication | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| modifier | 24.C, 24.D mods | |
| quantity | 24.G | |
| net | 24.F | |
| adjudication | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| modifier | 24.C, 24.D mods | |
| quantity | 24.G | |
| net | 24.F | |
| adjudication | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| total | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| processNote | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| insurance | Coverage | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
IG © 2019+ HL7 International - Financial Management Work Group. Package hl7.fhir.us.davinci-crd#1.0.0 based on FHIR 4.0.1. Generated 2020-12-22
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