This page is part of the Quality Improvement Core Framework (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R3. The current version which supersedes this version is 7.0.1. For a full list of available versions, see the Directory of published versions
D.4.1.4 StructureDefinition: qicore-claim - Mappings
Mappings for the StructureDefinition-qicore-claim Profile.
Mappings for Workflow Mapping (http://hl7.org/fhir/workflow)
| QICore-Claim |
| Claim | Request |
| identifier | Request.identifier |
| status | Request.status |
| patient | Request.subject |
| created | Request.authoredOn |
| insurer | Request.performer |
| provider | Request.requester.agent |
| organization | Request.requester.onBehalfOf |
| priority | Request.priority |
| related | |
| claim | Request.replaces |
| information | Request.supportingInfo |
| diagnosis | Request.reasonReference |
| item | |
| encounter | Request.context |
Mappings for W5 Mapping (http://hl7.org/fhir/w5)
| QICore-Claim |
| Claim | financial.billing |
| identifier | id |
| status | status |
| type | class |
| subType | class |
| use | class |
| patient | who.focus |
| billablePeriod | when.done |
| created | when.recorded |
| enterer | who.author |
| provider | who.source |
| organization | who.source |
| referral | who.cause |
| facility | where |
| careTeam | |
| provider | who.actor |
| item | |
| serviced[x] | when.done |
| locationReference | where |
Mappings for RIM Mapping (http://hl7.org/v3)
| QICore-Claim |
| Claim | Entity. Role, or Act |
| text | Act.text? |
| contained | N/A |
| extension | N/A |
| modifierExtension | N/A |
| related | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| payee | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| careTeam | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| information | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| diagnosis | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| procedure | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| insurance | Coverage |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| accident | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| item | |
| 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 |