QI-Core Implementation Guide: STU 3.2 (v3.2.0 for FHIR 3.0.1)

This page is part of the Quality Improvement Core Framework (v3.2.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. 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
ClaimRequest
   identifierRequest.identifier
   statusRequest.status
   patientRequest.subject
   createdRequest.authoredOn
   insurerRequest.performer
   providerRequest.requester.agent
   organizationRequest.requester.onBehalfOf
   priorityRequest.priority
   related
      claimRequest.replaces
   informationRequest.supportingInfo
   diagnosisRequest.reasonReference
   item
      encounterRequest.context

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

QICore-Claim
Claimfinancial.billing
   identifierid
   statusstatus
   typeclass
   subTypeclass
   useclass
   patientwho.focus
   billablePeriodwhen.done
   createdwhen.recorded
   entererwho.author
   providerwho.source
   organizationwho.source
   referralwho.cause
   facilitywhere
   careTeam
      providerwho.actor
   item
      serviced[x]when.done
      locationReferencewhere

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

QICore-Claim
ClaimEntity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   related
      idn/a
      extensionn/a
      modifierExtensionN/A
   payee
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam
      idn/a
      extensionn/a
      modifierExtensionN/A
   information
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure
      idn/a
      extensionn/a
      modifierExtensionN/A
   insuranceCoverage
      idn/a
      extensionn/a
      modifierExtensionN/A
   accident
      idn/a
      extensionn/a
      modifierExtensionN/A
   item
      idn/a
      extensionn/a
      modifierExtensionN/A
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A