Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R5_ExplanationOfBenefit_R4 - Mappings

Page standards status: Trial-use Maturity Level: 0

Mappings for the profile-ExplanationOfBenefit resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingHL7 v2 MappingRIM Mappingdoco
.. ExplanationOfBenefit
Event
  • Entity. Role
  • or Act
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:traceNumber
.... extension:event
.... extension:encounter
.... extension:decision
.... extension:diagnosisRelatedGroup
.... extension:patientPaid
... modifierExtension
N/A
... identifier
Event.identifier
FiveWs.identifier
... status
Event.status
FiveWs.status
... type
Event.code
FiveWs.class
... subType
FiveWs.class
... use
FiveWs.class
... patient
Event.subject
FiveWs.subject
... billablePeriod
FiveWs.done[x]
... created
Event.occurrence[x]
FiveWs.recorded
... enterer
Event.performer.agent
FiveWs.author
.... id
n/a
.... Slices for extension
..... extension:enterer
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... insurer
Event.performer.agent
FiveWs.author
... provider
FiveWs.source
... priority
Request.priority
... fundsReserveRequested
... fundsReserve
... related
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... claim
.... relationship
.... reference
... prescription
... originalPrescription
... payee
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... type
.... party
... referral
FiveWs.cause
... facility
Event.performer.location
FiveWs.where[x]
.... id
n/a
.... Slices for extension
..... extension:facility
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... claim
FiveWs.why[x]
... claimResponse
... outcome
... disposition
... preAuthRef
... preAuthRefPeriod
... careTeam
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... provider
FiveWs.actor
.... responsible
.... role
.... qualification
... supportingInfo
.... id
n/a
.... Slices for extension
..... extension:value
.... modifierExtension
N/A
.... sequence
.... category
.... code
.... timing[x]
.... value[x]
.... reason
... diagnosis
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... diagnosis[x]
.... type
.... onAdmission
.... packageCode
... procedure
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... type
.... date
.... procedure[x]
.... udi
... precedence
... insurance
Coverage
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... focal
.... coverage
.... preAuthRef
... accident
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... date
.... type
.... location[x]
... item
.... id
n/a
.... Slices for extension
..... extension:traceNumber
..... extension:productOrServiceEnd
..... extension:request
..... extension:patientPaid
..... extension:tax
..... extension:reviewOutcome
.... modifierExtension
N/A
.... sequence
.... careTeamSequence
.... diagnosisSequence
.... procedureSequence
.... informationSequence
.... revenue
.... category
.... productOrService
.... modifier
.... programCode
.... serviced[x]
FiveWs.done[x]
.... location[x]
FiveWs.where[x]
.... quantity
.... unitPrice
.... factor
.... net
.... udi
.... bodySite
.... subSite
.... encounter
.... noteNumber
.... adjudication
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... category
..... reason
..... amount
..... value
...... id
...... Slices for extension
....... extension:quantity
...... value
.... detail
..... id
n/a
..... Slices for extension
...... extension:traceNumber
...... extension:productOrServiceEnd
...... extension:patientPaid
...... extension:tax
...... extension:reviewOutcome
..... modifierExtension
N/A
..... sequence
..... revenue
..... category
..... productOrService
..... modifier
..... programCode
..... quantity
..... unitPrice
..... factor
..... net
..... udi
..... noteNumber
..... adjudication
..... subDetail
...... id
n/a
...... Slices for extension
....... extension:traceNumber
....... extension:productOrServiceEnd
....... extension:patientPaid
....... extension:tax
....... extension:reviewOutcome
...... modifierExtension
N/A
...... sequence
...... revenue
...... category
...... productOrService
...... modifier
...... programCode
...... quantity
...... unitPrice
...... factor
...... net
...... udi
...... noteNumber
...... adjudication
... addItem
.... id
n/a
.... Slices for extension
..... extension:traceNumber
..... extension:revenue
..... extension:productOrServiceEnd
..... extension:request
..... extension:patientPaid
..... extension:tax
..... extension:reviewOutcome
.... modifierExtension
N/A
.... itemSequence
.... detailSequence
.... subDetailSequence
.... provider
FiveWs.source
.... productOrService
.... modifier
.... programCode
.... serviced[x]
FiveWs.done[x]
.... location[x]
FiveWs.where[x]
.... quantity
.... unitPrice
.... factor
.... net
.... bodySite
..... id
n/a
..... Slices for extension
...... extension:site
...... extension:subSite
..... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
.... subSite
.... noteNumber
.... adjudication
.... detail
..... id
n/a
..... Slices for extension
...... extension:traceNumber
...... extension:revenue
...... extension:productOrServiceEnd
...... extension:patientPaid
...... extension:tax
...... extension:reviewOutcome
..... modifierExtension
N/A
..... productOrService
..... modifier
..... quantity
..... unitPrice
..... factor
..... net
..... noteNumber
..... adjudication
..... subDetail
...... id
n/a
...... Slices for extension
....... extension:traceNumber
....... extension:revenue
....... extension:productOrServiceEnd
....... extension:patientPaid
....... extension:tax
....... extension:reviewOutcome
...... modifierExtension
N/A
...... productOrService
...... modifier
...... quantity
...... unitPrice
...... factor
...... net
...... noteNumber
...... adjudication
... adjudication
... total
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... category
.... amount
... payment
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... type
.... adjustment
.... adjustmentReason
.... date
.... amount
.... identifier
... formCode
... form
... processNote
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... number
.... type
..... id
..... Slices for extension
...... extension:type
..... value
.... text
.... language
... benefitPeriod
... benefitBalance
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... category
.... excluded
.... name
.... description
.... network
.... unit
.... term
.... financial
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... type
..... allowed[x]
..... used[x]

doco Documentation for this format