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13.6.9 Resource Claim - Mappings

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

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

RIM Mapping

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

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

Claim financial.billing
    identifier FiveWs.identifier
    status FiveWs.status
    type FiveWs.class
    subType FiveWs.class
    use FiveWs.class
    patient FiveWs.subject[x]
    billablePeriod FiveWs.done[x]
    created FiveWs.recorded
    enterer FiveWs.author
    provider FiveWs.source
    referral FiveWs.cause
    facility FiveWs.where[x]
        provider FiveWs.actor
        identifier FiveWs.identifier
        serviced[x] FiveWs.done[x]
        location[x] FiveWs.where[x]

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

Claim Request
    identifier Request.identifier
    status Request.status
    patient Request.subject
    created Request.authoredOn
    insurer Request.performer
    provider Request.requester
    priority Request.priority
        claim Request.replaces
    supportingInfo Request.supportingInfo
    diagnosis Request.reasonReference
        identifier Request.identifier
        encounter Request.context

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

Claim
    insurance Coverage