US Quality Core Implementation Guide
0.1.0 - cibuild United States of America flag

US Quality Core Implementation Guide, published by ASTP. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

Resource Profile: USQualityCoreClaimResponse - Mappings

Draft as of 2022-04-20

Mappings for the us-quality-core-claimresponse resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingRIM Mappingdoco
.. ClaimResponse
Event
  • Entity. Role
  • or Act
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Event.identifier
FiveWs.identifier
... status
Event.status
FiveWs.status
... type
FiveWs.class
... subType
FiveWs.class
... use
FiveWs.class
... patient
FiveWs.subject
... created
Event.occurrence[x]
FiveWs.recorded
... insurer
Event.performer
... requestor
FiveWs.source
... request
Event.basedOn
FiveWs.why[x]
... outcome
... disposition
Event.note
... preAuthRef
... preAuthPeriod
... payeeType
... item
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... itemSequence
.... noteNumber
.... adjudication
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... category
..... reason
..... amount
..... value
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... detailSequence
..... noteNumber
..... adjudication
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... subDetailSequence
...... noteNumber
...... adjudication
... addItem
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... itemSequence
.... detailSequence
.... subdetailSequence
.... provider
FiveWs.source
.... productOrService
.... modifier
  • 24.C
  • 24.D mods
.... programCode
24.H
.... serviced[x]
FiveWs.done[x]
24.A
.... location[x]
FiveWs.where[x]
24.B
.... quantity
24.G
.... unitPrice
.... factor
.... net
24.F
.... bodySite
.... subSite
.... noteNumber
.... adjudication
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... productOrService
..... modifier
  • 24.C
  • 24.D mods
..... quantity
24.G
..... unitPrice
..... factor
..... net
24.F
..... noteNumber
..... adjudication
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... productOrService
...... modifier
  • 24.C
  • 24.D mods
...... quantity
24.G
...... unitPrice
...... factor
...... net
24.F
...... 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
... fundsReserve
... formCode
... form
... processNote
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... number
.... type
.... text
.... language
... communicationRequest
... insurance
Coverage
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... focal
.... coverage
.... businessArrangement
.... claimResponse
... error
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... itemSequence
.... detailSequence
.... subDetailSequence
.... code

doco Documentation for this format