2026 US Quality Core Implementation Guide
0.5.0 - cibuild US

2026 US Quality Core Implementation Guide, published by Office of the National Coordinator for Health Information Technology (ONC). This guide is not an authorized publication; it is the continuous build for version 0.5.0 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 2026-05-15

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

Name | Workflow Pattern | FiveWs Pattern Mapping | RIM Mapping
--- | --- | --- | ---
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 |  |  |
Documentation for this format