NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. 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/PROJ-PHILHEALTH-EA-NHDR/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

Resource Profile: PH_Claim - Mappings

Page standards status: Draft

Mappings for the PH-Claim 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
.. Claim
Request
  • Entity. Role
  • or Act
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:claimEncounter
... modifierExtension
... identifier
Request.identifier
FiveWs.identifier
... status
Request.status
FiveWs.status
... type
FiveWs.class
... subType
FiveWs.class
... use
FiveWs.class
... patient
Request.subject
FiveWs.subject
... billablePeriod
FiveWs.done[x]
... created
Request.authoredOn
FiveWs.recorded
... enterer
FiveWs.author
... insurer
Request.performer
... provider
Request.requester
FiveWs.source
... priority
Request.priority
... fundsReserve
... related
... prescription
... originalPrescription
... payee
.... id
n/a
.... extension
.... modifierExtension
.... type
.... party
... referral
FiveWs.cause
... facility
FiveWs.where[x]
... careTeam
... supportingInfo
Request.supportingInfo
.... id
n/a
.... extension
.... modifierExtension
.... sequence
.... category
.... code
.... timing[x]
.... value[x]
.... reason
... diagnosis
Request.reasonReference
.... id
n/a
.... extension
.... modifierExtension
.... sequence
.... diagnosis[x]
.... type
.... onAdmission
.... packageCode
... procedure
.... id
n/a
.... extension
.... modifierExtension
.... sequence
.... type
.... date
.... procedure[x]
.... udi
... insurance
Coverage
.... id
n/a
.... extension
.... modifierExtension
.... sequence
.... focal
.... identifier
Request.identifier
FiveWs.identifier
.... coverage
.... businessArrangement
.... preAuthRef
.... claimResponse
... accident
... item
.... id
n/a
.... extension
.... modifierExtension
.... 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
Request.context
.... detail
..... id
n/a
..... extension
..... modifierExtension
..... sequence
..... revenue
..... category
..... productOrService
..... modifier
..... programCode
..... quantity
..... unitPrice
..... factor
..... net
..... udi
..... subDetail
...... id
n/a
...... extension
...... modifierExtension
...... sequence
...... revenue
...... category
...... productOrService
...... modifier
...... programCode
...... quantity
...... unitPrice
...... factor
...... net
...... udi
... total

doco Documentation for this format