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/UP-Manila-SILab/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

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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

Name	Workflow Pattern	FiveWs Pattern Mapping	RIM Mapping
Claim	Request		Entity. Role or Act
Claim / id
Claim / meta
Claim / meta / id			n/a
Claim / meta / Slices for extension			n/a
Claim / meta / Slices for extension / extension:hfRecordedDate
Claim / meta / Slices for extension / extension:hfLastUpdated
Claim / meta / versionId
Claim / meta / lastUpdated
Claim / meta / source
Claim / meta / profile
Claim / meta / security
Claim / meta / tag
Claim / implicitRules
Claim / language
Claim / text			Act.text?
Claim / contained			N/A
Claim / Slices for extension
Claim / Slices for extension / extension:encounter
Claim / modifierExtension
Claim / identifier	Request.identifier	FiveWs.identifier
Claim / status	Request.status	FiveWs.status
Claim / type		FiveWs.class
Claim / subType		FiveWs.class
Claim / use		FiveWs.class
Claim / patient	Request.subject	FiveWs.subject
Claim / billablePeriod		FiveWs.done[x]
Claim / created	Request.authoredOn	FiveWs.recorded
Claim / enterer		FiveWs.author
Claim / insurer	Request.performer
Claim / provider	Request.requester	FiveWs.source
Claim / priority	Request.priority
Claim / fundsReserve
Claim / related
Claim / prescription
Claim / originalPrescription
Claim / payee
Claim / payee / id			n/a
Claim / payee / extension
Claim / payee / modifierExtension
Claim / payee / type
Claim / payee / party
Claim / referral		FiveWs.cause
Claim / facility		FiveWs.where[x]
Claim / careTeam
Claim / careTeam / id			n/a
Claim / careTeam / extension			n/a
Claim / careTeam / modifierExtension			N/A
Claim / careTeam / sequence
Claim / careTeam / provider		FiveWs.actor
Claim / careTeam / responsible
Claim / careTeam / role
Claim / careTeam / qualification
Claim / supportingInfo	Request.supportingInfo
Claim / supportingInfo / id			n/a
Claim / supportingInfo / extension
Claim / supportingInfo / modifierExtension
Claim / supportingInfo / sequence
Claim / supportingInfo / category
Claim / supportingInfo / code
Claim / supportingInfo / timing[x]
Claim / supportingInfo / value[x]
Claim / supportingInfo / reason
Claim / diagnosis	Request.reasonReference
Claim / diagnosis / id			n/a
Claim / diagnosis / extension
Claim / diagnosis / modifierExtension
Claim / diagnosis / sequence
Claim / diagnosis / diagnosis[x]
Claim / diagnosis / type
Claim / diagnosis / onAdmission
Claim / diagnosis / packageCode
Claim / procedure
Claim / procedure / id			n/a
Claim / procedure / extension
Claim / procedure / modifierExtension
Claim / procedure / sequence
Claim / procedure / type
Claim / procedure / date
Claim / procedure / procedure[x]
Claim / procedure / udi
Claim / insurance			Coverage
Claim / insurance / id			n/a
Claim / insurance / extension
Claim / insurance / modifierExtension
Claim / insurance / sequence
Claim / insurance / focal
Claim / insurance / identifier	Request.identifier	FiveWs.identifier
Claim / insurance / coverage
Claim / insurance / businessArrangement
Claim / insurance / preAuthRef
Claim / insurance / claimResponse
Claim / accident
Claim / item
Claim / item / id			n/a
Claim / item / extension
Claim / item / modifierExtension
Claim / item / sequence
Claim / item / careTeamSequence
Claim / item / diagnosisSequence
Claim / item / procedureSequence
Claim / item / informationSequence
Claim / item / revenue
Claim / item / category
Claim / item / productOrService
Claim / item / modifier
Claim / item / programCode
Claim / item / serviced[x]		FiveWs.done[x]
Claim / item / location[x]		FiveWs.where[x]
Claim / item / quantity
Claim / item / unitPrice
Claim / item / factor
Claim / item / net
Claim / item / udi
Claim / item / bodySite
Claim / item / subSite
Claim / item / encounter	Request.context
Claim / item / detail
Claim / item / detail / id			n/a
Claim / item / detail / extension
Claim / item / detail / modifierExtension
Claim / item / detail / sequence
Claim / item / detail / revenue
Claim / item / detail / category
Claim / item / detail / productOrService
Claim / item / detail / modifier
Claim / item / detail / programCode
Claim / item / detail / quantity
Claim / item / detail / unitPrice
Claim / item / detail / factor
Claim / item / detail / net
Claim / item / detail / udi
Claim / item / detail / subDetail
Claim / total
Documentation for this format