CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions
Mappings for the ch-core-claim resource profile.
| Name | Forum Datenaustausch: Generelle Rechnung 4.5 | Workflow Pattern | FiveWs Pattern Mapping | RIM Mapping |
 Claim |
request/invoice:payload |
Request |
|
|
  Claim / id |
|
|
|
|
  Claim / meta |
|
|
|
|
  Claim / implicitRules |
|
|
|
|
  Claim / language |
|
|
|
|
  Claim / text |
|
|
|
Act.text? |
  Claim / contained |
|
|
|
N/A |
  Claim / Slices for extension |
|
|
|
|
   Claim / Slices for extension / extension:biller |
Biller / Rechnungssteller / Auteur facture / Fatturante |
|
|
N/A |
  Claim / modifierExtension |
|
|
|
N/A |
  Claim / identifier |
Document identifier / Dokument Identifikation / Document Identification / Documento Identificazione |
Request.identifier |
FiveWs.identifier |
|
  Claim / status |
|
Request.status |
FiveWs.status |
|
  Claim / type |
Treatment type / Behandlungsart / Type admission / Tipo di ammissione |
|
FiveWs.class |
|
  Claim / subType |
|
|
FiveWs.class |
|
  Claim / use |
|
|
FiveWs.class |
|
  Claim / patient |
Patient / Patient / Patient / Paziente |
Request.subject |
FiveWs.subject |
|
  Claim / billablePeriod |
|
|
FiveWs.done[x] |
|
  Claim / created |
Invoice date / Rechnungsdatum / Date facture / Data fattura |
Request.authoredOn |
FiveWs.recorded |
|
  Claim / enterer |
|
|
FiveWs.author |
|
  Claim / insurer |
|
Request.performer |
|
|
  Claim / provider |
Provider / Leistungserbringer / Four. de prestations / Prestatario |
Request.requester |
FiveWs.source |
|
  Claim / priority |
|
Request.priority |
|
|
  Claim / fundsReserve |
|
|
|
|
  Claim / related |
|
|
|
|
   Claim / related / id |
|
|
|
n/a |
   Claim / related / extension |
|
|
|
n/a |
   Claim / related / modifierExtension |
|
|
|
N/A |
   Claim / related / claim |
|
Request.replaces |
|
|
   Claim / related / relationship |
|
|
|
|
   Claim / related / reference |
|
|
|
|
  Claim / prescription |
|
|
|
|
  Claim / originalPrescription |
|
|
|
|
  Claim / payee |
|
|
|
|
   Claim / payee / id |
|
|
|
n/a |
   Claim / payee / extension |
|
|
|
n/a |
   Claim / payee / modifierExtension |
|
|
|
N/A |
   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 / Slices for supportingInfo |
|
Request.supportingInfo |
|
|
   Claim / Slices for supportingInfo / supportingInfo:All Slices |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:All Slices / id |
|
|
|
n/a |
    Claim / Slices for supportingInfo / supportingInfo:All Slices / extension |
|
|
|
n/a |
    Claim / Slices for supportingInfo / supportingInfo:All Slices / modifierExtension |
|
|
|
N/A |
    Claim / Slices for supportingInfo / supportingInfo:All Slices / sequence |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:All Slices / category |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:All Slices / code |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:All Slices / timing[x] |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:All Slices / value[x] |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:All Slices / reason |
|
|
|
|
   Claim / Slices for supportingInfo / supportingInfo:treatmentReason |
|
Request.supportingInfo |
|
|
    Claim / Slices for supportingInfo / supportingInfo:treatmentReason / id |
|
|
|
n/a |
    Claim / Slices for supportingInfo / supportingInfo:treatmentReason / extension |
|
|
|
n/a |
    Claim / Slices for supportingInfo / supportingInfo:treatmentReason / modifierExtension |
|
|
|
N/A |
    Claim / Slices for supportingInfo / supportingInfo:treatmentReason / sequence |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:treatmentReason / category |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:treatmentReason / code |
Treatment reason / Behandlungsgrund / Motif traitement / Motivo trattamento |
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:treatmentReason / timing[x] |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:treatmentReason / value[x] |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:treatmentReason / reason |
|
|
|
|
   Claim / Slices for supportingInfo / supportingInfo:remark |
|
Request.supportingInfo |
|
|
    Claim / Slices for supportingInfo / supportingInfo:remark / id |
|
|
|
n/a |
    Claim / Slices for supportingInfo / supportingInfo:remark / extension |
|
|
|
n/a |
    Claim / Slices for supportingInfo / supportingInfo:remark / modifierExtension |
|
|
|
N/A |
    Claim / Slices for supportingInfo / supportingInfo:remark / sequence |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:remark / category |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:remark / code |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:remark / timing[x] |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:remark / Slices for value[x] |
|
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:remark / Slices for value[x] |
|
|
|
|
     Claim / Slices for supportingInfo / supportingInfo:remark / Slices for value[x] / value[x]:valueString |
Remark / Bemerkung / Commentaire / Osservazioni |
|
|
|
    Claim / Slices for supportingInfo / supportingInfo:remark / reason |
|
|
|
|
  Claim / diagnosis |
|
Request.reasonReference |
|
|
   Claim / diagnosis / id |
|
|
|
n/a |
   Claim / diagnosis / extension |
|
|
|
n/a |
   Claim / diagnosis / modifierExtension |
|
|
|
N/A |
   Claim / diagnosis / sequence |
|
|
|
|
   Claim / diagnosis / diagnosis[x] |
Diagnosis / Diagnose / Diagnostic / Diagnosi |
|
|
|
   Claim / diagnosis / type |
|
|
|
|
   Claim / diagnosis / onAdmission |
|
|
|
|
   Claim / diagnosis / packageCode |
|
|
|
|
  Claim / procedure |
|
|
|
|
   Claim / procedure / id |
|
|
|
n/a |
   Claim / procedure / extension |
|
|
|
n/a |
   Claim / procedure / modifierExtension |
|
|
|
N/A |
   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 |
|
|
|
n/a |
   Claim / insurance / modifierExtension |
|
|
|
N/A |
   Claim / insurance / sequence |
|
|
|
|
   Claim / insurance / focal |
|
|
|
|
   Claim / insurance / identifier |
|
Request.identifier |
FiveWs.identifier |
|
   Claim / insurance / coverage |
- body/{invoice:tiers_payant
- tiers_garant}/invoice:insurance
|
|
|
|
   Claim / insurance / businessArrangement |
|
|
|
|
   Claim / insurance / preAuthRef |
|
|
|
|
   Claim / insurance / claimResponse |
|
|
|
|
  Claim / accident |
|
|
|
|
   Claim / accident / id |
|
|
|
n/a |
   Claim / accident / extension |
|
|
|
n/a |
   Claim / accident / modifierExtension |
|
|
|
N/A |
   Claim / accident / date |
|
|
|
|
   Claim / accident / type |
|
|
|
|
   Claim / accident / location[x] |
|
|
|
|
  Claim / item |
|
|
|
|
   Claim / item / id |
|
|
|
n/a |
   Claim / item / Slices for extension |
|
|
|
|
    Claim / item / Slices for extension / extension:responsible |
Responsible / Verantwortlicher / Responsable / Responsabile |
|
|
N/A |
   Claim / item / modifierExtension |
|
|
|
N/A |
   Claim / item / sequence |
body/invoice:services/invoice:service (record_id) |
|
|
|
   Claim / item / careTeamSequence |
|
|
|
|
   Claim / item / diagnosisSequence |
|
|
|
|
   Claim / item / procedureSequence |
|
|
|
|
   Claim / item / informationSequence |
|
|
|
|
   Claim / item / revenue |
|
|
|
|
   Claim / item / category |
|
|
|
|
    Claim / item / category / id |
|
|
|
n/a |
    Claim / item / category / extension |
|
|
|
n/a |
    Claim / item / category / Slices for coding |
|
|
|
|
     Claim / item / category / Slices for coding / coding:tariff |
Tariff / Tarif / Tarif / Tarifa |
|
|
|
      Claim / item / category / Slices for coding / coding:tariff / id |
|
|
|
n/a |
      Claim / item / category / Slices for coding / coding:tariff / extension |
|
|
|
n/a |
      Claim / item / category / Slices for coding / coding:tariff / system |
|
|
|
./codeSystem |
      Claim / item / category / Slices for coding / coding:tariff / version |
|
|
|
./codeSystemVersion |
      Claim / item / category / Slices for coding / coding:tariff / code |
body/invoice:services/invoice:service (tariff_type) |
|
|
./code |
      Claim / item / category / Slices for coding / coding:tariff / display |
|
|
|
CV.displayName |
      Claim / item / category / Slices for coding / coding:tariff / userSelected |
|
|
|
CD.codingRationale |
    Claim / item / category / text |
|
|
|
./originalText[mediaType/code="text/plain"]/data |
   Claim / item / productOrService |
Tariff number / Tarifziffer / Code tarifaire / Cod. tariffa |
|
|
|
    Claim / item / productOrService / id |
|
|
|
n/a |
    Claim / item / productOrService / extension |
|
|
|
n/a |
    Claim / item / productOrService / Slices for coding |
|
|
|
|
     Claim / item / productOrService / Slices for coding / coding:All Slices |
|
|
|
|
      Claim / item / productOrService / Slices for coding / coding:All Slices / id |
|
|
|
n/a |
      Claim / item / productOrService / Slices for coding / coding:All Slices / extension |
|
|
|
n/a |
      Claim / item / productOrService / Slices for coding / coding:All Slices / system |
|
|
|
./codeSystem |
      Claim / item / productOrService / Slices for coding / coding:All Slices / version |
|
|
|
./codeSystemVersion |
      Claim / item / productOrService / Slices for coding / coding:All Slices / code |
body/invoice:services/invoice:service (code) |
|
|
./code |
      Claim / item / productOrService / Slices for coding / coding:All Slices / display |
body/invoice:services/invoice:service (name) |
|
|
CV.displayName |
      Claim / item / productOrService / Slices for coding / coding:All Slices / userSelected |
|
|
|
CD.codingRationale |
     Claim / item / productOrService / Slices for coding / coding:GTIN |
|
|
|
|
      Claim / item / productOrService / Slices for coding / coding:GTIN / id |
|
|
|
n/a |
      Claim / item / productOrService / Slices for coding / coding:GTIN / extension |
|
|
|
n/a |
      Claim / item / productOrService / Slices for coding / coding:GTIN / system |
|
|
|
./codeSystem |
      Claim / item / productOrService / Slices for coding / coding:GTIN / version |
|
|
|
./codeSystemVersion |
      Claim / item / productOrService / Slices for coding / coding:GTIN / code |
|
|
|
./code |
      Claim / item / productOrService / Slices for coding / coding:GTIN / display |
|
|
|
CV.displayName |
      Claim / item / productOrService / Slices for coding / coding:GTIN / userSelected |
|
|
|
CD.codingRationale |
     Claim / item / productOrService / Slices for coding / coding:TARMED |
|
|
|
|
      Claim / item / productOrService / Slices for coding / coding:TARMED / id |
|
|
|
n/a |
      Claim / item / productOrService / Slices for coding / coding:TARMED / extension |
|
|
|
n/a |
      Claim / item / productOrService / Slices for coding / coding:TARMED / system |
|
|
|
./codeSystem |
      Claim / item / productOrService / Slices for coding / coding:TARMED / version |
|
|
|
./codeSystemVersion |
      Claim / item / productOrService / Slices for coding / coding:TARMED / code |
|
|
|
./code |
      Claim / item / productOrService / Slices for coding / coding:TARMED / display |
|
|
|
CV.displayName |
      Claim / item / productOrService / Slices for coding / coding:TARMED / userSelected |
|
|
|
CD.codingRationale |
    Claim / item / productOrService / text |
|
|
|
./originalText[mediaType/code="text/plain"]/data |
   Claim / item / modifier |
|
|
|
|
   Claim / item / programCode |
|
|
|
|
   Claim / item / serviced[x] |
- body/invoice:services/invoice:service (date_begin
- date_end)
|
|
FiveWs.done[x] |
|
   Claim / item / location[x] |
|
|
FiveWs.where[x] |
|
   Claim / item / quantity |
|
|
|
|
    Claim / item / quantity / id |
|
|
|
n/a |
    Claim / item / quantity / extension |
|
|
|
n/a |
    Claim / item / quantity / value |
Quantity / Anzahl / Quantité / Quantità |
|
|
- PQ.value
- CO.value
- MO.value
- IVL.high or IVL.low depending on the value
|
    Claim / item / quantity / comparator |
|
|
|
IVL properties |
    Claim / item / quantity / unit |
|
|
|
PQ.unit |
    Claim / item / quantity / system |
|
|
|
- CO.codeSystem
- PQ.translation.codeSystem
|
    Claim / item / quantity / code |
|
|
|
- PQ.code
- MO.currency
- PQ.translation.code
|
   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 |
|
|
|
n/a |
    Claim / item / detail / modifierExtension |
|
|
|
N/A |
    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 / item / detail / subDetail / id |
|
|
|
n/a |
     Claim / item / detail / subDetail / extension |
|
|
|
n/a |
     Claim / item / detail / subDetail / modifierExtension |
|
|
|
N/A |
     Claim / item / detail / subDetail / sequence |
|
|
|
|
     Claim / item / detail / subDetail / revenue |
|
|
|
|
     Claim / item / detail / subDetail / category |
|
|
|
|
     Claim / item / detail / subDetail / productOrService |
|
|
|
|
     Claim / item / detail / subDetail / modifier |
|
|
|
|
     Claim / item / detail / subDetail / programCode |
|
|
|
|
     Claim / item / detail / subDetail / quantity |
|
|
|
|
     Claim / item / detail / subDetail / unitPrice |
|
|
|
|
     Claim / item / detail / subDetail / factor |
|
|
|
|
     Claim / item / detail / subDetail / net |
|
|
|
|
     Claim / item / detail / subDetail / udi |
|
|
|
|
  Claim / total |
|
|
|
|
Documentation for this format |