SIL HIE Implementation Guide
0.1.0 - sil-hie-active

SIL HIE Implementation Guide, published by Kathurima Kimathi. 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/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

Resource Profile: HIEClaimResponse - Mappings

Active as of 2026-10-20

Mappings for the 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
financial.billing
  • Entity. Role
  • or Act
ClaimResponse / id
ClaimResponse / meta
ClaimResponse / implicitRules
ClaimResponse / language
ClaimResponse / text
Act.text?
ClaimResponse / contained
N/A
ClaimResponse / extension
N/A
ClaimResponse / modifierExtension
N/A
ClaimResponse / identifier
Event.identifier
FiveWs.identifier
ClaimResponse / identifier / id
n/a
ClaimResponse / identifier / extension
n/a
ClaimResponse / identifier / use
Role.code or implied by context
ClaimResponse / identifier / type
Role.code or implied by context
ClaimResponse / identifier / system
II.root or Role.id.root
ClaimResponse / identifier / value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
ClaimResponse / identifier / period
Role.effectiveTime or implied by context
ClaimResponse / identifier / assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
ClaimResponse / status
Event.status
FiveWs.status
ClaimResponse / type
FiveWs.class
ClaimResponse / subType
FiveWs.class
ClaimResponse / use
FiveWs.class
ClaimResponse / patient
FiveWs.subject
ClaimResponse / created
Event.occurrence[x]
FiveWs.recorded
ClaimResponse / insurer
Event.performer
ClaimResponse / requestor
FiveWs.source
ClaimResponse / request
Event.basedOn
FiveWs.why[x]
ClaimResponse / outcome
ClaimResponse / disposition
Event.note
ClaimResponse / preAuthRef
ClaimResponse / preAuthPeriod
ClaimResponse / payeeType
ClaimResponse / item
ClaimResponse / item / id
n/a
ClaimResponse / item / extension
n/a
ClaimResponse / item / modifierExtension
N/A
ClaimResponse / item / itemSequence
ClaimResponse / item / noteNumber
ClaimResponse / item / adjudication
ClaimResponse / item / adjudication / id
n/a
ClaimResponse / item / adjudication / extension
n/a
ClaimResponse / item / adjudication / modifierExtension
N/A
ClaimResponse / item / adjudication / category
ClaimResponse / item / adjudication / reason
ClaimResponse / item / adjudication / amount
ClaimResponse / item / adjudication / value
ClaimResponse / item / detail
ClaimResponse / item / detail / id
n/a
ClaimResponse / item / detail / extension
n/a
ClaimResponse / item / detail / modifierExtension
N/A
ClaimResponse / item / detail / detailSequence
ClaimResponse / item / detail / noteNumber
ClaimResponse / item / detail / adjudication
ClaimResponse / item / detail / adjudication / id
n/a
ClaimResponse / item / detail / adjudication / extension
n/a
ClaimResponse / item / detail / adjudication / modifierExtension
N/A
ClaimResponse / item / detail / adjudication / category
ClaimResponse / item / detail / adjudication / reason
ClaimResponse / item / detail / adjudication / amount
ClaimResponse / item / detail / adjudication / value
ClaimResponse / item / detail / subDetail
ClaimResponse / item / detail / subDetail / id
n/a
ClaimResponse / item / detail / subDetail / extension
n/a
ClaimResponse / item / detail / subDetail / modifierExtension
N/A
ClaimResponse / item / detail / subDetail / subDetailSequence
ClaimResponse / item / detail / subDetail / noteNumber
ClaimResponse / item / detail / subDetail / adjudication
ClaimResponse / item / detail / subDetail / adjudication / id
n/a
ClaimResponse / item / detail / subDetail / adjudication / extension
n/a
ClaimResponse / item / detail / subDetail / adjudication / modifierExtension
N/A
ClaimResponse / item / detail / subDetail / adjudication / category
ClaimResponse / item / detail / subDetail / adjudication / reason
ClaimResponse / item / detail / subDetail / adjudication / amount
ClaimResponse / item / detail / subDetail / adjudication / value
ClaimResponse / addItem
ClaimResponse / addItem / id
n/a
ClaimResponse / addItem / extension
n/a
ClaimResponse / addItem / modifierExtension
N/A
ClaimResponse / addItem / itemSequence
ClaimResponse / addItem / detailSequence
ClaimResponse / addItem / subdetailSequence
ClaimResponse / addItem / provider
FiveWs.source
ClaimResponse / addItem / productOrService
ClaimResponse / addItem / modifier
  • 24.C
  • 24.D mods
ClaimResponse / addItem / programCode
24.H
ClaimResponse / addItem / serviced[x]
FiveWs.done[x]
24.A
ClaimResponse / addItem / location[x]
FiveWs.where[x]
24.B
ClaimResponse / addItem / quantity
24.G
ClaimResponse / addItem / unitPrice
ClaimResponse / addItem / factor
ClaimResponse / addItem / net
24.F
ClaimResponse / addItem / bodySite
ClaimResponse / addItem / subSite
ClaimResponse / addItem / noteNumber
ClaimResponse / addItem / adjudication
ClaimResponse / addItem / adjudication / id
n/a
ClaimResponse / addItem / adjudication / extension
n/a
ClaimResponse / addItem / adjudication / modifierExtension
N/A
ClaimResponse / addItem / adjudication / category
ClaimResponse / addItem / adjudication / reason
ClaimResponse / addItem / adjudication / amount
ClaimResponse / addItem / adjudication / value
ClaimResponse / addItem / detail
ClaimResponse / addItem / detail / id
n/a
ClaimResponse / addItem / detail / extension
n/a
ClaimResponse / addItem / detail / modifierExtension
N/A
ClaimResponse / addItem / detail / productOrService
ClaimResponse / addItem / detail / modifier
  • 24.C
  • 24.D mods
ClaimResponse / addItem / detail / quantity
24.G
ClaimResponse / addItem / detail / unitPrice
ClaimResponse / addItem / detail / factor
ClaimResponse / addItem / detail / net
24.F
ClaimResponse / addItem / detail / noteNumber
ClaimResponse / addItem / detail / adjudication
ClaimResponse / addItem / detail / adjudication / id
n/a
ClaimResponse / addItem / detail / adjudication / extension
n/a
ClaimResponse / addItem / detail / adjudication / modifierExtension
N/A
ClaimResponse / addItem / detail / adjudication / category
ClaimResponse / addItem / detail / adjudication / reason
ClaimResponse / addItem / detail / adjudication / amount
ClaimResponse / addItem / detail / adjudication / value
ClaimResponse / addItem / detail / subDetail
ClaimResponse / addItem / detail / subDetail / id
n/a
ClaimResponse / addItem / detail / subDetail / extension
n/a
ClaimResponse / addItem / detail / subDetail / modifierExtension
N/A
ClaimResponse / addItem / detail / subDetail / productOrService
ClaimResponse / addItem / detail / subDetail / modifier
  • 24.C
  • 24.D mods
ClaimResponse / addItem / detail / subDetail / quantity
24.G
ClaimResponse / addItem / detail / subDetail / unitPrice
ClaimResponse / addItem / detail / subDetail / factor
ClaimResponse / addItem / detail / subDetail / net
24.F
ClaimResponse / addItem / detail / subDetail / noteNumber
ClaimResponse / addItem / detail / subDetail / adjudication
ClaimResponse / addItem / detail / subDetail / adjudication / id
n/a
ClaimResponse / addItem / detail / subDetail / adjudication / extension
n/a
ClaimResponse / addItem / detail / subDetail / adjudication / modifierExtension
N/A
ClaimResponse / addItem / detail / subDetail / adjudication / category
ClaimResponse / addItem / detail / subDetail / adjudication / reason
ClaimResponse / addItem / detail / subDetail / adjudication / amount
ClaimResponse / addItem / detail / subDetail / adjudication / value
ClaimResponse / adjudication
ClaimResponse / total
ClaimResponse / total / id
n/a
ClaimResponse / total / extension
n/a
ClaimResponse / total / modifierExtension
N/A
ClaimResponse / total / category
ClaimResponse / total / amount
ClaimResponse / payment
ClaimResponse / payment / id
n/a
ClaimResponse / payment / extension
n/a
ClaimResponse / payment / modifierExtension
N/A
ClaimResponse / payment / type
ClaimResponse / payment / adjustment
ClaimResponse / payment / adjustmentReason
ClaimResponse / payment / date
ClaimResponse / payment / amount
ClaimResponse / payment / identifier
ClaimResponse / fundsReserve
ClaimResponse / formCode
ClaimResponse / form
ClaimResponse / processNote
ClaimResponse / processNote / id
n/a
ClaimResponse / processNote / extension
n/a
ClaimResponse / processNote / modifierExtension
N/A
ClaimResponse / processNote / number
ClaimResponse / processNote / type
ClaimResponse / processNote / text
ClaimResponse / processNote / language
ClaimResponse / communicationRequest
ClaimResponse / insurance
Coverage
ClaimResponse / insurance / id
n/a
ClaimResponse / insurance / extension
n/a
ClaimResponse / insurance / modifierExtension
N/A
ClaimResponse / insurance / sequence
ClaimResponse / insurance / focal
ClaimResponse / insurance / coverage
ClaimResponse / insurance / businessArrangement
ClaimResponse / insurance / claimResponse
ClaimResponse / error
ClaimResponse / error / id
n/a
ClaimResponse / error / extension
n/a
ClaimResponse / error / modifierExtension
N/A
ClaimResponse / error / itemSequence
ClaimResponse / error / detailSequence
ClaimResponse / error / subDetailSequence
ClaimResponse / error / code

doco Documentation for this format