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 2025-11-25

Mappings for the hie-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
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Event.identifier
FiveWs.identifier
.... id
n/a
.... extension
n/a
.... use
Role.code or implied by context
.... type
Role.code or implied by context
.... system
II.root or Role.id.root
.... value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
.... period
Role.effectiveTime or implied by context
.... assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
... 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
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... category
...... reason
...... amount
...... value
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... subDetailSequence
...... noteNumber
...... adjudication
....... id
n/a
....... extension
n/a
....... modifierExtension
N/A
....... category
....... reason
....... amount
....... value
... 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
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... category
..... reason
..... amount
..... value
.... 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
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... category
...... reason
...... amount
...... value
..... 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
....... id
n/a
....... extension
n/a
....... modifierExtension
N/A
....... category
....... reason
....... amount
....... value
... 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

doco Documentation for this format