openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

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Resource Profile: OpenIMISClaim - Mappings

Active as of 2022-05-31

Mappings for the openimis-claim resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

OpenIMISClaim
Claim	Request
identifier	Request.identifier
identifier (Code)	Request.identifier
identifier (UUID)	Request.identifier
status	Request.status
patient	Request.subject
created	Request.authoredOn
provider	Request.requester
priority	Request.priority
supportingInfo	Request.supportingInfo
supportingInfo (explanation)	Request.supportingInfo
supportingInfo (guarantee)	Request.supportingInfo
supportingInfo (attachment)	Request.supportingInfo
diagnosis	Request.reasonReference
insurance
item

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

OpenIMISClaim
Claim
identifier	FiveWs.identifier
identifier (Code)	FiveWs.identifier
identifier (UUID)	FiveWs.identifier
status	FiveWs.status
type	FiveWs.class
use	FiveWs.class
patient	FiveWs.subject[x], FiveWs.subject
billablePeriod	FiveWs.done[x]
created	FiveWs.recorded
enterer	FiveWs.author
provider	FiveWs.source
insurance
item

Mappings for RIM Mapping (http://hl7.org/v3)

OpenIMISClaim
Claim	Entity. Role, or Act
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
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
identifier (Code)
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
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
identifier (UUID)
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
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
type
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
billablePeriod
id	n/a
extension	n/a
start	./low
end	./high
supportingInfo
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (explanation)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (guarantee)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (attachment)
id	n/a
extension	n/a
modifierExtension	N/A
diagnosis
id	n/a
extension	n/a
modifierExtension	N/A
insurance	Coverage
id	n/a
extension	n/a
modifierExtension	N/A
item
id	n/a
modifierExtension	N/A
productOrService
id	n/a
extension	n/a
text	./originalText[mediaType/code="text/plain"]/data
quantity
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
unitPrice
id	n/a
extension	n/a
total
id	n/a
extension	n/a

Mappings for openIMIS Claim (https://openimis.atlassian.net/wiki/spaces/OP/pages/1448443905)

OpenIMISClaim
Claim
created	tblClaim.DateClaimed