FHIR STU3 Resource - Claim
OpenIMIS tables mapped - tblClaim, tblClaimItems , tblClaimServices
FHIR STU3 field | OpenIMIS openIMIS field | notesNotes | mapping statusStatus |
|---|---|---|---|
Identifier | tblClaim.ClaimID / tblClaim.ClaimUUID / tblClaim.ClaimCode | Claim can have multiple identifiers. The most important one is mapped from ClaimCode | ClaimID and ClaimCode mapped |
patient | tblClaim.InsureeID | mapped | |
billablePeriod | tblClaim.DateFrom / tblClaim.DateTo | date from and date to are mapped to a period of time between them | mapped |
diagnosis | tblClaim.ICDID / tblClaim.ICDID1 / tblClaim.ICDID2 / tblClaim.ICDID3 / tblClaim.ICDID4 | ICDID values are mapped to a list of diagnosis | mapped |
provider | tblClaim.Adjuster | not mapped | |
claimCode | |||
dateFrom | |||
dateTo | |||
total | tblClaim.Claimed | mapped | |
created | tblClaim.DateClaimed | mapped | |
information | tblClaim.Explanation / tblClaim.GuaranteeId / tblClaimItems.Availability / tblClaimItems.Explanation / tblClaimServices.Explanation | information category is distinguishing the type of information | mapped |
facility | tblClaim.HFID | mapped | |
enterer | tblClaim.ClaimAdminId | mapped | |
type | tblClaim.VisitType | mapped | |
item.service | tblClaimItems.ItemId / tblClaimServices.ServiceID | claim.item.category.text is distinguishing whether mapping is done from tblClaimsServices or tblClaimItems | mapped |
item.quantity | tblClaimItems.QtyProvided / tblClaimServices.QtyProvided | claim.item.category.text is distinguishing whether mapping is done from tblClaimsServices or tblClaimItems | mapped |
item.unitPrice | tblClaimItems.PriceAsked / tblClaimServices.PriceAsked | claim.item.category.text is distinguishing whether mapping is done from tblClaimsServices or tblClaimItems | mapped |
...
Example JSON representation of content:
{
| Code Block | ||
|---|---|---|
| ||
{ "resourceType": "Claim", |
...
"billablePeriod": { |
...
"end": "2019-06-12T00:00:00", |
...
"start": "2019-06-01T00:00:00" |
...
}, |
...
"created": "2019-06-12T00:00:00", |
...
"diagnosis": [ |
...
{ |
...
"diagnosisCodeableConcept": { |
...
"coding": [ |
...
{ |
...
"code": "ICD_CD" |
...
} |
...
] |
...
}, |
...
"sequence": 1, |
...
"type": [ |
...
{ |
...
"text": "icd_0" |
...
} |
...
] |
...
} |
...
], |
...
"enterer": { |
...
"reference": "Practitioner/1234abcd" |
...
}, |
...
"facility": { |
...
"reference": "Location/12345678" |
...
}, |
...
"id": "code", |
...
"identifier": [ |
...
{ |
...
"type": { |
...
"coding": [ |
...
{ |
...
"code": "MR", |
...
"system": "https://hl7.org/fhir/valueset-identifier-type.html" |
...
} |
...
] |
...
}, |
...
"use": "usual", |
...
"value": "code" |
...
} |
...
], |
...
"information": [ |
...
{ |
...
"category": { |
...
"text": "guarantee_id" |
...
}, |
...
"sequence": 1, |
...
"valueString": "guarantee_id" |
...
}, |
...
{ |
...
"category": { |
...
"text": "explanation" |
...
}, |
...
"sequence": 2, |
...
"valueString": "explanation" |
...
}, |
...
{ |
...
"category": { |
...
"text": "item_explanation" |
...
}, |
...
"sequence": 3, |
...
"valueString": "item_explanation" |
...
}, |
...
{ |
...
"category": { |
...
"text": "item_explanation" |
...
}, |
...
"sequence": 4, |
...
"valueString": "service_explanation" |
...
} |
...
], |
...
"item": [ |
...
{ |
...
"category": { |
...
"text": "item" |
...
}, |
...
"informationLinkId": [ |
...
3 |
...
], |
...
"quantity": { |
...
"value": 4 |
...
}, |
...
"sequence": 1, |
...
"service": { |
...
"text": "iCode" |
...
}, |
...
"unitPrice": { |
...
"value": 21.1 |
...
} |
...
}, |
...
{ |
...
"category": { |
...
"text": "service" |
...
}, |
...
"informationLinkId": [ |
...
4 |
...
], |
...
"quantity": { |
...
"value": 3 |
...
}, |
...
"sequence": 2, |
...
"service": { |
...
"text": "sCode" |
...
}, |
...
"unitPrice": { |
...
"value": 16.1 |
...
} |
...
} |
...
], |
...
"patient": { |
...
"reference": "Patient/TEST_CHF_ID" |
...
}, |
...
"total": { |
...
"value": 42 |
...
}, |
...
"type": { |
...
"text": "E" |
...
} |
...
} |