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FHIR R4 field | openIMIS field | notes | mapping status |
---|---|---|---|
identifier | tblClaim.ClaimID / tblClaim.ClaimUUID / tblClaim.ClaimCode | Claim can have multiple identifiers. The most important one is mapped from ClaimUUID. | mapped |
patient | tblClaim.InsureeUUID | reference to Patient resource | mapped - mandatory |
billablePeriod | tblClaim.DateFrom / tblClaim.DateTo | date from and date to are mapped to a period of time between them | mapped - mandatory |
diagnosis | tblClaim.ICDID / tblClaim.ICDID1 / tblClaim.ICDID2 / tblClaim.ICDID3 / tblClaim.ICDID4 | reference to Condition resourceto be There is an error with the POST for both versions | mapped - mandatory |
provider | tblClaim.Adjuster | to be validated | not mapped |
total | tblClaim.Claimed | mapped as Money data type | mapped - mandatory |
created | tblClaim.DateClaimed | mapped - mandatory | |
supportingInfo | tblClaim.Explanation / tblClaim.GuaranteeId / tblClaimItems.Availability / tblClaimItems.Explanation / tblClaimServices.Explanation | information category is distinguishing the type of information renamed from information (STU3) to supportingInfo (R4) | mapped |
facility | tblClaim.HFID | reference to Location resource | mapped - mandatory |
enterer | tblClaim.ClaimAdminId | reference to Practitioner resource | mapped |
type | tblClaim.VisitType | mapped - mandatory | |
item.productOrService | tblClaimItems.tblItem.ItemCode / tblClaimServices.tblServices.ServiceCode | actual Code value | to be mapped - mandatory |
item.extension.productOrServiceReference | tblClaimItems.ItemUUID / tblClaimServices.ServiceUUID | reference to Medication resource if medical item | to be mapped |
item.quantity | tblClaimItems.QtyProvided / tblClaimServices.QtyProvided | mapped | |
item.unitPrice | tblClaimItems.PriceAsked / tblClaimServices.PriceAsked | price could differ from the price defined in medical item/service definition | mapped |
item.category.text | “service” or “item” | distinguishing whether mapping is done from tblClaimsServices or tblClaimItems | mapped - mandatory |
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