Page Comparison

Identifier

tblClaim.ClaimID / tblClaim.ClaimUUID / tblClaim.ClaimCode

Claim can have multiple identifiers. The most important one is mapped from ClaimCode

patient

tblClaimRequest properties .InsureeID

billablePeriod

tblClaim.DateFrom / tblClaim.DateTo

date from and date to are mapped to Claim

ClaimResponse

tblClaim

Response properties are mapped to Claim

Coverage

tblPolicy

Patient

tblInsuree

Practitioner

tblClaimAdmin

used to represent base fields of Claim Administrator (without relation with health facility- FHIR Location)

PractitionerRole

tblClaimAdmin

used to represent a relation between base ClaimAdmin (FHIR Practitioner) and Health facility (FHIR Location)

Location

tblHF / tblLocations

FHIR location.mode field is used to switch between mapping from tblHF and tblLocations

EligibilityRequest

EligibilityRequest

CommunicationRequest

tblFeedbacka period of time between them

diagnosis

tblClaim.ICDID / tblClaim.ICDID1 / tblClaim.ICDID2 / tblClaim.ICDID3 / tblClaim.ICDID4

ICDID values are mapped to a list of diagnosis

outcome

tblClaim.ClaimStatus

provider

tblClaim.Adjuster

total

tblClaim.Claimed

created

tblClaim.DateClaimed

information

tblClaim.Explanation / tblClaim.GuaranteeId / tblClaimItems.Availability / tblClaimItems.Explanation / tblClaimServices.Explanation

information category is distinguishing the type of information

facility

tblClaim.HFID

enterer

tblClaim.ClaimAdminId

type

tblClaim.VisitType

item.service

tblClaimItems.ItemId / tblClaimServices.ServiceID

claim.item.category.text is distinguishing whether mapping is done from tblClaimsServices or tblClaimItems

item.quantity

tblClaimItems.QtyProvided / tblClaimServices.QtyProvided

claim.item.category.text is distinguishing whether mapping is done from tblClaimsServices or tblClaimItems

item.unitPrice

tblClaimItems.PriceAsked / tblClaimServices.PriceAsked

claim.item.category.text is distinguishing whether mapping is done from tblClaimsServices or tblClaimItems