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FHIR 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 ClaimCode | |
patient | tblClaim.InsureeID | ||
billablePeriod | tblClaim.DateFrom / tblClaim.DateTo | date from and date to are mapped to a period of time | |
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 |
ClaimResponse
FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
outcome | tblClaim.ClaimStatus | ||
payment.adjustmentReason | tblClaim.Adjustment | ||
totalBenefit | tblClaim.Approved | ||
payment.date | tblClaimed.DateProcessed | ||
communicationRequest | tblClaim.feedbackId | ||
error | tblClaim.rejectionReason | ||
item.adjudication.reason | tblClaimItems.ClaimItemStatus / tblClaimItems.RejectionReason / tblClaimServices.RejectionReason | ||
item.adjudication.value | tblClaimItems.QtyApproved | ||
item.adjudication.amount | tblClaimItems.PriceAdjusted / tblClaimItems.PriceApproved / tblClaimitems.PriceValuated / tblClaimItems.LimitationValue / tblClaimItems.RemuneratedAmount / tblClaimItems.DeductableAmount / tblClaimItems.ExceedCeilingAmount / tblClaimServices.PriceAdjusted / tblClaimServices.PriceApproved / tblClaimServices.PriceValuated / tblClaimServices.LimitationValue / tblClaimServices.RemunratedAmount / tblClaimServices.DeductableAmount / tblClaimServices.ExceededCeilingAmount | ||
processNote | tblClaimItems.Justification / tblClaimItems.PriceOrigin / tblClaimServices.Justification / tblClaimServices.Limitation / tblClaimServices.PriceOrigin |
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