FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
outcome | tblClaim.ClaimStatus | mapped | |
payment.adjustmentReason | tblClaim.Adjustment | mapped | |
totalBenefit | tblClaim.Approved | mapped | |
payment.date | tblClaimed.DateProcessed | mapped | |
communicationRequest | tblClaim.feedbackId | mapped | |
error | tblClaim.rejectionReason | mapped | |
item.adjudication.reason | tblClaimItems.ClaimItemStatus / tblClaimItems.RejectionReason / tblClaimServices.RejectionReason | adjudication.reason contains the rejection code | mapped |
item.adjudication.value | tblClaimItems.QtyApproved | mapped | |
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 | Monetary amount / value is taken from limitation value by default | only tblClaimItems.LimitationValue and tblClaimServices.LimitationValue mapped |
processNote | tblClaimItems.Justification / tblClaimItems.PriceOrigin / tblClaimServices.Justification / tblClaimServices.Limitation / tblClaimServices.PriceOrigin | claimResponse.item.noteNumber can be used to join information about the mapped field and claim item | mapped |
Example JSON Representation of Content:
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