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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
(with adjudication.category = "rejected_reason")

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

disposition

not mapped

created

TimeUtils.date

current date is taken on the moment of processing claim

mapped

Endpoint specification:

Example of endpoint URL:

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