FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
Claim | tblClaim | ||
ClaimResponse | tblClaim | ||
Coverage | tblPolicy | ||
Patient | tblInsuree | ||
Practitioner | tblClaimAdmin | ||
PractitionerRole | tblClaimAdmin | ||
Location | tblHF / tblLocations | ||
EligibilityRequest | EligibilityRequest | ||
CommunicationRequest | tblFeedback |
Claim
FHIR field | OpenIMIS field | notes | mapping status |
|---|---|---|---|
Identifier | tblClaim.ClaimID / tblClaim.ClaimUUID / tblClaim.ClaimCode | ||
patient | tblClaim.InsureeID | ||
billablePeriod | tblClaim.DateFrom / tblClaim.DateTo | ||
diagnosis | tblClaim.ICDID / tblClaim.ICDID1 / tblClaim.ICDID2 / tblClaim.ICDID3 / tblClaim.ICDID4 | ||
outcome | tblClaim.ClaimStatus | ||
provider | tblClaim.Adjuster | ||
total | tblClaim.Claimed | ||
created | tblClaim.DateClaimed | ||
information | tblClaim.Explanation / tblClaim.GuaranteeId / tblClaimItems.Availability / tblClaimItems.Explanation / tblClaimServices.Explanation | ||
facility | tblClaim.HFID | ||
enterer | tblClaim.ClaimAdminId | ||
type | tblClaim.VisitType | ||
item.service | tblClaimItems.ItemId / tblClaimServices.ServiceID | ||
item.quantity | tblClaimItems.QtyProvided / tblClaimServices.QtyProvided | ||
item.unitPrice | tblClaimItems.PriceAsked / tblClaimServices.PriceAsked |
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 | ||