Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot Saudi Arabia flag

Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: NphiesClaimBase - Mappings

Draft as of 2025-07-30

Mappings for the claim-base resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingRIM Mappingdoco
.. Claim
Request
  • Entity. Role
  • or Act
... id
... meta
.... id
n/a
.... extension
n/a
.... versionId
.... lastUpdated
.... source
.... profile
.... security
.... tag
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:batch-identifier
.... extension:batch-number
.... extension:batch-period
.... extension:eligibilityResponse
.... extension:eligibilityOffLine
.... extension:eligibilityOffLineDate
.... extension:authorizationOffLineDate
.... extension:priorauthResponse
.... extension:newborn
.... extension:episode
... modifierExtension
N/A
... identifier
Request.identifier
FiveWs.identifier
... status
Request.status
FiveWs.status
... type
FiveWs.class
... subType
FiveWs.class
... use
FiveWs.class
... patient
Request.subject
FiveWs.subject
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
..... type
Role.code or implied by context
..... system
II.root or Role.id.root
..... value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
..... period
Role.effectiveTime or implied by context
..... assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
.... display
N/A
... billablePeriod
FiveWs.done[x]
... created
Request.authoredOn
FiveWs.recorded
... enterer
FiveWs.author
... insurer
Request.performer
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
..... type
Role.code or implied by context
..... system
II.root or Role.id.root
..... value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
..... period
Role.effectiveTime or implied by context
..... assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
.... display
N/A
... provider
Request.requester
FiveWs.source
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
..... type
Role.code or implied by context
..... system
II.root or Role.id.root
..... value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
..... period
Role.effectiveTime or implied by context
..... assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
.... display
N/A
... priority
Request.priority
... fundsReserve
... related
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... claim
Request.replaces
.... relationship
.... reference
... prescription
... originalPrescription
... payee
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... type
.... party
... referral
FiveWs.cause
... facility
FiveWs.where[x]
... careTeam
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... provider
FiveWs.actor
..... id
n/a
..... extension
n/a
..... reference
N/A
..... type
N/A
..... identifier
.identifier
...... id
n/a
...... extension
n/a
...... use
Role.code or implied by context
...... type
Role.code or implied by context
...... system
II.root or Role.id.root
...... value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
...... period
Role.effectiveTime or implied by context
...... assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
..... display
N/A
.... responsible
.... role
.... qualification
... supportingInfo
Request.supportingInfo
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... category
.... code
.... timing[x]
.... value[x]
.... reason
... diagnosis
Request.reasonReference
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... Slices for diagnosis[x]
..... diagnosis[x]:diagnosisCodeableConcept
.... type
.... onAdmission
.... packageCode
... procedure
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... type
.... date
.... procedure[x]
.... udi
... insurance
Coverage
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... focal
.... identifier
Request.identifier
FiveWs.identifier
.... coverage
.... businessArrangement
.... preAuthRef
.... claimResponse
... accident
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... date
.... type
.... Slices for location[x]
..... location[x]:locationAddress
... item
.... id
n/a
.... Slices for extension
..... extension:package
..... extension:tax
..... extension:patientShare
..... extension:payerShare
..... extension:patientInvoice
.... modifierExtension
N/A
.... sequence
.... careTeamSequence
.... diagnosisSequence
.... procedureSequence
.... informationSequence
.... revenue
.... category
.... productOrService
.... modifier
.... programCode
.... Slices for serviced[x]
FiveWs.done[x]
..... serviced[x]:servicedDate
FiveWs.done[x]
..... serviced[x]:servicedPeriod
FiveWs.done[x]
.... location[x]
FiveWs.where[x]
.... quantity
.... unitPrice
.... factor
.... net
.... udi
.... bodySite
.... subSite
.... encounter
Request.context
.... detail
..... id
n/a
..... Slices for extension
...... extension:tax
..... modifierExtension
N/A
..... sequence
..... revenue
..... category
..... productOrService
..... modifier
..... programCode
..... quantity
..... unitPrice
..... factor
..... net
..... udi
..... subDetail
...... id
n/a
...... Slices for extension
....... extension:tax
...... modifierExtension
N/A
...... sequence
...... revenue
...... category
...... productOrService
...... modifier
...... programCode
...... quantity
...... unitPrice
...... factor
...... net
...... udi
... total

doco Documentation for this format