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: NphiesClaimResponse - Mappings

Draft as of 2025-07-30

Mappings for the claim-response 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
.. ClaimResponse
Event
  • 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:reissue-reason
.... extension:adjudication-outcome
.... extension:batch-identifier
.... extension:batch-number
.... extension:batch-period
... modifierExtension
N/A
... identifier
Event.identifier
FiveWs.identifier
... status
Event.status
FiveWs.status
... type
FiveWs.class
... subType
FiveWs.class
... use
FiveWs.class
... patient
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
... created
Event.occurrence[x]
FiveWs.recorded
... insurer
Event.performer
... requestor
FiveWs.source
... request
Event.basedOn
FiveWs.why[x]
... outcome
... disposition
Event.note
... preAuthRef
... preAuthPeriod
... payeeType
... item
.... id
n/a
.... Slices for extension
..... extension:adjudication-outcome
..... extension:patientInvoice
.... modifierExtension
N/A
.... itemSequence
.... noteNumber
.... adjudication
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... category
..... reason
..... amount
..... value
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... detailSequence
..... noteNumber
..... adjudication
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... category
...... reason
...... amount
...... value
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... subDetailSequence
...... noteNumber
...... adjudication
....... id
n/a
....... extension
n/a
....... modifierExtension
N/A
....... category
....... reason
....... amount
....... value
... addItem
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... itemSequence
.... detailSequence
.... subdetailSequence
.... provider
FiveWs.source
.... productOrService
.... modifier
  • 24.C
  • 24.D mods
.... programCode
24.H
.... serviced[x]
FiveWs.done[x]
24.A
.... location[x]
FiveWs.where[x]
24.B
.... quantity
24.G
.... unitPrice
.... factor
.... net
24.F
.... bodySite
.... subSite
.... noteNumber
.... adjudication
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... productOrService
..... modifier
  • 24.C
  • 24.D mods
..... quantity
24.G
..... unitPrice
..... factor
..... net
24.F
..... noteNumber
..... adjudication
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... productOrService
...... modifier
  • 24.C
  • 24.D mods
...... quantity
24.G
...... unitPrice
...... factor
...... net
24.F
...... noteNumber
...... adjudication
... adjudication
... total
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... category
.... amount
... payment
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... type
.... adjustment
.... adjustmentReason
.... date
.... amount
.... identifier
... fundsReserve
... formCode
... form
... processNote
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... number
.... type
.... text
.... language
... communicationRequest
... insurance
Coverage
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... focal
.... coverage
.... businessArrangement
.... claimResponse
... error
.... id
n/a
.... Slices for extension
..... extension:expression
.... modifierExtension
N/A
.... itemSequence
.... detailSequence
.... subDetailSequence
.... code

doco Documentation for this format