Healthcare Financial Services IG Edition 1
0.3.0 - ci-build
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: NphiesAuthorizationResponse - Mappings
| Draft as of 2025-06-23 |
Mappings for the prior-auth-response resource profile.
Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)
| NphiesAuthorizationResponse | ||
| ClaimResponse | Event | |
| identifier | Event.identifier | |
| status | Event.status | |
| created | Event.occurrence[x] | |
| insurer | Event.performer | |
| request | Event.basedOn | |
| disposition | Event.note | |
Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)
| NphiesAuthorizationResponse | ||
| ClaimResponse | ||
| identifier | FiveWs.identifier | |
| status | FiveWs.status | |
| type | FiveWs.class | |
| subType | FiveWs.class | |
| use | FiveWs.class | |
| patient | FiveWs.subject[x], FiveWs.subject | |
| created | FiveWs.recorded | |
| requestor | FiveWs.source | |
| request | FiveWs.why[x] | |
| addItem | ||
| provider | FiveWs.source | |
| serviced[x] | FiveWs.done[x] | |
| location[x] | FiveWs.where[x] | |
Mappings for RIM Mapping (http://hl7.org/v3)
| NphiesAuthorizationResponse | ||
| ClaimResponse | Entity. Role, or Act | |
| meta | ||
| id | n/a | |
| extension | n/a | |
| text | Act.text? | |
| contained | N/A | |
| modifierExtension | N/A | |
| patient | ||
| 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 | |
| item | ||
| id | n/a | |
| modifierExtension | N/A | |
| adjudication | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| adjudication | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| adjudication | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| addItem | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| modifier | 24.C, 24.D mods | |
| programCode | 24.H | |
| serviced[x] | 24.A | |
| location[x] | 24.B | |
| quantity | 24.G | |
| net | 24.F | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| modifier | 24.C, 24.D mods | |
| quantity | 24.G | |
| net | 24.F | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| modifier | 24.C, 24.D mods | |
| quantity | 24.G | |
| net | 24.F | |
| total | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| payment | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| processNote | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| insurance | Coverage | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| error | ||
| id | n/a | |
| modifierExtension | N/A | |