FHIR Implementation Guide for ABDM
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FHIR Implementation Guide for ABDM - Local Development build (v6.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Claim - Mappings

Draft as of 2025-03-18

Mappings for the Claim 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
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... 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
... billablePeriod
FiveWs.done[x]
... created
Request.authoredOn
FiveWs.recorded
... enterer
FiveWs.author
... insurer
Request.performer
... provider
Request.requester
FiveWs.source
... priority
Request.priority
... fundsReserve
... related
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... claim
Request.replaces
.... relationship
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
./codeSystem
...... version
./codeSystemVersion
...... code
./code
...... display
CV.displayName
...... userSelected
CD.codingRationale
..... text
./originalText[mediaType/code="text/plain"]/data
.... 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
.... responsible
.... role
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
./codeSystem
...... version
./codeSystemVersion
...... code
./code
...... display
CV.displayName
...... userSelected
CD.codingRationale
..... text
./originalText[mediaType/code="text/plain"]/data
.... qualification
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
./codeSystem
...... version
./codeSystemVersion
...... code
./code
...... display
CV.displayName
...... userSelected
CD.codingRationale
..... text
./originalText[mediaType/code="text/plain"]/data
... supportingInfo
Request.supportingInfo
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... category
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
./codeSystem
...... version
./codeSystemVersion
...... code
./code
...... display
CV.displayName
...... userSelected
CD.codingRationale
..... text
./originalText[mediaType/code="text/plain"]/data
.... code
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
./codeSystem
...... version
./codeSystemVersion
...... code
./code
...... display
CV.displayName
...... userSelected
CD.codingRationale
..... text
./originalText[mediaType/code="text/plain"]/data
.... timing[x]
.... value[x]
.... reason
... diagnosis
Request.reasonReference
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... diagnosis[x]
.... type
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
./codeSystem
...... version
./codeSystemVersion
...... code
./code
...... display
CV.displayName
...... userSelected
CD.codingRationale
..... text
./originalText[mediaType/code="text/plain"]/data
.... 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
.... location[x]
... item
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... careTeamSequence
.... diagnosisSequence
.... procedureSequence
.... informationSequence
.... revenue
.... category
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
./codeSystem
...... version
./codeSystemVersion
...... code
./code
...... display
CV.displayName
...... userSelected
CD.codingRationale
..... text
./originalText[mediaType/code="text/plain"]/data
.... productOrService
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
./codeSystem
...... version
./codeSystemVersion
...... code
./code
...... display
CV.displayName
...... userSelected
CD.codingRationale
..... text
./originalText[mediaType/code="text/plain"]/data
.... modifier
.... programCode
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
./codeSystem
...... version
./codeSystemVersion
...... code
./code
...... display
CV.displayName
...... userSelected
CD.codingRationale
..... text
./originalText[mediaType/code="text/plain"]/data
.... serviced[x]
FiveWs.done[x]
.... location[x]
FiveWs.where[x]
.... quantity
.... unitPrice
.... factor
.... net
.... udi
.... bodySite
.... subSite
.... encounter
Request.context
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... revenue
..... category
...... id
n/a
...... extension
n/a
...... coding
  • union(.
  • ./translation)
....... id
n/a
....... extension
n/a
....... system
./codeSystem
....... version
./codeSystemVersion
....... code
./code
....... display
CV.displayName
....... userSelected
CD.codingRationale
...... text
./originalText[mediaType/code="text/plain"]/data
..... productOrService
...... id
n/a
...... extension
n/a
...... coding
  • union(.
  • ./translation)
....... id
n/a
....... extension
n/a
....... system
./codeSystem
....... version
./codeSystemVersion
....... code
./code
....... display
CV.displayName
....... userSelected
CD.codingRationale
...... text
./originalText[mediaType/code="text/plain"]/data
..... modifier
..... programCode
...... id
n/a
...... extension
n/a
...... coding
  • union(.
  • ./translation)
....... id
n/a
....... extension
n/a
....... system
./codeSystem
....... version
./codeSystemVersion
....... code
./code
....... display
CV.displayName
....... userSelected
CD.codingRationale
...... text
./originalText[mediaType/code="text/plain"]/data
..... quantity
..... unitPrice
..... factor
..... net
..... udi
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... sequence
...... revenue
...... category
....... id
n/a
....... extension
n/a
....... coding
  • union(.
  • ./translation)
........ id
n/a
........ extension
n/a
........ system
./codeSystem
........ version
./codeSystemVersion
........ code
./code
........ display
CV.displayName
........ userSelected
CD.codingRationale
....... text
./originalText[mediaType/code="text/plain"]/data
...... productOrService
....... id
n/a
....... extension
n/a
....... coding
  • union(.
  • ./translation)
........ id
n/a
........ extension
n/a
........ system
./codeSystem
........ version
./codeSystemVersion
........ code
./code
........ display
CV.displayName
........ userSelected
CD.codingRationale
....... text
./originalText[mediaType/code="text/plain"]/data
...... modifier
...... programCode
....... id
n/a
....... extension
n/a
....... coding
  • union(.
  • ./translation)
........ id
n/a
........ extension
n/a
........ system
./codeSystem
........ version
./codeSystemVersion
........ code
./code
........ display
CV.displayName
........ userSelected
CD.codingRationale
....... text
./originalText[mediaType/code="text/plain"]/data
...... quantity
...... unitPrice
...... factor
...... net
...... udi
... total

doco Documentation for this format