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: ClaimResponse - Mappings

Draft as of 2025-03-18

Mappings for the ClaimResponse 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
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... 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
... 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
.... extension
n/a
.... 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
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... subDetailSequence
...... noteNumber
...... adjudication
... addItem
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... itemSequence
.... detailSequence
.... subdetailSequence
.... provider
FiveWs.source
.... 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
  • 24.C
  • 24.D mods
.... programCode
24.H
..... 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]
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
...... 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
  • 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
....... 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
  • 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
.... extension
n/a
.... modifierExtension
N/A
.... itemSequence
.... detailSequence
.... subDetailSequence
.... code

doco Documentation for this format