API end point: http://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir.

Resource Claim (DSTU2)

Maps CareEvolution Claim concepts

Supported interactions

• read
• search
• create
• update
• delete

Search parameters

Name	Type	Modifiers , prefixes	Multiple values	Can be chained	Description
_id	Token		Yes		See here
_lastUpdated	Date	lt le gt ge			See here
created	Date	eq ne lt le gt ge sa eb ap			Searches for claims by created date
date	Date	eq ne lt le gt ge sa eb ap			See here
encounter	Reference	:missing	Yes	Yes	Searches for claims by their associated encounter
identifier	Token		Yes		See here
patient	Reference	:missing	Yes	Yes	See here
provenance-agent	Reference		Yes	Yes	Search by provenance, specified by its author (aka originator) Organization
provider	Reference	:missing	Yes	Yes	Searches for claims by practitioner (caregiver), considering all possible references: provider, payee.provider and the http://careevolution.com/fhirextensions#claim-providers extension
status	Token	:not :in :not-in	Yes		Searches for claims by status
type	Token		Yes		See here

Sorts

• _id
• created
• identifier

Supports multiple sorts

Includes

• encounter
• patient
• provenance-agent
• provider
• Condition:claim
• Immunization:claim
• MedicationDispense:claim
• Procedure:claim
• Provenance:target

Operations

• validate - Validate a resource

To FHIR mappings

FHIR	CareEvolution
coverage	InsuranceID
created	StartDate
diagnosis.diagnosis	Problems.Term
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')	Problems.Date
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemType')	Problems.Type
diagnosis.sequence	Problems.Sequence
extension('http://careevolution.com/fhirextensions#claim-adjudicationDate')	AdjudicationDate
extension('http://careevolution.com/fhirextensions#claim-admitDate')	AdmitDate
extension('http://careevolution.com/fhirextensions#claim-admitSource')	AdmitSource
extension('http://careevolution.com/fhirextensions#claim-admitType')	AdmitType
extension('http://careevolution.com/fhirextensions#claim-billClass')	BillClass
extension('http://careevolution.com/fhirextensions#claim-controlNumber')	ControlNumber
extension('http://careevolution.com/fhirextensions#claim-dischargeDate')	DischargeDate
extension('http://careevolution.com/fhirextensions#claim-disposition')	Disposition
extension('http://careevolution.com/fhirextensions#claim-drg')	Drg
extension('http://careevolution.com/fhirextensions#claim-encounterID')	EncounterID
extension('http://careevolution.com/fhirextensions#claim-endDate')	EndDate
extension('http://careevolution.com/fhirextensions#claim-facilityType')	FacilityType
extension('http://careevolution.com/fhirextensions#claim-mrn')	Mrn
extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason')	NonPaymentReason
extension('http://careevolution.com/fhirextensions#claim-paidDate')	PaidDate
extension('http://careevolution.com/fhirextensions#claim-patientStatus')	PatientStatus
extension('http://careevolution.com/fhirextensions#claim-providers')	CaregiverRelationships
extension('http://careevolution.com/fhirextensions#claim-status')	Status
extension('http://careevolution.com/fhirextensions#claim-totalCharges')	TotalCharges
extension('http://careevolution.com/fhirextensions#claim-totalPaid')	TotalPaid
extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid')	TotalPatientPaid
extension('http://careevolution.com/fhirextensions#dataSource')	DataSource
extension('http://careevolution.com/fhirextensions#properties')	Properties
facility	Encounter.EncounterLocations
identifier	Identifier AlternateIdentifier
item.extension('http://careevolution.com/fhirextensions#claim-endDate')	Services.EndDate
item.extension('http://careevolution.com/fhirextensions#claim-locationType')	Services.LocationType
item.extension('http://careevolution.com/fhirextensions#claim-patientPaid')	Services.PatientPaid
item.extension('http://careevolution.com/fhirextensions#claim-revenueCode')	Services.RevenueCode
item.extension('http://careevolution.com/fhirextensions#claim-status')	Services.Status
item.modifier	Services.Modifier1 Services.Modifier2 Services.Modifier3 Services.Modifier4 Services.Modifier5
item.net	Services.AmountPaid
item.quantity	Services.Units
item.sequence	Services.Sequence
item.service	Services.ServiceCode
item.serviceDate	Services.StartDate
item.unitPrice	Services.AmountClaimed
patient	PatientID
payee	CaregiverRelationships
provider	CaregiverRelationships
referral	ReferralID
text	Comment
type	ClaimType

From FHIR mappings

FHIR	CareEvolution
coverage	InsuranceID
created	StartDate
diagnosis.diagnosis	Problems.Term
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')	Problems.Date
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemType')	Problems.Type
diagnosis.sequence	Problems.Sequence
extension('http://careevolution.com/fhirextensions#claim-adjudicationDate')	AdjudicationDate
extension('http://careevolution.com/fhirextensions#claim-admitDate')	AdmitDate
extension('http://careevolution.com/fhirextensions#claim-admitSource')	AdmitSource
extension('http://careevolution.com/fhirextensions#claim-admitType')	AdmitType
extension('http://careevolution.com/fhirextensions#claim-billClass')	BillClass
extension('http://careevolution.com/fhirextensions#claim-controlNumber')	ControlNumber
extension('http://careevolution.com/fhirextensions#claim-dischargeDate')	DischargeDate
extension('http://careevolution.com/fhirextensions#claim-disposition')	Disposition
extension('http://careevolution.com/fhirextensions#claim-drg')	Drg
extension('http://careevolution.com/fhirextensions#claim-encounterID')	EncounterID
extension('http://careevolution.com/fhirextensions#claim-endDate')	EndDate
extension('http://careevolution.com/fhirextensions#claim-facilityType')	FacilityType
extension('http://careevolution.com/fhirextensions#claim-mrn')	Mrn
extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason')	NonPaymentReason
extension('http://careevolution.com/fhirextensions#claim-paidDate')	PaidDate
extension('http://careevolution.com/fhirextensions#claim-patientStatus')	PatientStatus
extension('http://careevolution.com/fhirextensions#claim-providers')	CaregiverRelationships
extension('http://careevolution.com/fhirextensions#claim-status')	Status
extension('http://careevolution.com/fhirextensions#claim-totalCharges')	TotalCharges
extension('http://careevolution.com/fhirextensions#claim-totalPaid')	TotalPaid
extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid')	TotalPatientPaid
extension('http://careevolution.com/fhirextensions#dataSource')	DataSource
extension('http://careevolution.com/fhirextensions#properties')	Properties
id	Identifier
identifier	Identifier AlternateIdentifier
item.extension('http://careevolution.com/fhirextensions#claim-endDate')	Services.EndDate
item.extension('http://careevolution.com/fhirextensions#claim-locationType')	Services.LocationType
item.extension('http://careevolution.com/fhirextensions#claim-patientPaid')	Services.PatientPaid
item.extension('http://careevolution.com/fhirextensions#claim-revenueCode')	Services.RevenueCode
item.extension('http://careevolution.com/fhirextensions#claim-status')	Services.Status
item.modifier	Services.Modifier1 Services.Modifier2 Services.Modifier3 Services.Modifier4 Services.Modifier5
item.net	Services.AmountPaid
item.quantity	Services.Units
item.sequence	Services.Sequence
item.service	Services.ServiceCode
item.serviceDate	Services.StartDate
item.unitPrice	Services.AmountClaimed
patient	PatientID
payee	CaregiverRelationships
provider	CaregiverRelationships
referral	ReferralID
text	Comment
type	ClaimType

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