API end point: https://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir
.
Maps CareEvolution Claim concepts
Name | Type | Modifiers , prefixes | Multiple values | Can be chained | Description |
---|---|---|---|---|---|
_id | Token | Yes |
Resource id |
||
_lastUpdated | Date | lt le gt ge |
When the resource last changed |
||
_source | Uri | :missing | Yes |
Where the resource comes from |
|
created | Date | :missing eq ne lt le gt ge sa eb ap |
Searches for claims by start date-time |
||
date | Date | :missing eq ne lt le gt ge sa eb ap | See here | ||
encounter | Reference (Encounter) | :missing | Yes | Yes |
Searches for claims by their associated encounter |
identifier | Token | :missing | Yes |
The primary identifier of the financial resource |
|
patient | Reference (Patient) | :missing | Yes | Yes |
The patient the Claim is about |
provenance-agent | Reference (Organization) | :missing | Yes | Yes |
Search by provenance, specified by its author (aka originator) Organization |
provider | Reference (Practitioner) | :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 :missing | Yes |
Searches for claims by status |
|
type | Token | :missing | Yes | See here |
Supports multiple sorts
FHIR | CareEvolution | |
---|---|---|
coverage | InsuranceID | |
created | StartDate | |
diagnosis.diagnosis |
Problems.Term
Domain: DiagnosisCode |
|
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') | Problems.Date | |
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemType') |
Problems.Type
Domain: DiagnosisType |
|
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
Domain: AdmitSource |
|
extension('http://careevolution.com/fhirextensions#claim-admitType') |
AdmitType
Domain: AdmissionType |
|
extension('http://careevolution.com/fhirextensions#claim-billClass') |
BillClass
Domain: 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
Domain: ClaimDisposition |
|
extension('http://careevolution.com/fhirextensions#claim-drg') |
Drg
Domain: ClaimDrg |
|
extension('http://careevolution.com/fhirextensions#claim-encounterID') | EncounterID | |
extension('http://careevolution.com/fhirextensions#claim-endDate') | EndDate | |
extension('http://careevolution.com/fhirextensions#claim-facilityType') |
FacilityType
Domain: FacilityType |
|
extension('http://careevolution.com/fhirextensions#claim-innetwork') |
InNetwork
Domain: ClaimInNetwork |
|
extension('http://careevolution.com/fhirextensions#claim-mrn') | Mrn | |
extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason') |
NonPaymentReason
Domain: NonPaymentReason |
|
extension('http://careevolution.com/fhirextensions#claim-paidDate') | PaidDate | |
extension('http://careevolution.com/fhirextensions#claim-patientStatus') |
PatientStatus
Domain: PatientStatus |
|
extension('http://careevolution.com/fhirextensions#claim-providers') | CaregiverRelationships | |
Services.CaregiverRelationships | ||
extension('http://careevolution.com/fhirextensions#claim-status') |
Status
Domain: ClaimStatus |
|
extension('http://careevolution.com/fhirextensions#claim-totalAllowed') | TotalAllowed | |
extension('http://careevolution.com/fhirextensions#claim-totalCharges') | TotalCharges | |
extension('http://careevolution.com/fhirextensions#claim-totalcoinsuranceamount') | TotalCoinsuranceAmount | |
extension('http://careevolution.com/fhirextensions#claim-totalcopayamount') | TotalCopayAmount | |
extension('http://careevolution.com/fhirextensions#claim-totaldeductibleamount') | TotalDeductibleAmount | |
extension('http://careevolution.com/fhirextensions#claim-totalhsapaidamount') | TotalHsaPaidAmount | |
extension('http://careevolution.com/fhirextensions#claim-totalnotcoveredamount') | TotalNotCoveredAmount | |
extension('http://careevolution.com/fhirextensions#claim-totalPaid') | TotalPaid | |
extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid') | TotalPatientPaid | |
extension('http://careevolution.com/fhirextensions#claim-totalpatientresponsibleamount') | TotalPatientResponsibleAmount | |
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
Domain: ServiceLocation |
|
item.extension('http://careevolution.com/fhirextensions#claim-patientPaid') | Services.PatientPaid | |
item.extension('http://careevolution.com/fhirextensions#claim-revenueCode') |
Services.RevenueCode
Domain: RevenueCode |
|
item.extension('http://careevolution.com/fhirextensions#claimService-allowedamount') | Services.AllowedAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-coinsuranceamount') | Services.CoinsuranceAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-copayamount') | Services.CopayAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-deductibleamount') | Services.DeductibleAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-hsapaidamount') | Services.HsaPaidAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-nonPaymentReason') |
Services.NonPaymentReason
Domain: NonPaymentReason |
|
item.extension('http://careevolution.com/fhirextensions#claimService-notcoveredamount') | Services.NotCoveredAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount') | Services.PatientResponsibleAmount | |
item.extension('http://careevolution.com/fhirextensions#claim-status') |
Services.Status
Domain: ClaimServiceStatus |
|
item.modifier |
Services.Modifier1
Domain: BillingModifier |
|
Services.Modifier2
Domain: BillingModifier |
||
Services.Modifier3
Domain: BillingModifier |
||
Services.Modifier4
Domain: BillingModifier |
||
Services.Modifier5
Domain: BillingModifier |
||
item.net | Services.AmountPaid | |
item.quantity | Services.Units | |
item.sequence | Services.Sequence | |
item.service |
Services.ServiceCode
Domain: ServiceCode |
|
item.serviceDate | Services.StartDate | |
item.unitPrice | Services.AmountClaimed | |
patient | PatientID | |
payee | CaregiverRelationships | Maps CaregiverRelationships with RelationshipType=PayToProvider |
provider | CaregiverRelationships | Maps CaregiverRelationships with RelationshipType=ClaimProvider |
referral | ReferralID | |
text | Comment | |
type
Bindings: valueset-claim-type |
ClaimType
Domain: ClaimType |
FHIR | CareEvolution | |
---|---|---|
coverage | InsuranceID | |
created | StartDate | |
diagnosis.diagnosis |
Problems.Term
Domain: DiagnosisCode |
|
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') | Problems.Date | |
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemType') |
Problems.Type
Domain: DiagnosisType |
|
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
Domain: AdmitSource |
|
extension('http://careevolution.com/fhirextensions#claim-admitType') |
AdmitType
Domain: AdmissionType |
|
extension('http://careevolution.com/fhirextensions#claim-billClass') |
BillClass
Domain: 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
Domain: ClaimDisposition |
|
extension('http://careevolution.com/fhirextensions#claim-drg') |
Drg
Domain: ClaimDrg |
|
extension('http://careevolution.com/fhirextensions#claim-encounterID') | EncounterID | |
extension('http://careevolution.com/fhirextensions#claim-endDate') | EndDate | |
extension('http://careevolution.com/fhirextensions#claim-facilityType') |
FacilityType
Domain: FacilityType |
|
extension('http://careevolution.com/fhirextensions#claim-innetwork') |
InNetwork
Domain: ClaimInNetwork |
|
extension('http://careevolution.com/fhirextensions#claim-mrn') | Mrn | |
extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason') |
NonPaymentReason
Domain: NonPaymentReason |
|
extension('http://careevolution.com/fhirextensions#claim-paidDate') | PaidDate | |
extension('http://careevolution.com/fhirextensions#claim-patientStatus') |
PatientStatus
Domain: PatientStatus |
|
extension('http://careevolution.com/fhirextensions#claim-providers') | CaregiverRelationships | |
Services.CaregiverRelationships | ||
extension('http://careevolution.com/fhirextensions#claim-status') |
Status
Domain: ClaimStatus |
|
extension('http://careevolution.com/fhirextensions#claim-totalAllowed') | TotalAllowed | |
extension('http://careevolution.com/fhirextensions#claim-totalCharges') | TotalCharges | |
extension('http://careevolution.com/fhirextensions#claim-totalcoinsuranceamount') | TotalCoinsuranceAmount | |
extension('http://careevolution.com/fhirextensions#claim-totalcopayamount') | TotalCopayAmount | |
extension('http://careevolution.com/fhirextensions#claim-totaldeductibleamount') | TotalDeductibleAmount | |
extension('http://careevolution.com/fhirextensions#claim-totalhsapaidamount') | TotalHsaPaidAmount | |
extension('http://careevolution.com/fhirextensions#claim-totalnotcoveredamount') | TotalNotCoveredAmount | |
extension('http://careevolution.com/fhirextensions#claim-totalPaid') | TotalPaid | |
extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid') | TotalPatientPaid | |
extension('http://careevolution.com/fhirextensions#claim-totalpatientresponsibleamount') | TotalPatientResponsibleAmount | |
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
Domain: ServiceLocation |
|
item.extension('http://careevolution.com/fhirextensions#claim-patientPaid') | Services.PatientPaid | |
item.extension('http://careevolution.com/fhirextensions#claim-revenueCode') |
Services.RevenueCode
Domain: RevenueCode |
|
item.extension('http://careevolution.com/fhirextensions#claimService-allowedamount') | Services.AllowedAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-coinsuranceamount') | Services.CoinsuranceAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-copayamount') | Services.CopayAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-deductibleamount') | Services.DeductibleAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-hsapaidamount') | Services.HsaPaidAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-nonPaymentReason') |
Services.NonPaymentReason
Domain: NonPaymentReason |
|
item.extension('http://careevolution.com/fhirextensions#claimService-notcoveredamount') | Services.NotCoveredAmount | |
item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount') | Services.PatientResponsibleAmount | |
item.extension('http://careevolution.com/fhirextensions#claim-status') |
Services.Status
Domain: ClaimServiceStatus |
|
item.modifier |
Services.Modifier1
Domain: BillingModifier |
|
Services.Modifier2
Domain: BillingModifier |
||
Services.Modifier3
Domain: BillingModifier |
||
Services.Modifier4
Domain: BillingModifier |
||
Services.Modifier5
Domain: BillingModifier |
||
item.net | Services.AmountPaid | |
item.quantity | Services.Units | |
item.sequence | Services.Sequence | |
item.service |
Services.ServiceCode
Domain: ServiceCode |
|
item.serviceDate | Services.StartDate | |
item.unitPrice | Services.AmountClaimed | |
patient | PatientID | |
payee | CaregiverRelationships | Maps CaregiverRelationships with RelationshipType=PayToProvider |
provider | CaregiverRelationships | Maps CaregiverRelationships with RelationshipType=ClaimProvider |
referral | ReferralID | |
text | Comment | |
type
Bindings: valueset-claim-type |
ClaimType
Domain: ClaimType |