API end point: http://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir-stu3.

Resource Claim

Maps CareEvolution Claim and contained Medication concepts

Supported interactions

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 lt le gt ge See here
encounter Reference :missing Yes Yes See here
enddate Date eq lt le gt ge Searches for claims by end date
hospitalization Date eq lt le gt ge See here
identifier Token Yes See here
patient Reference 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
startdate Date eq lt le gt ge Searches for claims by start date
status Token :not :in :not-in Yes Searches for claims by status
type Token Yes See here

Sorts

Supports multiple sorts

Includes

Operations

To FHIR mappings

From To
Claim.AdjudicationDate extension('http://careevolution.com/fhirextensions#claim-adjudicationDate')
Claim.AdmitDate hospitalization
Claim.AdmitSource extension('http://careevolution.com/fhirextensions#claim-admitSource')
Claim.AdmitType subType
Claim.AlternateIdentifier identifier
Claim.BillClass extension('http://careevolution.com/fhirextensions#claim-billClass')
Claim.CaregiverRelationships provider
payee
Claim.CaregiverRelationships.CaregiverID careTeam.provider
Claim.CaregiverRelationships.RelationshipType careTeam.role
Claim.CaregiverRelationships.Responsible careTeam.responsible
Claim.ClaimType type
Claim.Comment text
Claim.ControlNumber extension('http://careevolution.com/fhirextensions#claim-controlNumber')
Claim.DataSource extension('http://careevolution.com/fhirextensions#dataSource')
Claim.DischargeDate hospitalization
Claim.Disposition extension('http://careevolution.com/fhirextensions#claim-disposition')
Claim.Drg extension('http://careevolution.com/fhirextensions#claim-drg')
Claim.Encounter.EncounterLocations facility
Claim.EncounterID extension('http://careevolution.com/fhirextensions#claim-encounterID')
Claim.EndDate extension('http://careevolution.com/fhirextensions#claim-endDate')
Claim.FacilityType extension('http://careevolution.com/fhirextensions#claim-facilityType')
Claim.Identifier identifier
Claim.InsuranceID insurance
Claim.Mrn extension('http://careevolution.com/fhirextensions#claim-mrn')
Claim.NonPaymentReason extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason')
Claim.PaidDate extension('http://careevolution.com/fhirextensions#claim-paidDate')
Claim.PatientID patient
Claim.PatientStatus extension('http://careevolution.com/fhirextensions#claim-patientStatus')
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term diagnosis.diagnosis
Claim.Problems.Type diagnosis.type
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term procedure.procedure
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
Claim.Property('ClaimBillablePeriodEndDate') billablePeriod
Claim.Property('ClaimBillablePeriodStartDate') billablePeriod
Claim.ReferralID referral
Claim.Services.AmountClaimed item.net
Claim.Services.AmountPaid item.extension('http://careevolution.com/fhirextensions#claim-amountPaid')
Claim.Services.EndDate item.extension('http://careevolution.com/fhirextensions#claim-endDate')
Claim.Services.LocationType item.extension('http://careevolution.com/fhirextensions#claim-locationType')
Claim.Services.Modifier1 item.modifier
Claim.Services.Modifier2 item.modifier
Claim.Services.Modifier3 item.modifier
Claim.Services.Modifier4 item.modifier
Claim.Services.Modifier5 item.modifier
Claim.Services.PatientPaid item.extension('http://careevolution.com/fhirextensions#claim-patientPaid')
Claim.Services.Property('IsFromFhirCategoryProperty') item.category
item.revenue
Claim.Services.RevenueCode item.category
item.revenue
Claim.Services.Sequence item.sequence
Claim.Services.ServiceCode item.service
Claim.Services.StartDate item.serviced
Claim.Services.Status item.extension('http://careevolution.com/fhirextensions#claim-status')
Claim.Services.Units item.quantity
Claim.StartDate created
Claim.Status status
Claim.TotalCharges total
Claim.TotalPaid extension('http://careevolution.com/fhirextensions#claim-totalPaid')
Claim.TotalPatientPaid extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid')
Medications.Comment item.detail.category.coding.display
Medications.Date item.serviced
Medications.DaysSupplied item.quantity.extension('https://bluebutton.cms.gov/resources/variables/days_suply_num')
Medications.Identifier item.sequence
Medications.Quantity item.quantity
Medications.RefillNumber item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num')
Medications.Term item.service
item.quantity
Medications.Units item.quantity

From FHIR mappings

From To
billablePeriod Claim.Property('ClaimBillablePeriodStartDate')
Claim.Property('ClaimBillablePeriodEndDate')
careTeam.provider Claim.CaregiverRelationships.CaregiverID
careTeam.responsible Claim.CaregiverRelationships.Responsible
careTeam.role Claim.CaregiverRelationships.RelationshipType
created Claim.StartDate
diagnosis.diagnosis Claim.Problems.Term
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') Claim.Problems.Date
diagnosis.sequence Claim.Problems.Sequence
diagnosis.type Claim.Problems.Type
extension Claim.Properties
extension('http://careevolution.com/fhirextensions#claim-adjudicationDate') Claim.AdjudicationDate
extension('http://careevolution.com/fhirextensions#claim-admitSource') Claim.AdmitSource
extension('http://careevolution.com/fhirextensions#claim-billClass') Claim.BillClass
extension('http://careevolution.com/fhirextensions#claim-controlNumber') Claim.ControlNumber
extension('http://careevolution.com/fhirextensions#claim-disposition') Claim.Disposition
extension('http://careevolution.com/fhirextensions#claim-drg') Claim.Drg
extension('http://careevolution.com/fhirextensions#claim-encounterID') Claim.EncounterID
extension('http://careevolution.com/fhirextensions#claim-endDate') Claim.EndDate
extension('http://careevolution.com/fhirextensions#claim-facilityType') Claim.FacilityType
extension('http://careevolution.com/fhirextensions#claim-mrn') Claim.Mrn
extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason') Claim.NonPaymentReason
extension('http://careevolution.com/fhirextensions#claim-paidDate') Claim.PaidDate
extension('http://careevolution.com/fhirextensions#claim-patientStatus') Claim.PatientStatus
extension('http://careevolution.com/fhirextensions#claim-totalPaid') Claim.TotalPaid
extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid') Claim.TotalPatientPaid
extension('http://careevolution.com/fhirextensions#dataSource') Claim.DataSource
extension('http://careevolution.com/fhirextensions#properties') Claim.Properties
hospitalization Claim.AdmitDate
Claim.DischargeDate
id Claim.Identifier
identifier Claim.Identifier
Claim.AlternateIdentifier
insurance Claim.InsuranceID
item.category Claim.Services.RevenueCode
Claim.Services.Property('IsFromFhirCategoryProperty')
item.detail.category.coding.display Medications.Comment
item.extension Claim.Services.Properties
item.extension('http://careevolution.com/fhirextensions#claim-amountPaid') Claim.Services.AmountPaid
item.extension('http://careevolution.com/fhirextensions#claim-endDate') Claim.Services.EndDate
item.extension('http://careevolution.com/fhirextensions#claim-locationType') Claim.Services.LocationType
item.extension('http://careevolution.com/fhirextensions#claim-patientPaid') Claim.Services.PatientPaid
item.extension('http://careevolution.com/fhirextensions#claim-status') Claim.Services.Status
item.modifier Claim.Services.Modifier1
Claim.Services.Modifier2
Claim.Services.Modifier3
Claim.Services.Modifier4
Claim.Services.Modifier5
item.net Claim.Services.AmountClaimed
item.quantity Medications.Quantity
Medications.Units
Claim.Services.Units
item.quantity.extension('https://bluebutton.cms.gov/resources/variables/days_suply_num') Medications.DaysSupplied
item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num') Medications.RefillNumber
item.revenue Claim.Services.RevenueCode
Claim.Services.Property('IsFromFhirCategoryProperty')
item.sequence Medications.Identifier
Claim.Services.Sequence
item.service Medications.Term
Claim.Services.ServiceCode
item.serviced Medications.Date
Claim.Services.StartDate
patient Claim.PatientID
payee Claim.CaregiverRelationships
procedure.date Claim.Procedures.Date
procedure.procedure Claim.Procedures.Term
procedure.sequence Claim.Procedures.Sequence
provider Claim.CaregiverRelationships
referral Claim.ReferralID
status Claim.Status
subType Claim.AdmitType
text Claim.Comment
total Claim.TotalCharges
type Claim.ClaimType