API end point: https://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir-stu3.
Maps CareEvolution Claim and contained Medication 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 |
||
| encounter | Reference (Encounter) | :missing | Yes | Yes |
Encounters associated with a billed line item |
| enddate | Date | :missing eq ne lt le gt ge sa eb ap |
Searches for claims by end date-time |
||
| hospitalization | Date | :missing eq ne lt le gt ge sa eb ap | See here | ||
| 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 |
| startdate | Date | :missing eq ne lt le gt ge sa eb ap |
Searches for claims by start date-time |
||
| status | Token | :not :in :not-in :missing | Yes |
Searches for claims by status |
|
| type | Token | :missing | Yes | See here |
Supports multiple sorts
| CareEvolution | FHIR | |
|---|---|---|
| Claim.AdjudicationDate | extension('http://careevolution.com/fhirextensions#claim-adjudicationDate') | |
| Claim.AdmitDate | hospitalization | |
| Claim.AdmitSource
Domain: AdmitSource |
extension('http://careevolution.com/fhirextensions#claim-admitSource') | |
| Claim.AdmitType
Domain: AdmissionType |
subType | |
| Claim.AlternateIdentifier | identifier | |
| Claim.BillClass
Domain: BillClass |
extension('http://careevolution.com/fhirextensions#claim-billClass') | |
| Claim.CaregiverRelationships | provider | Maps CaregiverRelationships with RelationshipType=ClaimProvider |
| payee | Maps CaregiverRelationships with RelationshipType=PayToProvider | |
| Claim.CaregiverRelationships.CaregiverID | careTeam.provider | Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider |
| Claim.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType |
careTeam.role
Bindings: valueset-claim-careteamrole |
Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider |
| Claim.CaregiverRelationships.Responsible | careTeam.responsible | Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider |
| Claim.ClaimSupportingInformation.EndDate | information.timing | |
| Claim.ClaimSupportingInformation.Reason
Domain: SupportingInformationReason |
information.reason | |
| Claim.ClaimSupportingInformation.Sequence | information.sequence | |
| Claim.ClaimSupportingInformation.StartDate | information.timing | |
| Claim.ClaimSupportingInformation.Term
Domain: SupportingInformationCode |
information.code | |
| Claim.ClaimSupportingInformation.Type
Domain: SupportingInformationType |
information.category
Bindings: valueset-claim-informationcategory |
|
| Claim.ClaimSupportingInformation.Value | information.value | |
| Claim.ClaimType
Domain: ClaimType |
type
Bindings: valueset-claim-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
Domain: ClaimDisposition |
extension('http://careevolution.com/fhirextensions#claim-disposition') | |
| Claim.Drg
Domain: ClaimDrg |
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
Domain: FacilityType |
extension('http://careevolution.com/fhirextensions#claim-facilityType') | |
| Claim.Identifier | identifier | |
| Claim.InNetwork
Domain: ClaimInNetwork |
extension('http://careevolution.com/fhirextensions#claim-innetwork') | |
| Claim.InsuranceID | insurance.coverage | |
| Claim.InsuranceIdentifier | insurance.coverage | |
| Claim.Mrn | extension('http://careevolution.com/fhirextensions#claim-mrn') | |
| Claim.NonPaymentReason
Domain: NonPaymentReason |
extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason') | |
| Claim.PaidDate | extension('http://careevolution.com/fhirextensions#claim-paidDate') | |
| Claim.PatientID | patient | |
| Claim.PatientStatus
Domain: 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
Domain: DiagnosisCode |
diagnosis.diagnosis | |
| Claim.Problems.Type
Domain: DiagnosisType |
diagnosis.type | |
| Claim.Procedures.Date | procedure.date | |
| Claim.Procedures.Sequence | procedure.sequence | |
| Claim.Procedures.Term
Domain: ProcedureCode |
procedure.procedure | |
| Claim.Properties | extension('http://careevolution.com/fhirextensions#properties') | |
| Claim.Property('ClaimBillablePeriodEndDate') | billablePeriod | |
| Claim.Property('ClaimBillablePeriodStartDate') | billablePeriod | |
| Claim.Property('OriginalClaimNumber') | related | |
| Claim.ReferralID | referral | |
| Claim.Services.AllowedAmount | item.extension('http://careevolution.com/fhirextensions#claimService-allowedamount') | |
| Claim.Services.AmountClaimed | item.net | |
| Claim.Services.AmountPaid | item.extension('http://careevolution.com/fhirextensions#claim-amountPaid') | |
| Claim.Services.CaregiverRelationships.CaregiverID | careTeam.provider | |
| Claim.Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType |
careTeam.role
Bindings: valueset-claim-careteamrole |
|
| Claim.Services.CaregiverRelationships.Responsible | careTeam.responsible | |
| Claim.Services.CoinsuranceAmount | item.extension('http://careevolution.com/fhirextensions#claimService-coinsuranceamount') | |
| Claim.Services.CopayAmount | item.extension('http://careevolution.com/fhirextensions#claimService-copayamount') | |
| Claim.Services.DeductibleAmount | item.extension('http://careevolution.com/fhirextensions#claimService-deductibleamount') | |
| Claim.Services.EndDate | item.extension('http://careevolution.com/fhirextensions#claim-endDate') | |
| Claim.Services.HsaPaidAmount | item.extension('http://careevolution.com/fhirextensions#claimService-hsapaidamount') | |
| Claim.Services.LocationType
Domain: ServiceLocation |
item.extension('http://careevolution.com/fhirextensions#claim-locationType') | |
| Claim.Services.Modifier1
Domain: BillingModifier |
item.modifier | |
| Claim.Services.Modifier2
Domain: BillingModifier |
item.modifier | |
| Claim.Services.Modifier3
Domain: BillingModifier |
item.modifier | |
| Claim.Services.Modifier4
Domain: BillingModifier |
item.modifier | |
| Claim.Services.Modifier5
Domain: BillingModifier |
item.modifier | |
| Claim.Services.NonPaymentReason
Domain: NonPaymentReason |
item.extension('http://careevolution.com/fhirextensions#claimService-nonPaymentReason') | |
| Claim.Services.NotCoveredAmount | item.extension('http://careevolution.com/fhirextensions#claimService-notcoveredamount') | |
| Claim.Services.PatientPaid | item.extension('http://careevolution.com/fhirextensions#claim-patientPaid') | |
| Claim.Services.PatientResponsibleAmount | item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount') | |
| Claim.Services.Property('IsFromFhirCategoryProperty') | item.category | |
| item.revenue | ||
| Claim.Services.RevenueCode
Domain: RevenueCode |
item.category | |
| item.revenue | ||
| Claim.Services.Sequence | item.sequence | |
| Claim.Services.ServiceCode
Domain: ServiceCode |
item.service | |
| Claim.Services.StartDate | item.serviced | |
| Claim.Services.Status
Domain: ClaimServiceStatus |
item.extension('http://careevolution.com/fhirextensions#claim-status') | |
| Claim.Services.Units | item.quantity | |
| Claim.StartDate | created | |
| Claim.Status
Domain: ClaimStatus |
status
Bindings: valueset-fm-status |
|
| Claim.TotalAllowed | extension('http://careevolution.com/fhirextensions#claim-totalAllowed') | |
| Claim.TotalCharges | total | |
| Claim.TotalCoinsuranceAmount | extension('http://careevolution.com/fhirextensions#claim-totalcoinsuranceamount') | |
| Claim.TotalCopayAmount | extension('http://careevolution.com/fhirextensions#claim-totalcopayamount') | |
| Claim.TotalDeductibleAmount | extension('http://careevolution.com/fhirextensions#claim-totaldeductibleamount') | |
| Claim.TotalHsaPaidAmount | extension('http://careevolution.com/fhirextensions#claim-totalhsapaidamount') | |
| Claim.TotalNotCoveredAmount | extension('http://careevolution.com/fhirextensions#claim-totalnotcoveredamount') | |
| Claim.TotalPaid | extension('http://careevolution.com/fhirextensions#claim-totalPaid') | |
| Claim.TotalPatientPaid | extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid') | |
| Claim.TotalPatientResponsibleAmount | extension('http://careevolution.com/fhirextensions#claim-totalpatientresponsibleamount') | |
| 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.Properties | item.extension('http://careevolution.com/fhirextensions#properties') | |
| Medications.Quantity | item.quantity | |
| Medications.RefillNumber | item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num') | |
| Medications.Sequence | item.sequence | |
| Medications.Term
Domain: MedicationType |
item.service | |
| item.quantity | ||
| Medications.Units
Domain: MedicationUnits |
item.quantity |
| CareEvolution | FHIR | |
|---|---|---|
| Claim.AdjudicationDate | extension('http://careevolution.com/fhirextensions#claim-adjudicationDate') | |
| Claim.AdmitDate | hospitalization | |
| Claim.AdmitSource
Domain: AdmitSource |
extension('http://careevolution.com/fhirextensions#claim-admitSource') | |
| Claim.AdmitType
Domain: AdmissionType |
subType | |
| Claim.AlternateIdentifier | identifier | |
| Claim.BillClass
Domain: BillClass |
extension('http://careevolution.com/fhirextensions#claim-billClass') | |
| Claim.CaregiverRelationships | provider | Maps CaregiverRelationships with RelationshipType=ClaimProvider |
| payee | Maps CaregiverRelationships with RelationshipType=PayToProvider | |
| Claim.CaregiverRelationships.CaregiverID | careTeam.provider | |
| Claim.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType |
careTeam.role
Bindings: valueset-claim-careteamrole |
|
| Claim.CaregiverRelationships.Responsible | careTeam.responsible | |
| Claim.ClaimSupportingInformation.EndDate | information.timing | |
| Claim.ClaimSupportingInformation.Reason
Domain: SupportingInformationReason |
information.reason | |
| Claim.ClaimSupportingInformation.Sequence | information.sequence | |
| Claim.ClaimSupportingInformation.StartDate | information.timing | |
| Claim.ClaimSupportingInformation.Term
Domain: SupportingInformationCode |
information.code | |
| Claim.ClaimSupportingInformation.Type
Domain: SupportingInformationType |
information.category
Bindings: valueset-claim-informationcategory |
|
| Claim.ClaimSupportingInformation.Value | information.value | |
| Claim.ClaimType
Domain: ClaimType |
type
Bindings: valueset-claim-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
Domain: ClaimDisposition |
extension('http://careevolution.com/fhirextensions#claim-disposition') | |
| Claim.Drg
Domain: ClaimDrg |
extension('http://careevolution.com/fhirextensions#claim-drg') | |
| Claim.EncounterID | extension('http://careevolution.com/fhirextensions#claim-encounterID') | |
| Claim.EndDate | extension('http://careevolution.com/fhirextensions#claim-endDate') | |
| Claim.FacilityType
Domain: FacilityType |
extension('http://careevolution.com/fhirextensions#claim-facilityType') | |
| Claim.Identifier | identifier | |
| id | ||
| Claim.InNetwork
Domain: ClaimInNetwork |
extension('http://careevolution.com/fhirextensions#claim-innetwork') | |
| Claim.InsuranceID | insurance.coverage | |
| Claim.InsuranceIdentifier | insurance.coverage | |
| Claim.Mrn | extension('http://careevolution.com/fhirextensions#claim-mrn') | |
| Claim.NonPaymentReason
Domain: NonPaymentReason |
extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason') | |
| Claim.PaidDate | extension('http://careevolution.com/fhirextensions#claim-paidDate') | |
| Claim.PatientID | patient | |
| Claim.PatientStatus
Domain: 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
Domain: DiagnosisCode |
diagnosis.diagnosis | |
| Claim.Problems.Type
Domain: DiagnosisType |
diagnosis.type | |
| Claim.Procedures.Date | procedure.date | |
| Claim.Procedures.Sequence | procedure.sequence | |
| Claim.Procedures.Term
Domain: ProcedureCode |
procedure.procedure | |
| Claim.Properties | extension('http://careevolution.com/fhirextensions#properties') | |
| extension | ||
| Claim.Property('ClaimBillablePeriodEndDate') | billablePeriod | |
| Claim.Property('ClaimBillablePeriodStartDate') | billablePeriod | |
| Claim.Property('OriginalClaimNumber') | related | |
| Claim.ReferralID | referral | |
| Claim.Services.AllowedAmount | item.extension('http://careevolution.com/fhirextensions#claimService-allowedamount') | |
| Claim.Services.AmountClaimed | item.net | |
| Claim.Services.AmountPaid | item.extension('http://careevolution.com/fhirextensions#claim-amountPaid') | |
| Claim.Services.CaregiverRelationships.CaregiverID | careTeam.provider | |
| Claim.Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType |
careTeam.role
Bindings: valueset-claim-careteamrole |
|
| Claim.Services.CaregiverRelationships.Responsible | careTeam.responsible | |
| Claim.Services.CoinsuranceAmount | item.extension('http://careevolution.com/fhirextensions#claimService-coinsuranceamount') | |
| Claim.Services.CopayAmount | item.extension('http://careevolution.com/fhirextensions#claimService-copayamount') | |
| Claim.Services.DeductibleAmount | item.extension('http://careevolution.com/fhirextensions#claimService-deductibleamount') | |
| Claim.Services.EndDate | item.extension('http://careevolution.com/fhirextensions#claim-endDate') | |
| Claim.Services.HsaPaidAmount | item.extension('http://careevolution.com/fhirextensions#claimService-hsapaidamount') | |
| Claim.Services.LocationType
Domain: ServiceLocation |
item.extension('http://careevolution.com/fhirextensions#claim-locationType') | |
| Claim.Services.Modifier1
Domain: BillingModifier |
item.modifier | |
| Claim.Services.Modifier2
Domain: BillingModifier |
item.modifier | |
| Claim.Services.Modifier3
Domain: BillingModifier |
item.modifier | |
| Claim.Services.Modifier4
Domain: BillingModifier |
item.modifier | |
| Claim.Services.Modifier5
Domain: BillingModifier |
item.modifier | |
| Claim.Services.NonPaymentReason
Domain: NonPaymentReason |
item.extension('http://careevolution.com/fhirextensions#claimService-nonPaymentReason') | |
| Claim.Services.NotCoveredAmount | item.extension('http://careevolution.com/fhirextensions#claimService-notcoveredamount') | |
| Claim.Services.PatientPaid | item.extension('http://careevolution.com/fhirextensions#claim-patientPaid') | |
| Claim.Services.PatientResponsibleAmount | item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount') | |
| Claim.Services.Properties | item.extension | |
| Claim.Services.Property('IsFromFhirCategoryProperty') | item.category | |
| item.revenue | ||
| Claim.Services.RevenueCode
Domain: RevenueCode |
item.category | |
| item.revenue | ||
| Claim.Services.Sequence | item.sequence | |
| Claim.Services.ServiceCode
Domain: ServiceCode |
item.service | |
| Claim.Services.StartDate | item.serviced | |
| Claim.Services.Status
Domain: ClaimServiceStatus |
item.extension('http://careevolution.com/fhirextensions#claim-status') | |
| Claim.Services.Units | item.quantity | |
| Claim.StartDate | created | |
| Claim.Status
Domain: ClaimStatus |
status
Bindings: valueset-fm-status |
|
| Claim.TotalAllowed | extension('http://careevolution.com/fhirextensions#claim-totalAllowed') | |
| Claim.TotalCharges | total | |
| Claim.TotalCoinsuranceAmount | extension('http://careevolution.com/fhirextensions#claim-totalcoinsuranceamount') | |
| Claim.TotalCopayAmount | extension('http://careevolution.com/fhirextensions#claim-totalcopayamount') | |
| Claim.TotalDeductibleAmount | extension('http://careevolution.com/fhirextensions#claim-totaldeductibleamount') | |
| Claim.TotalHsaPaidAmount | extension('http://careevolution.com/fhirextensions#claim-totalhsapaidamount') | |
| Claim.TotalNotCoveredAmount | extension('http://careevolution.com/fhirextensions#claim-totalnotcoveredamount') | |
| Claim.TotalPaid | extension('http://careevolution.com/fhirextensions#claim-totalPaid') | |
| Claim.TotalPatientPaid | extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid') | |
| Claim.TotalPatientResponsibleAmount | extension('http://careevolution.com/fhirextensions#claim-totalpatientresponsibleamount') | |
| 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.Properties | item.extension('http://careevolution.com/fhirextensions#properties') | |
| Medications.Quantity | item.quantity | |
| Medications.RefillNumber | item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num') | |
| Medications.Sequence | item.sequence | |
| Medications.Term
Domain: MedicationType |
item.service | |
| Medications.Units
Domain: MedicationUnits |
item.quantity |
