Resource Claim

Maps CareEvolution Claim concepts with a Claim DataSource code NOT containing the value 'ExplanationOfBenefit'

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 Searches for claims by created date
date Date eq lt le gt ge See here
encounter Reference :missing Yes Yes Searches for claims by their associated encounter
identifier Token Yes See here
patient Reference Yes Yes See here
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

Supports only one sort at a time

Includes

Operations

To FHIR mappings

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

From FHIR mappings

From To
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