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

Resource Claim (DSTU2)

Maps CareEvolution Claim 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 ne lt le gt ge sa eb ap Searches for claims by created date-time
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

Supports multiple sorts

Includes

Operations

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
Services.CaregiverRelationships
extension('http://careevolution.com/fhirextensions#claim-status') Status
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
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#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-notcoveredamount') Services.NotCoveredAmount
item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount') Services.PatientResponsibleAmount
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
Services.CaregiverRelationships
extension('http://careevolution.com/fhirextensions#claim-status') Status
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
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#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-notcoveredamount') Services.NotCoveredAmount
item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount') Services.PatientResponsibleAmount
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