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

Resource Claim (R4)

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 ne lt le gt ge sa eb ap See here
encounter Reference :missing Yes Yes See here
enddate Date eq ne lt le gt ge sa eb ap Searches for claims by end date-time
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
startdate Date eq ne lt le gt ge sa eb ap Searches for claims by start date-time
status Token :not :in :not-in Yes See here
type Token Yes See here

Sorts

Supports multiple sorts

Includes

Operations

To FHIR mappings

FHIR CareEvolution
billablePeriod Claim.StartDate
Claim.EndDate
careTeam.provider Claim.CaregiverRelationships.CaregiverID
Claim.Services.CaregiverRelationships.CaregiverID
careTeam.responsible Claim.CaregiverRelationships.Responsible
Claim.Services.CaregiverRelationships.Responsible
careTeam.role Claim.CaregiverRelationships.RelationshipType
Claim.Services.CaregiverRelationships.RelationshipType
created Claim.CreatedDate
diagnosis.diagnosis Claim.Problems.Term
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') Claim.Problems.Date
diagnosis.onAdmission Claim.Problems.OnAdmission
diagnosis.sequence Claim.Problems.Sequence
diagnosis.type Claim.Problems.Type
extension('http://careevolution.com/fhirextensions#claim-adjudicationDate') Claim.AdjudicationDate
extension('http://careevolution.com/fhirextensions#claim-admitDate') Claim.AdmitDate
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-dischargeDate') Claim.DischargeDate
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-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-referralID') Claim.ReferralID
extension('http://careevolution.com/fhirextensions#claim-totalAllowed') Claim.TotalAllowed
extension('http://careevolution.com/fhirextensions#claim-totalcoinsuranceamount') Claim.TotalCoinsuranceAmount
extension('http://careevolution.com/fhirextensions#claim-totalcopayamount') Claim.TotalCopayAmount
extension('http://careevolution.com/fhirextensions#claim-totaldeductibleamount') Claim.TotalDeductibleAmount
extension('http://careevolution.com/fhirextensions#claim-totalhsapaidamount') Claim.TotalHsaPaidAmount
extension('http://careevolution.com/fhirextensions#claim-totalnotcoveredamount') Claim.TotalNotCoveredAmount
extension('http://careevolution.com/fhirextensions#claim-totalPaid') Claim.TotalPaid
extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid') Claim.TotalPatientPaid
extension('http://careevolution.com/fhirextensions#claim-totalpatientresponsibleamount') Claim.TotalPatientResponsibleAmount
extension('http://careevolution.com/fhirextensions#dataSource') Claim.DataSource
extension('http://careevolution.com/fhirextensions#properties') Claim.Properties
facility Claim.Encounter.EncounterLocations
identifier Claim.Identifier
Claim.AlternateIdentifier
insurance.coverage.identifier Claim.InsuranceIdentifier
insurance.coverage.reference Claim.InsuranceID
insurer Claim.InsuranceID
Claim.InsuranceIdentifier
item.category Claim.Services.RevenueCode
Claim.Services.Property('IsFromFhirCategoryProperty')
item.detail.category.coding.display Medications.Comment
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#claimService-allowedamount') Claim.Services.AllowedAmount
item.extension('http://careevolution.com/fhirextensions#claimService-coinsuranceamount') Claim.Services.CoinsuranceAmount
item.extension('http://careevolution.com/fhirextensions#claimService-copayamount') Claim.Services.CopayAmount
item.extension('http://careevolution.com/fhirextensions#claimService-deductibleamount') Claim.Services.DeductibleAmount
item.extension('http://careevolution.com/fhirextensions#claimService-hsapaidamount') Claim.Services.HsaPaidAmount
item.extension('http://careevolution.com/fhirextensions#claimService-notcoveredamount') Claim.Services.NotCoveredAmount
item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount') Claim.Services.PatientResponsibleAmount
item.extension('http://careevolution.com/fhirextensions#claim-status') Claim.Services.Status
item.extension('http://careevolution.com/fhirextensions#properties') Medications.Properties
item.modifier Claim.Services.Modifier1
Claim.Services.Modifier2
Claim.Services.Modifier3
Claim.Services.Modifier4
Claim.Services.Modifier5
item.net Medications.AmountBilled
Claim.Services.AmountClaimed
item.productOrService Medications.Term
Claim.Services.ServiceCode
item.quantity Medications.Quantity
Medications.Units
Medications.Term
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.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
procedure.type Claim.Procedures.Type
provider Claim.CaregiverRelationships
status Claim.Status
subType Claim.AdmitType
supportingInfo.category Claim.ClaimSupportingInformation.Type
supportingInfo.code Claim.ClaimSupportingInformation.Term
supportingInfo.reason Claim.ClaimSupportingInformation.Reason
supportingInfo.sequence Claim.ClaimSupportingInformation.Sequence
supportingInfo.timing Claim.ClaimSupportingInformation.StartDate
Claim.ClaimSupportingInformation.EndDate
supportingInfo.value Claim.ClaimSupportingInformation.Value
text Claim.Comment
total Claim.TotalCharges
type Claim.ClaimType

From FHIR mappings

FHIR CareEvolution
billablePeriod Claim.StartDate
Claim.EndDate
careTeam.provider Claim.CaregiverRelationships.CaregiverID
Claim.Services.CaregiverRelationships.CaregiverID
careTeam.responsible Claim.CaregiverRelationships.Responsible
Claim.Services.CaregiverRelationships.Responsible
careTeam.role Claim.CaregiverRelationships.RelationshipType
Claim.Services.CaregiverRelationships.RelationshipType
created Claim.CreatedDate
diagnosis.diagnosis Claim.Problems.Term
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') Claim.Problems.Date
diagnosis.onAdmission Claim.Problems.OnAdmission
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-admitDate') Claim.AdmitDate
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-dischargeDate') Claim.DischargeDate
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-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-totalAllowed') Claim.TotalAllowed
extension('http://careevolution.com/fhirextensions#claim-totalcoinsuranceamount') Claim.TotalCoinsuranceAmount
extension('http://careevolution.com/fhirextensions#claim-totalcopayamount') Claim.TotalCopayAmount
extension('http://careevolution.com/fhirextensions#claim-totaldeductibleamount') Claim.TotalDeductibleAmount
extension('http://careevolution.com/fhirextensions#claim-totalhsapaidamount') Claim.TotalHsaPaidAmount
extension('http://careevolution.com/fhirextensions#claim-totalnotcoveredamount') Claim.TotalNotCoveredAmount
extension('http://careevolution.com/fhirextensions#claim-totalPaid') Claim.TotalPaid
extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid') Claim.TotalPatientPaid
extension('http://careevolution.com/fhirextensions#claim-totalpatientresponsibleamount') Claim.TotalPatientResponsibleAmount
extension('http://careevolution.com/fhirextensions#dataSource') Claim.DataSource
extension('http://careevolution.com/fhirextensions#properties') Claim.Properties
id Claim.Identifier
identifier Claim.Identifier
Claim.AlternateIdentifier
insurance.coverage.identifier Claim.InsuranceIdentifier
insurance.coverage.reference Claim.InsuranceID
insurer Claim.InsuranceID
Claim.InsuranceIdentifier
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#claimService-allowedamount') Claim.Services.AllowedAmount
item.extension('http://careevolution.com/fhirextensions#claimService-coinsuranceamount') Claim.Services.CoinsuranceAmount
item.extension('http://careevolution.com/fhirextensions#claimService-copayamount') Claim.Services.CopayAmount
item.extension('http://careevolution.com/fhirextensions#claimService-deductibleamount') Claim.Services.DeductibleAmount
item.extension('http://careevolution.com/fhirextensions#claimService-hsapaidamount') Claim.Services.HsaPaidAmount
item.extension('http://careevolution.com/fhirextensions#claimService-notcoveredamount') Claim.Services.NotCoveredAmount
item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount') Claim.Services.PatientResponsibleAmount
item.extension('http://careevolution.com/fhirextensions#claim-status') Claim.Services.Status
item.extension('http://careevolution.com/fhirextensions#properties') Medications.Properties
item.modifier Claim.Services.Modifier1
Claim.Services.Modifier2
Claim.Services.Modifier3
Claim.Services.Modifier4
Claim.Services.Modifier5
item.net Medications.AmountBilled
Claim.Services.AmountClaimed
item.productOrService Medications.Term
Claim.Services.ServiceCode
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.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
procedure.type Claim.Procedures.Type
provider Claim.CaregiverRelationships
status Claim.Status
subType Claim.AdmitType
supportingInfo.category Claim.ClaimSupportingInformation.Type
supportingInfo.code Claim.ClaimSupportingInformation.Term
supportingInfo.reason Claim.ClaimSupportingInformation.Reason
supportingInfo.sequence Claim.ClaimSupportingInformation.Sequence
supportingInfo.timing Claim.ClaimSupportingInformation.StartDate
Claim.ClaimSupportingInformation.EndDate
supportingInfo.value Claim.ClaimSupportingInformation.Value
text Claim.Comment
total Claim.TotalCharges
type Claim.ClaimType