Blue Button 2.0

D.4.1.4 StructureDefinition: BluebuttonCarrierClaim - Mappings

Mappings for the StructureDefinition-bluebutton-carrier-claim Profile.

Mappings for W5 Mapping (https://bluebutton.cms.gov/assets/ig/w5)

BluebuttonCarrierClaim

ExplanationOfBenefit

financial.other

identifier

id

status

type

class

patient

who.focus

billablePeriod

when.done

referral

who.cause

careTeam

provider

who.actor

item

serviced[x]

when.done

locationCodeableConcept (locationCodeableConcept)

where

Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)

BluebuttonCarrierClaim

ExplanationOfBenefit

patient

C06,C07,C08, C05, C04

referral

B05

insurance

item

sequence

F07

service

F06

modifier

F16 (required field for Oral) and F05

serviced[x]

F09

payment

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

BluebuttonCarrierClaim

ExplanationOfBenefit

identifier

CX / EI (occasionally, more often EI maps to a resource id or a URL)

system

CX.4 / EI-2-4

value

CX.1 / EI.1

type

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

code

C*E.1

display

C*E.2 - but note this is not well followed

text

C*E.9. But note many systems use C*E.2 for this

patient

billablePeriod

DR

start

DR.1

end

DR.2

referral

careTeam

provider

identifier

CX / EI (occasionally, more often EI maps to a resource id or a URL)

role

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

code

C*E.1

display

C*E.2 - but note this is not well followed

qualification

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

code

C*E.1

display

C*E.2 - but note this is not well followed

diagnosis

diagnosis[x]

CE/CNE/CWE

type

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

code

C*E.1

insurance

Coverage

coverage

item

category

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

code

C*E.1

display

C*E.2 - but note this is not well followed

service

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

version

C*E.7

code

C*E.1

modifier

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

version

C*E.7

code

C*E.1

locationCodeableConcept (locationCodeableConcept)

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

code

C*E.1

display

C*E.2 - but note this is not well followed

quantity

SN (see also Range) or CQ

value

SN.2 / CQ - N/A

adjudication

category

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

code

C*E.1

display

C*E.2 - but note this is not well followed

reason

CE/CNE/CWE

coding

CE/CNE/CWE subset one of the sets of component 1-3 or 4-6

system

C*E.3

code

C*E.1

display

C*E.2 - but note this is not well followed

amount

SN (see also Range) or CQ

value

SN.2 / CQ - N/A

system

(see OBX.6 etc.) / CQ.2

code

(see OBX.6 etc.) / CQ.2

payment

amount

SN (see also Range) or CQ

value

SN.2 / CQ - N/A

system

(see OBX.6 etc.) / CQ.2

Mappings for RIM Mapping (http://hl7.org/v3)

BluebuttonCarrierClaim

ExplanationOfBenefit

Entity. Role, or Act

id

n/a

extension

n/a

extension (carrier-prpayamt-extension)

n/a

extension (carrier-carr-num-extension)

n/a

extension (carrier-asgmntcd-extension)

n/a

extension (carrier-carr-clm-cash-ddctbl-apld-amt-extension)

n/a

extension (carrier-carr-clm-pmt-dnl-cd-extension)

n/a

extension (carrier-nch-carr-clm-alowd-amt-extension)

n/a

extension (carrier-nch-carr-clm-sbmtd-chrg-amt-extension)

n/a

extension (carrier-nch-clm-bene-pmt-amt-extension)

n/a

extension (carrier-nch-clm-prvdr-pmt-amt-extension)

n/a

extension (carrier-clm-clncl-tril-num-extension)

n/a

modifierExtension

n/a

identifier

n/a

extension

n/a

system

n/a

value

n/a

status

n/a

type

n/a

extension

n/a

coding

n/a

extension

n/a

system

n/a

code

n/a

display

n/a

text

n/a

patient

n/a

extension

n/a

reference

n/a

billablePeriod

n/a

extension

n/a

start

n/a

end

n/a

referral

n/a

extension

n/a

reference

n/a

careTeam

n/a

extension

n/a

extension (carrier-carr-line-prvdr-type-cd-extension)

n/a

extension (carrier-prtcptng-ind-cd-extension)

n/a

extension (carrier-us-npi-extension)

n/a

modifierExtension

n/a

sequence

n/a

provider

n/a

extension

n/a

identifier

n/a

role

n/a

extension

n/a

coding

n/a

extension

n/a

system

n/a

code

n/a

display

n/a

qualification

n/a

extension

n/a

coding

n/a

extension

n/a

system

n/a

code

n/a

display

n/a

diagnosis

n/a

extension

n/a

modifierExtension

n/a

sequence

n/a

diagnosis[x]

n/a

type

n/a

extension

n/a

coding

n/a

extension

n/a

system

n/a

code

n/a

insurance

n/a

extension

n/a

modifierExtension

n/a

coverage

n/a

extension

n/a

reference

n/a

item

n/a

extension

n/a

extension (carrier-carr-line-mtus-cd-extension)

n/a

extension (carrier-carr-line-mtus-cnt-extension)

n/a

extension (carrier-betos-cd-extension)

n/a

extension (carrier-line-bene-prmry-pyr-cd-extension)

n/a

extension (carrier-line-service-deductible-extension)

n/a

extension (carrier-line-hct-hgb-rslt-num-extension)

n/a

extension (carrier-ndc-extension)

n/a

modifierExtension

n/a

sequence

n/a

diagnosisLinkId

n/a

category

n/a

extension

n/a

coding

n/a

extension

n/a

system

n/a

code

n/a

display

n/a

service

n/a

extension

n/a

extension (carrier-carr-line-ansthsa-unit-cnt-extension)

n/a

coding

n/a

extension

n/a

system

n/a

version

n/a

code

n/a

modifier

n/a

extension

n/a

coding

n/a

extension

n/a

system

n/a

version

n/a

code

n/a

serviced[x]

n/a

locationCodeableConcept (locationCodeableConcept)

n/a

extension

n/a

extension (carrier-prvdr-state-cd-extension)

n/a

extension (carrier-prvdr-zip-extension)

n/a

extension (carrier-carr-line-prcng-lclty-cd-extension)

n/a

extension (carrier-carr-line-clia-lab-num-extension)

n/a

coding

n/a

extension

n/a

system

n/a

code

n/a

display

n/a

quantity

n/a

extension

n/a

value

n/a

adjudication

n/a

extension

n/a

extension (carrier-line-pmt-80-100-cd-extension)

n/a

modifierExtension

n/a

category

n/a

extension

n/a

coding

n/a

extension

n/a

system

n/a

code

n/a

display

n/a

reason

n/a

extension

n/a

coding

n/a

extension

n/a

system

n/a

code

n/a

display

n/a

amount

n/a

extension

n/a

value

n/a

system

n/a

code

n/a

payment

n/a

extension

n/a

modifierExtension

n/a

amount

n/a

extension

n/a

value

n/a

system

n/a

Blue Button 2.0 Version: 1.1.1 ®© FHIR Version: 3.0.1 (IG Publisher v3.0.1-11916) generated on Tue, Nov 27, 2018 15:56+0000. |