Blue Button 2.0

D.4.1.4 StructureDefinition: BluebuttonDMEClaim - Mappings

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

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

BluebuttonDMEClaim

ExplanationOfBenefit

financial.other

identifier

id

status

type

class

patient

who.focus

billablePeriod

when.done

referral

who.cause

careTeam

provider

who.actor

item

servicedPeriod (servicedPeriod)

when.done

locationCodeableConcept (locationCodeableConcept)

where

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

BluebuttonDMEClaim

ExplanationOfBenefit

patient

C06,C07,C08, C05, C04

referral

B05

insurance

item

sequence

F07

service

F06

modifier

F16 (required field for Oral) and F05

servicedPeriod (servicedPeriod)

F09

payment

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

BluebuttonDMEClaim

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

servicedPeriod (servicedPeriod)

start

DR.1

end

DR.2

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)

BluebuttonDMEClaim

ExplanationOfBenefit

Entity. Role, or Act

id

n/a

extension

n/a

extension (dme-prpayamt-extension)

n/a

extension (dme-carr-num-extension)

n/a

extension (dme-asgmntcd-extension)

n/a

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

n/a

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

n/a

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

n/a

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

n/a

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

n/a

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

n/a

extension (dme-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 (dme-prtcptng-ind-cd-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 (dme-dmerc-line-mtus-cnt-extension)

n/a

extension (dme-betos-cd-extension)

n/a

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

n/a

extension (dme-line-service-deductible-extension)

n/a

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

n/a

extension (dme-ndc-extension)

n/a

extension (dme-suplrnum-extensioin)

n/a

extension (dme-dmerc-line-scrn-svgs-amt-extension)

n/a

modifierExtension

n/a

sequence

n/a

careTeamLinkId

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

servicedPeriod (servicedPeriod)

n/a

extension

n/a

start

n/a

end

n/a

locationCodeableConcept (locationCodeableConcept)

n/a

extension

n/a

extension (dme-prvdr-state-cd-extension)

n/a

extension (dme-dmerc-line-prcng-state-cd-extension)

n/a

extension (dme-dmerc-line-supplr-type-cd-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 (dme-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. |