CH Core (R4)
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This page is part of the CH Core (R4) (v6.0.0-ballot: STU 6 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CHCoreClaim - Mappings

Active as of 2025-05-22

Mappings for the ch-core-claim resource profile.

Mappings for Forum Datenaustausch: Generelle Rechnung 4.5 (https://www.forum-datenaustausch.ch/de/xml-standards-formulare/release-45-451/generelle-rechnung-45/)

CHCoreClaim
Claiminvoice:request/invoice:payload
   extension (biller)invoice:body/{invoice:tiers_payant, invoice:tiers_garant}/invoice:biller, Biller / Rechnungssteller / Auteur facture / Fatturante
   identifierinvoice:invoice (request_timestamp), Document identifier / Dokument Identifikation / Document Identification / Documento Identificazione
   typeinvoice:body/invoice:treatment (treatment), Treatment type / Behandlungsart / Type admission / Tipo di ammissione
   patientinvoice:body/{invoice:tiers_payant, invoice:tiers_garant}/invoice:patient, Patient / Patient / Patient / Paziente
   createdinvoice:invoice (request_date), Invoice date / Rechnungsdatum / Date facture / Data fattura
   providerinvoice:body/{invoice:tiers_payant, invoice:tiers_garant}/invoice:provider, Provider / Leistungserbringer / Four. de prestations / Prestatario
   supportingInfo
   supportingInfo (treatmentReason)
      codeinvoice:body/invoice:treatment (reason), Treatment reason / Behandlungsgrund / Motif traitement / Motivo trattamento
   supportingInfo (remark)
      value[x] (valueString)invoice:body/invoice:remark, Remark / Bemerkung / Commentaire / Osservazioni
   diagnosis
      diagnosis[x]invoice:body/invoice:treatment/invoice:diagnosis (type, code), Diagnosis / Diagnose / Diagnostic / Diagnosi
   insurance
      coverageinvoice:body/{invoice:tiers_payant, invoice:tiers_garant}/invoice:insurance
   item
      extension (responsible)invoice:body/invoice:services/invoice:service (responsible_id), Responsible / Verantwortlicher / Responsable / Responsabile
      sequenceinvoice:body/invoice:services/invoice:service (record_id)
      category
         coding
         coding (tariff)Tariff / Tarif / Tarif / Tarifa
            codeinvoice:body/invoice:services/invoice:service (tariff_type)
      productOrServiceTariff number / Tarifziffer / Code tarifaire / Cod. tariffa
         coding
            codeinvoice:body/invoice:services/invoice:service (code)
            displayinvoice:body/invoice:services/invoice:service (name)
         coding (GTIN)
            codeinvoice:body/invoice:services/invoice:service (code)
            displayinvoice:body/invoice:services/invoice:service (name)
         coding (TARMED)
            codeinvoice:body/invoice:services/invoice:service (code)
            displayinvoice:body/invoice:services/invoice:service (name)
      serviced[x]invoice:body/invoice:services/invoice:service (date_begin, date_end)
      quantity
         valueinvoice:body/invoice:services/invoice:service (quantity), Quantity / Anzahl / Quantité / Quantità

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

CHCoreClaim
ClaimRequest
   identifierRequest.identifier
   statusRequest.status
   patientRequest.subject
   createdRequest.authoredOn
   insurerRequest.performer
   providerRequest.requester
   priorityRequest.priority
   related
      claimRequest.replaces
   supportingInfoRequest.supportingInfo
   supportingInfo (treatmentReason)Request.supportingInfo
   supportingInfo (remark)Request.supportingInfo
   diagnosisRequest.reasonReference
   insurance
      identifierRequest.identifier
   item
      encounterRequest.context

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

CHCoreClaim
Claim
   identifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   subTypeFiveWs.class
   useFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   billablePeriodFiveWs.done[x]
   createdFiveWs.recorded
   entererFiveWs.author
   providerFiveWs.source
   referralFiveWs.cause
   facilityFiveWs.where[x]
   careTeam
      providerFiveWs.actor
   insurance
      identifierFiveWs.identifier
   item
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]

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

CHCoreClaim
ClaimEntity. Role, or Act
   textAct.text?
   containedN/A
   extension (biller)n/a, N/A
   modifierExtensionN/A
   related
      idn/a
      extensionn/a
      modifierExtensionN/A
   payee
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (treatmentReason)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (remark)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure
      idn/a
      extensionn/a
      modifierExtensionN/A
   insuranceCoverage
      idn/a
      extensionn/a
      modifierExtensionN/A
   accident
      idn/a
      extensionn/a
      modifierExtensionN/A
   item
      idn/a
      extension (responsible)n/a, N/A
      modifierExtensionN/A
      category
         idn/a
         extensionn/a
         codingunion(., ./translation)
         coding (tariff)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      productOrService
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (GTIN)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (TARMED)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      quantity
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A