Guia de Implementação do Projeto de Padronização e Qualificação dos Dados Assistenciais da Saúde Suplementar (PQDAS) - Local Development build (v202309). See the Directory of published versions

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Resource Profile: RespostaGuia - Mappings

Active as of 2022-12-26

Mappings for the resposta-guia resource profile.

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

RespostaGuia
ClaimResponse	Event
identifier	Event.identifier
identifier (numeroLote)	Event.identifier
identifier (numeroRespostaGuiaPrestador)	Event.identifier
identifier (numeroRespostaGuiaOperadora)	Event.identifier
identifier (identificacaoReembolso)	Event.identifier
status	Event.status
created	Event.occurrence[x]
insurer	Event.performer
request	Event.basedOn
disposition	Event.note

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

RespostaGuia
ClaimResponse
identifier	FiveWs.identifier
identifier (numeroLote)	FiveWs.identifier
identifier (numeroRespostaGuiaPrestador)	FiveWs.identifier
identifier (numeroRespostaGuiaOperadora)	FiveWs.identifier
identifier (identificacaoReembolso)	FiveWs.identifier
status	FiveWs.status
type	FiveWs.class
subType	FiveWs.class
use	FiveWs.class
patient	FiveWs.subject[x], FiveWs.subject
created	FiveWs.recorded
requestor	FiveWs.source
request	FiveWs.why[x]
addItem
provider	FiveWs.source
serviced[x]	FiveWs.done[x]
serviced[x] (servicedDate)	FiveWs.done[x]
serviced[x] (servicedPeriod)	FiveWs.done[x]
location[x]	FiveWs.where[x]
location[x] (locationCodeableConcept)	FiveWs.where[x]
location[x] (locationAddress)	FiveWs.where[x]
location[x] (locationReference)	FiveWs.where[x]

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

RespostaGuia
ClaimResponse	Entity. Role, or Act
text	Act.text?
contained	N/A
identifier
identifier (numeroLote)
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
identifier (numeroRespostaGuiaPrestador)
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
identifier (numeroRespostaGuiaOperadora)
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
identifier (identificacaoReembolso)
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
item
id	n/a
extension	n/a
modifierExtension	N/A
adjudication
id	n/a
extension	n/a
modifierExtension	N/A
detail
id	n/a
extension	n/a
modifierExtension	N/A
subDetail
id	n/a
extension	n/a
modifierExtension	N/A
addItem
id	n/a
extension	n/a
modifierExtension	N/A
modifier	24.C, 24.D mods
programCode	24.H
serviced[x]	24.A
serviced[x] (servicedDate)	24.A
serviced[x] (servicedPeriod)	24.A
location[x]	24.B
location[x] (locationCodeableConcept)	24.B
location[x] (locationAddress)	24.B
location[x] (locationReference)	24.B
quantity	24.G
net	24.F
detail
id	n/a
extension	n/a
modifierExtension	N/A
modifier	24.C, 24.D mods
quantity	24.G
net	24.F
total
id	n/a
extension	n/a
modifierExtension	N/A
payment
id	n/a
extension	n/a
modifierExtension	N/A
processNote
id	n/a
extension	n/a
modifierExtension	N/A
insurance	Coverage
id	n/a
extension	n/a
modifierExtension	N/A
error
id	n/a
extension	n/a
modifierExtension	N/A