2026 US Quality Core Implementation Guide
0.5.0 - release United States of America flag

2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

Resource Profile: US Quality Core Claim - Mappings

Active as of 2026-06-05

Mappings for the us-quality-core-claim resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingRIM Mappingdoco
.. Claim
Request
  • Entity. Role
  • or Act
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Request.identifier
FiveWs.identifier
... status
Request.status
FiveWs.status
... type
FiveWs.class
... subType
FiveWs.class
... use
FiveWs.class
... patient
Request.subject
FiveWs.subject
... billablePeriod
FiveWs.done[x]
... created
Request.authoredOn
FiveWs.recorded
... enterer
FiveWs.author
... insurer
Request.performer
... provider
Request.requester
FiveWs.source
... priority
Request.priority
... fundsReserve
... related
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... claim
Request.replaces
.... relationship
.... reference
... prescription
... originalPrescription
... payee
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... type
.... party
... referral
FiveWs.cause
... facility
FiveWs.where[x]
... careTeam
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... provider
FiveWs.actor
.... responsible
.... role
.... qualification
... supportingInfo
Request.supportingInfo
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... category
.... code
.... timing[x]
.... value[x]
.... reason
... diagnosis
Request.reasonReference
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... diagnosis[x]
.... type
.... onAdmission
.... packageCode
... procedure
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... type
.... date
.... procedure[x]
.... udi
... insurance
Coverage
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... focal
.... identifier
Request.identifier
FiveWs.identifier
.... coverage
.... businessArrangement
.... preAuthRef
.... claimResponse
... accident
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... date
.... type
.... location[x]
... item
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... careTeamSequence
.... diagnosisSequence
.... procedureSequence
.... informationSequence
.... revenue
.... category
.... productOrService
.... modifier
.... programCode
.... serviced[x]
FiveWs.done[x]
.... location[x]
FiveWs.where[x]
.... quantity
.... unitPrice
.... factor
.... net
.... udi
.... bodySite
.... subSite
.... encounter
Request.context
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... revenue
..... category
..... productOrService
..... modifier
..... programCode
..... quantity
..... unitPrice
..... factor
..... net
..... udi
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... sequence
...... revenue
...... category
...... productOrService
...... modifier
...... programCode
...... quantity
...... unitPrice
...... factor
...... net
...... udi
... total

doco Documentation for this format