Release 4

Financial Management Work GroupMaturity Level: 2 Trial Use Compartments: Patient, Practitioner

Dependency Graph for ClaimResponse FMM level 2

NameCard.TypeDependency Analysis
.. ClaimResponse DomainResource
... identifier 0..*Identifier
... status 1..1code
... type 1..1CodeableConcept
... subType 0..1CodeableConcept
... use 1..1code
... patient 1..1Reference(Patient)
... created 1..1dateTime
... insurer 1..1Reference(Organization)
... requestor 0..1Reference(Practitioner | PractitionerRole | Organization)
... request 0..1Reference(Claim)
... outcome 1..1code
... disposition 0..1string
... preAuthRef 0..1string
... preAuthPeriod 0..1Period
... payeeType 0..1CodeableConcept
... item 0..*BackboneElement
.... itemSequence 1..1positiveInt
.... noteNumber 0..*positiveInt
.... adjudication 1..*BackboneElement
..... category 1..1CodeableConcept
..... reason 0..1CodeableConcept
..... amount 0..1Money
..... value 0..1decimal
.... detail 0..*BackboneElement
..... detailSequence 1..1positiveInt
..... noteNumber 0..*positiveInt
..... adjudication 1..*see adjudication
..... subDetail 0..*BackboneElement
...... subDetailSequence 1..1positiveInt
...... noteNumber 0..*positiveInt
...... adjudication 0..*see adjudication
... addItem 0..*BackboneElement
.... itemSequence 0..*positiveInt
.... detailSequence 0..*positiveInt
.... subdetailSequence 0..*positiveInt
.... provider 0..*Reference(Practitioner | PractitionerRole | Organization)
.... productOrService 1..1CodeableConcept
.... modifier 0..*CodeableConcept
.... programCode 0..*CodeableConcept
.... serviced[x] 0..1
..... servicedDatedate
..... servicedPeriodPeriod
.... location[x] 0..1
..... locationCodeableConceptCodeableConcept
..... locationAddressAddress
..... locationReferenceReference(Location
.... quantity 0..1SimpleQuantity
.... unitPrice 0..1Money
.... factor 0..1decimal
.... net 0..1Money
.... bodySite 0..1CodeableConcept
.... subSite 0..*CodeableConcept
.... noteNumber 0..*positiveInt
.... adjudication 1..*see adjudication
.... detail 0..*BackboneElement
..... productOrService 1..1CodeableConcept
..... modifier 0..*CodeableConcept
..... quantity 0..1SimpleQuantity
..... unitPrice 0..1Money
..... factor 0..1decimal
..... net 0..1Money
..... noteNumber 0..*positiveInt
..... adjudication 1..*see adjudication
..... subDetail 0..*BackboneElement
...... productOrService 1..1CodeableConcept
...... modifier 0..*CodeableConcept
...... quantity 0..1SimpleQuantity
...... unitPrice 0..1Money
...... factor 0..1decimal
...... net 0..1Money
...... noteNumber 0..*positiveInt
...... adjudication 1..*see adjudication
... adjudication 0..*see adjudication
... total 0..*BackboneElement
.... category 1..1CodeableConcept
.... amount 1..1Money
... payment 0..1BackboneElement
.... type 1..1CodeableConcept
.... adjustment 0..1Money
.... adjustmentReason 0..1CodeableConcept
.... date 0..1date
.... amount 1..1Money
.... identifier 0..1Identifier
... fundsReserve 0..1CodeableConcept
... formCode 0..1CodeableConcept
... form 0..1Attachment
... processNote 0..*BackboneElement
.... number 0..1positiveInt
.... type 0..1code
.... text 1..1string
.... language 0..1CodeableConcept
... communicationRequest 0..*Reference(CommunicationRequest)
... insurance 0..*BackboneElement
.... sequence 1..1positiveInt
.... focal 1..1boolean
.... coverage 1..1Reference(Coverage)
.... businessArrangement 0..1string
.... claimResponse 0..1Reference(ClaimResponse)
... error 0..*BackboneElement
.... itemSequence 0..1positiveInt
.... detailSequence 0..1positiveInt
.... subDetailSequence 0..1positiveInt
.... code 1..1CodeableConcept