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ClaimResponse
Dependencies
13.7.11
Resource ClaimResponse - Maturity Dependency View
Financial Management
Work Group
Maturity Level
: 2
Trial Use
Compartments
:
Patient
,
Practitioner
Dependency Graph for ClaimResponse FMM level 2
Name
Card.
Type
Dependency Analysis
ClaimResponse
DomainResource
identifier
0..*
Identifier
status
1..1
code
type
1..1
CodeableConcept
subType
0..1
CodeableConcept
use
1..1
code
patient
1..1
Reference
(
Patient
)
created
1..1
dateTime
insurer
1..1
Reference
(
Organization
)
requestor
0..1
Reference
(
Practitioner
|
PractitionerRole
|
Organization
)
request
0..1
Reference
(
Claim
)
outcome
1..1
code
disposition
0..1
string
preAuthRef
0..1
string
preAuthPeriod
0..1
Period
payeeType
0..1
CodeableConcept
item
0..*
BackboneElement
itemSequence
1..1
positiveInt
noteNumber
0..*
positiveInt
adjudication
1..*
BackboneElement
category
1..1
CodeableConcept
reason
0..1
CodeableConcept
amount
0..1
Money
value
0..1
decimal
detail
0..*
BackboneElement
detailSequence
1..1
positiveInt
noteNumber
0..*
positiveInt
adjudication
1..*
see
adjudication
subDetail
0..*
BackboneElement
subDetailSequence
1..1
positiveInt
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..1
CodeableConcept
modifier
0..*
CodeableConcept
programCode
0..*
CodeableConcept
serviced[x]
0..1
servicedDate
date
servicedPeriod
Period
location[x]
0..1
locationCodeableConcept
CodeableConcept
locationAddress
Address
locationReference
Reference
(
Location
quantity
0..1
SimpleQuantity
unitPrice
0..1
Money
factor
0..1
decimal
net
0..1
Money
bodySite
0..1
CodeableConcept
subSite
0..*
CodeableConcept
noteNumber
0..*
positiveInt
adjudication
1..*
see
adjudication
detail
0..*
BackboneElement
productOrService
1..1
CodeableConcept
modifier
0..*
CodeableConcept
quantity
0..1
SimpleQuantity
unitPrice
0..1
Money
factor
0..1
decimal
net
0..1
Money
noteNumber
0..*
positiveInt
adjudication
1..*
see
adjudication
subDetail
0..*
BackboneElement
productOrService
1..1
CodeableConcept
modifier
0..*
CodeableConcept
quantity
0..1
SimpleQuantity
unitPrice
0..1
Money
factor
0..1
decimal
net
0..1
Money
noteNumber
0..*
positiveInt
adjudication
1..*
see
adjudication
adjudication
0..*
see
adjudication
total
0..*
BackboneElement
category
1..1
CodeableConcept
amount
1..1
Money
payment
0..1
BackboneElement
type
1..1
CodeableConcept
adjustment
0..1
Money
adjustmentReason
0..1
CodeableConcept
date
0..1
date
amount
1..1
Money
identifier
0..1
Identifier
fundsReserve
0..1
CodeableConcept
formCode
0..1
CodeableConcept
form
0..1
Attachment
processNote
0..*
BackboneElement
number
0..1
positiveInt
type
0..1
code
text
1..1
string
language
0..1
CodeableConcept
communicationRequest
0..*
Reference
(
CommunicationRequest
)
insurance
0..*
BackboneElement
sequence
1..1
positiveInt
focal
1..1
boolean
coverage
1..1
Reference
(
Coverage
)
businessArrangement
0..1
string
claimResponse
0..1
Reference
(
ClaimResponse
)
error
0..*
BackboneElement
itemSequence
0..1
positiveInt
detailSequence
0..1
positiveInt
subDetailSequence
0..1
positiveInt
code
1..1
CodeableConcept