R6 Ballot (2nd Draft)
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ClaimResponse
Dependencies
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13.7.25
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
traceNumber
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
0..1
Reference
(
Organization
)
requestor
0..1
Reference
(
Practitioner
|
PractitionerRole
|
Organization
)
request
0..1
Reference
(
Claim
)
outcome
1..1
code
decision
0..1
CodeableConcept
disposition
0..1
string
preAuthRef
0..1
string
preAuthPeriod
0..1
Period
event
0..*
BackboneElement
type
1..1
CodeableConcept
when[x]
1..1
whenDateTime
dateTime
whenPeriod
Period
payeeType
0..1
CodeableConcept
encounter
0..*
Reference
(
Encounter
)
diagnosisRelatedGroup
0..1
CodeableConcept
item
0..*
BackboneElement
itemSequence
1..1
positiveInt
traceNumber
0..*
Identifier
noteNumber
0..*
positiveInt
reviewOutcome
0..1
BackboneElement
decision
0..1
CodeableConcept
reason
0..*
CodeableConcept
preAuthRef
0..1
string
preAuthPeriod
0..1
Period
adjudication
0..*
BackboneElement
category
1..1
CodeableConcept
reason
0..1
CodeableConcept
amount
0..1
Money
quantity
0..1
Quantity
detail
0..*
BackboneElement
detailSequence
1..1
positiveInt
traceNumber
0..*
Identifier
noteNumber
0..*
positiveInt
reviewOutcome
0..1
see
reviewOutcome
adjudication
0..*
see
adjudication
subDetail
0..*
BackboneElement
subDetailSequence
1..1
positiveInt
traceNumber
0..*
Identifier
noteNumber
0..*
positiveInt
reviewOutcome
0..1
see
reviewOutcome
adjudication
0..*
see
adjudication
addItem
0..*
BackboneElement
itemSequence
0..*
positiveInt
detailSequence
0..*
positiveInt
subdetailSequence
0..*
positiveInt
traceNumber
0..*
Identifier
provider
0..*
Reference
(
Practitioner
|
PractitionerRole
|
Organization
)
revenue
0..1
CodeableConcept
productOrService
0..1
CodeableConcept
productOrServiceEnd
0..1
CodeableConcept
request
0..*
Reference
(
DeviceRequest
|
MedicationRequest
|
NutritionOrder
|
ServiceRequest
|
SupplyRequest
|
VisionPrescription
)
Type Warning: (DeviceRequest = FMM1-Trial Use vs. Element = FMM2-Trial Use)
Type Warning: (SupplyRequest = FMM1-Trial Use vs. Element = FMM2-Trial Use)
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
tax
0..1
Money
net
0..1
Money
bodySite
0..*
BackboneElement
site
1..*
CodeableReference
Type Error: (CodeableReference = FMM5-Draft vs. Element = FMM2-Trial Use)
subSite
0..*
CodeableConcept
noteNumber
0..*
positiveInt
reviewOutcome
0..1
see
reviewOutcome
adjudication
0..*
see
adjudication
detail
0..*
BackboneElement
traceNumber
0..*
Identifier
revenue
0..1
CodeableConcept
productOrService
0..1
CodeableConcept
productOrServiceEnd
0..1
CodeableConcept
modifier
0..*
CodeableConcept
quantity
0..1
SimpleQuantity
unitPrice
0..1
Money
factor
0..1
decimal
tax
0..1
Money
net
0..1
Money
noteNumber
0..*
positiveInt
reviewOutcome
0..1
see
reviewOutcome
adjudication
0..*
see
adjudication
subDetail
0..*
BackboneElement
traceNumber
0..*
Identifier
revenue
0..1
CodeableConcept
productOrService
0..1
CodeableConcept
productOrServiceEnd
0..1
CodeableConcept
modifier
0..*
CodeableConcept
quantity
0..1
SimpleQuantity
unitPrice
0..1
Money
factor
0..1
decimal
tax
0..1
Money
net
0..1
Money
noteNumber
0..*
positiveInt
reviewOutcome
0..1
see
reviewOutcome
adjudication
0..*
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
CodeableConcept
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
expression
0..*
string