R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

13.6.9 Resource Claim - Maturity Dependency View

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

Dependency Graph for Claim FMM level 2

NameCard.TypeDependency Analysis
.. Claim DomainResource
... identifier 0..*Identifier
... status 0..1code
... type 0..1CodeableConcept
... subType 0..*CodeableConcept
... use 0..1code
... patient 0..1Reference(Patient)
... billablePeriod 0..1Period
... created 0..1dateTime
... enterer 0..1Reference(Practitioner)
... insurer 0..1Reference(Organization)
... provider 0..1Reference(Practitioner)
... organization 0..1Reference(Organization)
... priority 0..1CodeableConcept
... fundsReserve 0..1CodeableConcept
... related 0..*BackboneElement
.... claim 0..1Reference(Claim)
.... relationship 0..1CodeableConcept
.... reference 0..1Identifier
... prescription 0..1Reference(MedicationRequest | VisionPrescription)Type Warning: (VisionPrescription = FMM1-Trial Use vs. Element = FMM2-Trial Use)
... originalPrescription 0..1Reference(MedicationRequest)
... payee 0..1BackboneElement
.... type 1..1CodeableConcept
.... resource 0..1Coding
.... party 0..1Reference(Practitioner | Organization | Patient | RelatedPerson)
... referral 0..1Reference(ServiceRequest)
... facility 0..1Reference(Location)
... careTeam 0..*BackboneElement
.... sequence 1..1positiveInt
.... provider 1..1Reference(Practitioner | Organization)
.... responsible 0..1boolean
.... role 0..1CodeableConcept
.... qualification 0..1CodeableConcept
... information 0..*BackboneElement
.... sequence 1..1positiveInt
.... category 1..1CodeableConcept
.... code 0..1CodeableConcept
.... timing[x] 0..1
..... timingDatedate
..... timingPeriodPeriod
.... value[x] 0..1
..... valueStringstring
..... valueQuantityQuantity
..... valueAttachmentAttachment
..... valueReferenceReference(Any
.... reason 0..1CodeableConcept
... diagnosis 0..*BackboneElement
.... sequence 1..1positiveInt
.... diagnosis[x] 1..1
..... diagnosisCodeableConceptCodeableConcept
..... diagnosisReferenceReference(Condition
.... type 0..*CodeableConcept
.... packageCode 0..1CodeableConcept
... procedure 0..*BackboneElement
.... sequence 1..1positiveInt
.... date 0..1dateTime
.... procedure[x] 1..1
..... procedureCodeableConceptCodeableConcept
..... procedureReferenceReference(Procedure
... insurance 0..*BackboneElement
.... sequence 1..1positiveInt
.... focal 1..1boolean
.... identifier 0..1Identifier
.... coverage 1..1Reference(Coverage)
.... businessArrangement 0..1string
.... preAuthRef 0..*string
.... claimResponse 0..1Reference(ClaimResponse)
... accident 0..1BackboneElement
.... date 1..1date
.... type 0..1CodeableConcept
.... location[x] 0..1
..... locationAddressAddress
..... locationReferenceReference(Location
... employmentImpacted 0..1Period
... hospitalization 0..1Period
... item 0..*BackboneElement
.... sequence 1..1positiveInt
.... careTeamSequence 0..*positiveInt
.... diagnosisSequence 0..*positiveInt
.... procedureSequence 0..*positiveInt
.... informationSequence 0..*positiveInt
.... revenue 0..1CodeableConcept
.... category 0..1CodeableConcept
.... service 0..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
.... udi 0..*Reference(Device)
.... bodySite 0..1CodeableConcept
.... subSite 0..*CodeableConcept
.... encounter 0..*Reference(Encounter)
.... detail 0..*BackboneElement
..... sequence 1..1positiveInt
..... revenue 0..1CodeableConcept
..... category 0..1CodeableConcept
..... service 0..1CodeableConcept
..... modifier 0..*CodeableConcept
..... programCode 0..*CodeableConcept
..... quantity 0..1SimpleQuantity
..... unitPrice 0..1Money
..... factor 0..1decimal
..... net 0..1Money
..... udi 0..*Reference(Device)
..... subDetail 0..*BackboneElement
...... sequence 1..1positiveInt
...... revenue 0..1CodeableConcept
...... category 0..1CodeableConcept
...... service 0..1CodeableConcept
...... modifier 0..*CodeableConcept
...... programCode 0..*CodeableConcept
...... quantity 0..1SimpleQuantity
...... unitPrice 0..1Money
...... factor 0..1decimal
...... net 0..1Money
...... udi 0..*Reference(Device)
... total 0..1Money