Release 4B Ballot #1

This page is part of the FHIR Specification v4.1.0: R4B Ballot. About the R4B version of FHIR. 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

13.7.12 Resource ClaimResponse - Maturity Dependency View

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