R6 Ballot (1st Full Ballot)

This page is part of the FHIR Specification v6.0.0-ballot4: Release 6 Ballot (1st Full Ballot) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions for published versions icon

Responsible Owner: Financial Management icon Work Group Normative Compartments: Group, Patient, Practitioner

Dependency Graph for ClaimResponse FMM level 2

NameCard.TypeDependency Analysis
.. ClaimResponse DomainResource
... identifier 0..* Identifier
... traceNumber 0..* Identifier
... status 1..1 code
... statusReason 0..1 string
... type 1..1 CodeableConcept
... subType 0..1 CodeableConcept
... use 1..1 code
... subject 1..1 Reference(Patient | Group)
... 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
... supportingInfo 0..* BackboneElement
.... sequence 1..1 positiveInt
.... category 1..1 CodeableConcept
.... code 0..1 CodeableConcept
.... timing[x] 0..1
..... timingDateTime dateTime
..... timingPeriod Period
..... timingTiming Timing
.... value[x] 0..1 *
.... reason 0..1 CodeableConcept
... item 0..* BackboneElement
.... itemSequence 1..1 positiveInt
.... traceNumber 0..* Identifier
.... informationSequence 0..* positiveInt
.... 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
..... decisionDate 0..1 dateTime
.... 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
.... subject 0..1 Reference(Patient | Group)
.... informationSequence 0..* positiveInt
.... provider 0..* Reference(Practitioner | PractitionerRole | Organization)
.... revenue 0..1 CodeableConcept
.... category 0..1 CodeableConcept
.... productOrService 0..1 CodeableConcept
.... productOrServiceEnd 0..1 CodeableConcept
.... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | VisionPrescription)
.... 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
..... 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
.... class 0..1 CodeableConcept
.... number 0..1 positiveInt
.... type 0..1 CodeableConcept
.... text 1..1 markdown
.... 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