2nd DSTU Draft For Comment
This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
Detailed Descriptions for the elements in the Readjudicate resource.
| Readjudicate | |
| Definition | This resource provides the request and line items details for the claim which is to be re-adjudicated. |
| Control | 1..1 |
| Readjudicate.identifier | |
| Definition | The Response Business Identifier. |
| Control | 0..* |
| Type | Identifier |
| Readjudicate.ruleset | |
| Definition | The version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources. |
| Control | 0..1 |
| Binding | Ruleset: Example: See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.) |
| Type | Coding |
| Readjudicate.originalRuleset | |
| Definition | The style (standard) and version of the original material which was converted into this resource. |
| Control | 0..1 |
| Binding | Ruleset: Example: See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.) |
| Type | Coding |
| Requirements | Knowledge of the original version can inform the processing of this instance so that information which is processable by the originating system may be generated. |
| Readjudicate.created | |
| Definition | The date when this resource was created. |
| Control | 0..1 |
| Type | dateTime |
| Readjudicate.target | |
| Definition | The Insurer who is target of the request. |
| Control | 0..1 |
| Type | Reference(Organization) |
| Readjudicate.provider | |
| Definition | The practitioner who is responsible for the services rendered to the patient. |
| Control | 0..1 |
| Type | Reference(Practitioner) |
| Readjudicate.organization | |
| Definition | The organization which is responsible for the services rendered to the patient. |
| Control | 0..1 |
| Type | Reference(Organization) |
| Readjudicate.request | |
| Definition | Reference of resource to reverse. |
| Control | 0..1 |
| Type | Reference(Any) |
| Readjudicate.response | |
| Definition | Reference of response to resource to reverse. |
| Control | 0..1 |
| Type | Reference(Any) |
| Readjudicate.reference | |
| Definition | A reference to supply which authenticated the process. |
| Control | 0..1 |
| Type | string |
| Readjudicate.item | |
| Definition | List of top level items to be re-adjudicated, if none specified then the entire submission is re-adjudicated. |
| Control | 0..* |
| Readjudicate.item.sequenceLinkId | |
| Definition | A service line number. |
| Control | 1..1 |
| Type | integer |
© HL7.org 2011+. FHIR DSTU (v0.4.0-4167) generated on Mon, Feb 23, 2015 09:23+1100.
Links: What's a DSTU? |
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