2026 US Quality Core Implementation Guide
0.5.0 - release United States of America flag

This page is part of the US Quality Core (v0.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example ClaimResponse: ClaimResponse example

status: Active

type: Professional

use: Preauthorization

patient: Jim Chalmers Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --> (ongoing)))

created: 2018-02-24

insurer: Organization Health Level Seven International

requestor: Practitioner Adam Careful

request: Claim: identifier = http://example.org/claims#6612346; status = active; type = Professional; use = claim; created = 2014-08-16; priority = Normal

outcome: Queued

item

itemSequence: 1

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*4000.00United States dollar

detail

detailSequence: 1

adjudication

category: Submitted Amount

Amounts

-ValueCurrency
*4000.00United States dollar