| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Claim
|
Claim | |||
identifier
|
S | 1..1 | ||
patient
|
Reference (Patient) | |||
|
enterer
|
Reference (Practitioner | PractitionerRole) | |||
|
insurer
|
1.. | Reference (Organization) | ||
|
provider
|
Reference (Practitioner | PractitionerRole | Organization) | |||
|
related
|
||||
claim
|
Reference (Claim) | |||
|
prescription
|
Reference ( DeviceRequest | VisionPrescription | MedicationRequest) | |||
|
originalPrescription
|
Reference ( DeviceRequest | VisionPrescription | MedicationRequest) | |||
|
payee
|
||||
|
party
|
Reference ( RelatedPerson | Practitioner | PractitionerRole | Organization | Patient) | |||
|
referral
|
Reference (ServiceRequest) | |||
|
careTeam
|
||||
|
provider
|
Reference (Practitioner | PractitionerRole | Organization) | |||
|
supportingInfo
|
S | |||
|
category
|
Binding:
SupportingInfo Category
( preferred
): The valueset used for additional information category codes. |
|||
|
code
|
Binding:
SupportingInfo Code
( preferred
): The valueset used for additional information codes. |
|||
|
diagnosis
|
1.. | |||
diagnosis[x]
|
||||
diagnosisCodeableConcept
|
CodeableConcept | |||
|
diagnosisReference
|
Reference (Condition) | |||
|
type
|
1.. | |||
|
procedure
|
||||
|
procedure[x]
|
Binding:
Procedure Codes (SNOMED CT)
( example
): A code to identify a specific procedure . |
|||
procedureCodeableConcept
|
CodeableConcept | |||
|
procedureReference
|
Reference (Procedure) | |||
|
insurance
|
S | |||
|
preAuthRef
|
1.. | |||
|
claimResponse
|
Reference (ClaimResponse) | |||
|
item
|
S | 1.. | ||
|
category
|
Binding: Benefit Category ( example ) | |||
|
productOrService
|
Binding:
ProductorService
( example
): Allowable service and product codes |
|||
|
programCode
|
Binding: Program Code ( example ) | |||
|
encounter
|
Reference (Encounter) | |||
|
detail
|
||||
|
category
|
Binding:
Benefit Category
( example
): Benefit categories such as: oral-basic, major, glasses |
|||
|
productOrService
|
Binding:
ProductorService
( example
): Allowable service and product codes. |
|||
|
programCode
|
Binding: Program Code ( example ) | |||
|
subDetail
|
||||
|
category
|
Binding: Benefit Category ( example ) | |||
|
productOrService
|
Binding: ProductorService ( example ) | |||
|
programCode
|
Binding: Program Code ( example ) | |||
|
Documentation for this format
|
||||