StructureDefinition-ClaimResponse

Sourcendhm.in#current:FHIR Implementation Guide for ABDM (v4.0.1)
resourceTypeStructureDefinition
idClaimResponse
canonicalhttps://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse
version3.0.0
statusdraft
publisherNational Resource Center for EHR Standards
nameClaimResponse
date2023-07-04T12:01:59+00:00
descriptionThis profile represents application level adjudication outcomes, or an application level error, that occur as a result of processing a supplied Claim resource, which could be a functional corollary of a Claim, Predetermination, or Preauthorization.
jurisdictionsin
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeClaimResponse
derivationconstraint
basehttp://hl7.org/fhir/StructureDefinition/ClaimResponse
Usages
Name Flags Card. Type Description & Constraints doco
. . ClaimResponse ClaimResponse
. . . patient Reference (Patient)
. . . insurer S Reference (Organization)
. . . requestor Reference (Practitioner | PractitionerRole | Organization)
. . . request Reference (Claim)
. . . outcome S
. . . disposition S
. . . item S
. . . . adjudication
. . . . . reason 1..
. . . addItem
. . . . provider Reference (Practitioner | PractitionerRole | Organization)
. . . . productOrService Binding: ProductorService ( example )
. . . . programCode Binding: Program Code ( example )
. . . . detail
. . . . . productOrService Binding: ProductorService ( example )
. . . . . subDetail
. . . . . . productOrService Binding: ProductorService ( example )
. . . total S
. . . insurance S
. . . . coverage S
. . . . claimResponse Reference (ClaimResponse)
. . . error S

doco Documentation for this format

Produced 08 Sep 2023