health.fhir.r4.davincipas
Module health.fhir.r4.davincipas
API
Declarations
Definitions
ballerinax/health.fhir.r4.davincipas Ballerina library
Functions
initialize
function initialize()
This empty function is used to initialize the module by other modules/packages.
Constants
health.fhir.r4.davincipas: PROFILE_BASE_PASBENEFICIARY
health.fhir.r4.davincipas: PROFILE_BASE_PASCLAIM
health.fhir.r4.davincipas: PROFILE_BASE_PASCLAIMBASE
health.fhir.r4.davincipas: PROFILE_BASE_PASCLAIMINQUIRY
health.fhir.r4.davincipas: PROFILE_BASE_PASCLAIMINQUIRYRESPONSE
health.fhir.r4.davincipas: PROFILE_BASE_PASCLAIMRESPONSE
health.fhir.r4.davincipas: PROFILE_BASE_PASCLAIMRESPONSEBASE
health.fhir.r4.davincipas: PROFILE_BASE_PASCLAIMUPDATE
health.fhir.r4.davincipas: PROFILE_BASE_PASCOMMUNICATIONREQUEST
health.fhir.r4.davincipas: PROFILE_BASE_PASCOVERAGE
health.fhir.r4.davincipas: PROFILE_BASE_PASDEVICEREQUEST
health.fhir.r4.davincipas: PROFILE_BASE_PASENCOUNTER
health.fhir.r4.davincipas: PROFILE_BASE_PASINSURER
health.fhir.r4.davincipas: PROFILE_BASE_PASLOCATION
health.fhir.r4.davincipas: PROFILE_BASE_PASMEDICATIONREQUEST
health.fhir.r4.davincipas: PROFILE_BASE_PASNUTRITIONORDER
health.fhir.r4.davincipas: PROFILE_BASE_PASORGANIZATION
health.fhir.r4.davincipas: PROFILE_BASE_PASPRACTITIONER
health.fhir.r4.davincipas: PROFILE_BASE_PASPRACTITIONERROLE
health.fhir.r4.davincipas: PROFILE_BASE_PASREQUESTOR
health.fhir.r4.davincipas: PROFILE_BASE_PASSERVICEREQUEST
health.fhir.r4.davincipas: PROFILE_BASE_PASSUBSCRIBER
health.fhir.r4.davincipas: PROFILE_BASE_PASTASK
health.fhir.r4.davincipas: RESOURCE_NAME_PASBENEFICIARY
health.fhir.r4.davincipas: RESOURCE_NAME_PASCLAIM
health.fhir.r4.davincipas: RESOURCE_NAME_PASCLAIMBASE
health.fhir.r4.davincipas: RESOURCE_NAME_PASCLAIMINQUIRY
health.fhir.r4.davincipas: RESOURCE_NAME_PASCLAIMINQUIRYRESPONSE
health.fhir.r4.davincipas: RESOURCE_NAME_PASCLAIMRESPONSE
health.fhir.r4.davincipas: RESOURCE_NAME_PASCLAIMRESPONSEBASE
health.fhir.r4.davincipas: RESOURCE_NAME_PASCLAIMUPDATE
health.fhir.r4.davincipas: RESOURCE_NAME_PASCOMMUNICATIONREQUEST
health.fhir.r4.davincipas: RESOURCE_NAME_PASCOVERAGE
health.fhir.r4.davincipas: RESOURCE_NAME_PASDEVICEREQUEST
health.fhir.r4.davincipas: RESOURCE_NAME_PASENCOUNTER
health.fhir.r4.davincipas: RESOURCE_NAME_PASINSURER
health.fhir.r4.davincipas: RESOURCE_NAME_PASLOCATION
health.fhir.r4.davincipas: RESOURCE_NAME_PASMEDICATIONREQUEST
health.fhir.r4.davincipas: RESOURCE_NAME_PASNUTRITIONORDER
health.fhir.r4.davincipas: RESOURCE_NAME_PASORGANIZATION
health.fhir.r4.davincipas: RESOURCE_NAME_PASPRACTITIONER
health.fhir.r4.davincipas: RESOURCE_NAME_PASPRACTITIONERROLE
health.fhir.r4.davincipas: RESOURCE_NAME_PASREQUESTOR
health.fhir.r4.davincipas: RESOURCE_NAME_PASSERVICEREQUEST
health.fhir.r4.davincipas: RESOURCE_NAME_PASSUBSCRIBER
health.fhir.r4.davincipas: RESOURCE_NAME_PASTASK
Enums
health.fhir.r4.davincipas: PASBeneficiaryAddressType
PASBeneficiaryAddressType enum
Members
health.fhir.r4.davincipas: PASBeneficiaryAddressUse
PASBeneficiaryAddressUse enum
Members
health.fhir.r4.davincipas: PASBeneficiaryContactGender
PASBeneficiaryContactGender enum
Members
health.fhir.r4.davincipas: PASBeneficiaryGender
PASBeneficiaryGender enum
Members
health.fhir.r4.davincipas: PASBeneficiaryIdentifierUse
PASBeneficiaryIdentifierUse enum
Members
health.fhir.r4.davincipas: PASBeneficiaryLinkType
PASBeneficiaryLinkType enum
Members
health.fhir.r4.davincipas: PASBeneficiaryNameUse
PASBeneficiaryNameUse enum
Members
health.fhir.r4.davincipas: PASBeneficiaryTelecomSystem
PASBeneficiaryTelecomSystem enum
Members
health.fhir.r4.davincipas: PASBeneficiaryTelecomUse
PASBeneficiaryTelecomUse enum
Members
health.fhir.r4.davincipas: PASClaimBaseStatus
PASClaimBaseStatus enum
Members
health.fhir.r4.davincipas: PASClaimBaseUse
PASClaimBaseUse enum
Members
health.fhir.r4.davincipas: PASClaimInquiryResponseOutcome
PASClaimInquiryResponseOutcome enum
Members
health.fhir.r4.davincipas: PASClaimInquiryResponseProcessNoteType
PASClaimInquiryResponseProcessNoteType enum
Members
health.fhir.r4.davincipas: PASClaimInquiryResponseStatus
PASClaimInquiryResponseStatus enum
Members
health.fhir.r4.davincipas: PASClaimInquiryResponseUse
PASClaimInquiryResponseUse enum
Members
health.fhir.r4.davincipas: PASClaimInquiryStatus
PASClaimInquiryStatus enum
Members
health.fhir.r4.davincipas: PASClaimInquiryUse
PASClaimInquiryUse enum
Members
health.fhir.r4.davincipas: PASClaimResponseBaseOutcome
PASClaimResponseBaseOutcome enum
Members
health.fhir.r4.davincipas: PASClaimResponseBaseProcessNoteType
PASClaimResponseBaseProcessNoteType enum
Members
health.fhir.r4.davincipas: PASClaimResponseBaseStatus
PASClaimResponseBaseStatus enum
Members
health.fhir.r4.davincipas: PASClaimResponseBaseUse
PASClaimResponseBaseUse enum
Members
health.fhir.r4.davincipas: PASClaimResponseOutcome
PASClaimResponseOutcome enum
Members
health.fhir.r4.davincipas: PASClaimResponseProcessNoteType
PASClaimResponseProcessNoteType enum
Members
health.fhir.r4.davincipas: PASClaimResponseStatus
PASClaimResponseStatus enum
Members
health.fhir.r4.davincipas: PASClaimResponseUse
PASClaimResponseUse enum
Members
health.fhir.r4.davincipas: PASClaimStatus
PASClaimStatus enum
Members
health.fhir.r4.davincipas: PASClaimUpdateStatus
PASClaimUpdateStatus enum
Members
health.fhir.r4.davincipas: PASClaimUpdateUse
PASClaimUpdateUse enum
Members
health.fhir.r4.davincipas: PASClaimUse
PASClaimUse enum
Members
health.fhir.r4.davincipas: PASCommunicationRequestPriority
PASCommunicationRequestPriority enum
Members
health.fhir.r4.davincipas: PASCommunicationRequestStatus
PASCommunicationRequestStatus enum
Members
health.fhir.r4.davincipas: PASCoverageStatus
PASCoverageStatus enum
Members
health.fhir.r4.davincipas: PASDeviceRequestIntent
PASDeviceRequestIntent enum
Members
health.fhir.r4.davincipas: PASDeviceRequestPriority
PASDeviceRequestPriority enum
Members
health.fhir.r4.davincipas: PASDeviceRequestStatus
PASDeviceRequestStatus enum
Members
health.fhir.r4.davincipas: PASEncounterIdentifierUse
PASEncounterIdentifierUse enum
Members
health.fhir.r4.davincipas: PASEncounterLocationStatus
PASEncounterLocationStatus enum
Members
health.fhir.r4.davincipas: PASEncounterStatus
PASEncounterStatus enum
Members
health.fhir.r4.davincipas: PASEncounterStatusHistoryStatus
PASEncounterStatusHistoryStatus enum
Members
health.fhir.r4.davincipas: PASInsurerAddressType
PASInsurerAddressType enum
Members
health.fhir.r4.davincipas: PASInsurerAddressUse
PASInsurerAddressUse enum
Members
health.fhir.r4.davincipas: PASInsurerIdentifierUse
PASInsurerIdentifierUse enum
Members
health.fhir.r4.davincipas: PASLocationAddressType
PASLocationAddressType enum
Members
health.fhir.r4.davincipas: PASLocationAddressUse
PASLocationAddressUse enum
Members
health.fhir.r4.davincipas: PASLocationHoursOfOperationDaysOfWeek
PASLocationHoursOfOperationDaysOfWeek enum
Members
health.fhir.r4.davincipas: PASLocationMode
PASLocationMode enum
Members
health.fhir.r4.davincipas: PASLocationStatus
PASLocationStatus enum
Members
health.fhir.r4.davincipas: PASMedicationRequestIntent
PASMedicationRequestIntent enum
Members
health.fhir.r4.davincipas: PASMedicationRequestPriority
PASMedicationRequestPriority enum
Members
health.fhir.r4.davincipas: PASMedicationRequestStatus
PASMedicationRequestStatus enum
Members
health.fhir.r4.davincipas: PASNutritionOrderIntent
PASNutritionOrderIntent enum
Members
health.fhir.r4.davincipas: PASNutritionOrderStatus
PASNutritionOrderStatus enum
Members
health.fhir.r4.davincipas: PASOrganizationAddressType
PASOrganizationAddressType enum
Members
health.fhir.r4.davincipas: PASOrganizationAddressUse
PASOrganizationAddressUse enum
Members
health.fhir.r4.davincipas: PASOrganizationIdentifierUse
PASOrganizationIdentifierUse enum
Members
health.fhir.r4.davincipas: PASPractitionerGender
PASPractitionerGender enum
Members
health.fhir.r4.davincipas: PASPractitionerNameUse
PASPractitionerNameUse enum
Members
health.fhir.r4.davincipas: PASPractitionerRoleAvailableTimeDaysOfWeek
PASPractitionerRoleAvailableTimeDaysOfWeek enum
Members
health.fhir.r4.davincipas: PASRequestorAddressType
PASRequestorAddressType enum
Members
health.fhir.r4.davincipas: PASRequestorAddressUse
PASRequestorAddressUse enum
Members
health.fhir.r4.davincipas: PASRequestorIdentifierUse
PASRequestorIdentifierUse enum
Members
health.fhir.r4.davincipas: PASServiceRequestIntent
PASServiceRequestIntent enum
Members
health.fhir.r4.davincipas: PASServiceRequestPriority
PASServiceRequestPriority enum
Members
health.fhir.r4.davincipas: PASServiceRequestStatus
PASServiceRequestStatus enum
Members
health.fhir.r4.davincipas: PASSubscriberAddressType
PASSubscriberAddressType enum
Members
health.fhir.r4.davincipas: PASSubscriberAddressUse
PASSubscriberAddressUse enum
Members
health.fhir.r4.davincipas: PASSubscriberContactGender
PASSubscriberContactGender enum
Members
health.fhir.r4.davincipas: PASSubscriberGender
PASSubscriberGender enum
Members
health.fhir.r4.davincipas: PASSubscriberIdentifierUse
PASSubscriberIdentifierUse enum
Members
health.fhir.r4.davincipas: PASSubscriberLinkType
PASSubscriberLinkType enum
Members
health.fhir.r4.davincipas: PASSubscriberNameUse
PASSubscriberNameUse enum
Members
health.fhir.r4.davincipas: PASSubscriberTelecomSystem
PASSubscriberTelecomSystem enum
Members
health.fhir.r4.davincipas: PASSubscriberTelecomUse
PASSubscriberTelecomUse enum
Members
health.fhir.r4.davincipas: PASTaskIntent
PASTaskIntent enum
Members
health.fhir.r4.davincipas: PASTaskPriority
PASTaskPriority enum
Members
health.fhir.r4.davincipas: PASTaskStatus
PASTaskStatus enum
Members
health.fhir.r4.davincipas: ProfileDatatypeTimingRepeatDayOfWeek
Members
health.fhir.r4.davincipas: ProfileDatatypeTimingRepeatDurationUnit
Members
health.fhir.r4.davincipas: ProfileDatatypeTimingRepeatPeriodUnit
Members
health.fhir.r4.davincipas: ProfileIdentifierUse
Members
Variables
health.fhir.r4.davincipas: terminologyProcessor
Terminology processor instance
health.fhir.r4.davincipas: fhirRegistry
FHIR registry instance
health.fhir.r4.davincipas: FHIR_VALUE_SETS
health.fhir.r4.davincipas: FHIR_CODE_SYSTEMS
Records
health.fhir.r4.davincipas: PASBeneficiary
FHIR PASBeneficiary resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_PASBENEFICIARY(default RESOURCE_NAME_PASBENEFICIARY) - The type of the resource describes
- extension? Extension[] - An Extension
- extension Slicings
- Extension: US Core ethnicity Extension
- min = 0
- max = 1
- gender PASBeneficiaryGender - Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- link? PASBeneficiaryLink[] - Link to another patient resource that concerns the same actual patient.
- language? code - The base language in which the resource is written.
- contact? PASBeneficiaryContact[] - A contact party (e.g. guardian, partner, friend) for the patient.
- deceasedDateTime? dateTime - Indicates if the individual is deceased or not.
- generalPractitioner? Reference[] - Patient's nominated care provider.
- telecom? ContactPoint[] - A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- communication? PASBeneficiaryCommunication[] - A language which may be used to communicate with the patient about his or her health.
- identifier Identifier[] - An identifier for this patient.
- address? PASBeneficiaryAddress[] - An address for the individual.
- multipleBirthBoolean? boolean - Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
- active? boolean - Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
- photo? Attachment[] - Image of the patient.
- birthDate? date - The date of birth for the individual.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- deceasedBoolean? boolean - Indicates if the individual is deceased or not.
- managingOrganization? Reference - Organization that is the custodian of the patient record.
- meta? Meta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- multipleBirthInteger? integer - Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
- name PASBeneficiaryName[] - A name associated with the individual.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- maritalStatus? CodeableConcept - This field contains a patient's most recent marital (civil) status.
- Element... - Rest field
health.fhir.r4.davincipas: PASBeneficiaryAddress
FHIR PASBeneficiaryAddress datatype record.
Fields
- Fields Included from *Address
- country? string - Country - a nation as commonly understood or generally accepted.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- period? Period - Time period when address was/is in use.
- city? string - The name of the city, town, suburb, village or other community or delivery center.
- line? string[] - This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
- use? PASBeneficiaryAddressUse - The purpose of this address.
- district? string - The name of the administrative area (county).
- postalCode? string - A postal code designating a region defined by the postal service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- state? string - Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).
- text? string - Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
- 'type? PASBeneficiaryAddressType - Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
health.fhir.r4.davincipas: PASBeneficiaryCommunication
FHIR PASBeneficiaryCommunication datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language CodeableConcept - The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. 'en' for English, or 'en-US' for American English versus 'en-EN' for England English.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- preferred? boolean - Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
health.fhir.r4.davincipas: PASBeneficiaryContact
FHIR PASBeneficiaryContact datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- period? Period - The period during which this contact person or organization is valid to be contacted relating to this patient.
- address? Address - Address for the contact person.
- gender? PASBeneficiaryContactGender - Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- organization? Reference - Organization on behalf of which the contact is acting or for which the contact is working.
- name? HumanName - A name associated with the contact person.
- telecom? ContactPoint[] - A contact detail for the person, e.g. a telephone number or an email address.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- relationship? CodeableConcept[] - The nature of the relationship between the patient and the contact person.
health.fhir.r4.davincipas: PASBeneficiaryLink
FHIR PASBeneficiaryLink datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- other Reference - The other patient resource that the link refers to.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type PASBeneficiaryLinkType - The type of link between this patient resource and another patient resource.
health.fhir.r4.davincipas: PASBeneficiaryName
FHIR PASBeneficiaryName datatype record.
Fields
- Fields Included from *HumanName
- given? string[] - Given name.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- period? Period - Indicates the period of time when this name was valid for the named person.
- prefix? string[] - Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
- use? PASBeneficiaryNameUse - Identifies the purpose for this name.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- text? string - Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
- family? string - The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
- suffix? string[] - Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
health.fhir.r4.davincipas: PASClaim
FHIR PASClaim resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_PASCLAIM(default RESOURCE_NAME_PASCLAIM) - The type of the resource describes
- insurance PASClaimInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- extension? Extension[] - An Extension
- extension Slicings
- Extension: Used to provide required information about home health care services. (CR6)
- min = 0
- max = 1
- use PASClaimUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language? code - The base language in which the resource is written.
- 'type CodeableConcept - The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
- accident? PASClaimAccident - Details of an accident which resulted in injuries which required the products and services listed in the claim.
- payee? PASClaimPayee - The party to be reimbursed for cost of the products and services according to the terms of the policy.
- total? Money - The total value of the all the items in the claim.
- related? PASClaimRelated[] - Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.
- supportingInfo? PASClaimSupportingInfo[] - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- supportingInfo Slicings
- PASClaimSupportingInfoPatientEvent: Information about the dates of the event that are being requested.
- min = 0
- max = 1
- fundsReserve? CodeableConcept - A code to indicate whether and for whom funds are to be reserved for future claims.
- provider Reference - The provider which is responsible for the claim, predetermination or preauthorization.
- insurer Reference - The Insurer who is target of the request.
- patient Reference - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.
- enterer? Reference - Individual who created the claim, predetermination or preauthorization.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- careTeam? PASClaimCareTeam[] - The members of the team who provided the products and services.
- careTeam Slicings
- PASClaimCareTeamOverallClaimMember: Care Team Providers that are applicable to all services being requested. NOTE: Only the first 14 can be sent in the X12 Request.
- min = 0
- max = *
- identifier ProfileIdentifier - An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
- item PASClaimItem[] - A claim line. Either a simple product or service or a 'group' of details which can each be a simple items or groups of sub-details.
- created dateTime - The date this resource was created.
- diagnosis? PASClaimDiagnosis[] - Information about diagnoses relevant to the claim items.
- originalPrescription? Reference - Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
- procedure? PASClaimProcedure[] - Procedures performed on the patient relevant to the billing items with the claim.
- priority CodeableConcept - The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- referral? Reference - A reference to a referral resource.
- prescription? Reference - Prescription to support the dispensing of pharmacy, device or vision products.
- meta? Meta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- billablePeriod? Period - The period for which charges are being submitted.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- subType? CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- facility? Reference - Facility where the services were provided.
- status PASClaimStatus - The status of the resource instance.
- Element... - Rest field
health.fhir.r4.davincipas: PASClaimAccident
FHIR PASClaimAccident datatype record.
Fields
- Fields Included from *BackboneElement
- date date - Date of an accident event related to the products and services contained in the claim.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationAddress? Address - The physical location of the accident event.
- 'type? CodeableConcept - The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.
health.fhir.r4.davincipas: PASClaimBase
FHIR PASClaimBase resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_PASCLAIMBASE(default RESOURCE_NAME_PASCLAIMBASE) - The type of the resource describes
- insurance PASClaimBaseInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- extension? Extension[] - An Extension
- extension Slicings
- Extension: Used to provide required information about home health care services. (CR6)
- min = 0
- max = 1
- use PASClaimBaseUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language? code - The base language in which the resource is written.
- 'type CodeableConcept - The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
- accident? PASClaimBaseAccident - Details of an accident which resulted in injuries which required the products and services listed in the claim.
- payee? PASClaimBasePayee - The party to be reimbursed for cost of the products and services according to the terms of the policy.
- total? Money - The total value of the all the items in the claim.
- related? PASClaimBaseRelated[] - Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.
- supportingInfo? PASClaimBaseSupportingInfo[] - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- supportingInfo Slicings
- PASClaimBaseSupportingInfoPatientEvent: Information about the dates of the event that are being requested.
- min = 0
- max = 1
- fundsReserve? CodeableConcept - A code to indicate whether and for whom funds are to be reserved for future claims.
- provider Reference - The provider which is responsible for the claim, predetermination or preauthorization.
- insurer Reference - The Insurer who is target of the request.
- patient Reference - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.
- enterer? Reference - Individual who created the claim, predetermination or preauthorization.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- careTeam? PASClaimBaseCareTeam[] - The members of the team who provided the products and services.
- careTeam Slicings
- PASClaimBaseCareTeamOverallClaimMember: Care Team Providers that are applicable to all services being requested. NOTE: Only the first 14 can be sent in the X12 Request.
- min = 0
- max = *
- identifier? ProfileIdentifier - An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
- item PASClaimBaseItem[] - A claim line. Either a simple product or service or a 'group' of details which can each be a simple items or groups of sub-details.
- created dateTime - The date this resource was created.
- diagnosis? PASClaimBaseDiagnosis[] - Information about diagnoses relevant to the claim items.
- originalPrescription? Reference - Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
- procedure? PASClaimBaseProcedure[] - Procedures performed on the patient relevant to the billing items with the claim.
- priority CodeableConcept - The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- referral? Reference - A reference to a referral resource.
- prescription? Reference - Prescription to support the dispensing of pharmacy, device or vision products.
- meta? Meta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- billablePeriod? Period - The period for which charges are being submitted.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- subType? CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- facility? Reference - Facility where the services were provided.
- status PASClaimBaseStatus - The status of the resource instance.
- Element... - Rest field
health.fhir.r4.davincipas: PASClaimBaseAccident
FHIR PASClaimBaseAccident datatype record.
Fields
- Fields Included from *BackboneElement
- date date - Date of an accident event related to the products and services contained in the claim.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationAddress? Address - The physical location of the accident event.
- 'type? CodeableConcept - The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.
health.fhir.r4.davincipas: PASClaimBaseCareTeam
FHIR PASClaimBaseCareTeam datatype record.
Fields
- Fields Included from *BackboneElement
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension Extension[] - An Extension
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimBaseCareTeamItemClaimMember
FHIR PASClaimBaseCareTeamItemClaimMember datatype record.
Fields
- Fields Included from *PASClaimBaseCareTeam
- qualification CodeableConcept
- sequence positiveInt
- extension Extension[]
- role CodeableConcept
- provider Reference
- modifierExtension Extension[]
- responsible boolean
- id string
- Element...
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension Extension[] - An Extension
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- careTeamClaimScope Extension[] - A flag that indicates whether the care team applies to the entire claim or a single item.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimBaseCareTeamOverallClaimMember
FHIR PASClaimBaseCareTeamOverallClaimMember datatype record.
Fields
- Fields Included from *PASClaimBaseCareTeam
- qualification CodeableConcept
- sequence positiveInt
- extension Extension[]
- role CodeableConcept
- provider Reference
- modifierExtension Extension[]
- responsible boolean
- id string
- Element...
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension Extension[] - An Extension
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- careTeamClaimScope Extension[] - A flag that indicates whether the care team applies to the entire claim or a single item.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimBaseDiagnosis
FHIR PASClaimBaseDiagnosis datatype record.
Fields
- Fields Included from *BackboneElement
- sequence positiveInt - A number to uniquely identify diagnosis entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- onAdmission? CodeableConcept - Indication of whether the diagnosis was present on admission to a facility.
- packageCode? CodeableConcept - A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type? CodeableConcept - When the condition was observed or the relative ranking.
- diagnosisCodeableConcept CodeableConcept - The nature of illness or problem in a coded form or as a reference to an external defined Condition.
health.fhir.r4.davincipas: PASClaimBaseInsurance
FHIR PASClaimBaseInsurance datatype record.
Fields
- Fields Included from *BackboneElement
- coverage Reference - Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
- identifier? Identifier - The business identifier to be used when the claim is sent for adjudication against this insurance policy.
- sequence positiveInt - A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- businessArrangement? string - A business agreement number established between the provider and the insurer for special business processing purposes.
- claimResponse? Reference - The result of the adjudication of the line items for the Coverage specified in this insurance.
- focal boolean - A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- preAuthRef? string[] - Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimBaseItem
FHIR PASClaimBaseItem datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - An Extension
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- informationSequence? positiveInt[] - Exceptions, special conditions and supporting information applicable for this service or product.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- diagnosisSequence? positiveInt[] - Diagnosis applicable for this service or product.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- careTeamSequence? positiveInt[] - CareTeam members related to this service or product.
- encounter? Reference[] - The Encounters during which this Claim was created or to which the creation of this record is tightly associated.
- sequence positiveInt - A number to uniquely identify item entries.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? PASClaimBaseItemDetail[] - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- procedureSequence? positiveInt[] - Procedures applicable for this service or product.
health.fhir.r4.davincipas: PASClaimBaseItemDetail
FHIR PASClaimBaseItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? PASClaimBaseItemDetailSubDetail[] - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- sequence positiveInt - A number to uniquely identify item entries.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.davincipas: PASClaimBaseItemDetailSubDetail
FHIR PASClaimBaseItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- sequence positiveInt - A number to uniquely identify item entries.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.davincipas: PASClaimBasePayee
FHIR PASClaimBasePayee datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - Type of Party to be reimbursed: subscriber, provider, other.
- party? Reference - Reference to the individual or organization to whom any payment will be made.
health.fhir.r4.davincipas: PASClaimBaseProcedure
FHIR PASClaimBaseProcedure datatype record.
Fields
- Fields Included from *BackboneElement
- date? dateTime - Date and optionally time the procedure was performed.
- sequence positiveInt - A number to uniquely identify procedure entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- procedureCodeableConcept CodeableConcept - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- procedureReference Reference - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- 'type? CodeableConcept[] - When the condition was observed or the relative ranking.
health.fhir.r4.davincipas: PASClaimBaseRelated
FHIR PASClaimBaseRelated datatype record.
Fields
- Fields Included from *BackboneElement
- reference? Identifier - An alternate organizational reference to the case or file to which this particular claim pertains.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- claim? Reference - Reference to a related claim.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- relationship? CodeableConcept - A code to convey how the claims are related.
health.fhir.r4.davincipas: PASClaimBaseSupportingInfo
FHIR PASClaimBaseSupportingInfo datatype record.
Fields
- Fields Included from *BackboneElement
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate? date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimBaseSupportingInfoAdmissionDates
FHIR PASClaimBaseSupportingInfoAdmissionDates datatype record.
Fields
- Fields Included from *PASClaimBaseSupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimBaseSupportingInfoCategoryTwo - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimBaseSupportingInfoCategory
FHIR PASClaimBaseSupportingInfoCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimBaseSupportingInfoCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimBaseSupportingInfoCategoryCoding
FHIR PASClaimBaseSupportingInfoCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "patientEvent") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimBaseSupportingInfoCategoryCodingOne
FHIR PASClaimBaseSupportingInfoCategoryCodingOne datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "dischargeDates") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimBaseSupportingInfoCategoryCodingTwo
FHIR PASClaimBaseSupportingInfoCategoryCodingTwo datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "admissionDates") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimBaseSupportingInfoCategoryOne
FHIR PASClaimBaseSupportingInfoCategoryOne datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimBaseSupportingInfoCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimBaseSupportingInfoCategoryTwo
FHIR PASClaimBaseSupportingInfoCategoryTwo datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimBaseSupportingInfoCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimBaseSupportingInfoDischargeDates
FHIR PASClaimBaseSupportingInfoDischargeDates datatype record.
Fields
- Fields Included from *PASClaimBaseSupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimBaseSupportingInfoCategoryOne - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimBaseSupportingInfoPatientEvent
FHIR PASClaimBaseSupportingInfoPatientEvent datatype record.
Fields
- Fields Included from *PASClaimBaseSupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimBaseSupportingInfoCategory - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimCareTeam
FHIR PASClaimCareTeam datatype record.
Fields
- Fields Included from *BackboneElement
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension Extension[] - An Extension
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimCareTeamItemClaimMember
FHIR PASClaimCareTeamItemClaimMember datatype record.
Fields
- Fields Included from *PASClaimCareTeam
- qualification CodeableConcept
- sequence positiveInt
- extension Extension[]
- role CodeableConcept
- provider Reference
- modifierExtension Extension[]
- responsible boolean
- id string
- Element...
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension Extension[] - An Extension
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- careTeamClaimScope Extension[] - A flag that indicates whether the care team applies to the entire claim or a single item.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimCareTeamOverallClaimMember
FHIR PASClaimCareTeamOverallClaimMember datatype record.
Fields
- Fields Included from *PASClaimCareTeam
- qualification CodeableConcept
- sequence positiveInt
- extension Extension[]
- role CodeableConcept
- provider Reference
- modifierExtension Extension[]
- responsible boolean
- id string
- Element...
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension Extension[] - An Extension
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- careTeamClaimScope Extension[] - A flag that indicates whether the care team applies to the entire claim or a single item.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimDiagnosis
FHIR PASClaimDiagnosis datatype record.
Fields
- Fields Included from *BackboneElement
- sequence positiveInt - A number to uniquely identify diagnosis entries.
- extension? Extension[] - An Extension
- onAdmission? CodeableConcept - Indication of whether the diagnosis was present on admission to a facility.
- packageCode? CodeableConcept - A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type? CodeableConcept - When the condition was observed or the relative ranking.
- diagnosisCodeableConcept CodeableConcept - The nature of illness or problem in a coded form or as a reference to an external defined Condition.
health.fhir.r4.davincipas: PASClaimInquiry
FHIR PASClaimInquiry resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_PASCLAIMINQUIRY(default RESOURCE_NAME_PASCLAIMINQUIRY) - The type of the resource describes
- insurance PASClaimInquiryInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- extension? Extension[] - An Extension
- extension Slicings
- Extension: Used to provide required information about home health care services. (CR6)
- min = 0
- max = 1
- use PASClaimInquiryUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language? code - The base language in which the resource is written.
- 'type CodeableConcept - The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
- accident? PASClaimInquiryAccident - Details of an accident which resulted in injuries which required the products and services listed in the claim.
- payee? PASClaimInquiryPayee - The party to be reimbursed for cost of the products and services according to the terms of the policy.
- total? Money - The total value of the all the items in the claim.
- related? PASClaimInquiryRelated[] - Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.
- supportingInfo? PASClaimInquirySupportingInfo[] - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- supportingInfo Slicings
- PASClaimInquirySupportingInfoPatientEvent: Information about the dates of the event that are being requested.
- min = 0
- max = 1
- fundsReserve? CodeableConcept - A code to indicate whether and for whom funds are to be reserved for future claims.
- provider Reference - The provider which is responsible for the claim, predetermination or preauthorization.
- insurer Reference - The Insurer who is target of the request.
- patient Reference - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.
- enterer? Reference - Individual who created the claim, predetermination or preauthorization.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- careTeam? PASClaimInquiryCareTeam[] - The members of the team who provided the products and services.
- careTeam Slicings
- PASClaimInquiryCareTeamOverallClaimMember: Care Team Providers that are applicable to all services being requested. NOTE: Only the first 14 can be sent in the X12 Request.
- min = 0
- max = *
- identifier? ProfileIdentifier - An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
- item PASClaimInquiryItem[] - A claim line. Either a simple product or service or a 'group' of details which can each be a simple items or groups of sub-details.
- created dateTime - The date this resource was created.
- diagnosis? PASClaimInquiryDiagnosis[] - Information about diagnoses relevant to the claim items.
- originalPrescription? Reference - Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
- procedure? PASClaimInquiryProcedure[] - Procedures performed on the patient relevant to the billing items with the claim.
- priority CodeableConcept - The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- referral? Reference - A reference to a referral resource.
- prescription? Reference - Prescription to support the dispensing of pharmacy, device or vision products.
- meta? Meta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- billablePeriod? Period - The period for which charges are being submitted.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- subType? CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- facility? Reference - Facility where the services were provided.
- status PASClaimInquiryStatus - The status of the resource instance.
- Element... - Rest field
health.fhir.r4.davincipas: PASClaimInquiryAccident
FHIR PASClaimInquiryAccident datatype record.
Fields
- Fields Included from *BackboneElement
- date date - Date of an accident event related to the products and services contained in the claim.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationAddress? Address - The physical location of the accident event.
- 'type? CodeableConcept - The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.
health.fhir.r4.davincipas: PASClaimInquiryCareTeam
FHIR PASClaimInquiryCareTeam datatype record.
Fields
- Fields Included from *BackboneElement
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension Extension[] - An Extension
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimInquiryCareTeamItemClaimMember
FHIR PASClaimInquiryCareTeamItemClaimMember datatype record.
Fields
- Fields Included from *PASClaimInquiryCareTeam
- qualification CodeableConcept
- sequence positiveInt
- extension Extension[]
- role CodeableConcept
- provider Reference
- modifierExtension Extension[]
- responsible boolean
- id string
- Element...
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension Extension[] - An Extension
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- careTeamClaimScope Extension[] - A flag that indicates whether the care team applies to the entire claim or a single item.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimInquiryCareTeamOverallClaimMember
FHIR PASClaimInquiryCareTeamOverallClaimMember datatype record.
Fields
- Fields Included from *PASClaimInquiryCareTeam
- qualification CodeableConcept
- sequence positiveInt
- extension Extension[]
- role CodeableConcept
- provider Reference
- modifierExtension Extension[]
- responsible boolean
- id string
- Element...
- qualification? CodeableConcept - The qualification of the practitioner which is applicable for this service.
- sequence positiveInt - A number to uniquely identify care team entries.
- extension Extension[] - An Extension
- role? CodeableConcept - The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
- provider Reference - Member of the team who provided the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- responsible? boolean - The party who is billing and/or responsible for the claimed products or services.
- careTeamClaimScope Extension[] - A flag that indicates whether the care team applies to the entire claim or a single item.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimInquiryDiagnosis
FHIR PASClaimInquiryDiagnosis datatype record.
Fields
- Fields Included from *BackboneElement
- sequence positiveInt - A number to uniquely identify diagnosis entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- onAdmission? CodeableConcept - Indication of whether the diagnosis was present on admission to a facility.
- packageCode? CodeableConcept - A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type? CodeableConcept - When the condition was observed or the relative ranking.
- diagnosisCodeableConcept CodeableConcept - The nature of illness or problem in a coded form or as a reference to an external defined Condition.
health.fhir.r4.davincipas: PASClaimInquiryInsurance
FHIR PASClaimInquiryInsurance datatype record.
Fields
- Fields Included from *BackboneElement
- coverage Reference - Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
- identifier? Identifier - The business identifier to be used when the claim is sent for adjudication against this insurance policy.
- sequence positiveInt - A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- businessArrangement? string - A business agreement number established between the provider and the insurer for special business processing purposes.
- claimResponse? Reference - The result of the adjudication of the line items for the Coverage specified in this insurance.
- focal boolean - A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- preAuthRef? string[] - Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimInquiryItem
FHIR PASClaimInquiryItem datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - An Extension
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- informationSequence? positiveInt[] - Exceptions, special conditions and supporting information applicable for this service or product.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- diagnosisSequence? positiveInt[] - Diagnosis applicable for this service or product.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- careTeamSequence? positiveInt[] - CareTeam members related to this service or product.
- encounter? Reference[] - The Encounters during which this Claim was created or to which the creation of this record is tightly associated.
- sequence positiveInt - A number to uniquely identify item entries.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? PASClaimInquiryItemDetail[] - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- procedureSequence? positiveInt[] - Procedures applicable for this service or product.
health.fhir.r4.davincipas: PASClaimInquiryItemDetail
FHIR PASClaimInquiryItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? PASClaimInquiryItemDetailSubDetail[] - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- sequence positiveInt - A number to uniquely identify item entries.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.davincipas: PASClaimInquiryItemDetailSubDetail
FHIR PASClaimInquiryItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- sequence positiveInt - A number to uniquely identify item entries.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.davincipas: PASClaimInquiryPayee
FHIR PASClaimInquiryPayee datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - Type of Party to be reimbursed: subscriber, provider, other.
- party? Reference - Reference to the individual or organization to whom any payment will be made.
health.fhir.r4.davincipas: PASClaimInquiryProcedure
FHIR PASClaimInquiryProcedure datatype record.
Fields
- Fields Included from *BackboneElement
- date? dateTime - Date and optionally time the procedure was performed.
- sequence positiveInt - A number to uniquely identify procedure entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- procedureCodeableConcept CodeableConcept - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- procedureReference Reference - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- 'type? CodeableConcept[] - When the condition was observed or the relative ranking.
health.fhir.r4.davincipas: PASClaimInquiryRelated
FHIR PASClaimInquiryRelated datatype record.
Fields
- Fields Included from *BackboneElement
- reference? Identifier - An alternate organizational reference to the case or file to which this particular claim pertains.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- claim? Reference - Reference to a related claim.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- relationship? CodeableConcept - A code to convey how the claims are related.
health.fhir.r4.davincipas: PASClaimInquiryResponse
FHIR PASClaimInquiryResponse resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_PASCLAIMINQUIRYRESPONSE(default RESOURCE_NAME_PASCLAIMINQUIRYRESPONSE) - The type of the resource describes
- insurance? PASClaimInquiryResponseInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- request? Reference - Original request resource reference.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- use PASClaimInquiryResponseUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- payeeType? CodeableConcept - Type of Party to be reimbursed: subscriber, provider, other.
- preAuthRef? string - Reference from the Insurer which is used in later communications which refers to this adjudication.
- language? code - The base language in which the resource is written.
- 'error? PASClaimInquiryResponseError[] - Errors encountered during the processing of the adjudication.
- 'type CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- processNote? PASClaimInquiryResponseProcessNote[] - A note that describes or explains adjudication results in a human readable form.
- addItem? PASClaimInquiryResponseAddItem[] - The first-tier service adjudications for payor added product or service lines.
- total? PASClaimInquiryResponseTotal[] - Categorized monetary totals for the adjudication.
- fundsReserve? CodeableConcept - A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
- insurer Reference - The party responsible for authorization, adjudication and reimbursement.
- patient Reference - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.
- communicationRequest? Reference[] - Request for additional supporting or authorizing information.
- payment? PASClaimInquiryResponsePayment - Payment details for the adjudication of the claim.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- outcome PASClaimInquiryResponseOutcome - The outcome of the claim, predetermination, or preauthorization processing.
- identifier? ProfileIdentifier[] - An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
- item? PASClaimInquiryResponseItem[] - A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.
- preAuthPeriod? Period - The time frame during which this authorization is effective.
- formCode? CodeableConcept - A code for the form to be used for printing the content.
- created dateTime - The date this resource was created.
- requestor? Reference - The provider which is responsible for the claim, predetermination or preauthorization.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- disposition? string - A human readable description of the status of the adjudication.
- form? Attachment - The actual form, by reference or inclusion, for printing the content or an EOB.
- meta? Meta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- subType? CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- status PASClaimInquiryResponseStatus - The status of the resource instance.
- Element... - Rest field
health.fhir.r4.davincipas: PASClaimInquiryResponseAddItem
FHIR PASClaimInquiryResponseAddItem datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subdetailSequence? positiveInt[] - The sequence number of the sub-details within the details within the claim item which this line is intended to replace.
- locationAddress? Address - Where the product or service was provided.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- itemSequence? positiveInt[] - Claim items which this service line is intended to replace.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- provider? Reference[] - The providers who are authorized for the services rendered to the patient.
- detailSequence? positiveInt[] - The sequence number of the details within the claim item which this line is intended to replace.
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? PASClaimInquiryResponseAddItemDetail[] - The second-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationReference? Reference - Where the product or service was provided.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.davincipas: PASClaimInquiryResponseAddItemDetail
FHIR PASClaimInquiryResponseAddItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? PASClaimInquiryResponseAddItemDetailSubDetail[] - The third-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimInquiryResponseAddItemDetailSubDetail
FHIR PASClaimInquiryResponseAddItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimInquiryResponseError
FHIR PASClaimInquiryResponseError datatype record.
Fields
- Fields Included from *BackboneElement
- subDetailSequence? positiveInt - The sequence number of the sub-detail within the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.
- itemSequence? positiveInt - The sequence number of the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.
- extension? Extension[] - An Extension
- code CodeableConcept - An error code, from a specified code system, which details why the claim could not be adjudicated.
- detailSequence? positiveInt - The sequence number of the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimInquiryResponseInsurance
FHIR PASClaimInquiryResponseInsurance datatype record.
Fields
- Fields Included from *BackboneElement
- coverage Reference - Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
- sequence positiveInt - A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- businessArrangement? string - A business agreement number established between the provider and the insurer for special business processing purposes.
- claimResponse? Reference - The result of the adjudication of the line items for the Coverage specified in this insurance.
- focal boolean - A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimInquiryResponseItem
FHIR PASClaimInquiryResponseItem datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - An Extension
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- adjudication PASClaimInquiryResponseItemAdjudication[] - If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
- itemSequence positiveInt - A number to uniquely reference the claim item entries.
- detail? PASClaimInquiryResponseItemDetail[] - A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimInquiryResponseItemAdjudication
FHIR PASClaimInquiryResponseItemAdjudication datatype record.
Fields
- Fields Included from *BackboneElement
- reason? CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - An Extension
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimInquiryResponseItemAdjudicationCategory - A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item.
- reviewAction? Extension - The details of the review action that is necessary for the authorization.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.davincipas: PASClaimInquiryResponseItemAdjudicationCategory
FHIR PASClaimInquiryResponseItemAdjudicationCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimInquiryResponseItemAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimInquiryResponseItemAdjudicationCategoryCoding
FHIR PASClaimInquiryResponseItemAdjudicationCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://terminology.hl7.org/CodeSystem/adjudication") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "submitted") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimInquiryResponseItemDetail
FHIR PASClaimInquiryResponseItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- detailSequence positiveInt - A number to uniquely reference the claim detail entry.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? PASClaimInquiryResponseItemDetailSubDetail[] - A sub-detail adjudication of a simple product or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimInquiryResponseItemDetailSubDetail
FHIR PASClaimInquiryResponseItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- subDetailSequence positiveInt - A number to uniquely reference the claim sub-detail entry.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimInquiryResponsePayment
FHIR PASClaimInquiryResponsePayment datatype record.
Fields
- Fields Included from *BackboneElement
- date? date - Estimated date the payment will be issued or the actual issue date of payment.
- identifier? Identifier - Issuer's unique identifier for the payment instrument.
- adjustmentReason? CodeableConcept - Reason for the payment adjustment.
- amount Money - Benefits payable less any payment adjustment.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- adjustment? Money - Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - Whether this represents partial or complete payment of the benefits payable.
health.fhir.r4.davincipas: PASClaimInquiryResponseProcessNote
FHIR PASClaimInquiryResponseProcessNote datatype record.
Fields
- Fields Included from *BackboneElement
- number? positiveInt - A number to uniquely identify a note entry.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language? CodeableConcept - A code to define the language used in the text of the note.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- text string - The explanation or description associated with the processing.
- 'type? PASClaimInquiryResponseProcessNoteType - The business purpose of the note text.
health.fhir.r4.davincipas: PASClaimInquiryResponseTotal
FHIR PASClaimInquiryResponseTotal datatype record.
Fields
- Fields Included from *BackboneElement
- amount Money - Monetary total amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
health.fhir.r4.davincipas: PASClaimInquirySupportingInfo
FHIR PASClaimInquirySupportingInfo datatype record.
Fields
- Fields Included from *BackboneElement
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate? date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimInquirySupportingInfoAdmissionDates
FHIR PASClaimInquirySupportingInfoAdmissionDates datatype record.
Fields
- Fields Included from *PASClaimInquirySupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimInquirySupportingInfoCategoryTwo - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimInquirySupportingInfoCategory
FHIR PASClaimInquirySupportingInfoCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimInquirySupportingInfoCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimInquirySupportingInfoCategoryCoding
FHIR PASClaimInquirySupportingInfoCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "patientEvent") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimInquirySupportingInfoCategoryCodingOne
FHIR PASClaimInquirySupportingInfoCategoryCodingOne datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "dischargeDates") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimInquirySupportingInfoCategoryCodingTwo
FHIR PASClaimInquirySupportingInfoCategoryCodingTwo datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "admissionDates") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimInquirySupportingInfoCategoryOne
FHIR PASClaimInquirySupportingInfoCategoryOne datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimInquirySupportingInfoCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimInquirySupportingInfoCategoryTwo
FHIR PASClaimInquirySupportingInfoCategoryTwo datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimInquirySupportingInfoCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimInquirySupportingInfoDischargeDates
FHIR PASClaimInquirySupportingInfoDischargeDates datatype record.
Fields
- Fields Included from *PASClaimInquirySupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimInquirySupportingInfoCategoryOne - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimInquirySupportingInfoPatientEvent
FHIR PASClaimInquirySupportingInfoPatientEvent datatype record.
Fields
- Fields Included from *PASClaimInquirySupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimInquirySupportingInfoCategory - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimInsurance
FHIR PASClaimInsurance datatype record.
Fields
- Fields Included from *BackboneElement
- coverage Reference - Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
- identifier? Identifier - The business identifier to be used when the claim is sent for adjudication against this insurance policy.
- sequence positiveInt - A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- businessArrangement? string - A business agreement number established between the provider and the insurer for special business processing purposes.
- claimResponse? Reference - The result of the adjudication of the line items for the Coverage specified in this insurance.
- focal boolean - A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- preAuthRef? string[] - Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimItem
FHIR PASClaimItem datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - An Extension
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- informationSequence? positiveInt[] - Exceptions, special conditions and supporting information applicable for this service or product.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- diagnosisSequence? positiveInt[] - Diagnosis applicable for this service or product.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- careTeamSequence? positiveInt[] - CareTeam members related to this service or product.
- encounter? Reference[] - The Encounters during which this Claim was created or to which the creation of this record is tightly associated.
- sequence positiveInt - A number to uniquely identify item entries.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? PASClaimItemDetail[] - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- procedureSequence? positiveInt[] - Procedures applicable for this service or product.
health.fhir.r4.davincipas: PASClaimItemDetail
FHIR PASClaimItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? PASClaimItemDetailSubDetail[] - A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- sequence positiveInt - A number to uniquely identify item entries.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.davincipas: PASClaimItemDetailSubDetail
FHIR PASClaimItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- sequence positiveInt - A number to uniquely identify item entries.
- revenue? CodeableConcept - The type of revenue or cost center providing the product and/or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- category? CodeableConcept - Code to identify the general type of benefits under which products and services are provided.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.davincipas: PASClaimPayee
FHIR PASClaimPayee datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - Type of Party to be reimbursed: subscriber, provider, other.
- party? Reference - Reference to the individual or organization to whom any payment will be made.
health.fhir.r4.davincipas: PASClaimProcedure
FHIR PASClaimProcedure datatype record.
Fields
- Fields Included from *BackboneElement
- date? dateTime - Date and optionally time the procedure was performed.
- sequence positiveInt - A number to uniquely identify procedure entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- procedureCodeableConcept CodeableConcept - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- procedureReference Reference - The code or reference to a Procedure resource which identifies the clinical intervention performed.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- udi? Reference[] - Unique Device Identifiers associated with this line item.
- 'type? CodeableConcept[] - When the condition was observed or the relative ranking.
health.fhir.r4.davincipas: PASClaimRelated
FHIR PASClaimRelated datatype record.
Fields
- Fields Included from *BackboneElement
- reference? Identifier - An alternate organizational reference to the case or file to which this particular claim pertains.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- claim? Reference - Reference to a related claim.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- relationship? CodeableConcept - A code to convey how the claims are related.
health.fhir.r4.davincipas: PASClaimResponse
FHIR PASClaimResponse resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_PASCLAIMRESPONSE(default RESOURCE_NAME_PASCLAIMRESPONSE) - The type of the resource describes
- insurance? PASClaimResponseInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- request? Reference - Original request resource reference.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- use PASClaimResponseUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- payeeType? CodeableConcept - Type of Party to be reimbursed: subscriber, provider, other.
- preAuthRef? string - Reference from the Insurer which is used in later communications which refers to this adjudication.
- language? code - The base language in which the resource is written.
- 'error? PASClaimResponseError[] - Errors encountered during the processing of the adjudication.
- 'type CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- processNote? PASClaimResponseProcessNote[] - A note that describes or explains adjudication results in a human readable form.
- addItem? PASClaimResponseAddItem[] - The first-tier service adjudications for payor added product or service lines.
- total? PASClaimResponseTotal[] - Categorized monetary totals for the adjudication.
- fundsReserve? CodeableConcept - A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
- insurer Reference - The party responsible for authorization, adjudication and reimbursement.
- patient Reference - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.
- communicationRequest? Reference[] - Request for additional supporting or authorizing information.
- payment? PASClaimResponsePayment - Payment details for the adjudication of the claim.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- outcome PASClaimResponseOutcome - The outcome of the claim, predetermination, or preauthorization processing.
- identifier? ProfileIdentifier[] - An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
- item? PASClaimResponseItem[] - A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.
- preAuthPeriod? Period - The time frame during which this authorization is effective.
- formCode? CodeableConcept - A code for the form to be used for printing the content.
- created dateTime - The date this resource was created.
- requestor? Reference - The provider which is responsible for the claim, predetermination or preauthorization.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- disposition? string - A human readable description of the status of the adjudication.
- form? Attachment - The actual form, by reference or inclusion, for printing the content or an EOB.
- meta? Meta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- subType? CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- status PASClaimResponseStatus - The status of the resource instance.
- Element... - Rest field
health.fhir.r4.davincipas: PASClaimResponseAddItem
FHIR PASClaimResponseAddItem datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subdetailSequence? positiveInt[] - The sequence number of the sub-details within the details within the claim item which this line is intended to replace.
- locationAddress? Address - Where the product or service was provided.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- itemSequence? positiveInt[] - Claim items which this service line is intended to replace.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- provider? Reference[] - The providers who are authorized for the services rendered to the patient.
- detailSequence? positiveInt[] - The sequence number of the details within the claim item which this line is intended to replace.
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? PASClaimResponseAddItemDetail[] - The second-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationReference? Reference - Where the product or service was provided.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.davincipas: PASClaimResponseAddItemDetail
FHIR PASClaimResponseAddItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? PASClaimResponseAddItemDetailSubDetail[] - The third-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimResponseAddItemDetailSubDetail
FHIR PASClaimResponseAddItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimResponseBase
FHIR PASClaimResponseBase resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_PASCLAIMRESPONSEBASE(default RESOURCE_NAME_PASCLAIMRESPONSEBASE) - The type of the resource describes
- insurance? PASClaimResponseBaseInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- request? Reference - Original request resource reference.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- use PASClaimResponseBaseUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- payeeType? CodeableConcept - Type of Party to be reimbursed: subscriber, provider, other.
- preAuthRef? string - Reference from the Insurer which is used in later communications which refers to this adjudication.
- language? code - The base language in which the resource is written.
- 'error? PASClaimResponseBaseError[] - Errors encountered during the processing of the adjudication.
- 'type CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- processNote? PASClaimResponseBaseProcessNote[] - A note that describes or explains adjudication results in a human readable form.
- addItem? PASClaimResponseBaseAddItem[] - The first-tier service adjudications for payor added product or service lines.
- total? PASClaimResponseBaseTotal[] - Categorized monetary totals for the adjudication.
- fundsReserve? CodeableConcept - A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
- insurer Reference - The party responsible for authorization, adjudication and reimbursement.
- patient Reference - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.
- communicationRequest? Reference[] - Request for additional supporting or authorizing information.
- payment? PASClaimResponseBasePayment - Payment details for the adjudication of the claim.
- id? string - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
- text? Narrative - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
- outcome PASClaimResponseBaseOutcome - The outcome of the claim, predetermination, or preauthorization processing.
- identifier? ProfileIdentifier[] - An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
- item? PASClaimResponseBaseItem[] - A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.
- preAuthPeriod? Period - The time frame during which this authorization is effective.
- formCode? CodeableConcept - A code for the form to be used for printing the content.
- created dateTime - The date this resource was created.
- requestor? Reference - The provider which is responsible for the claim, predetermination or preauthorization.
- contained? Resource[] - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
- disposition? string - A human readable description of the status of the adjudication.
- form? Attachment - The actual form, by reference or inclusion, for printing the content or an EOB.
- meta? Meta - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
- implicitRules? uri - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
- subType? CodeableConcept - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
- status PASClaimResponseBaseStatus - The status of the resource instance.
- Element... - Rest field
health.fhir.r4.davincipas: PASClaimResponseBaseAddItem
FHIR PASClaimResponseBaseAddItem datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- programCode? CodeableConcept[] - Identifies the program under which this may be recovered.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subdetailSequence? positiveInt[] - The sequence number of the sub-details within the details within the claim item which this line is intended to replace.
- locationAddress? Address - Where the product or service was provided.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- servicedPeriod? Period - The date or dates when the service or product was supplied, performed or completed.
- itemSequence? positiveInt[] - Claim items which this service line is intended to replace.
- bodySite? CodeableConcept - Physical service site on the patient (limb, tooth, etc.).
- locationCodeableConcept? CodeableConcept - Where the product or service was provided.
- provider? Reference[] - The providers who are authorized for the services rendered to the patient.
- detailSequence? positiveInt[] - The sequence number of the details within the claim item which this line is intended to replace.
- subSite? CodeableConcept[] - A region or surface of the bodySite, e.g. limb region or tooth surface(s).
- detail? PASClaimResponseBaseAddItemDetail[] - The second-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- locationReference? Reference - Where the product or service was provided.
- servicedDate? date - The date or dates when the service or product was supplied, performed or completed.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
health.fhir.r4.davincipas: PASClaimResponseBaseAddItemDetail
FHIR PASClaimResponseBaseAddItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? PASClaimResponseBaseAddItemDetailSubDetail[] - The third-tier service adjudications for payor added services.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimResponseBaseAddItemDetailSubDetail
FHIR PASClaimResponseBaseAddItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- unitPrice? Money - If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- quantity? Quantity - The number of repetitions of a service or product.
- modifier? CodeableConcept[] - Item typification or modifiers codes to convey additional context for the product or service.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- productOrService CodeableConcept - When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
- factor? decimal - A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
- net? Money - The quantity times the unit price for an additional service or product or charge.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimResponseBaseError
FHIR PASClaimResponseBaseError datatype record.
Fields
- Fields Included from *BackboneElement
- subDetailSequence? positiveInt - The sequence number of the sub-detail within the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.
- itemSequence? positiveInt - The sequence number of the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.
- extension? Extension[] - An Extension
- code CodeableConcept - An error code, from a specified code system, which details why the claim could not be adjudicated.
- detailSequence? positiveInt - The sequence number of the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimResponseBaseInsurance
FHIR PASClaimResponseBaseInsurance datatype record.
Fields
- Fields Included from *BackboneElement
- coverage Reference - Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
- sequence positiveInt - A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- businessArrangement? string - A business agreement number established between the provider and the insurer for special business processing purposes.
- claimResponse? Reference - The result of the adjudication of the line items for the Coverage specified in this insurance.
- focal boolean - A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimResponseBaseItem
FHIR PASClaimResponseBaseItem datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - An Extension
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- adjudication PASClaimResponseBaseItemAdjudication[] - If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
- itemSequence positiveInt - A number to uniquely reference the claim item entries.
- detail? PASClaimResponseBaseItemDetail[] - A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimResponseBaseItemAdjudication
FHIR PASClaimResponseBaseItemAdjudication datatype record.
Fields
- Fields Included from *BackboneElement
- reason? CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - An Extension
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimResponseBaseItemAdjudicationCategory - A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item.
- reviewAction? Extension - The details of the review action that is necessary for the authorization.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.davincipas: PASClaimResponseBaseItemAdjudicationCategory
FHIR PASClaimResponseBaseItemAdjudicationCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimResponseBaseItemAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimResponseBaseItemAdjudicationCategoryCoding
FHIR PASClaimResponseBaseItemAdjudicationCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://terminology.hl7.org/CodeSystem/adjudication") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "submitted") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimResponseBaseItemDetail
FHIR PASClaimResponseBaseItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- detailSequence positiveInt - A number to uniquely reference the claim detail entry.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? PASClaimResponseBaseItemDetailSubDetail[] - A sub-detail adjudication of a simple product or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimResponseBaseItemDetailSubDetail
FHIR PASClaimResponseBaseItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- subDetailSequence positiveInt - A number to uniquely reference the claim sub-detail entry.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimResponseBasePayment
FHIR PASClaimResponseBasePayment datatype record.
Fields
- Fields Included from *BackboneElement
- date? date - Estimated date the payment will be issued or the actual issue date of payment.
- identifier? Identifier - Issuer's unique identifier for the payment instrument.
- adjustmentReason? CodeableConcept - Reason for the payment adjustment.
- amount Money - Benefits payable less any payment adjustment.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- adjustment? Money - Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - Whether this represents partial or complete payment of the benefits payable.
health.fhir.r4.davincipas: PASClaimResponseBaseProcessNote
FHIR PASClaimResponseBaseProcessNote datatype record.
Fields
- Fields Included from *BackboneElement
- number? positiveInt - A number to uniquely identify a note entry.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language? CodeableConcept - A code to define the language used in the text of the note.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- text string - The explanation or description associated with the processing.
- 'type? PASClaimResponseBaseProcessNoteType - The business purpose of the note text.
health.fhir.r4.davincipas: PASClaimResponseBaseTotal
FHIR PASClaimResponseBaseTotal datatype record.
Fields
- Fields Included from *BackboneElement
- amount Money - Monetary total amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
health.fhir.r4.davincipas: PASClaimResponseError
FHIR PASClaimResponseError datatype record.
Fields
- Fields Included from *BackboneElement
- subDetailSequence? positiveInt - The sequence number of the sub-detail within the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.
- itemSequence? positiveInt - The sequence number of the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.
- extension? Extension[] - An Extension
- code CodeableConcept - An error code, from a specified code system, which details why the claim could not be adjudicated.
- detailSequence? positiveInt - The sequence number of the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimResponseInsurance
FHIR PASClaimResponseInsurance datatype record.
Fields
- Fields Included from *BackboneElement
- coverage Reference - Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
- sequence positiveInt - A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- businessArrangement? string - A business agreement number established between the provider and the insurer for special business processing purposes.
- claimResponse? Reference - The result of the adjudication of the line items for the Coverage specified in this insurance.
- focal boolean - A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimResponseItem
FHIR PASClaimResponseItem datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - An Extension
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
- adjudication PASClaimResponseItemAdjudication[] - If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
- itemSequence positiveInt - A number to uniquely reference the claim item entries.
- detail? PASClaimResponseItemDetail[] - A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
health.fhir.r4.davincipas: PASClaimResponseItemAdjudication
FHIR PASClaimResponseItemAdjudication datatype record.
Fields
- Fields Included from *BackboneElement
- reason? CodeableConcept - A code supporting the understanding of the adjudication result and explaining variance from expected amount.
- amount? Money - Monetary amount associated with the category.
- extension? Extension[] - An Extension
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimResponseItemAdjudicationCategory - A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item.
- reviewAction? Extension - The details of the review action that is necessary for the authorization.
- value? decimal - A non-monetary value associated with the category. Mutually exclusive to the amount element above.
health.fhir.r4.davincipas: PASClaimResponseItemAdjudicationCategory
FHIR PASClaimResponseItemAdjudicationCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimResponseItemAdjudicationCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimResponseItemAdjudicationCategoryCoding
FHIR PASClaimResponseItemAdjudicationCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://terminology.hl7.org/CodeSystem/adjudication") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "submitted") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimResponseItemDetail
FHIR PASClaimResponseItemDetail datatype record.
Fields
- Fields Included from *BackboneElement
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- detailSequence positiveInt - A number to uniquely reference the claim detail entry.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- subDetail? PASClaimResponseItemDetailSubDetail[] - A sub-detail adjudication of a simple product or service.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimResponseItemDetailSubDetail
FHIR PASClaimResponseItemDetailSubDetail datatype record.
Fields
- Fields Included from *BackboneElement
- subDetailSequence positiveInt - A number to uniquely reference the claim sub-detail entry.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- noteNumber? positiveInt[] - The numbers associated with notes below which apply to the adjudication of this item.
health.fhir.r4.davincipas: PASClaimResponsePayment
FHIR PASClaimResponsePayment datatype record.
Fields
- Fields Included from *BackboneElement
- date? date - Estimated date the payment will be issued or the actual issue date of payment.
- identifier? Identifier - Issuer's unique identifier for the payment instrument.
- adjustmentReason? CodeableConcept - Reason for the payment adjustment.
- amount Money - Benefits payable less any payment adjustment.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- adjustment? Money - Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- 'type CodeableConcept - Whether this represents partial or complete payment of the benefits payable.
health.fhir.r4.davincipas: PASClaimResponseProcessNote
FHIR PASClaimResponseProcessNote datatype record.
Fields
- Fields Included from *BackboneElement
- number? positiveInt - A number to uniquely identify a note entry.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language? CodeableConcept - A code to define the language used in the text of the note.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- text string - The explanation or description associated with the processing.
- 'type? PASClaimResponseProcessNoteType - The business purpose of the note text.
health.fhir.r4.davincipas: PASClaimResponseTotal
FHIR PASClaimResponseTotal datatype record.
Fields
- Fields Included from *BackboneElement
- amount Money - Monetary total amount associated with the category.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
health.fhir.r4.davincipas: PASClaimSupportingInfo
FHIR PASClaimSupportingInfo datatype record.
Fields
- Fields Included from *BackboneElement
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate? date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category CodeableConcept - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimSupportingInfoAdditionalInformation
FHIR PASClaimSupportingInfoAdditionalInformation datatype record.
Fields
- Fields Included from *PASClaimSupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- timingDate? date - The date when or period to which this information refers.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimSupportingInfoCategoryTwo - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.davincipas: PASClaimSupportingInfoAdmissionDates
FHIR PASClaimSupportingInfoAdmissionDates datatype record.
Fields
- Fields Included from *PASClaimSupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimSupportingInfoCategoryThree - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimSupportingInfoCategory
FHIR PASClaimSupportingInfoCategory datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimSupportingInfoCategoryCoding[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimSupportingInfoCategoryCoding
FHIR PASClaimSupportingInfoCategoryCoding datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "patientEvent") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimSupportingInfoCategoryCodingFour
FHIR PASClaimSupportingInfoCategoryCodingFour datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "freeFormMessage") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimSupportingInfoCategoryCodingOne
FHIR PASClaimSupportingInfoCategoryCodingOne datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "dischargeDates") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimSupportingInfoCategoryCodingThree
FHIR PASClaimSupportingInfoCategoryCodingThree datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "admissionDates") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimSupportingInfoCategoryCodingTwo
FHIR PASClaimSupportingInfoCategoryCodingTwo datatype record.
Fields
- Fields Included from *Coding
- system uri(default "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes") - The identification of the code system that defines the meaning of the symbol in the code.
- code code(default "additionalInformation") - A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
health.fhir.r4.davincipas: PASClaimSupportingInfoCategoryFour
FHIR PASClaimSupportingInfoCategoryFour datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimSupportingInfoCategoryCodingFour[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimSupportingInfoCategoryOne
FHIR PASClaimSupportingInfoCategoryOne datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimSupportingInfoCategoryCodingOne[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimSupportingInfoCategoryThree
FHIR PASClaimSupportingInfoCategoryThree datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimSupportingInfoCategoryCodingThree[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimSupportingInfoCategoryTwo
FHIR PASClaimSupportingInfoCategoryTwo datatype record.
Fields
- Fields Included from *CodeableConcept
- coding PASClaimSupportingInfoCategoryCodingTwo[] - A reference to a code defined by a terminology system.
health.fhir.r4.davincipas: PASClaimSupportingInfoDischargeDates
FHIR PASClaimSupportingInfoDischargeDates datatype record.
Fields
- Fields Included from *PASClaimSupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimSupportingInfoCategoryOne - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimSupportingInfoMessageText
FHIR PASClaimSupportingInfoMessageText datatype record.
Fields
- Fields Included from *PASClaimSupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- timingDate? date - The date when or period to which this information refers.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueString string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod? Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimSupportingInfoCategoryFour - The general class of the information supplied: information; exception; accident, employment; onset, etc.
health.fhir.r4.davincipas: PASClaimSupportingInfoPatientEvent
FHIR PASClaimSupportingInfoPatientEvent datatype record.
Fields
- Fields Included from *PASClaimSupportingInfo
- valueBoolean boolean
- reason CodeableConcept
- extension Extension[]
- code CodeableConcept
- valueReference Reference
- timingPeriod Period
- modifierExtension Extension[]
- timingDate date
- sequence positiveInt
- valueAttachment Attachment
- valueString string
- id string
- category CodeableConcept
- valueQuantity Quantity
- Element...
- valueBoolean? boolean - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- reason? CodeableConcept - Provides the reason in the situation where a reason code is required in addition to the content.
- extension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
- code? CodeableConcept - System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
- valueReference? Reference - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- timingPeriod Period - The date when or period to which this information refers.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- timingDate date - The date when or period to which this information refers.
- sequence positiveInt - A number to uniquely identify supporting information entries.
- valueAttachment? Attachment - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- valueString? string - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
- id? string - Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
- category PASClaimSupportingInfoCategory - The general class of the information supplied: information; exception; accident, employment; onset, etc.
- valueQuantity? Quantity - Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
health.fhir.r4.davincipas: PASClaimUpdate
FHIR PASClaimUpdate resource record.
Fields
- Fields Included from *DomainResource
- resourceType RESOURCE_NAME_PASCLAIMUPDATE(default RESOURCE_NAME_PASCLAIMUPDATE) - The type of the resource describes
- insurance PASClaimUpdateInsurance[] - Financial instruments for reimbursement for the health care products and services specified on the claim.
- extension? Extension[] - An Extension
- extension Slicings
- Extension: Used to provide required information about home health care services. (CR6)
- min = 0
- max = 1
- use PASClaimUpdateUse - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
- modifierExtension? Extension[] - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
- language? code - The base language in which the resource is written.
- 'type CodeableConcept - The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
- accident? PASClaimUpdateAccident - Details of an accident which resulted in injuries which required the products and services listed in the claim.
- payee?