DSTU2 STU 3 Candidate
This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . For a full list of available versions, see the Directory of published versions . Page versions: . Page versions: R5 R4B R4 R3 R2

7.2.6 Resource ClaimResponse - Mappings Resource ClaimResponse - Mappings

Mappings:

RIM

Canadian Dental Association eclaims standard Canadian Dental Association eclaims standard

Mappings for the claimresponse resource.

Mappings for the claimresponse resource.

7.2.6.1 Mappings for RIM (http://hl7.org/v3) Mappings for RIM (http://hl7.org/v3)

ClaimResponse
    identifier
    request     request[x]
    ruleset
    originalRuleset
    created
    organization     organization[x]
    requestProvider     requestProvider[x]
    requestOrganization     requestOrganization[x]
    outcome
    disposition
    payeeType
    item
        sequenceLinkId
        noteNumber
        adjudication
            code             category
            reason
            amount
            value
        detail
            sequenceLinkId
            adjudication
                code                 category
                reason
                amount
                value
            subDetail
                sequenceLinkId
                adjudication
                    code                     category
                    reason
                    amount
                    value
    addItem
        sequenceLinkId
        service
        fee
        noteNumberLinkId
        adjudication
            code             category
            reason
            amount
            value
        detail
            service
            fee
            adjudication
                code                 category
                reason
                amount
                value
    error
        sequenceLinkId
        detailSequenceLinkId
        subdetailSequenceLinkId
        code
    totalCost
    unallocDeductable
    totalBenefit
    paymentAdjustment
    paymentAdjustmentReason
    paymentDate
    paymentAmount
    paymentRef
    reserved
    form
    note
        number
        type
        text
    coverage Coverage
        sequence
        focal
        coverage         coverage[x]
        businessArrangement         relationship
        preAuthRef
        claimResponse         originalRuleset

7.2.6.2 Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/) Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)

        originalRuleset © HL7.org 2011+. FHIR DSTU2 (v1.0.2-7202) generated on Sat, Oct 24, 2015 07:43+1100. Links: Search
ClaimResponse
    identifier
    request     request[x] A02|G01
    ruleset
    originalRuleset
    created
    organization     organization[x]
    requestProvider     requestProvider[x] B01
    requestOrganization     requestOrganization[x]
    outcome
    disposition
    payeeType
    item
        sequenceLinkId F07
        noteNumber
        adjudication
            code             category
            reason
            amount
            value
        detail
            sequenceLinkId F07
            adjudication
                code                 category
                reason
                amount
                value
            subDetail
                sequenceLinkId F07
                adjudication
                    code                     category
                    reason
                    amount
                    value
    addItem
        sequenceLinkId
        service
        fee
        noteNumberLinkId
        adjudication
            code             category
            reason
            amount
            value
        detail
            service
            fee
            adjudication
                code                 category
                reason
                amount
                value
    error
        sequenceLinkId
        detailSequenceLinkId
        subdetailSequenceLinkId
        code
    totalCost
    unallocDeductable
    totalBenefit
    paymentAdjustment
    paymentAdjustmentReason
    paymentDate
    paymentAmount
    paymentRef
    reserved
    form G42
    note
        number
        type
        text G32
    coverage
        sequence
        focal
        coverage         coverage[x]
        businessArrangement         relationship C03
        preAuthRef F03
        claimResponse EOB