R6 Checklist for ClaimResponse

Artifact ClaimResponse (ClaimResponse)

Urgent Item Checklist

All Analysis Information

The following content was generated to assist in the review of this artifact for R6 compliance.

Information Page

General Information:

Page File Name claimresponse-introduction.xml
Responsible Workgroup fm
Maturity Label Draft
Maturity Level 2
Standards Status trial-use
Management Comments
Workgroup Comments
Exists In publish.ini No
Exists In Source Directory Yes
'deprecated' Literal Count 0
Zulip Link Count 0
Confluence Link Count 0

Conformance Language Summary

'Conformant' conformance language appears in all-upper case. 'Non-conformant' covers all other cases appearing in the content.

Literal Conformant Non-Conformant
SHALL 0 0
SHALL NOT 0 0
SHOULD 0 4
SHOULD NOT 0 0
MAY 0 14
MAY NOT 0 0

Possibly Removed FHIR Artifact Literals Found on Page

Word Artifact Class

Unknown Words Found on Page

Word Known Typo
ResponsessNo
inforce,No

Images with Issues

Source Missing Alt Text Not In Figure Tag

Possible Incomplete Markers Found on Page

Reader Review Notes Found on Page

Notes Page

General Information:

Page File Name claimresponse-notes.xml
Responsible Workgroup fm
Maturity Label Draft
Maturity Level 2
Standards Status trial-use
Management Comments
Workgroup Comments
Exists In publish.ini No
Exists In Source Directory Yes
'deprecated' Literal Count 0
Zulip Link Count 0
Confluence Link Count 0

Conformance Language Summary

'Conformant' conformance language appears in all-upper case. 'Non-conformant' covers all other cases appearing in the content.

Literal Conformant Non-Conformant
SHALL 0 0
SHALL NOT 0 0
SHOULD 0 0
SHOULD NOT 0 0
MAY 0 2
MAY NOT 0 0

Possibly Removed FHIR Artifact Literals Found on Page

Word Artifact Class

Unknown Words Found on Page

Word Known Typo
.addItemNo
.careTeamSequenceNo
.diagnosisSequenceNo
.informationSequenceNo
.itemSequenceNo
.noteNumberNo
.procedureSequenceNo
.processNoteNo
.subDetailNo
.supportingInfoNo
indivdualNo

Images with Issues

Source Missing Alt Text Not In Figure Tag

Possible Incomplete Markers Found on Page

Reader Review Notes Found on Page

Element Review

Path Is Required Not Array Trial Use Has fixed[x] Has pattern[x] Required Binding External Required Binding Check meaningWhenMissing Is Modifier
ClaimResponse X
ClaimResponse.identifier X
ClaimResponse.traceNumber X
ClaimResponse.status X NO 'other' or 'unknown' X
ClaimResponse.statusReason
ClaimResponse.type X
ClaimResponse.subType
ClaimResponse.use X NO 'other' or 'unknown'
ClaimResponse.patient X
ClaimResponse.created X
ClaimResponse.insurer
ClaimResponse.requestor
ClaimResponse.request
ClaimResponse.outcome X NO 'other' or 'unknown'
ClaimResponse.decision
ClaimResponse.disposition
ClaimResponse.preAuthRef
ClaimResponse.preAuthPeriod
ClaimResponse.event X
ClaimResponse.event.type X
ClaimResponse.event.when[x] X
ClaimResponse.payeeType
ClaimResponse.encounter X
ClaimResponse.diagnosisRelatedGroup
ClaimResponse.supportingInfo X
ClaimResponse.supportingInfo.sequence X
ClaimResponse.supportingInfo.category X
ClaimResponse.supportingInfo.code
ClaimResponse.supportingInfo.timing[x]
ClaimResponse.supportingInfo.value[x] X
ClaimResponse.supportingInfo.reason
ClaimResponse.item X
ClaimResponse.item.itemSequence X
ClaimResponse.item.traceNumber X
ClaimResponse.item.informationSequence X
ClaimResponse.item.noteNumber X
ClaimResponse.item.reviewOutcome
ClaimResponse.item.reviewOutcome.decision
ClaimResponse.item.reviewOutcome.reason X
ClaimResponse.item.reviewOutcome.preAuthRef
ClaimResponse.item.reviewOutcome.preAuthPeriod
ClaimResponse.item.adjudication X
ClaimResponse.item.adjudication.category X
ClaimResponse.item.adjudication.reason
ClaimResponse.item.adjudication.amount
ClaimResponse.item.adjudication.quantity
ClaimResponse.item.detail X
ClaimResponse.item.detail.detailSequence X
ClaimResponse.item.detail.traceNumber X
ClaimResponse.item.detail.noteNumber X
ClaimResponse.item.detail.reviewOutcome
ClaimResponse.item.detail.adjudication X
ClaimResponse.item.detail.subDetail X
ClaimResponse.item.detail.subDetail.subDetailSequence X
ClaimResponse.item.detail.subDetail.traceNumber X
ClaimResponse.item.detail.subDetail.noteNumber X
ClaimResponse.item.detail.subDetail.reviewOutcome
ClaimResponse.item.detail.subDetail.adjudication X
ClaimResponse.addItem X
ClaimResponse.addItem.itemSequence X
ClaimResponse.addItem.detailSequence X
ClaimResponse.addItem.subdetailSequence X
ClaimResponse.addItem.traceNumber X
ClaimResponse.addItem.informationSequence X
ClaimResponse.addItem.provider X
ClaimResponse.addItem.revenue
ClaimResponse.addItem.category
ClaimResponse.addItem.productOrService
ClaimResponse.addItem.productOrServiceEnd
ClaimResponse.addItem.request X
ClaimResponse.addItem.modifier X
ClaimResponse.addItem.programCode X
ClaimResponse.addItem.serviced[x]
ClaimResponse.addItem.location[x]
ClaimResponse.addItem.quantity
ClaimResponse.addItem.unitPrice
ClaimResponse.addItem.factor
ClaimResponse.addItem.tax
ClaimResponse.addItem.net
ClaimResponse.addItem.bodySite X
ClaimResponse.addItem.bodySite.site X X
ClaimResponse.addItem.bodySite.subSite X
ClaimResponse.addItem.noteNumber X
ClaimResponse.addItem.reviewOutcome
ClaimResponse.addItem.adjudication X
ClaimResponse.addItem.detail X
ClaimResponse.addItem.detail.traceNumber X
ClaimResponse.addItem.detail.revenue
ClaimResponse.addItem.detail.productOrService
ClaimResponse.addItem.detail.productOrServiceEnd
ClaimResponse.addItem.detail.modifier X
ClaimResponse.addItem.detail.quantity
ClaimResponse.addItem.detail.unitPrice
ClaimResponse.addItem.detail.factor
ClaimResponse.addItem.detail.tax
ClaimResponse.addItem.detail.net
ClaimResponse.addItem.detail.noteNumber X
ClaimResponse.addItem.detail.reviewOutcome
ClaimResponse.addItem.detail.adjudication X
ClaimResponse.addItem.detail.subDetail X
ClaimResponse.addItem.detail.subDetail.traceNumber X
ClaimResponse.addItem.detail.subDetail.revenue
ClaimResponse.addItem.detail.subDetail.productOrService
ClaimResponse.addItem.detail.subDetail.productOrServiceEnd
ClaimResponse.addItem.detail.subDetail.modifier X
ClaimResponse.addItem.detail.subDetail.quantity
ClaimResponse.addItem.detail.subDetail.unitPrice
ClaimResponse.addItem.detail.subDetail.factor
ClaimResponse.addItem.detail.subDetail.tax
ClaimResponse.addItem.detail.subDetail.net
ClaimResponse.addItem.detail.subDetail.noteNumber X
ClaimResponse.addItem.detail.subDetail.reviewOutcome
ClaimResponse.addItem.detail.subDetail.adjudication X
ClaimResponse.adjudication X
ClaimResponse.total X
ClaimResponse.total.category X
ClaimResponse.total.amount X
ClaimResponse.payment
ClaimResponse.payment.type X
ClaimResponse.payment.adjustment
ClaimResponse.payment.adjustmentReason
ClaimResponse.payment.date
ClaimResponse.payment.amount X
ClaimResponse.payment.identifier
ClaimResponse.fundsReserve
ClaimResponse.formCode
ClaimResponse.form
ClaimResponse.processNote X
ClaimResponse.processNote.class
ClaimResponse.processNote.number
ClaimResponse.processNote.type
ClaimResponse.processNote.text X
ClaimResponse.processNote.language optional - NO 'other' or 'unknown'
ClaimResponse.communicationRequest X
ClaimResponse.insurance X
ClaimResponse.insurance.sequence X
ClaimResponse.insurance.focal X
ClaimResponse.insurance.coverage X
ClaimResponse.insurance.businessArrangement
ClaimResponse.insurance.claimResponse
ClaimResponse.error X
ClaimResponse.error.itemSequence
ClaimResponse.error.detailSequence
ClaimResponse.error.subDetailSequence
ClaimResponse.error.code X
ClaimResponse.error.expression X

Operations

No operations found.

Search Parameters

Id Name Publication Status FMM Standards Status IsExperimental WorkGroup Search Type Description
ClaimResponse-created created Draft trial-use False fm date The creation date
ClaimResponse-disposition disposition Draft trial-use False fm string The contents of the disposition message
ClaimResponse-insurer insurer Draft trial-use False fm reference The organization which generated this resource
ClaimResponse-outcome outcome Draft trial-use False fm token The processing outcome
ClaimResponse-payment-date payment-date Draft trial-use False fm date The expected payment date
ClaimResponse-request request Draft trial-use False fm reference The claim reference
ClaimResponse-requestor requestor Draft trial-use False fm reference The Provider of the claim
ClaimResponse-status status Draft trial-use False fm token The status of the ClaimResponse
ClaimResponse-use use Draft trial-use False fm token The type of claim
clinical-identifier identifier Draft trial-use False pa token Multiple Resources: * [Account](http://hl7.org/fhir/R6/account.html): Account number * [AdverseEvent](http://hl7.org/fhir/R6/adverseevent.html): Business identifier for the event * [AllergyIntolerance](http://hl7.org/fhir/R6/allergyintolerance.html): External ids for this item * [Appointment](http://hl7.org/fhir/R6/appointment.html): An Identifier of the Appointment * [AppointmentResponse](http://hl7.org/fhir/R6/appointmentresponse.html): An Identifier in this appointment response * [Basic](http://hl7.org/fhir/R6/basic.html): Business identifier * [BiologicallyDerivedProduct](http://hl7.org/fhir/R6/biologicallyderivedproduct.html): Identifier * [BiologicallyDerivedProductDispense](http://hl7.org/fhir/R6/biologicallyderivedproductdispense.html): The identifier of the dispense * [BodyStructure](http://hl7.org/fhir/R6/bodystructure.html): Bodystructure identifier * [CarePlan](http://hl7.org/fhir/R6/careplan.html): External Ids for this plan * [CareTeam](http://hl7.org/fhir/R6/careteam.html): External Ids for this team * [ChargeItem](http://hl7.org/fhir/R6/chargeitem.html): Business Identifier for item * [Claim](http://hl7.org/fhir/R6/claim.html): The primary identifier of the financial resource * [ClaimResponse](http://hl7.org/fhir/R6/claimresponse.html): The identity of the ClaimResponse * [ClinicalAssessment](http://hl7.org/fhir/R6/clinicalassessment.html): Business identifier * [Communication](http://hl7.org/fhir/R6/communication.html): Unique identifier * [CommunicationRequest](http://hl7.org/fhir/R6/communicationrequest.html): Unique identifier * [Composition](http://hl7.org/fhir/R6/composition.html): Version-independent identifier for the Composition * [Condition](http://hl7.org/fhir/R6/condition.html): A unique identifier of the condition record * [Consent](http://hl7.org/fhir/R6/consent.html): Identifier for this record (external references) * [Contract](http://hl7.org/fhir/R6/contract.html): The identity of the contract * [Coverage](http://hl7.org/fhir/R6/coverage.html): The primary identifier of the insured and the coverage * [CoverageEligibilityRequest](http://hl7.org/fhir/R6/coverageeligibilityrequest.html): The business identifier of the Eligibility * [CoverageEligibilityResponse](http://hl7.org/fhir/R6/coverageeligibilityresponse.html): The business identifier * [DetectedIssue](http://hl7.org/fhir/R6/detectedissue.html): Unique id for the detected issue * [DeviceRequest](http://hl7.org/fhir/R6/devicerequest.html): Business identifier for request/order * [DeviceUsage](http://hl7.org/fhir/R6/deviceusage.html): Search by identifier * [DiagnosticReport](http://hl7.org/fhir/R6/diagnosticreport.html): An identifier for the report * [DocumentReference](http://hl7.org/fhir/R6/documentreference.html): Identifier of the attachment binary * [Encounter](http://hl7.org/fhir/R6/encounter.html): Identifier(s) by which this encounter is known * [EnrollmentRequest](http://hl7.org/fhir/R6/enrollmentrequest.html): The business identifier of the Enrollment * [EpisodeOfCare](http://hl7.org/fhir/R6/episodeofcare.html): Business Identifier(s) relevant for this EpisodeOfCare * [ExplanationOfBenefit](http://hl7.org/fhir/R6/explanationofbenefit.html): The business identifier of the Explanation of Benefit * [FamilyMemberHistory](http://hl7.org/fhir/R6/familymemberhistory.html): A search by a record identifier * [Flag](http://hl7.org/fhir/R6/flag.html): Business identifier * [Goal](http://hl7.org/fhir/R6/goal.html): External Ids for this goal * [GuidanceResponse](http://hl7.org/fhir/R6/guidanceresponse.html): The identifier of the guidance response * [ImagingSelection](http://hl7.org/fhir/R6/imagingselection.html): Identifiers for the imaging selection * [ImagingStudy](http://hl7.org/fhir/R6/imagingstudy.html): Identifiers for the Study, such as DICOM Study Instance UID * [Immunization](http://hl7.org/fhir/R6/immunization.html): Business identifier * [ImmunizationEvaluation](http://hl7.org/fhir/R6/immunizationevaluation.html): ID of the evaluation * [ImmunizationRecommendation](http://hl7.org/fhir/R6/immunizationrecommendation.html): Business identifier * [Invoice](http://hl7.org/fhir/R6/invoice.html): Business Identifier for item * [List](http://hl7.org/fhir/R6/list.html): Business identifier * [MeasureReport](http://hl7.org/fhir/R6/measurereport.html): External identifier of the measure report to be returned * [Medication](http://hl7.org/fhir/R6/medication.html): Returns medications with this external identifier * [MedicationAdministration](http://hl7.org/fhir/R6/medicationadministration.html): Return administrations with this external identifier * [MedicationDispense](http://hl7.org/fhir/R6/medicationdispense.html): Returns dispenses with this external identifier * [MedicationRequest](http://hl7.org/fhir/R6/medicationrequest.html): Return prescriptions with this external identifier * [MedicationStatement](http://hl7.org/fhir/R6/medicationstatement.html): Return statements with this external identifier * [NutritionIntake](http://hl7.org/fhir/R6/nutritionintake.html): Return statements with this external identifier * [NutritionOrder](http://hl7.org/fhir/R6/nutritionorder.html): Return nutrition orders with this external identifier * [Observation](http://hl7.org/fhir/R6/observation.html): The unique id for a particular observation * [Person](http://hl7.org/fhir/R6/person.html): A person Identifier * [Procedure](http://hl7.org/fhir/R6/procedure.html): A unique identifier for a procedure * [QuestionnaireResponse](http://hl7.org/fhir/R6/questionnaireresponse.html): The unique identifier for the questionnaire response * [RelatedPerson](http://hl7.org/fhir/R6/relatedperson.html): An Identifier of the RelatedPerson * [RequestOrchestration](http://hl7.org/fhir/R6/requestorchestration.html): External identifiers for the request orchestration * [ResearchSubject](http://hl7.org/fhir/R6/researchsubject.html): Business Identifier for research subject in a study * [RiskAssessment](http://hl7.org/fhir/R6/riskassessment.html): Unique identifier for the assessment * [ServiceRequest](http://hl7.org/fhir/R6/servicerequest.html): Identifiers assigned to this order * [Specimen](http://hl7.org/fhir/R6/specimen.html): The unique identifier associated with the specimen * [SupplyDelivery](http://hl7.org/fhir/R6/supplydelivery.html): External identifier * [SupplyRequest](http://hl7.org/fhir/R6/supplyrequest.html): Business Identifier for SupplyRequest * [Task](http://hl7.org/fhir/R6/task.html): Search for a task instance by its business identifier * [VisionPrescription](http://hl7.org/fhir/R6/visionprescription.html): Return prescriptions with this external identifier
clinical-patient patient Draft trial-use False pa reference Multiple Resources: * [Account](http://hl7.org/fhir/R6/account.html): The entity that caused the expenses * [AdverseEvent](http://hl7.org/fhir/R6/adverseevent.html): Subject impacted by event * [AllergyIntolerance](http://hl7.org/fhir/R6/allergyintolerance.html): Who the sensitivity is for * [Appointment](http://hl7.org/fhir/R6/appointment.html): One of the individuals of the appointment is this patient * [AppointmentResponse](http://hl7.org/fhir/R6/appointmentresponse.html): This Response is for this Patient * [AuditEvent](http://hl7.org/fhir/R6/auditevent.html): Where the activity involved patient data * [Basic](http://hl7.org/fhir/R6/basic.html): Identifies the focus of this resource * [BiologicallyDerivedProduct](http://hl7.org/fhir/R6/biologicallyderivedproduct.html): The patient who underwent the procedure to collect the product * [BiologicallyDerivedProductDispense](http://hl7.org/fhir/R6/biologicallyderivedproductdispense.html): The identity of a patient for whom to list dispenses * [BodyStructure](http://hl7.org/fhir/R6/bodystructure.html): Who this is about * [CarePlan](http://hl7.org/fhir/R6/careplan.html): Who the care plan is for * [CareTeam](http://hl7.org/fhir/R6/careteam.html): Who care team is for * [ChargeItem](http://hl7.org/fhir/R6/chargeitem.html): Individual service was done for/to * [Claim](http://hl7.org/fhir/R6/claim.html): Patient receiving the products or services * [ClaimResponse](http://hl7.org/fhir/R6/claimresponse.html): The subject of care * [ClinicalAssessment](http://hl7.org/fhir/R6/clinicalassessment.html): Patient assessed * [Communication](http://hl7.org/fhir/R6/communication.html): Focus of message * [CommunicationRequest](http://hl7.org/fhir/R6/communicationrequest.html): Focus of message * [Composition](http://hl7.org/fhir/R6/composition.html): Who and/or what the composition is about * [Condition](http://hl7.org/fhir/R6/condition.html): Who has the condition? * [Consent](http://hl7.org/fhir/R6/consent.html): Who the consent applies to * [Contract](http://hl7.org/fhir/R6/contract.html): The identity of the subject of the contract (if a patient) * [Coverage](http://hl7.org/fhir/R6/coverage.html): Retrieve coverages for a patient * [CoverageEligibilityRequest](http://hl7.org/fhir/R6/coverageeligibilityrequest.html): The reference to the patient * [CoverageEligibilityResponse](http://hl7.org/fhir/R6/coverageeligibilityresponse.html): The reference to the patient * [DetectedIssue](http://hl7.org/fhir/R6/detectedissue.html): Associated patient * [DeviceRequest](http://hl7.org/fhir/R6/devicerequest.html): Individual the service is ordered for * [DeviceUsage](http://hl7.org/fhir/R6/deviceusage.html): Search by patient who used the device * [DiagnosticReport](http://hl7.org/fhir/R6/diagnosticreport.html): The subject of the report if a patient * [DocumentReference](http://hl7.org/fhir/R6/documentreference.html): Who/what is the subject of the document * [Encounter](http://hl7.org/fhir/R6/encounter.html): The patient present at the encounter * [EnrollmentRequest](http://hl7.org/fhir/R6/enrollmentrequest.html): The party to be enrolled * [EpisodeOfCare](http://hl7.org/fhir/R6/episodeofcare.html): The patient who is the focus of this episode of care * [ExplanationOfBenefit](http://hl7.org/fhir/R6/explanationofbenefit.html): The reference to the patient * [FamilyMemberHistory](http://hl7.org/fhir/R6/familymemberhistory.html): The identity of a subject to list family member history items for * [Flag](http://hl7.org/fhir/R6/flag.html): The identity of a subject to list flags for * [Goal](http://hl7.org/fhir/R6/goal.html): Who this goal is intended for * [GuidanceResponse](http://hl7.org/fhir/R6/guidanceresponse.html): The identity of a patient to search for guidance response results * [ImagingSelection](http://hl7.org/fhir/R6/imagingselection.html): Who the study is about * [ImagingStudy](http://hl7.org/fhir/R6/imagingstudy.html): Who the study is about * [Immunization](http://hl7.org/fhir/R6/immunization.html): The patient for the vaccination record * [ImmunizationEvaluation](http://hl7.org/fhir/R6/immunizationevaluation.html): The patient being evaluated * [ImmunizationRecommendation](http://hl7.org/fhir/R6/immunizationrecommendation.html): Who this profile is for * [Invoice](http://hl7.org/fhir/R6/invoice.html): Recipient(s) of goods and services * [List](http://hl7.org/fhir/R6/list.html): If all resources have the same subject * [MeasureReport](http://hl7.org/fhir/R6/measurereport.html): The identity of a patient to search for individual measure report results for * [MedicationAdministration](http://hl7.org/fhir/R6/medicationadministration.html): The identity of a patient to list administrations for * [MedicationDispense](http://hl7.org/fhir/R6/medicationdispense.html): The identity of a patient to list dispenses for * [MedicationRequest](http://hl7.org/fhir/R6/medicationrequest.html): Returns prescriptions for a specific patient * [MedicationStatement](http://hl7.org/fhir/R6/medicationstatement.html): Returns statements for a specific patient. * [NutritionIntake](http://hl7.org/fhir/R6/nutritionintake.html): Returns statements for a specific patient. * [NutritionOrder](http://hl7.org/fhir/R6/nutritionorder.html): The identity of the individual or set of individuals who requires the diet, formula or nutritional supplement * [Observation](http://hl7.org/fhir/R6/observation.html): The subject that the observation is about (if patient) * [Person](http://hl7.org/fhir/R6/person.html): The Person links to this Patient * [Procedure](http://hl7.org/fhir/R6/procedure.html): Search by subject - a patient * [Provenance](http://hl7.org/fhir/R6/provenance.html): Where the activity involved patient data * [QuestionnaireResponse](http://hl7.org/fhir/R6/questionnaireresponse.html): The patient that is the subject of the questionnaire response * [RelatedPerson](http://hl7.org/fhir/R6/relatedperson.html): The patient this related person is related to * [RequestOrchestration](http://hl7.org/fhir/R6/requestorchestration.html): The identity of a patient to search for request orchestrations * [ResearchSubject](http://hl7.org/fhir/R6/researchsubject.html): Who or what is part of study * [RiskAssessment](http://hl7.org/fhir/R6/riskassessment.html): Who/what does assessment apply to? * [ServiceRequest](http://hl7.org/fhir/R6/servicerequest.html): Search by subject - a patient * [Specimen](http://hl7.org/fhir/R6/specimen.html): The patient the specimen comes from * [SupplyDelivery](http://hl7.org/fhir/R6/supplydelivery.html): Patient for whom the item is supplied * [SupplyRequest](http://hl7.org/fhir/R6/supplyrequest.html): The patient or subject for whom the supply is destined * [Task](http://hl7.org/fhir/R6/task.html): Search by patient * [VisionPrescription](http://hl7.org/fhir/R6/visionprescription.html): The identity of a patient to list dispenses for