R6 Snapshot (Sept 2026)

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16.7.27 Resource ClaimResponse - Maturity Dependency View

Responsible Owner: Financial Management icon Work Group Normative Compartments: Group, Patient, Practitioner

Dependency Graph for ClaimResponse FMM level 2

NameCard.TypeDependency Analysis
.. ClaimResponse DomainResource
... identifier 0..* Identifier
... traceNumber 0..* Identifier
... status 1..1 code
... statusReason 0..1 string
... type 1..1 CodeableConcept
... subType 0..1 CodeableConcept
... use 1..1 code
... subject 1..1 Reference(Patient | Group)
... created 1..1 dateTime
... insurer 0..1 Reference(Organization)
... requestor 0..1 Reference(Practitioner | PractitionerRole | Organization)
... request 0..1 Reference(Claim)
... outcome 1..1 code
... decision 0..1 CodeableConcept
... disposition 0..1 string
... preAuthRef 0..1 string
... preAuthPeriod 0..1 Period
... event 0..* BackboneElement
.... type 1..1 CodeableConcept
.... when[x] 1..1
..... whenDateTime dateTime
..... whenPeriod Period
... payeeType 0..1 CodeableConcept
... encounter 0..* Reference(Encounter)
... diagnosisRelatedGroup 0..1 CodeableConcept
... supportingInfo 0..* BackboneElement
.... sequence 1..1 positiveInt
.... category 1..1 CodeableConcept
.... subCategory 0..1 CodeableConcept
.... code 0..1 CodeableConcept
.... timing[x] 0..1
..... timingDateTime dateTime
..... timingPeriod Period
..... timingTiming Timing
.... value[x] 0..1 *
.... reason 0..1 CodeableConcept
... item 0..* BackboneElement
.... itemSequence 1..1 positiveInt
.... traceNumber 0..* Identifier
.... informationSequence 0..* positiveInt
.... noteNumber 0..* positiveInt
.... reviewOutcome 0..1 BackboneElement
..... decision 0..1 CodeableConcept
..... reason 0..* CodeableConcept
..... preAuthRef 0..1 string
..... preAuthPeriod 0..1 Period
.... adjudication 0..* BackboneElement
..... category 1..1 CodeableConcept
..... reason 0..1 CodeableConcept
..... amount 0..1 Money
..... quantity 0..1 Quantity
..... decisionDate 0..1 dateTime
.... detail 0..* BackboneElement
..... detailSequence 1..1 positiveInt
..... traceNumber 0..* Identifier
..... noteNumber 0..* positiveInt
..... reviewOutcome 0..1 see reviewOutcome
..... adjudication 0..* see adjudication
..... subDetail 0..* BackboneElement
...... subDetailSequence 1..1 positiveInt
...... traceNumber 0..* Identifier
...... noteNumber 0..* positiveInt
...... reviewOutcome 0..1 see reviewOutcome
...... adjudication 0..* see adjudication
... addItem 0..* BackboneElement
.... itemSequence 0..* positiveInt
.... detailSequence 0..* positiveInt
.... subdetailSequence 0..* positiveInt
.... traceNumber 0..* Identifier
.... subject 0..1 Reference(Patient | Group)
.... informationSequence 0..* positiveInt
.... provider 0..* Reference(Practitioner | PractitionerRole | Organization)
.... revenue 0..1 CodeableConcept
.... category 0..1 CodeableConcept
.... productOrService 0..1 CodeableConcept
.... productOrServiceEnd 0..1 CodeableConcept
.... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | VisionPrescription)
.... modifier 0..* CodeableConcept
.... programCode 0..* CodeableConcept
.... serviced[x] 0..1
..... servicedDate date
..... servicedPeriod Period
.... location[x] 0..1
..... locationCodeableConcept CodeableConcept
..... locationAddress Address
..... locationReference Reference(Location
.... quantity 0..1 SimpleQuantity
.... unitPrice 0..1 Money
.... factor 0..1 decimal
.... tax 0..1 Money
.... net 0..1 Money
.... bodySite 0..* BackboneElement
..... site 1..* CodeableReference
..... subSite 0..* CodeableConcept
.... noteNumber 0..* positiveInt
.... reviewOutcome 0..1 see reviewOutcome
.... adjudication 0..* see adjudication
.... detail 0..* BackboneElement
..... traceNumber 0..* Identifier
..... revenue 0..1 CodeableConcept
..... productOrService 0..1 CodeableConcept
..... productOrServiceEnd 0..1 CodeableConcept
..... modifier 0..* CodeableConcept
..... quantity 0..1 SimpleQuantity
..... unitPrice 0..1 Money
..... factor 0..1 decimal
..... tax 0..1 Money
..... net 0..1 Money
..... noteNumber 0..* positiveInt
..... reviewOutcome 0..1 see reviewOutcome
..... adjudication 0..* see adjudication
..... subDetail 0..* BackboneElement
...... traceNumber 0..* Identifier
...... revenue 0..1 CodeableConcept
...... productOrService 0..1 CodeableConcept
...... productOrServiceEnd 0..1 CodeableConcept
...... modifier 0..* CodeableConcept
...... quantity 0..1 SimpleQuantity
...... unitPrice 0..1 Money
...... factor 0..1 decimal
...... tax 0..1 Money
...... net 0..1 Money
...... noteNumber 0..* positiveInt
...... reviewOutcome 0..1 see reviewOutcome
...... adjudication 0..* see adjudication
... adjudication 0..* see adjudication
... total 0..* BackboneElement
.... category 1..1 CodeableConcept
.... amount 1..1 Money
... payment 0..1 BackboneElement
.... type 1..1 CodeableConcept
.... adjustment 0..1 Money
.... adjustmentReason 0..1 CodeableConcept
.... date 0..1 date
.... amount 1..1 Money
.... identifier 0..1 Identifier
... fundsReserve 0..1 CodeableConcept
... formCode 0..1 CodeableConcept
... form 0..1 Attachment
... processNote 0..* BackboneElement
.... class 0..1 CodeableConcept
.... number 0..1 positiveInt
.... type 0..1 CodeableConcept
.... text 1..1 markdown
.... language 0..1 CodeableConcept
... communicationRequest 0..* Reference(CommunicationRequest)
... insurance 0..* BackboneElement
.... sequence 1..1 positiveInt
.... focal 1..1 boolean
.... coverage 1..1 Reference(Coverage)
.... businessArrangement 0..1 string
.... claimResponse 0..1 Reference(ClaimResponse)
... error 0..* BackboneElement
.... itemSequence 0..1 positiveInt
.... detailSequence 0..1 positiveInt
.... subDetailSequence 0..1 positiveInt
.... code 1..1 CodeableConcept
.... expression 0..* string