CData Python Connector for FHIR

Build 24.0.9029

ClaimResponse

ClaimResponse view.

Columns

Name Type Description
id String The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
lastUpdated Datetime 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 String 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.
language String The base language in which the resource is written.
text_div String The div of the text. 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.
text_status String The status of the text. 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.
contained String 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.
extension String 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.
modifierExtension String 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).
identifier_value String The value of the identifier. A unique identifier assigned to this claim response.
identifier_use String The identifier-use of the identifier-use. A unique identifier assigned to this claim response.
identifier_type_coding String The coding of the identifier-type. A unique identifier assigned to this claim response.
identifier_type_text String The text of the identifier-type. A unique identifier assigned to this claim response.
identifier_system String The identifier-system of the identifier-system. A unique identifier assigned to this claim response.
identifier_period_start String The start of the identifier-period. A unique identifier assigned to this claim response.
identifier_period_end String The end of the identifier-period. A unique identifier assigned to this claim response.
status String The status of the resource instance.
type_coding String The coding of the type. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
type_text String The text of the type. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
subType_coding String The coding of the subType. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
subType_text String The text of the subType. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
use String 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.
patient_display String The display of the patient. 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.
patient_reference String The reference of the patient. 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.
patient_identifier_value String The value of the patient-identifier. 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.
patient_type String The patient-type of the patient-type. 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.
created Datetime The date this resource was created.
insurer_display String The display of the insurer. The party responsible for authorization, adjudication and reimbursement.
insurer_reference String The reference of the insurer. The party responsible for authorization, adjudication and reimbursement.
insurer_identifier_value String The value of the insurer-identifier. The party responsible for authorization, adjudication and reimbursement.
insurer_type String The insurer-type of the insurer-type. The party responsible for authorization, adjudication and reimbursement.
requestor_display String The display of the requestor. The provider which is responsible for the claim, predetermination or preauthorization.
requestor_reference String The reference of the requestor. The provider which is responsible for the claim, predetermination or preauthorization.
requestor_identifier_value String The value of the requestor-identifier. The provider which is responsible for the claim, predetermination or preauthorization.
requestor_type String The requestor-type of the requestor-type. The provider which is responsible for the claim, predetermination or preauthorization.
request_display String The display of the request. Original request resource reference.
request_reference String The reference of the request. Original request resource reference.
request_identifier_value String The value of the request-identifier. Original request resource reference.
request_type String The request-type of the request-type. Original request resource reference.
outcome String The outcome of the claim, predetermination, or preauthorization processing.
disposition String A human readable description of the status of the adjudication.
preAuthRef String Reference from the Insurer which is used in later communications which refers to this adjudication.
preAuthPeriod_start Datetime The start of the preAuthPeriod. The time frame during which this authorization is effective.
preAuthPeriod_end Datetime The end of the preAuthPeriod. The time frame during which this authorization is effective.
payeeType_coding String The coding of the payeeType. Type of Party to be reimbursed: subscriber, provider, other.
payeeType_text String The text of the payeeType. Type of Party to be reimbursed: subscriber, provider, other.
item_id String The item-id of the item-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
item_extension String The item-extension of the item-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.
item_modifierExtension String The item-modifierExtension of the item-modifierExtension. 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).
item_itemSequence Int The item-itemSequence of the item-itemSequence. A number to uniquely reference the claim item entries.
item_noteNumber String The item-noteNumber of the item-noteNumber. The numbers associated with notes below which apply to the adjudication of this item.
item_adjudication_id String The item-adjudication-id of the item-adjudication-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
item_adjudication_extension String The item-adjudication-extension of the item-adjudication-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.
item_adjudication_modifierExtension String The item-adjudication-modifierExtension of the item-adjudication-modifierExtension. 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).
item_adjudication_category_coding String The coding of the item-adjudication-category. 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.
item_adjudication_category_text String The text of the item-adjudication-category. 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.
item_adjudication_reason_coding String The coding of the item-adjudication-reason. A code supporting the understanding of the adjudication result and explaining variance from expected amount.
item_adjudication_reason_text String The text of the item-adjudication-reason. A code supporting the understanding of the adjudication result and explaining variance from expected amount.
item_adjudication_amount String The item-adjudication-amount of the item-adjudication-amount. Monetary amount associated with the category.
item_adjudication_value Decimal The item-adjudication-value of the item-adjudication-value. A non-monetary value associated with the category. Mutually exclusive to the amount element above.
item_detail_id String The item-detail-id of the item-detail-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
item_detail_extension String The item-detail-extension of the item-detail-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.
item_detail_modifierExtension String The item-detail-modifierExtension of the item-detail-modifierExtension. 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).
item_detail_detailSequence Int The item-detail-detailSequence of the item-detail-detailSequence. A number to uniquely reference the claim detail entry.
item_detail_noteNumber String The item-detail-noteNumber of the item-detail-noteNumber. The numbers associated with notes below which apply to the adjudication of this item.
SP_source String The SP_source search parameter.
SP_payment_date String The SP_payment_date search parameter.
SP_text String The SP_text search parameter.
SP_content String The SP_content search parameter.
SP_securitySP_start String The SP_securitySP_start search parameter.
SP_request String The SP_request search parameter.
SP_tagSP_start String The SP_tagSP_start search parameter.
SP_requestor String The SP_requestor search parameter.
SP_identifier_start String The SP_identifier_start search parameter.
SP_list String The SP_list search parameter.
SP_identifier_end String The SP_identifier_end search parameter.
SP_profile String The SP_profile search parameter.
SP_insurer String The SP_insurer search parameter.
SP_tagSP_end String The SP_tagSP_end search parameter.
SP_patient String The SP_patient search parameter.
SP_securitySP_end String The SP_securitySP_end search parameter.
SP_filter String The SP_filter search parameter.

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Build 24.0.9029