ESMD FHIR Implementation Guide
1.0.0 - esmd
ESMD FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2024-02-25 |
Definitions for the Esmd-Ext-ClaimId extension.
Guidance on how to interpret the contents of this table can be found here
| 0. Extension | |
| Definition | The Esmd-Ext-ClaimId is a custom esMD FHIR resource that is used to represent the Claim Identifier (ClaimId). The ClaimId is a unique identifier that is assigned by the Review Contractor (RC) as part of an Additional Documentation Request (ADR). It ensures that all supporting documents for a specific medical claim, such as medical records or reports, are correctly associated with the relevant claim during the submission, review, or auditing process. The ClaimId is crucial for facilitating communication between healthcare providers, Review Contractors (RCs), and government agencies, ensuring accurate document routing, tracking, and processing. Moreover, the ClaimId helps automate workflows and ensures compliance by linking the correct documentation to the claim thereby avoiding duplication or errors. The Esmd-Ext-ClaimId resource is used in the following esMD FHIR profiles: • Esmd-ListSubmissionSet - When used in the profile, the ClaimId represents document submission metadata (aka submission set metadata). As such, it will be included in the resource with other document submission metadata when a clinical document is transmitted via the esMD System. • Esmd-FindListTransactionNotification - When used in this profile, the ClaimId is used as a unique identifier that enables users to identify and track the status of transactions related to a specific clinical document using esMD's notification features. Optional Extension Element - found in all resources. |
| Short | ESMD Claim IDOptional Extensions Element |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 2. Extension.extension | |
| Definition | An 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ClaimId |
| 6. Extension.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
| 0. Extension | |
| Definition | The Esmd-Ext-ClaimId is a custom esMD FHIR resource that is used to represent the Claim Identifier (ClaimId). The ClaimId is a unique identifier that is assigned by the Review Contractor (RC) as part of an Additional Documentation Request (ADR). It ensures that all supporting documents for a specific medical claim, such as medical records or reports, are correctly associated with the relevant claim during the submission, review, or auditing process. The ClaimId is crucial for facilitating communication between healthcare providers, Review Contractors (RCs), and government agencies, ensuring accurate document routing, tracking, and processing. Moreover, the ClaimId helps automate workflows and ensures compliance by linking the correct documentation to the claim thereby avoiding duplication or errors. The Esmd-Ext-ClaimId resource is used in the following esMD FHIR profiles: • Esmd-ListSubmissionSet - When used in the profile, the ClaimId represents document submission metadata (aka submission set metadata). As such, it will be included in the resource with other document submission metadata when a clinical document is transmitted via the esMD System. • Esmd-FindListTransactionNotification - When used in this profile, the ClaimId is used as a unique identifier that enables users to identify and track the status of transactions related to a specific clinical document using esMD's notification features. |
| Short | ESMD Claim ID |
| 2. Extension.extension | |
| Control | 0..0 |
| 4. Extension.url | |
| Fixed Value | https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ClaimId |
| 6. Extension.value[x] | |
| Control | 1..? |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Guidance on how to interpret the contents of this table can be found here
| 0. Extension | |
| Definition | The Esmd-Ext-ClaimId is a custom esMD FHIR resource that is used to represent the Claim Identifier (ClaimId). The ClaimId is a unique identifier that is assigned by the Review Contractor (RC) as part of an Additional Documentation Request (ADR). It ensures that all supporting documents for a specific medical claim, such as medical records or reports, are correctly associated with the relevant claim during the submission, review, or auditing process. The ClaimId is crucial for facilitating communication between healthcare providers, Review Contractors (RCs), and government agencies, ensuring accurate document routing, tracking, and processing. Moreover, the ClaimId helps automate workflows and ensures compliance by linking the correct documentation to the claim thereby avoiding duplication or errors. The Esmd-Ext-ClaimId resource is used in the following esMD FHIR profiles: • Esmd-ListSubmissionSet - When used in the profile, the ClaimId represents document submission metadata (aka submission set metadata). As such, it will be included in the resource with other document submission metadata when a clinical document is transmitted via the esMD System. • Esmd-FindListTransactionNotification - When used in this profile, the ClaimId is used as a unique identifier that enables users to identify and track the status of transactions related to a specific clinical document using esMD's notification features. |
| Short | ESMD Claim ID |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 2. Extension.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 4. Extension.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..0 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 6. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ClaimId |
| 8. Extension.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 1..1 |
| Type | string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |