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
Extension: ESMD Claim ID
| Official URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ClaimId | Version: 1.0.0 | |||
| Active as of 2024-02-25 | Computable Name: EsmdExtClaimId | |||
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.
Context of Use
-
Element ID:
List -
Element ID:
DocumentReference
This extension may be used on the following element(s):
Usage info
Usage:
- Use this Extension: Find List of Transaction Notification from esMD and Esmd List SubmissionSet Profile
- Examples for this Extension: Bundle/TC001-BundleSubmission-Requestid1, Bundle/TC001-BundleSubmission, Bundle/TC0012-BundleSubmission-PWK, Bundle/TC002-BundleSubmission-Validation-Success... Show 15 more
Formal Views of Extension Content
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension |
0..* | Extension | ESMD Claim ID | |
  id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..0 | |||
| url |
1..1 | uri | "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ClaimId" | |
 value[x] |
1..1 | string | Value of extension | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension of type string: 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.
Differential View
This structure is derived from Extension
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | ESMD Claim ID | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ClaimId" | |
| value[x] |
1..1 | string | Value of extension | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension of type string: 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.
Other representations of profile: CSV, Excel, Schematron
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |