Pharmacy Claim Standard - Canada
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Business Overview
Business Overview
Outstanding Work
Implementation Approach
Alignment with Canadian Standards
New Fields & Functionality
Releases Notes
Technical Overview
Technical Overview, FHIR RESTful API
Operations Overview
API Definition & Example
Error Handling
Guaranteed Delivery & Key Message Identifiers
Identifiers
FHIR Tooling
CPHA - FHIR Field Level Mappings
Claim Request & Reversal Messages - FHIR-CPHA
Response Messages FHIR-CPHA
Complex Mapping Rules FHIR-CPHA
Event Codes /CPHA Transaction Codes
Deprecated CPHA Fields & codes
Claim Related Transactions
Claim Request - Dispense
Claim Response - Dispense
Claim Response - Errors - TWG review
Claim Request - Professional Services
Claim Response - Professional Services
Claim Reversal
Reversal Response
GET Totals and Details
Operation Overview
Daily Totals Operation
Daily Totals - Message Structure
Daily Totals - Mappings from CPHA
Adjudication Details Operation
Adjudication Details - Message Structure & Mappings
Deprecated CPHA Detail Trxns (81,82,83)
Old Material to be removed
Terminology and Identifiers
Overview and Maintenance
Alert Codes DUR? - Response Codes CPHA Table 1 FEEDBACK
Adjudication Category
Claim Response SubType
Pharmacist Assigning Authority - missing some
Daily Totals Response Status Anne DEPRECATE
Dispense Type - CPHA New/Refill Code FINAL
Dispense.status FINAL
Diagnosis System - FINAL
Dispense PharmaService Codes Final
Dispensed Quantity Unit Codes
Error Messages FINAL
DUR Codes
Event /Transaction Code FOR REVIEW
Gender RR Ready for REview
Intervention & Exception Codes
Intervention Result "U" codes Outcomes Table 4
Intervention "C" codes, Refusal to Fill Table 2 FEEDBACK
Intervention Codes - Code Systems
Identifier Type
IIN
Jurisdictional Healthcare Identifier Type
Message Version
Note Type
Note Language
New Refill Code - Final
National Pharmacy ID Code
Not Performed Reason HL7/Intervention C AS ABOVE
Level of Service Codes, SSC TWG Table 5 DISCUSS/DEPRECATE
Medication Code DIN / GP# / PIN FEEDBACK
Message Protocol/Assigning Authority TWG review
Payee Type Code - NEW FHIR
Provider Software ID - Issued later
Professional Service Codes
Prescriber ID Reference
Product Selection
Relationship Codes TWG
Response and Error Codes Anne
Response Code - Code System Values
Response Status - Claim TWG when final
Special Service Codes Table 3
Substitution Reason Code FINAL
SupportingInformationCategoryCodes
Reversal Response Codes start here with LL
Reversal Response Status Redundant?
Unlisted Compound FINAL
Terminology Mappings CPHA-FHIR
FHIR Profiles
Capability Statement
Overview
New item
FHIR Home
Dispense.status FINAL
Usage: MedicationDispense.status
Fixed value of "in-progress"; no code system required
