Event /Transaction Code FOR REVIEW

In FHIR, this is the MessageHeader.event.code. Both the system and code will be conveyed in the message instance. The Message Header.event code will identify the transaction type being processed. The list of transaction codes and mappings to CPHA follow:

http://pharmacyeclaims.ca/fhir/valueset/message-events http://pharmacyeclaims.ca/fhir/CodeSystem/message-events

Codes used in FHIR Messages

Event Code	CPHA Trxn Code	Description
01	01 - Reversal	transaction with one (1) pay provider claim or pay cardholder claim for a dispense
03	NEW - not in CPHA	transaction with one (1) pay provider or pay cardholder claim for Professional Services
11	11 - Reversal	transaction for reversal of either a dispense or professional services claim
31	New - not in CPHA	Response to a pay provider or pay cardholder claim for a professoinal services claim
51	51 and 54	Response to a pay provider or pay cardholder claim (formerly CPHA 54) for a dispense
61	61 and 64	Response to request for reversal of a pay provider claim or a pay cardholder claim (formerly CPHA 64) which was adjudicated
30	30	Request for Daily Totals
80	80	Response for Daily Totals
31	31,32,33	Request for Adjudication Summary.
81	81,82,83	Response Adjudication Summary

Codes used in FHIR Operations

The following "event codes" will be conveyed as "Parameters" resource and used in the Operations that are defined to invoke these queries.

Code	Description		Notes
30	Totals Request
80	Response to Totals Request
31	Adjudications Details Request
81	Response to Adjudication Details