FHIR Profile Summary
Following is a comprehensive list of all FHIR profiles that are used in the messages. Each profile provides details on fields, datatypes, field values and highlights whether or not the fields are supported. Usage notes and CPHA3 mappings are also documented within each profile.
| Common Header Profiles | Profile Link |
|---|---|
| Bundle | Bundle Profile |
| MessageHeaderRequest | Profile for MessageHeaderRequest |
| MessageHeaderResponse | Profile for MessageHeaderResponse |
| Claims | |
| Claim for Medication Dispense | Claim for Medication Dispense |
| Claim - Professional Services | ProfessionalServicesClaim |
| Dispense | Profile-Dispense Information |
| Prescription | Profile - Prescription Information |
| Medication | Profile -Medication Details |
| Patient | Profile for Patient |
| Pharmacy | Organization Profile for Pharmacy |
| Coverage | Profile for Coverage |
| Prior Coverage | Profile for Prior Coverage |
| ClaimResponse | Profile Claim Response |
| Prior Claim Response | Profile for Prior Adjudication Details |
| Prior Payor Response | Prior Claim Response Details |
| Reversal Profile | |
| Reversal Request,Parameters IN | Reveral Parameters:IN |
| Reversal Response, Parameters OUT | Reversal Parameters: OUT |
| Daily Totals & Details | |
| Request Daily Totals & Adjudication Details | Totals and Details:Parameters:IN |
| Daily Totals Response | Totals:Parameters:OUT |
| Adjudication Details Response | Details:ParametersOUT |
| Future - Not in Scope for MVP | |
| Provenance for Prior Payor Response | Provenance |
| Clinical Issues Detected | Profile for Detected Issue |
| Claim Response -Error | Profile for Error Response |