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ProviderOutpatientCareClaimResource

idinteger<int64>
beneficiary_idinteger<int64>
sponsor_slugstring
sponsor_transaction_idstring
amountnumber
copaymentnumber
doctor_medical_license_numberstring
doctor_country_codestring
doctor_specialty_namestring
doctor_namestring
provider_transaction_idstring
biometric_reading_idstring
diagnoses object[]
  • Array [
  • coding_systemstringrequired

    Coding system used for the diagnosis (for example, ICD-10, CIE-10).

    codestringrequired

    Diagnosis code within the coding system.

    typestring

    Diagnosis type as a free-form string.

    type_enumstring

    Diagnosis type. One of CHIEF_COMPLAINT, DIFFERENTIAL_DIAGNOSIS, MEDICAL_DIAGNOSIS.

    Role of the diagnosis in the encounter.

    • CHIEF_COMPLAINT: the primary reason the beneficiary sought care.
    • DIFFERENTIAL_DIAGNOSIS: an alternative diagnosis being considered.
    • MEDICAL_DIAGNOSIS: the confirmed medical diagnosis.

    Possible values: [CHIEF_COMPLAINT, DIFFERENTIAL_DIAGNOSIS, MEDICAL_DIAGNOSIS]

  • ]
  • statusstring