R4 Ballot #3 (Special Normative Re-ballot)

This page is part of the FHIR Specification (v3.5a.0: R4 Ballot 4). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions

Claimresponse.profile.ttl

Financial Management Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Patient, Practitioner

Raw Turtle (+ also see Turtle/RDF Format Specification)

StructureDefinition for claimresponse

@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .

# - resource -------------------------------------------------------------------

[] a fhir:StructureDefinition;
  fhir:Resource.id [ fhir:value "ClaimResponse"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2018-08-19T21:48:56.559+10:00" ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ];
     fhir:Extension.value [ fhir:value "Financial.Billing" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
     fhir:Extension.value [ fhir:value "Trial Use" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.value [ fhir:value "2" ]
  ], [
     fhir:index 3;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ];
     fhir:Extension.value [ fhir:value "fm" ]
  ];
  fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ClaimResponse"];
  fhir:StructureDefinition.name [ fhir:value "ClaimResponse"];
  fhir:StructureDefinition.status [ fhir:value "draft"];
  fhir:StructureDefinition.date [ fhir:value "2018-08-19T21:48:56+10:00"];
  fhir:StructureDefinition.publisher [ fhir:value "Health Level Seven International (Financial Management)"];
  fhir:StructureDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
     ]
  ], [
     fhir:index 1;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm/index.cfm" ]
     ]
  ];
  fhir:StructureDefinition.description [ fhir:value "This resource provides the adjudication details from the processing of a Claim resource."];
  fhir:StructureDefinition.fhirVersion [ fhir:value "3.5a.0"];
  fhir:StructureDefinition.mapping [
     fhir:index 0;
     fhir:StructureDefinition.identity [ fhir:value "workflow" ];
     fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/fhir/workflow" ];
     fhir:StructureDefinition.name [ fhir:value "Workflow Pattern" ]
  ], [
     fhir:index 1;
     fhir:StructureDefinition.identity [ fhir:value "w5" ];
     fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/fhir/fivews" ];
     fhir:StructureDefinition.name [ fhir:value "FiveWs Pattern" ]
  ], [
     fhir:index 2;
     fhir:StructureDefinition.identity [ fhir:value "rim" ];
     fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/v3" ];
     fhir:StructureDefinition.name [ fhir:value "RIM Mapping" ]
  ];
  fhir:StructureDefinition.kind [ fhir:value "resource"];
  fhir:StructureDefinition.abstract [ fhir:value "false"];
  fhir:StructureDefinition.type [ fhir:value "ClaimResponse"];
  fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource"];
  fhir:StructureDefinition.derivation [ fhir:value "specialization"];
  fhir:StructureDefinition.snapshot [
     fhir:StructureDefinition.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "ClaimResponse" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse" ];
       fhir:ElementDefinition.short [ fhir:value "ClaimResponse resource" ];
       fhir:ElementDefinition.definition [ fhir:value "This resource provides the adjudication details from the processing of a Claim resource." ];
       fhir:ElementDefinition.alias [
         fhir:value "Remittance Advice";
         fhir:index 0
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "dom-2" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ];
         fhir:ElementDefinition.expression [ fhir:value "contained.contained.empty()" ];
         fhir:ElementDefinition.xpath [ fhir:value "not(parent::f:contained and f:contained)" ];
         fhir:ElementDefinition.source [ fhir:value "DomainResource" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "dom-4" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ];
         fhir:ElementDefinition.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ];
         fhir:ElementDefinition.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ];
         fhir:ElementDefinition.source [ fhir:value "DomainResource" ]
       ], [
         fhir:index 2;
         fhir:ElementDefinition.key [ fhir:value "dom-3" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ];
         fhir:ElementDefinition.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ];
         fhir:ElementDefinition.xpath [ fhir:value "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ];
         fhir:ElementDefinition.source [ fhir:value "DomainResource" ]
       ], [
         fhir:index 3;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ];
           fhir:Extension.value [ fhir:value "true" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ];
           fhir:Extension.value [ fhir:value "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a guman readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ]
         ];
         fhir:ElementDefinition.key [ fhir:value "dom-6" ];
         fhir:ElementDefinition.severity [ fhir:value "warning" ];
         fhir:ElementDefinition.human [ fhir:value "A resource should have narrative for robust management" ];
         fhir:ElementDefinition.expression [ fhir:value "text.div.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:text/h:div)" ];
         fhir:ElementDefinition.source [ fhir:value "DomainResource" ]
       ], [
         fhir:index 4;
         fhir:ElementDefinition.key [ fhir:value "dom-5" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ];
         fhir:ElementDefinition.expression [ fhir:value "contained.meta.security.empty()" ];
         fhir:ElementDefinition.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ];
         fhir:ElementDefinition.source [ fhir:value "DomainResource" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "Entity. Role, or Act" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event" ]
       ]
     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "ClaimResponse.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.id" ];
       fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ];
       fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ];
       fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Resource.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "id" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "ClaimResponse.meta" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.meta" ];
       fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ];
       fhir:ElementDefinition.definition [ fhir:value "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Resource.meta" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Meta" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "ClaimResponse.implicitRules" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.implicitRules" ];
       fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ];
       fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Resource.implicitRules" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "uri" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "ClaimResponse.language" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.language" ];
       fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ];
       fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ];
       fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Resource.language" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
           fhir:Extension.value [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Language" ]
         ], [
           fhir:index 2;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.description [ fhir:value "A human language." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ]
       ]
     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "ClaimResponse.text" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.text" ];
       fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ];
       fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ];
       fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ];
       fhir:ElementDefinition.alias [
         fhir:value "narrative";
         fhir:index 0
       ], [
         fhir:value "html";
         fhir:index 1
       ], [
         fhir:value "xhtml";
         fhir:index 2
       ], [
         fhir:value "display";
         fhir:index 3
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "DomainResource.text" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Narrative" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "Act.text?" ]
       ]
     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "ClaimResponse.contained" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.contained" ];
       fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ];
       fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ];
       fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ];
       fhir:ElementDefinition.alias [
         fhir:value "inline resources";
         fhir:index 0
       ], [
         fhir:value "anonymous resources";
         fhir:index 1
       ], [
         fhir:value "contained resources";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "DomainResource.contained" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Resource" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "ClaimResponse.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "DomainResource.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "ClaimResponse.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "DomainResource.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "ClaimResponse.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Response  number" ];
       fhir:ElementDefinition.definition [ fhir:value "The response business identifier." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.identifier" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.identifier" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.identifier" ]
       ]
     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "ClaimResponse.status" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.status" ];
       fhir:ElementDefinition.short [ fhir:value "active | cancelled | draft | entered-in-error" ];
       fhir:ElementDefinition.definition [ fhir:value "The status of the resource instance." ];
       fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because the status contains the code cancelled and entered-in-error that mark the response as not currently valid." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.status" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ClaimResponseStatus" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "required" ];
         fhir:ElementDefinition.description [ fhir:value "A code specifying the state of the resource instance." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/fm-status" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.status" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.status" ]
       ]
     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "ClaimResponse.type" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.type" ];
       fhir:ElementDefinition.short [ fhir:value "Type or discipline" ];
       fhir:ElementDefinition.definition [ fhir:value "The category of claim, e.g, oral, pharmacy, vision, institutional, professional." ];
       fhir:ElementDefinition.comment [ fhir:value "Affects which fields and value sets are used." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.type" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ClaimType" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.description [ fhir:value "The type or discipline-style of the claim." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-type" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ]
       ]
     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "ClaimResponse.subType" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.subType" ];
       fhir:ElementDefinition.short [ fhir:value "Finer grained claim type information" ];
       fhir:ElementDefinition.definition [ fhir:value "A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the CMS Bill Type." ];
       fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.subType" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ClaimSubType" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "A more granulat claim typecode." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-subtype" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ]
       ]
     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "ClaimResponse.use" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.use" ];
       fhir:ElementDefinition.short [ fhir:value "claim | preauthorization | predetermination" ];
       fhir:ElementDefinition.definition [ fhir:value "A claim, a list of completed goods and services; a preauthorization, a list or proposed goods and services; or a predetermination, a set of goods and services being considered, for which insurer adjudication is sought." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.use" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Use" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "required" ];
         fhir:ElementDefinition.description [ fhir:value "Claim, preauthorization, predetermination." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-use" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ]
       ]
     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "ClaimResponse.patient" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.patient" ];
       fhir:ElementDefinition.short [ fhir:value "The subject of the Products and Services" ];
       fhir:ElementDefinition.definition [ fhir:value "Patient Resource." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.patient" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.subject[x]" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.subject" ]
       ]
     ], [
       fhir:index 15;
       fhir:Element.id [ fhir:value "ClaimResponse.created" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.created" ];
       fhir:ElementDefinition.short [ fhir:value "Creation date" ];
       fhir:ElementDefinition.definition [ fhir:value "The date when this resource was created." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.created" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "dateTime" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.occurrence[x]" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.recorded" ]
       ]
     ], [
       fhir:index 16;
       fhir:Element.id [ fhir:value "ClaimResponse.insurer" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurer" ];
       fhir:ElementDefinition.short [ fhir:value "Insurance issuing organization" ];
       fhir:ElementDefinition.definition [ fhir:value "The Insurer who produced this adjudicated response." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurer" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.performer" ]
       ]
     ], [
       fhir:index 17;
       fhir:Element.id [ fhir:value "ClaimResponse.requestProvider" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.requestProvider" ];
       fhir:ElementDefinition.short [ fhir:value "Responsible practitioner" ];
       fhir:ElementDefinition.definition [ fhir:value "The practitioner who is responsible for the services rendered to the patient." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.requestProvider" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
           fhir:index 0
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
           fhir:index 1
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
           fhir:index 2
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ]
       ]
     ], [
       fhir:index 18;
       fhir:Element.id [ fhir:value "ClaimResponse.request" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.request" ];
       fhir:ElementDefinition.short [ fhir:value "Id of resource triggering adjudication" ];
       fhir:ElementDefinition.definition [ fhir:value "Original request resource reference." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.request" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Claim";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.basedOn" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.why[x]" ]
       ]
     ], [
       fhir:index 19;
       fhir:Element.id [ fhir:value "ClaimResponse.outcome" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.outcome" ];
       fhir:ElementDefinition.short [ fhir:value "queued | complete | error | partial" ];
       fhir:ElementDefinition.definition [ fhir:value "Transaction: error, complete, partial processing." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.outcome" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "RemittanceOutcome" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "required" ];
         fhir:ElementDefinition.description [ fhir:value "The result of the claim processing." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/remittance-outcome" ]
       ]
     ], [
       fhir:index 20;
       fhir:Element.id [ fhir:value "ClaimResponse.disposition" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.disposition" ];
       fhir:ElementDefinition.short [ fhir:value "Disposition Message" ];
       fhir:ElementDefinition.definition [ fhir:value "A description of the status of the adjudication." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.disposition" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.note" ]
       ]
     ], [
       fhir:index 21;
       fhir:Element.id [ fhir:value "ClaimResponse.preAuthRef" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.preAuthRef" ];
       fhir:ElementDefinition.short [ fhir:value "Pre-Authorization/Determination Reference" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of references from the Insurer to which these services pertain." ];
       fhir:ElementDefinition.requirements [ fhir:value "To provide any pre-determination or prior authorization reference." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.preAuthRef" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 22;
       fhir:Element.id [ fhir:value "ClaimResponse.payeeType" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payeeType" ];
       fhir:ElementDefinition.short [ fhir:value "Party to be paid any benefits payable" ];
       fhir:ElementDefinition.definition [ fhir:value "Party to be reimbursed: Subscriber, provider, other." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payeeType" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "PayeeType" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "A code for the party to be reimbursed." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/payeetype" ]
       ]
     ], [
       fhir:index 23;
       fhir:Element.id [ fhir:value "ClaimResponse.item" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Item" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item" ];
       fhir:ElementDefinition.short [ fhir:value "Line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The first-tier service adjudications for submitted services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 24;
       fhir:Element.id [ fhir:value "ClaimResponse.item.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 25;
       fhir:Element.id [ fhir:value "ClaimResponse.item.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 26;
       fhir:Element.id [ fhir:value "ClaimResponse.item.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 27;
       fhir:Element.id [ fhir:value "ClaimResponse.item.itemSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.itemSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instance" ];
       fhir:ElementDefinition.definition [ fhir:value "A service line number." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.itemSequence" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 28;
       fhir:Element.id [ fhir:value "ClaimResponse.item.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.noteNumber" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 29;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Adjudication" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication details" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 30;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 31;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 32;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 33;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.category" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.category" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication category such as co-pay, eligible, benefit, etc." ];
       fhir:ElementDefinition.definition [ fhir:value "Code indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.category" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Adjudication" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The adjudication codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication" ]
       ]
     ], [
       fhir:index 34;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.reason" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.reason" ];
       fhir:ElementDefinition.short [ fhir:value "Explanation of Adjudication outcome" ];
       fhir:ElementDefinition.definition [ fhir:value "Adjudication reason such as limit reached." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.reason" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "AdjudicationReason" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The adjudication reason codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason" ]
       ]
     ], [
       fhir:index 35;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.amount" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.amount" ];
       fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
       fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the code." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.amount" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 36;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.value" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.value" ];
       fhir:ElementDefinition.short [ fhir:value "Non-monetary value" ];
       fhir:ElementDefinition.definition [ fhir:value "A non-monetary value for example a percentage. Mutually exclusive to the amount element above." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.value" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "decimal" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 37;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "ItemDetail" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail" ];
       fhir:ElementDefinition.short [ fhir:value "Detail line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The second-tier service adjudications for submitted services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 38;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 39;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 40;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 41;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.detailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.detailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instance" ];
       fhir:ElementDefinition.definition [ fhir:value "A service line number." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.detailSequence" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 42;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.noteNumber" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 43;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Detail level adjudication details" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.adjudication" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 44;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "SubDetail" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail" ];
       fhir:ElementDefinition.short [ fhir:value "Subdetail line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The third-tier service adjudications for submitted services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 45;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 46;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 47;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 48;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail.subDetailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.subDetailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instance" ];
       fhir:ElementDefinition.definition [ fhir:value "A service line number." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.subDetailSequence" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 49;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.noteNumber" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 50;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Subdetail level adjudication details" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.adjudication" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 51;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "AddedItem" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem" ];
       fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The first-tier service adjudications for payor added services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 52;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 53;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 54;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 55;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.itemSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.itemSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instances" ];
       fhir:ElementDefinition.definition [ fhir:value "List of input service items which this service line is intended to replace." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.itemSequence" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 56;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Detail sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detailSequence" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 57;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.subdetailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.subdetailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Subdetail sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.subdetailSequence" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 58;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.provider" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.provider" ];
       fhir:ElementDefinition.short [ fhir:value "Authorized providers" ];
       fhir:ElementDefinition.definition [ fhir:value "The providers who are authorized for the services rendered to the patient." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.provider" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
           fhir:index 0
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
           fhir:index 1
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
           fhir:index 2
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ]
       ]
     ], [
       fhir:index 59;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.billcode" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.billcode" ];
       fhir:ElementDefinition.short [ fhir:value "Group, Service or Product" ];
       fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.billcode" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ServiceProduct" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ]
       ]
     ], [
       fhir:index 60;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.modifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.modifier" ];
       fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
       fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ];
       fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.modifier" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Modifiers" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.C, 24.D mods" ]
       ]
     ], [
       fhir:index 61;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.programCode" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.programCode" ];
       fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ];
       fhir:ElementDefinition.definition [ fhir:value "For programs which require reason codes for the inclusion or covering of this billed item under the program or sub-program." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.programCode" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ProgramCode" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.H" ]
       ]
     ], [
       fhir:index 62;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.serviced[x]" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.serviced[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Date or dates of Service" ];
       fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.serviced[x]" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "date" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "Period" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.A" ]
       ]
     ], [
       fhir:index 63;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.location[x]" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.location[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Place of service" ];
       fhir:ElementDefinition.definition [ fhir:value "Where the service was provided." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.location[x]" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "Address" ]
       ], [
         fhir:index 2;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ServicePlace" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Place of service: pharmacy,school, prison, etc." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-place" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.B" ]
       ]
     ], [
       fhir:index 64;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.quantity" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.quantity" ];
       fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ];
       fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.quantity" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.G" ]
       ]
     ], [
       fhir:index 65;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.unitPrice" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.unitPrice" ];
       fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ];
       fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.unitPrice" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 66;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.factor" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.factor" ];
       fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
       fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.factor" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "decimal" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 67;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.net" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.net" ];
       fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
       fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.net" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.F" ]
       ]
     ], [
       fhir:index 68;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.bodySite" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.bodySite" ];
       fhir:ElementDefinition.short [ fhir:value "Service Location" ];
       fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.bodySite" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "OralSites" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/tooth" ]
       ]
     ], [
       fhir:index 69;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.subSite" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.subSite" ];
       fhir:ElementDefinition.short [ fhir:value "Service Sub-location" ];
       fhir:ElementDefinition.definition [ fhir:value "A region or surface of the site, e.g. limb region or tooth surface(s)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.subSite" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Surface" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The code for the tooth surface and surface combinations." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/surface" ]
       ]
     ], [
       fhir:index 70;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.noteNumber" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 71;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.adjudication" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 72;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "AddedItemDetail" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail" ];
       fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The second-tier service adjudications for payor added services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 73;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 74;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 75;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 76;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.billcode" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.billcode" ];
       fhir:ElementDefinition.short [ fhir:value "Group, Service or Product" ];
       fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.billcode" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ServiceProduct" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ]
       ]
     ], [
       fhir:index 77;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.modifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.modifier" ];
       fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
       fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ];
       fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.modifier" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Modifiers" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.C, 24.D mods" ]
       ]
     ], [
       fhir:index 78;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.quantity" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.quantity" ];
       fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ];
       fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.quantity" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.G" ]
       ]
     ], [
       fhir:index 79;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.unitPrice" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.unitPrice" ];
       fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ];
       fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.unitPrice" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 80;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.factor" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.factor" ];
       fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
       fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.factor" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "decimal" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 81;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.net" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.net" ];
       fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
       fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.net" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.F" ]
       ]
     ], [
       fhir:index 82;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.noteNumber" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 83;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Added items detail adjudication" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.adjudication" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 84;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "AddedItemSubDetail" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail" ];
       fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The third-tier service adjudications for payor added services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 85;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 86;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 87;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 88;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.billcode" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.billcode" ];
       fhir:ElementDefinition.short [ fhir:value "Group, Service or Product" ];
       fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.billcode" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ServiceProduct" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ]
       ]
     ], [
       fhir:index 89;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.modifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.modifier" ];
       fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
       fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ];
       fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.modifier" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Modifiers" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.C, 24.D mods" ]
       ]
     ], [
       fhir:index 90;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.quantity" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.quantity" ];
       fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ];
       fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.quantity" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.G" ]
       ]
     ], [
       fhir:index 91;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.unitPrice" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.unitPrice" ];
       fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ];
       fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.unitPrice" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 92;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.factor" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.factor" ];
       fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
       fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.factor" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "decimal" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 93;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.net" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.net" ];
       fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
       fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.net" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.F" ]
       ]
     ], [
       fhir:index 94;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.noteNumber" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 95;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Added items detail adjudication" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.adjudication" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 96;
       fhir:Element.id [ fhir:value "ClaimResponse.error" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Error" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error" ];
       fhir:ElementDefinition.short [ fhir:value "Processing errors" ];
       fhir:ElementDefinition.definition [ fhir:value "Mutually exclusive with Services Provided (Item)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 97;
       fhir:Element.id [ fhir:value "ClaimResponse.error.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 98;
       fhir:Element.id [ fhir:value "ClaimResponse.error.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 99;
       fhir:Element.id [ fhir:value "ClaimResponse.error.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 100;
       fhir:Element.id [ fhir:value "ClaimResponse.error.itemSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.itemSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Item sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the line item submitted which contains the error. This value is omitted when the error is elsewhere." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.itemSequence" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 101;
       fhir:Element.id [ fhir:value "ClaimResponse.error.detailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.detailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Detail sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.detailSequence" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 102;
       fhir:Element.id [ fhir:value "ClaimResponse.error.subDetailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.subDetailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Subdetail sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.subDetailSequence" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 103;
       fhir:Element.id [ fhir:value "ClaimResponse.error.code" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.code" ];
       fhir:ElementDefinition.short [ fhir:value "Error code detailing processing issues" ];
       fhir:ElementDefinition.definition [ fhir:value "An error code, from a specified code system, which details why the claim could not be adjudicated." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.code" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "AdjudicationError" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The adjudication error codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication-error" ]
       ]
     ], [
       fhir:index 104;
       fhir:Element.id [ fhir:value "ClaimResponse.total" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Total" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication totals" ];
       fhir:ElementDefinition.definition [ fhir:value "Totals for amounts submitted, co-pays, benefits payable etc." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 105;
       fhir:Element.id [ fhir:value "ClaimResponse.total.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 106;
       fhir:Element.id [ fhir:value "ClaimResponse.total.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 107;
       fhir:Element.id [ fhir:value "ClaimResponse.total.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 108;
       fhir:Element.id [ fhir:value "ClaimResponse.total.category" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total.category" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication category such as submitted, co-pay, eligible, benefit, etc." ];
       fhir:ElementDefinition.definition [ fhir:value "Code indicating: Submitted, Co-Pay, deductible, eligible, benefit, tax, etc." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total.category" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Adjudication" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The adjudication codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication" ]
       ]
     ], [
       fhir:index 109;
       fhir:Element.id [ fhir:value "ClaimResponse.total.amount" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total.amount" ];
       fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
       fhir:ElementDefinition.definition [ fhir:value "Monitory amount associated with the code." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total.amount" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 110;
       fhir:Element.id [ fhir:value "ClaimResponse.payment" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Payment" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment" ];
       fhir:ElementDefinition.short [ fhir:value "Payment Details" ];
       fhir:ElementDefinition.definition [ fhir:value "Payment details for the claim if the claim has been paid." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 111;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 112;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 113;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 114;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.type" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.type" ];
       fhir:ElementDefinition.short [ fhir:value "Partial or Complete" ];
       fhir:ElementDefinition.definition [ fhir:value "Whether this represents partial or complete payment of the claim." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.type" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "PaymentType" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The type (partial, complete) of the payment." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-paymenttype" ]
       ]
     ], [
       fhir:index 115;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.adjustment" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.adjustment" ];
       fhir:ElementDefinition.short [ fhir:value "Payment adjustment for non-Claim issues" ];
       fhir:ElementDefinition.definition [ fhir:value "Adjustment to the payment of this transaction which is not related to adjudication of this transaction." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.adjustment" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 116;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.adjustmentReason" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.adjustmentReason" ];
       fhir:ElementDefinition.short [ fhir:value "Explanation for the non-claim adjustment" ];
       fhir:ElementDefinition.definition [ fhir:value "Reason for the payment adjustment." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.adjustmentReason" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "PaymentAdjustmentReason" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Payment Adjustment reason codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/payment-adjustment-reason" ]
       ]
     ], [
       fhir:index 117;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.date" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.date" ];
       fhir:ElementDefinition.short [ fhir:value "Expected data of Payment" ];
       fhir:ElementDefinition.definition [ fhir:value "Estimated payment data." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.date" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "date" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 118;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.amount" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.amount" ];
       fhir:ElementDefinition.short [ fhir:value "Payable amount after adjustment" ];
       fhir:ElementDefinition.definition [ fhir:value "Payable less any payment adjustment." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.amount" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 119;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Identifier of the payment instrument" ];
       fhir:ElementDefinition.definition [ fhir:value "Payment identifier." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.identifier" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 120;
       fhir:Element.id [ fhir:value "ClaimResponse.reserved" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.reserved" ];
       fhir:ElementDefinition.short [ fhir:value "Funds reserved status" ];
       fhir:ElementDefinition.definition [ fhir:value "Status of funds reservation (For provider, for Patient, None)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.reserved" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Coding" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "FundsReserve" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "For whom funds are to be reserved: (Patient, Provider, None)." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/fundsreserve" ]
       ]
     ], [
       fhir:index 121;
       fhir:Element.id [ fhir:value "ClaimResponse.form" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.form" ];
       fhir:ElementDefinition.short [ fhir:value "Printed Form Identifier" ];
       fhir:ElementDefinition.definition [ fhir:value "The form to be used for printing the content." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.form" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Forms" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The forms codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/forms" ]
       ]
     ], [
       fhir:index 122;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Note" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote" ];
       fhir:ElementDefinition.short [ fhir:value "Processing notes" ];
       fhir:ElementDefinition.definition [ fhir:value "Note text." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 123;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 124;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 125;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 126;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.number" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.number" ];
       fhir:ElementDefinition.short [ fhir:value "Sequence Number for this note" ];
       fhir:ElementDefinition.definition [ fhir:value "An integer associated with each note which may be referred to from each service line item." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.number" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 127;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.type" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.type" ];
       fhir:ElementDefinition.short [ fhir:value "display | print | printoper" ];
       fhir:ElementDefinition.definition [ fhir:value "The note purpose: Print/Display." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.type" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "NoteType" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "required" ];
         fhir:ElementDefinition.description [ fhir:value "The presentation types of notes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/note-type" ]
       ]
     ], [
       fhir:index 128;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.text" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.text" ];
       fhir:ElementDefinition.short [ fhir:value "Note explanatory text" ];
       fhir:ElementDefinition.definition [ fhir:value "The note text." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.text" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 129;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.language" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.language" ];
       fhir:ElementDefinition.short [ fhir:value "Language if different from the resource" ];
       fhir:ElementDefinition.definition [ fhir:value "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.language" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
           fhir:Extension.value [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Language" ]
         ], [
           fhir:index 2;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.description [ fhir:value "A human language." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ]
       ]
     ], [
       fhir:index 130;
       fhir:Element.id [ fhir:value "ClaimResponse.communicationRequest" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.communicationRequest" ];
       fhir:ElementDefinition.short [ fhir:value "Request for additional information" ];
       fhir:ElementDefinition.definition [ fhir:value "Request for additional supporting or authorizing information, such as: documents, images or resources." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.communicationRequest" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/CommunicationRequest";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 131;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Insurance" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance" ];
       fhir:ElementDefinition.short [ fhir:value "Insurance or medical plan" ];
       fhir:ElementDefinition.definition [ fhir:value "Financial instrument by which payment information for health care." ];
       fhir:ElementDefinition.requirements [ fhir:value "Health care programs and insurers are significant payors of health service costs." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "Coverage" ]
       ]
     ], [
       fhir:index 132;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.id" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 133;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.extension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 134;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 135;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.sequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.sequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instance identifier" ];
       fhir:ElementDefinition.definition [ fhir:value "A service line item." ];
       fhir:ElementDefinition.requirements [ fhir:value "To maintain order of the coverages." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.sequence" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 136;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.focal" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.focal" ];
       fhir:ElementDefinition.short [ fhir:value "Is the focal Coverage" ];
       fhir:ElementDefinition.definition [ fhir:value "The instance number of the Coverage which is the focus for adjudication. The Coverage against which the claim is to be adjudicated." ];
       fhir:ElementDefinition.requirements [ fhir:value "To identify which coverage is being adjudicated." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.focal" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "boolean" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 137;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.coverage" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.coverage" ];
       fhir:ElementDefinition.short [ fhir:value "Insurance information" ];
       fhir:ElementDefinition.definition [ fhir:value "Reference to the program or plan identification, underwriter or payor." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to identify the issuer to target for processing and for coordination of benefit processing." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.coverage" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 138;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.businessArrangement" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.businessArrangement" ];
       fhir:ElementDefinition.short [ fhir:value "Business agreement" ];
       fhir:ElementDefinition.definition [ fhir:value "The contract number of a business agreement which describes the terms and conditions." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.businessArrangement" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ], [
       fhir:index 139;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.claimResponse" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.claimResponse" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication results" ];
       fhir:ElementDefinition.definition [ fhir:value "The Coverages adjudication details." ];
       fhir:ElementDefinition.requirements [ fhir:value "Used by downstream payers to determine what balance remains and the net payable." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.claimResponse" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/ClaimResponse";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ]
     ]
  ];
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "ClaimResponse" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse" ];
       fhir:ElementDefinition.short [ fhir:value "ClaimResponse resource" ];
       fhir:ElementDefinition.definition [ fhir:value "This resource provides the adjudication details from the processing of a Claim resource." ];
       fhir:ElementDefinition.alias [
         fhir:value "Remittance Advice";
         fhir:index 0
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event" ]
       ]
     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "ClaimResponse.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Response  number" ];
       fhir:ElementDefinition.definition [ fhir:value "The response business identifier." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.identifier" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.identifier" ]
       ]
     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "ClaimResponse.status" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.status" ];
       fhir:ElementDefinition.short [ fhir:value "active | cancelled | draft | entered-in-error" ];
       fhir:ElementDefinition.definition [ fhir:value "The status of the resource instance." ];
       fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because the status contains the code cancelled and entered-in-error that mark the response as not currently valid." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ClaimResponseStatus" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "required" ];
         fhir:ElementDefinition.description [ fhir:value "A code specifying the state of the resource instance." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/fm-status" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.status" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.status" ]
       ]
     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "ClaimResponse.type" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.type" ];
       fhir:ElementDefinition.short [ fhir:value "Type or discipline" ];
       fhir:ElementDefinition.definition [ fhir:value "The category of claim, e.g, oral, pharmacy, vision, institutional, professional." ];
       fhir:ElementDefinition.comment [ fhir:value "Affects which fields and value sets are used." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ClaimType" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.description [ fhir:value "The type or discipline-style of the claim." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-type" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ]
       ]
     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "ClaimResponse.subType" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.subType" ];
       fhir:ElementDefinition.short [ fhir:value "Finer grained claim type information" ];
       fhir:ElementDefinition.definition [ fhir:value "A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the CMS Bill Type." ];
       fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ClaimSubType" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "A more granulat claim typecode." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-subtype" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ]
       ]
     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "ClaimResponse.use" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.use" ];
       fhir:ElementDefinition.short [ fhir:value "claim | preauthorization | predetermination" ];
       fhir:ElementDefinition.definition [ fhir:value "A claim, a list of completed goods and services; a preauthorization, a list or proposed goods and services; or a predetermination, a set of goods and services being considered, for which insurer adjudication is sought." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Use" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "required" ];
         fhir:ElementDefinition.description [ fhir:value "Claim, preauthorization, predetermination." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-use" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ]
       ]
     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "ClaimResponse.patient" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.patient" ];
       fhir:ElementDefinition.short [ fhir:value "The subject of the Products and Services" ];
       fhir:ElementDefinition.definition [ fhir:value "Patient Resource." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.subject[x]" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.subject" ]
       ]
     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "ClaimResponse.created" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.created" ];
       fhir:ElementDefinition.short [ fhir:value "Creation date" ];
       fhir:ElementDefinition.definition [ fhir:value "The date when this resource was created." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "dateTime" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.occurrence[x]" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.recorded" ]
       ]
     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "ClaimResponse.insurer" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurer" ];
       fhir:ElementDefinition.short [ fhir:value "Insurance issuing organization" ];
       fhir:ElementDefinition.definition [ fhir:value "The Insurer who produced this adjudicated response." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.performer" ]
       ]
     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "ClaimResponse.requestProvider" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.requestProvider" ];
       fhir:ElementDefinition.short [ fhir:value "Responsible practitioner" ];
       fhir:ElementDefinition.definition [ fhir:value "The practitioner who is responsible for the services rendered to the patient." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
           fhir:index 0
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
           fhir:index 1
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
           fhir:index 2
         ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ]
       ]
     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "ClaimResponse.request" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.request" ];
       fhir:ElementDefinition.short [ fhir:value "Id of resource triggering adjudication" ];
       fhir:ElementDefinition.definition [ fhir:value "Original request resource reference." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Claim";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.basedOn" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.why[x]" ]
       ]
     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "ClaimResponse.outcome" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.outcome" ];
       fhir:ElementDefinition.short [ fhir:value "queued | complete | error | partial" ];
       fhir:ElementDefinition.definition [ fhir:value "Transaction: error, complete, partial processing." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "RemittanceOutcome" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "required" ];
         fhir:ElementDefinition.description [ fhir:value "The result of the claim processing." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/remittance-outcome" ]
       ]
     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "ClaimResponse.disposition" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.disposition" ];
       fhir:ElementDefinition.short [ fhir:value "Disposition Message" ];
       fhir:ElementDefinition.definition [ fhir:value "A description of the status of the adjudication." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "workflow" ];
         fhir:ElementDefinition.map [ fhir:value "Event.note" ]
       ]
     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "ClaimResponse.preAuthRef" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.preAuthRef" ];
       fhir:ElementDefinition.short [ fhir:value "Pre-Authorization/Determination Reference" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of references from the Insurer to which these services pertain." ];
       fhir:ElementDefinition.requirements [ fhir:value "To provide any pre-determination or prior authorization reference." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ]
     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "ClaimResponse.payeeType" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payeeType" ];
       fhir:ElementDefinition.short [ fhir:value "Party to be paid any benefits payable" ];
       fhir:ElementDefinition.definition [ fhir:value "Party to be reimbursed: Subscriber, provider, other." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "PayeeType" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "A code for the party to be reimbursed." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/payeetype" ]
       ]
     ], [
       fhir:index 15;
       fhir:Element.id [ fhir:value "ClaimResponse.item" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Item" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item" ];
       fhir:ElementDefinition.short [ fhir:value "Line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The first-tier service adjudications for submitted services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 16;
       fhir:Element.id [ fhir:value "ClaimResponse.item.itemSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.itemSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instance" ];
       fhir:ElementDefinition.definition [ fhir:value "A service line number." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 17;
       fhir:Element.id [ fhir:value "ClaimResponse.item.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 18;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Adjudication" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication details" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 19;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.category" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.category" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication category such as co-pay, eligible, benefit, etc." ];
       fhir:ElementDefinition.definition [ fhir:value "Code indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Adjudication" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The adjudication codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication" ]
       ]
     ], [
       fhir:index 20;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.reason" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.reason" ];
       fhir:ElementDefinition.short [ fhir:value "Explanation of Adjudication outcome" ];
       fhir:ElementDefinition.definition [ fhir:value "Adjudication reason such as limit reached." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "AdjudicationReason" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The adjudication reason codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason" ]
       ]
     ], [
       fhir:index 21;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.amount" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.amount" ];
       fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
       fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the code." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ]
     ], [
       fhir:index 22;
       fhir:Element.id [ fhir:value "ClaimResponse.item.adjudication.value" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.adjudication.value" ];
       fhir:ElementDefinition.short [ fhir:value "Non-monetary value" ];
       fhir:ElementDefinition.definition [ fhir:value "A non-monetary value for example a percentage. Mutually exclusive to the amount element above." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "decimal" ]
       ]
     ], [
       fhir:index 23;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "ItemDetail" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail" ];
       fhir:ElementDefinition.short [ fhir:value "Detail line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The second-tier service adjudications for submitted services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 24;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.detailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.detailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instance" ];
       fhir:ElementDefinition.definition [ fhir:value "A service line number." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 25;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 26;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Detail level adjudication details" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ]
     ], [
       fhir:index 27;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "SubDetail" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail" ];
       fhir:ElementDefinition.short [ fhir:value "Subdetail line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The third-tier service adjudications for submitted services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 28;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail.subDetailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.subDetailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instance" ];
       fhir:ElementDefinition.definition [ fhir:value "A service line number." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 29;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 30;
       fhir:Element.id [ fhir:value "ClaimResponse.item.detail.subDetail.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.item.detail.subDetail.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Subdetail level adjudication details" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ]
     ], [
       fhir:index 31;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "AddedItem" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem" ];
       fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The first-tier service adjudications for payor added services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 32;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.itemSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.itemSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instances" ];
       fhir:ElementDefinition.definition [ fhir:value "List of input service items which this service line is intended to replace." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 33;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Detail sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 34;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.subdetailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.subdetailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Subdetail sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 35;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.provider" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.provider" ];
       fhir:ElementDefinition.short [ fhir:value "Authorized providers" ];
       fhir:ElementDefinition.definition [ fhir:value "The providers who are authorized for the services rendered to the patient." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
           fhir:index 0
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
           fhir:index 1
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
           fhir:index 2
         ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ]
       ]
     ], [
       fhir:index 36;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.billcode" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.billcode" ];
       fhir:ElementDefinition.short [ fhir:value "Group, Service or Product" ];
       fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ServiceProduct" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ]
       ]
     ], [
       fhir:index 37;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.modifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.modifier" ];
       fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
       fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ];
       fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Modifiers" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.C, 24.D mods" ]
       ]
     ], [
       fhir:index 38;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.programCode" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.programCode" ];
       fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ];
       fhir:ElementDefinition.definition [ fhir:value "For programs which require reason codes for the inclusion or covering of this billed item under the program or sub-program." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ProgramCode" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.H" ]
       ]
     ], [
       fhir:index 39;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.serviced[x]" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.serviced[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Date or dates of Service" ];
       fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "date" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "Period" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.A" ]
       ]
     ], [
       fhir:index 40;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.location[x]" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.location[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Place of service" ];
       fhir:ElementDefinition.definition [ fhir:value "Where the service was provided." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "Address" ]
       ], [
         fhir:index 2;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ServicePlace" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Place of service: pharmacy,school, prison, etc." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-place" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.B" ]
       ]
     ], [
       fhir:index 41;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.quantity" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.quantity" ];
       fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ];
       fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.G" ]
       ]
     ], [
       fhir:index 42;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.unitPrice" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.unitPrice" ];
       fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ];
       fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ]
     ], [
       fhir:index 43;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.factor" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.factor" ];
       fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
       fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "decimal" ]
       ]
     ], [
       fhir:index 44;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.net" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.net" ];
       fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
       fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.F" ]
       ]
     ], [
       fhir:index 45;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.bodySite" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.bodySite" ];
       fhir:ElementDefinition.short [ fhir:value "Service Location" ];
       fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "OralSites" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/tooth" ]
       ]
     ], [
       fhir:index 46;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.subSite" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.subSite" ];
       fhir:ElementDefinition.short [ fhir:value "Service Sub-location" ];
       fhir:ElementDefinition.definition [ fhir:value "A region or surface of the site, e.g. limb region or tooth surface(s)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Surface" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The code for the tooth surface and surface combinations." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/surface" ]
       ]
     ], [
       fhir:index 47;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 48;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ]
     ], [
       fhir:index 49;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "AddedItemDetail" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail" ];
       fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The second-tier service adjudications for payor added services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 50;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.billcode" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.billcode" ];
       fhir:ElementDefinition.short [ fhir:value "Group, Service or Product" ];
       fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ServiceProduct" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ]
       ]
     ], [
       fhir:index 51;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.modifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.modifier" ];
       fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
       fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ];
       fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Modifiers" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.C, 24.D mods" ]
       ]
     ], [
       fhir:index 52;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.quantity" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.quantity" ];
       fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ];
       fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.G" ]
       ]
     ], [
       fhir:index 53;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.unitPrice" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.unitPrice" ];
       fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ];
       fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ]
     ], [
       fhir:index 54;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.factor" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.factor" ];
       fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
       fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "decimal" ]
       ]
     ], [
       fhir:index 55;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.net" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.net" ];
       fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
       fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.F" ]
       ]
     ], [
       fhir:index 56;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 57;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Added items detail adjudication" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ]
     ], [
       fhir:index 58;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "AddedItemSubDetail" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail" ];
       fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
       fhir:ElementDefinition.definition [ fhir:value "The third-tier service adjudications for payor added services." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 59;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.billcode" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.billcode" ];
       fhir:ElementDefinition.short [ fhir:value "Group, Service or Product" ];
       fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "ServiceProduct" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ]
       ]
     ], [
       fhir:index 60;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.modifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.modifier" ];
       fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
       fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ];
       fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Modifiers" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.C, 24.D mods" ]
       ]
     ], [
       fhir:index 61;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.quantity" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.quantity" ];
       fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ];
       fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.G" ]
       ]
     ], [
       fhir:index 62;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.unitPrice" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.unitPrice" ];
       fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ];
       fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ]
     ], [
       fhir:index 63;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.factor" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.factor" ];
       fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
       fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "decimal" ]
       ]
     ], [
       fhir:index 64;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.net" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.net" ];
       fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
       fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ];
       fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "24.F" ]
       ]
     ], [
       fhir:index 65;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.noteNumber" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.noteNumber" ];
       fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 66;
       fhir:Element.id [ fhir:value "ClaimResponse.addItem.detail.subDetail.adjudication" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.addItem.detail.subDetail.adjudication" ];
       fhir:ElementDefinition.short [ fhir:value "Added items detail adjudication" ];
       fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.contentReference [ fhir:value "#ClaimResponse.item.adjudication" ]
     ], [
       fhir:index 67;
       fhir:Element.id [ fhir:value "ClaimResponse.error" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Error" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error" ];
       fhir:ElementDefinition.short [ fhir:value "Processing errors" ];
       fhir:ElementDefinition.definition [ fhir:value "Mutually exclusive with Services Provided (Item)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 68;
       fhir:Element.id [ fhir:value "ClaimResponse.error.itemSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.itemSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Item sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the line item submitted which contains the error. This value is omitted when the error is elsewhere." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 69;
       fhir:Element.id [ fhir:value "ClaimResponse.error.detailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.detailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Detail sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 70;
       fhir:Element.id [ fhir:value "ClaimResponse.error.subDetailSequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.subDetailSequence" ];
       fhir:ElementDefinition.short [ fhir:value "Subdetail sequence number" ];
       fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 71;
       fhir:Element.id [ fhir:value "ClaimResponse.error.code" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.error.code" ];
       fhir:ElementDefinition.short [ fhir:value "Error code detailing processing issues" ];
       fhir:ElementDefinition.definition [ fhir:value "An error code, from a specified code system, which details why the claim could not be adjudicated." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "AdjudicationError" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The adjudication error codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication-error" ]
       ]
     ], [
       fhir:index 72;
       fhir:Element.id [ fhir:value "ClaimResponse.total" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Total" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication totals" ];
       fhir:ElementDefinition.definition [ fhir:value "Totals for amounts submitted, co-pays, benefits payable etc." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 73;
       fhir:Element.id [ fhir:value "ClaimResponse.total.category" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total.category" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication category such as submitted, co-pay, eligible, benefit, etc." ];
       fhir:ElementDefinition.definition [ fhir:value "Code indicating: Submitted, Co-Pay, deductible, eligible, benefit, tax, etc." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Adjudication" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The adjudication codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication" ]
       ]
     ], [
       fhir:index 74;
       fhir:Element.id [ fhir:value "ClaimResponse.total.amount" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.total.amount" ];
       fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
       fhir:ElementDefinition.definition [ fhir:value "Monitory amount associated with the code." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ]
     ], [
       fhir:index 75;
       fhir:Element.id [ fhir:value "ClaimResponse.payment" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Payment" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment" ];
       fhir:ElementDefinition.short [ fhir:value "Payment Details" ];
       fhir:ElementDefinition.definition [ fhir:value "Payment details for the claim if the claim has been paid." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 76;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.type" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.type" ];
       fhir:ElementDefinition.short [ fhir:value "Partial or Complete" ];
       fhir:ElementDefinition.definition [ fhir:value "Whether this represents partial or complete payment of the claim." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "PaymentType" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The type (partial, complete) of the payment." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-paymenttype" ]
       ]
     ], [
       fhir:index 77;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.adjustment" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.adjustment" ];
       fhir:ElementDefinition.short [ fhir:value "Payment adjustment for non-Claim issues" ];
       fhir:ElementDefinition.definition [ fhir:value "Adjustment to the payment of this transaction which is not related to adjudication of this transaction." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ]
     ], [
       fhir:index 78;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.adjustmentReason" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.adjustmentReason" ];
       fhir:ElementDefinition.short [ fhir:value "Explanation for the non-claim adjustment" ];
       fhir:ElementDefinition.definition [ fhir:value "Reason for the payment adjustment." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "PaymentAdjustmentReason" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "Payment Adjustment reason codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/payment-adjustment-reason" ]
       ]
     ], [
       fhir:index 79;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.date" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.date" ];
       fhir:ElementDefinition.short [ fhir:value "Expected data of Payment" ];
       fhir:ElementDefinition.definition [ fhir:value "Estimated payment data." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "date" ]
       ]
     ], [
       fhir:index 80;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.amount" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.amount" ];
       fhir:ElementDefinition.short [ fhir:value "Payable amount after adjustment" ];
       fhir:ElementDefinition.definition [ fhir:value "Payable less any payment adjustment." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Money" ]
       ]
     ], [
       fhir:index 81;
       fhir:Element.id [ fhir:value "ClaimResponse.payment.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.payment.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Identifier of the payment instrument" ];
       fhir:ElementDefinition.definition [ fhir:value "Payment identifier." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ]
     ], [
       fhir:index 82;
       fhir:Element.id [ fhir:value "ClaimResponse.reserved" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.reserved" ];
       fhir:ElementDefinition.short [ fhir:value "Funds reserved status" ];
       fhir:ElementDefinition.definition [ fhir:value "Status of funds reservation (For provider, for Patient, None)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Coding" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "FundsReserve" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "For whom funds are to be reserved: (Patient, Provider, None)." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/fundsreserve" ]
       ]
     ], [
       fhir:index 83;
       fhir:Element.id [ fhir:value "ClaimResponse.form" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.form" ];
       fhir:ElementDefinition.short [ fhir:value "Printed Form Identifier" ];
       fhir:ElementDefinition.definition [ fhir:value "The form to be used for printing the content." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Forms" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "example" ];
         fhir:ElementDefinition.description [ fhir:value "The forms codes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/forms" ]
       ]
     ], [
       fhir:index 84;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Note" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote" ];
       fhir:ElementDefinition.short [ fhir:value "Processing notes" ];
       fhir:ElementDefinition.definition [ fhir:value "Note text." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 85;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.number" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.number" ];
       fhir:ElementDefinition.short [ fhir:value "Sequence Number for this note" ];
       fhir:ElementDefinition.definition [ fhir:value "An integer associated with each note which may be referred to from each service line item." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 86;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.type" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.type" ];
       fhir:ElementDefinition.short [ fhir:value "display | print | printoper" ];
       fhir:ElementDefinition.definition [ fhir:value "The note purpose: Print/Display." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "NoteType" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "required" ];
         fhir:ElementDefinition.description [ fhir:value "The presentation types of notes." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/note-type" ]
       ]
     ], [
       fhir:index 87;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.text" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.text" ];
       fhir:ElementDefinition.short [ fhir:value "Note explanatory text" ];
       fhir:ElementDefinition.definition [ fhir:value "The note text." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ]
     ], [
       fhir:index 88;
       fhir:Element.id [ fhir:value "ClaimResponse.processNote.language" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.processNote.language" ];
       fhir:ElementDefinition.short [ fhir:value "Language if different from the resource" ];
       fhir:ElementDefinition.definition [ fhir:value "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
           fhir:Extension.value [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Language" ]
         ], [
           fhir:index 2;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.description [ fhir:value "A human language." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ]
       ]
     ], [
       fhir:index 89;
       fhir:Element.id [ fhir:value "ClaimResponse.communicationRequest" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.communicationRequest" ];
       fhir:ElementDefinition.short [ fhir:value "Request for additional information" ];
       fhir:ElementDefinition.definition [ fhir:value "Request for additional supporting or authorizing information, such as: documents, images or resources." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/CommunicationRequest";
           fhir:index 0
         ]
       ]
     ], [
       fhir:index 90;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
         fhir:Extension.value [ fhir:value "Insurance" ]
       ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance" ];
       fhir:ElementDefinition.short [ fhir:value "Insurance or medical plan" ];
       fhir:ElementDefinition.definition [ fhir:value "Financial instrument by which payment information for health care." ];
       fhir:ElementDefinition.requirements [ fhir:value "Health care programs and insurers are significant payors of health service costs." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "Coverage" ]
       ]
     ], [
       fhir:index 91;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.sequence" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.sequence" ];
       fhir:ElementDefinition.short [ fhir:value "Service instance identifier" ];
       fhir:ElementDefinition.definition [ fhir:value "A service line item." ];
       fhir:ElementDefinition.requirements [ fhir:value "To maintain order of the coverages." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "positiveInt" ]
       ]
     ], [
       fhir:index 92;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.focal" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.focal" ];
       fhir:ElementDefinition.short [ fhir:value "Is the focal Coverage" ];
       fhir:ElementDefinition.definition [ fhir:value "The instance number of the Coverage which is the focus for adjudication. The Coverage against which the claim is to be adjudicated." ];
       fhir:ElementDefinition.requirements [ fhir:value "To identify which coverage is being adjudicated." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 93;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.coverage" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.coverage" ];
       fhir:ElementDefinition.short [ fhir:value "Insurance information" ];
       fhir:ElementDefinition.definition [ fhir:value "Reference to the program or plan identification, underwriter or payor." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to identify the issuer to target for processing and for coordination of benefit processing." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage";
           fhir:index 0
         ]
       ]
     ], [
       fhir:index 94;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.businessArrangement" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.businessArrangement" ];
       fhir:ElementDefinition.short [ fhir:value "Business agreement" ];
       fhir:ElementDefinition.definition [ fhir:value "The contract number of a business agreement which describes the terms and conditions." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ]
     ], [
       fhir:index 95;
       fhir:Element.id [ fhir:value "ClaimResponse.insurance.claimResponse" ];
       fhir:ElementDefinition.path [ fhir:value "ClaimResponse.insurance.claimResponse" ];
       fhir:ElementDefinition.short [ fhir:value "Adjudication results" ];
       fhir:ElementDefinition.definition [ fhir:value "The Coverages adjudication details." ];
       fhir:ElementDefinition.requirements [ fhir:value "Used by downstream payers to determine what balance remains and the net payable." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/ClaimResponse";
           fhir:index 0
         ]
       ]
     ]
  ] .

# -------------------------------------------------------------------------------------


Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.