Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
XML representation of the profile-ClaimResponse resource profile.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="profile-ClaimResponse"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition profile-ClaimResponse</b></p><a name="profile-ClaimResponse"> </a><a name="hcprofile-ClaimResponse"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse">ClaimResponse</a><a name="ClaimResponse"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/claimresponse.html">ClaimResponse(5.0.0)</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Response to a claim predetermination or preauthorization</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.meta">meta</a><a name="ClaimResponse.meta"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.meta.extension">Slices for extension</a><a name="ClaimResponse.meta.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.meta.extension:meta" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.meta">extension:meta</a><a name="ClaimResponse.meta.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/resource.html#Meta">Meta</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: meta additional types<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.meta.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.meta</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.text">text</a><a name="ClaimResponse.text"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.text.extension">Slices for extension</a><a name="ClaimResponse.text.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.text.extension:text" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.text">extension:text</a><a name="ClaimResponse.text.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(Complex)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: text additional types<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.text.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.text</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.extension">Slices for extension</a><a name="ClaimResponse.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.extension:ruleset" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.ruleset">extension:ruleset</a><a name="ClaimResponse.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Resource version (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.ruleset.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.ruleset</a><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-R2-ruleset-for-R5.html" title="http://hl7.org/fhir/uv/xver/ValueSet/R2-ruleset-for-R5" class="binding">R2RulesetForR5 (0.1.0)</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." class="binding">example</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">The static and dynamic model to which contents conform, which may be business version or standard/version.</span><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.extension:originalRuleset" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.originalRuleset">extension:originalRuleset</a><a name="ClaimResponse.extension.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Original version (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.originalRuleset.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.originalRuleset</a><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-R2-ruleset-for-R5.html" title="http://hl7.org/fhir/uv/xver/ValueSet/R2-ruleset-for-R5" class="binding">R2RulesetForR5 (0.1.0)</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." class="binding">example</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">The static and dynamic model to which contents conform, which may be business version or standard/version.</span><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.extension:unallocDeductable" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.unallocDeductable">extension:unallocDeductable</a><a name="ClaimResponse.extension.4"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Unallocated deductible (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.unallocDeductable.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.unallocDeductable</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.identifier">identifier</a><a name="ClaimResponse.identifier"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.identifier.extension">Slices for extension</a><a name="ClaimResponse.identifier.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.identifier.extension:identifier" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.identifier">extension:identifier</a><a name="ClaimResponse.identifier.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Response number additional types<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.identifier.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.identifier</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurer">insurer</a><a name="ClaimResponse.insurer"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurer.extension">Slices for extension</a><a name="ClaimResponse.insurer.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurer.extension:organization" title="Extension URL = http://hl7.org/fhir/StructureDefinition/alternate-reference">extension:organization</a><a name="ClaimResponse.insurer.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/references.html">Reference</a>(<a href="http://hl7.org/fhir/R5/resource.html">Resource</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Insurer additional types<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-alternate-reference.html">http://hl7.org/fhir/StructureDefinition/alternate-reference</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.requestor">requestor</a><a name="ClaimResponse.requestor"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.requestor.extension">Slices for extension</a><a name="ClaimResponse.requestor.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1034.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.requestor.extension:requestProvider" title="Extension URL = http://hl7.org/fhir/StructureDefinition/alternate-reference">extension:requestProvider</a><a name="ClaimResponse.requestor.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/references.html">Reference</a>(<a href="http://hl7.org/fhir/R5/resource.html">Resource</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Responsible practitioner additional types<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-alternate-reference.html">http://hl7.org/fhir/StructureDefinition/alternate-reference</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.requestor.extension:requestOrganization" title="Extension URL = http://hl7.org/fhir/StructureDefinition/alternate-reference">extension:requestOrganization</a><a name="ClaimResponse.requestor.extension.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/references.html">Reference</a>(<a href="http://hl7.org/fhir/R5/resource.html">Resource</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Responsible organization additional types<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-alternate-reference.html">http://hl7.org/fhir/StructureDefinition/alternate-reference</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.request">request</a><a name="ClaimResponse.request"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.request.extension">Slices for extension</a><a name="ClaimResponse.request.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.request.extension:request" title="Extension URL = http://hl7.org/fhir/StructureDefinition/alternate-reference">extension:request</a><a name="ClaimResponse.request.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/references.html">Reference</a>(<a href="http://hl7.org/fhir/R5/resource.html">Resource</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: request additional types<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-alternate-reference.html">http://hl7.org/fhir/StructureDefinition/alternate-reference</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item">item</a><a name="ClaimResponse.item"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.adjudication">adjudication</a><a name="ClaimResponse.item.adjudication"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.adjudication.quantity">quantity</a><a name="ClaimResponse.item.adjudication.quantity"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11003.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.adjudication.quantity.extension">Slices for extension</a><a name="ClaimResponse.item.adjudication.quantity.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.adjudication.quantity.extension:value" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.adjudication.value">extension:value</a><a name="ClaimResponse.item.adjudication.quantity.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: value additional types<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.ite.adj.value.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.adjudication.value</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail">detail</a><a name="ClaimResponse.item.detail"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1011.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail.adjudication">adjudication</a><a name="ClaimResponse.item.detail.adjudication"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail.adjudication.extension">Slices for extension</a><a name="ClaimResponse.item.detail.adjudication.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101034.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail.adjudication.extension:amount" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.adjudication.amount">extension:amount</a><a name="ClaimResponse.item.detail.adjudication.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Monetary amount (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.ite.det.adj.amount.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.adjudication.amount</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail.adjudication.extension:value" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.adjudication.value">extension:value</a><a name="ClaimResponse.item.detail.adjudication.extension.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Non-monetary value (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.ite.det.adj.value.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.adjudication.value</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail.subDetail">subDetail</a><a name="ClaimResponse.item.detail.subDetail"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail.subDetail.adjudication">adjudication</a><a name="ClaimResponse.item.detail.subDetail.adjudication"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100003.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail.subDetail.adjudication.extension">Slices for extension</a><a name="ClaimResponse.item.detail.subDetail.adjudication.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000034.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail.subDetail.adjudication.extension:amount" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.subDetail.adjudication.amount">extension:amount</a><a name="ClaimResponse.item.detail.subDetail.adjudication.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Monetary amount (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.ite.det.sub.adj.amount.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.subDetail.adjudication.amount</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.item.detail.subDetail.adjudication.extension:value" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.subDetail.adjudication.value">extension:value</a><a name="ClaimResponse.item.detail.subDetail.adjudication.extension.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Non-monetary value (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.ite.det.sub.adj.value.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.subDetail.adjudication.value</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem">addItem</a><a name="ClaimResponse.addItem"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck113.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.extension">Slices for extension</a><a name="ClaimResponse.addItem.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.extension:fee" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.fee">extension:fee</a><a name="ClaimResponse.addItem.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Professional fee or Product charge (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.add.fee.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.fee</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.adjudication">adjudication</a><a name="ClaimResponse.addItem.adjudication"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.adjudication.extension">Slices for extension</a><a name="ClaimResponse.addItem.adjudication.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11034.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.adjudication.extension:amount" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.adjudication.amount">extension:amount</a><a name="ClaimResponse.addItem.adjudication.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Monetary amount (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.add.adj.amount.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.adjudication.amount</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.adjudication.extension:value" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.adjudication.value">extension:value</a><a name="ClaimResponse.addItem.adjudication.extension.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Non-monetary value (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.add.adj.value.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.adjudication.value</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.detail">detail</a><a name="ClaimResponse.addItem.detail"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1013.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.detail.extension">Slices for extension</a><a name="ClaimResponse.addItem.detail.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.detail.extension:fee" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.fee">extension:fee</a><a name="ClaimResponse.addItem.detail.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Professional fee or Product charge (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.add.det.fee.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.fee</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.detail.adjudication">adjudication</a><a name="ClaimResponse.addItem.detail.adjudication"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10003.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.detail.adjudication.extension">Slices for extension</a><a name="ClaimResponse.addItem.detail.adjudication.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100034.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.detail.adjudication.extension:amount" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.adjudication.amount">extension:amount</a><a name="ClaimResponse.addItem.detail.adjudication.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Monetary amount (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.add.det.adj.amount.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.adjudication.amount</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.addItem.detail.adjudication.extension:value" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.adjudication.value">extension:value</a><a name="ClaimResponse.addItem.detail.adjudication.extension.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Non-monetary value (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.add.det.adj.value.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.adjudication.value</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.payment">payment</a><a name="ClaimResponse.payment"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.payment.identifier">identifier</a><a name="ClaimResponse.payment.identifier"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1003.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.payment.identifier.extension">Slices for extension</a><a name="ClaimResponse.payment.identifier.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.payment.identifier.extension:paymentRef" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.paymentRef">extension:paymentRef</a><a name="ClaimResponse.payment.identifier.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Payment identifier additional types<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.paymentRef.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.paymentRef</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.formCode">formCode</a><a name="ClaimResponse.formCode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.formCode.extension">Slices for extension</a><a name="ClaimResponse.formCode.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.formCode.extension:form" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.form">extension:form</a><a name="ClaimResponse.formCode.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Printed Form Identifier<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.form.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.form</a><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="http://hl7.org/fhir/R5/valueset-forms.html" title="http://hl7.org/fhir/ValueSet/forms" class="binding">FormCodes</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">The forms codes.</span><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.processNote">processNote</a><a name="ClaimResponse.processNote"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.processNote.type">type</a><a name="ClaimResponse.processNote.type"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1003.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.processNote.type.extension">Slices for extension</a><a name="ClaimResponse.processNote.type.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.processNote.type.extension:type" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.note.type">extension:type</a><a name="ClaimResponse.processNote.type.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: display | print | printoper<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.not.type.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.note.type</a><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="http://hl7.org/fhir/R5/valueset-note-type.html" title="http://hl7.org/fhir/ValueSet/note-type" class="binding">NoteType</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">The presentation types of notes.</span><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance">insurance</a><a name="ClaimResponse.insurance"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck113.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.extension">Slices for extension</a><a name="ClaimResponse.insurance.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.extension:relationship" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.relationship">extension:relationship</a><a name="ClaimResponse.insurance.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Patient relationship to subscriber (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.cov.relationship.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.relationship</a><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="http://hl7.org/fhir/R5/valueset-relationship.html" title="http://hl7.org/fhir/ValueSet/relationship" class="binding">BeneficiaryRelationshipCodes</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." class="binding">example</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">The code for the relationship of the patient to the subscriber.</span><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.extension:preAuthRef" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.preAuthRef">extension:preAuthRef</a><a name="ClaimResponse.insurance.extension.3"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Pre-Authorization/Determination Reference (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.cov.preAuthRef.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.preAuthRef</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.extension:originalRuleset" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.originalRuleset">extension:originalRuleset</a><a name="ClaimResponse.insurance.extension.4"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: Original version (new)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.cov.originalRuleset.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.originalRuleset</a><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-R2-ruleset-for-R5.html" title="http://hl7.org/fhir/uv/xver/ValueSet/R2-ruleset-for-R5" class="binding">R2RulesetForR5 (0.1.0)</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." class="binding">example</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">The static and dynamic model to which contents conform, which may be business version or standard/version.</span><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.coverage">coverage</a><a name="ClaimResponse.insurance.coverage"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.coverage.extension">Slices for extension</a><a name="ClaimResponse.insurance.coverage.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.coverage.extension:coverage" title="Extension URL = http://hl7.org/fhir/StructureDefinition/alternate-reference">extension:coverage</a><a name="ClaimResponse.insurance.coverage.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/references.html">Reference</a>(<a href="http://hl7.org/fhir/R5/resource.html">Resource</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: coverage additional types<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-alternate-reference.html">http://hl7.org/fhir/StructureDefinition/alternate-reference</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.claimResponse">claimResponse</a><a name="ClaimResponse.insurance.claimResponse"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1003.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.claimResponse.extension">Slices for extension</a><a name="ClaimResponse.insurance.claimResponse.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.insurance.claimResponse.extension:claimResponse" title="Extension URL = http://hl7.org/fhir/StructureDefinition/alternate-reference">extension:claimResponse</a><a name="ClaimResponse.insurance.claimResponse.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/references.html">Reference</a>(<a href="http://hl7.org/fhir/R5/resource.html">Resource</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: claimResponse additional types<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-alternate-reference.html">http://hl7.org/fhir/StructureDefinition/alternate-reference</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.error">error</a><a name="ClaimResponse.error"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.error.code">code</a><a name="ClaimResponse.error.code"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0003.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.error.code.extension">Slices for extension</a><a name="ClaimResponse.error.code.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-profile-ClaimResponse-definitions.html#ClaimResponse.error.code.extension:code" title="Extension URL = http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.error.code">extension:code</a><a name="ClaimResponse.error.code.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DSTU2: code<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ext-R2-ClaimResponse.err.code.html">http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.error.code</a><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="http://hl7.org/fhir/R5/valueset-adjudication-error.html" title="http://hl7.org/fhir/ValueSet/adjudication-error" class="binding">AdjudicationErrorCodes</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">The error codes for adjudication processing.</span><br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r2.r5"/>
</extension>
<extension url="version">
<valueString value="0.1.0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/1.0/StructureDefinition/profile-ClaimResponse"/>
<version value="0.1.0"/>
<name value="Profile_R2_ClaimResponse_R5"/>
<title
value="Cross-version Profile for DSTU2.ClaimResponse for use in FHIR R5"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:05:25.6401048-05:00"/>
<publisher value="FHIR Infrastructure"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This cross-version profile allows DSTU2 ClaimResponse content to be represented via FHIR R5 ClaimResponse resources."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<fhirVersion value="5.0.0"/>
<mapping>
<identity value="workflow"/>
<uri value="http://hl7.org/fhir/workflow"/>
<name value="Workflow Pattern"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/fivews"/>
<name value="FiveWs Pattern Mapping"/>
</mapping>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<type value="ClaimResponse"/>
<baseDefinition
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0"/>
<derivation value="constraint"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="5.0.0"/>
</extension>
<element id="ClaimResponse">
<path value="ClaimResponse"/>
<short
value="Response to a claim predetermination or preauthorization"/>
<definition
value="This resource provides the adjudication details from the processing of a Claim resource."/>
<alias value="Remittance Advice"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="dom-2"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
<expression value="contained.contained.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/>
</constraint>
<constraint>
<key value="dom-3"/>
<severity value="error"/>
<human
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"/>
<expression
value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/>
</constraint>
<constraint>
<key value="dom-4"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
<expression
value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/>
</constraint>
<constraint>
<key value="dom-5"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
<expression value="contained.meta.security.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/>
</constraint>
<constraint>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown
value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human 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."/>
</extension>
<key value="dom-6"/>
<severity value="warning"/>
<human
value="A resource should have narrative for robust management"/>
<expression value="text.`div`.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Entity, Role, or Act"/>
</mapping>
<mapping>
<identity value="workflow"/>
<map value="Event"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="financial.billing"/>
</mapping>
</element>
<element id="ClaimResponse.id">
<path value="ClaimResponse.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comment
value="Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ClaimResponse.meta">
<path value="ClaimResponse.meta"/>
<short value="Metadata about the resource"/>
<definition
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."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Meta"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ClaimResponse.meta.id">
<path value="ClaimResponse.meta.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.meta.extension">
<path value="ClaimResponse.meta.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.meta.extension:meta">
<path value="ClaimResponse.meta.extension"/>
<sliceName value="meta"/>
<short value="DSTU2: meta additional types"/>
<definition
value="DSTU2: `ClaimResponse.meta` additional types (Meta) additional types from child elements (lastUpdated, profile, security, tag, versionId)"/>
<comment
value="Element `ClaimResponse.meta` is mapped to FHIR R5 element `ClaimResponse.meta` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.meta` do not cover the following types: Meta.
The mappings for `ClaimResponse.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.meta|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.meta.versionId">
<path value="ClaimResponse.meta.versionId"/>
<short value="Version specific identifier"/>
<definition
value="The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted."/>
<comment
value="The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Meta.versionId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="id"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ClaimResponse.meta.lastUpdated">
<path value="ClaimResponse.meta.lastUpdated"/>
<short value="When the resource version last changed"/>
<definition
value="When the resource last changed - e.g. when the version changed."/>
<comment
value="This element is generally omitted in instances submitted in a PUT or POST. Instead, it is populated in the response instance and when retrieving information using a GET. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R5/http.html#read) interaction."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Meta.lastUpdated"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="instant"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ClaimResponse.meta.source">
<path value="ClaimResponse.meta.source"/>
<short value="Identifies where the resource comes from"/>
<definition
value="A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R5/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc."/>
<comment
value="The exact use of the source (and the possible implied Provenance.entity.role and agent.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. The source may correspond to Provenance.entity.what[x] or Provenance.agent.who[x], though it may be a more general or abstract reference.
This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Meta.source"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ClaimResponse.meta.profile">
<path value="ClaimResponse.meta.profile"/>
<short value="Profiles this resource claims to conform to"/>
<definition
value="A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R5/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R5/structuredefinition-definitions.html#StructureDefinition.url)."/>
<comment
value="It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Meta.profile"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="canonical"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/StructureDefinition|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ClaimResponse.meta.security">
<path value="ClaimResponse.meta.security"/>
<short value="Security Labels applied to this resource"/>
<definition
value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure."/>
<comment
value="The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Meta.security"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SecurityLabels"/>
</extension>
<strength value="extensible"/>
<description
value="Security Labels from the Healthcare Privacy and Security Classification System."/>
<valueSet value="http://hl7.org/fhir/ValueSet/security-labels|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.meta.tag">
<path value="ClaimResponse.meta.tag"/>
<short value="Tags applied to this resource"/>
<definition
value="Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource."/>
<comment
value="The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Meta.tag"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Tags"/>
</extension>
<strength value="example"/>
<description
value="Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"."/>
<valueSet value="http://hl7.org/fhir/ValueSet/common-tags|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.implicitRules">
<path value="ClaimResponse.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
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."/>
<comment
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 its narrative along with other profiles, value sets, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation"/>
<isSummary value="true"/>
</element>
<element id="ClaimResponse.language">
<path value="ClaimResponse.language"/>
<short value="Language of the resource content"/>
<definition
value="The base language in which the resource is written."/>
<comment
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)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language"/>
</extension>
<strength value="required"/>
<description value="IETF language tag for a human language"/>
<valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0"/>
<additional>
<purpose value="starter"/>
<valueSet value="http://hl7.org/fhir/ValueSet/languages|5.0.0"/>
</additional>
</binding>
</element>
<element id="ClaimResponse.text">
<path value="ClaimResponse.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
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."/>
<comment
value="Contained resources do not have a 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."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Narrative"/>
</type>
<condition value="dom-6"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="ClaimResponse.text.id">
<path value="ClaimResponse.text.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.text.extension">
<path value="ClaimResponse.text.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.text.extension:text">
<path value="ClaimResponse.text.extension"/>
<sliceName value="text"/>
<short value="DSTU2: text additional types"/>
<definition
value="DSTU2: `ClaimResponse.text` additional types (Narrative) additional types from child elements (div, status)"/>
<comment
value="Element `ClaimResponse.text` is mapped to FHIR R5 element `ClaimResponse.text` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.text` do not cover the following types: Narrative.
The mappings for `ClaimResponse.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.text|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.text.status">
<path value="ClaimResponse.text.status"/>
<short value="generated | extensions | additional | empty"/>
<definition
value="The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Narrative.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="NarrativeStatus"/>
</extension>
<strength value="required"/>
<description value="The status of a resource narrative."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/narrative-status|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.text.div">
<path value="ClaimResponse.text.div"/>
<short value="Limited xhtml content"/>
<definition
value="The actual narrative content, a stripped down version of XHTML."/>
<comment
value="The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Narrative.div"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="xhtml"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="txt-1"/>
<severity value="error"/>
<human
value="The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes"/>
<expression value="htmlChecks()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Narrative|5.0.0"/>
</constraint>
<constraint>
<key value="txt-2"/>
<severity value="error"/>
<human value="The narrative SHALL have some non-whitespace content"/>
<expression value="htmlChecks()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Narrative|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.contained">
<path value="ClaimResponse.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning."/>
<comment
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."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<condition value="dom-2"/>
<condition value="dom-4"/>
<condition value="dom-3"/>
<condition value="dom-5"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.extension">
<path value="ClaimResponse.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.extension:ruleset">
<path value="ClaimResponse.extension"/>
<sliceName value="ruleset"/>
<short value="DSTU2: Resource version (new)"/>
<definition value="DSTU2: `ClaimResponse.ruleset` (new:Coding)"/>
<comment
value="Element `ClaimResponse.ruleset` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.ruleset` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.ruleset|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.extension:originalRuleset">
<path value="ClaimResponse.extension"/>
<sliceName value="originalRuleset"/>
<short value="DSTU2: Original version (new)"/>
<definition
value="DSTU2: `ClaimResponse.originalRuleset` (new:Coding)"/>
<comment
value="Element `ClaimResponse.originalRuleset` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.originalRuleset` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.originalRuleset|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.extension:unallocDeductable">
<path value="ClaimResponse.extension"/>
<sliceName value="unallocDeductable"/>
<short value="DSTU2: Unallocated deductible (new)"/>
<definition
value="DSTU2: `ClaimResponse.unallocDeductable` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.unallocDeductable` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.unallocDeductable` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.unallocDeductable|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.modifierExtension">
<path value="ClaimResponse.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.identifier">
<path value="ClaimResponse.identifier"/>
<short value="Business Identifier for a claim response"/>
<definition
value="A unique identifier assigned to this claim response."/>
<requirements
value="Allows claim responses to be distinguished and referenced."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Event.identifier"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
</element>
<element id="ClaimResponse.identifier.id">
<path value="ClaimResponse.identifier.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.identifier.extension">
<path value="ClaimResponse.identifier.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.identifier.extension:identifier">
<path value="ClaimResponse.identifier.extension"/>
<sliceName value="identifier"/>
<short value="DSTU2: Response number additional types"/>
<definition
value="DSTU2: `ClaimResponse.identifier` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)"/>
<comment
value="Element `ClaimResponse.identifier` is mapped to FHIR R5 element `ClaimResponse.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.identifier` do not cover the following types: Identifier.
The mappings for `ClaimResponse.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.identifier|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.identifier.use">
<path value="ClaimResponse.identifier.use"/>
<short value="usual | official | temp | secondary | old (If known)"/>
<definition value="The purpose of this identifier."/>
<comment
value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/>
<requirements
value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.use"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one."/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierUse"/>
</extension>
<strength value="required"/>
<description
value="Identifies the purpose for this identifier, if known ."/>
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|5.0.0"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.code or implied by context"/>
</mapping>
</element>
<element id="ClaimResponse.identifier.type">
<path value="ClaimResponse.identifier.type"/>
<short value="Description of identifier"/>
<definition
value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose."/>
<comment
value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type."/>
<requirements
value="Allows users to make use of identifiers when the identifier system is not known."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierType"/>
</extension>
<strength value="extensible"/>
<description
value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/>
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-type|5.0.0"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="CX.5"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.code or implied by context"/>
</mapping>
</element>
<element id="ClaimResponse.identifier.system">
<path value="ClaimResponse.identifier.system"/>
<short value="The namespace for the identifier value"/>
<definition
value="Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique."/>
<comment value="Identifier.system is always case sensitive."/>
<requirements
value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<example>
<label value="General"/>
<valueUri value="http://www.acme.com/identifiers/patient"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / EI-2-4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="II.root or Role.id.root"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierType"/>
</mapping>
</element>
<element id="ClaimResponse.identifier.value">
<path value="ClaimResponse.identifier.value"/>
<short value="The value that is unique"/>
<definition
value="The portion of the identifier typically relevant to the user and which is unique within the context of the system."/>
<comment
value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-rendered-value.html)). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<example>
<label value="General"/>
<valueString value="123456"/>
</example>
<condition value="ident-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.1 / EI.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./Value"/>
</mapping>
</element>
<element id="ClaimResponse.identifier.period">
<path value="ClaimResponse.identifier.period"/>
<short value="Time period when id is/was valid for use"/>
<definition
value="Time period during which identifier is/was valid for use."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.7 + CX.8"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.effectiveTime or implied by context"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./StartDate and ./EndDate"/>
</mapping>
</element>
<element id="ClaimResponse.identifier.assigner">
<path value="ClaimResponse.identifier.assigner"/>
<short value="Organization that issued id (may be just text)"/>
<definition value="Organization that issued/manages the identifier."/>
<comment
value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.assigner"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / (CX.4,CX.9,CX.10)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierIssuingAuthority"/>
</mapping>
</element>
<element id="ClaimResponse.traceNumber">
<path value="ClaimResponse.traceNumber"/>
<short value="Number for tracking"/>
<definition
value="Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners."/>
<requirements
value="Allows partners to uniquely identify components for tracking."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.traceNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.status">
<path value="ClaimResponse.status"/>
<short value="active | cancelled | draft | entered-in-error"/>
<definition value="The status of the resource instance."/>
<comment
value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
<requirements
value="Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="true"/>
<isModifierReason
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"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ClaimResponseStatus"/>
</extension>
<strength value="required"/>
<description
value="A code specifying the state of the resource instance."/>
<valueSet value="http://hl7.org/fhir/ValueSet/fm-status|5.0.0"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Event.status"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.status"/>
</mapping>
</element>
<element id="ClaimResponse.type">
<path value="ClaimResponse.type"/>
<short value="More granular claim type"/>
<definition
value="A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service."/>
<comment
value="This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type."/>
<requirements
value="Some jurisdictions need a finer grained claim type for routing and adjudication."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.type"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ClaimType"/>
</extension>
<strength value="extensible"/>
<description value="The type or discipline-style of the claim."/>
<valueSet value="http://hl7.org/fhir/ValueSet/claim-type|5.0.0"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
</element>
<element id="ClaimResponse.subType">
<path value="ClaimResponse.subType"/>
<short value="More granular claim type"/>
<definition
value="A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service."/>
<comment
value="This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type."/>
<requirements
value="Some jurisdictions need a finer grained claim type for routing and adjudication."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.subType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ClaimSubType"/>
</extension>
<strength value="example"/>
<description value="A more granular claim typecode."/>
<valueSet value="http://hl7.org/fhir/ValueSet/claim-subtype|5.0.0"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
</element>
<element id="ClaimResponse.use">
<path value="ClaimResponse.use"/>
<short value="claim | preauthorization | predetermination"/>
<definition
value="A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided."/>
<requirements
value="This element is required to understand the nature of the request for adjudication."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.use"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Use"/>
</extension>
<strength value="required"/>
<description value="Claim, preauthorization, predetermination."/>
<valueSet value="http://hl7.org/fhir/ValueSet/claim-use|5.0.0"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
</element>
<element id="ClaimResponse.patient">
<path value="ClaimResponse.patient"/>
<short value="The recipient of the products and services"/>
<definition
value="The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought."/>
<requirements
value="The patient must be supplied to the insurer so that confirmation of coverage and service hstory may be considered as part of the authorization and/or adjudiction."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.patient"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Patient|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.subject[x]"/>
</mapping>
</element>
<element id="ClaimResponse.created">
<path value="ClaimResponse.created"/>
<short value="Response creation date"/>
<definition value="The date this resource was created."/>
<requirements
value="Need to record a timestamp for use by both the recipient and the issuer."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.created"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Event.occurrence[x]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.recorded"/>
</mapping>
</element>
<element id="ClaimResponse.insurer">
<path value="ClaimResponse.insurer"/>
<short value="Party responsible for reimbursement"/>
<definition
value="The party responsible for authorization, adjudication and reimbursement."/>
<requirements
value="To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.insurer"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Event.performer"/>
</mapping>
</element>
<element id="ClaimResponse.insurer.id">
<path value="ClaimResponse.insurer.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.insurer.extension">
<path value="ClaimResponse.insurer.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurer.extension:organization">
<path value="ClaimResponse.insurer.extension"/>
<sliceName value="organization"/>
<short value="DSTU2: Insurer additional types"/>
<definition
value="DSTU2: `ClaimResponse.organization` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.organization` is mapped to FHIR R5 element `ClaimResponse.insurer` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.organization` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.organization` with unmapped reference targets: Organization."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurer.reference">
<path value="ClaimResponse.insurer.reference"/>
<short value="Literal reference, Relative, internal or absolute URL"/>
<definition
value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
<comment
value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.reference"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<condition value="ref-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.insurer.type">
<path value="ClaimResponse.insurer.type"/>
<short
value="Type the reference refers to (e.g. "Patient") - must be a resource in resources"/>
<definition
value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)."/>
<comment
value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt"/>
</extension>
<strength value="extensible"/>
<description
value="Aa resource (or, for logical models, the URI of the logical model)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.insurer.identifier">
<path value="ClaimResponse.insurer.identifier"/>
<short value="Logical reference, when literal reference is not known"/>
<definition
value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
<comment
value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="ClaimResponse.insurer.display">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ClaimResponse.insurer.display"/>
<short value="Text alternative for the resource"/>
<definition
value="Plain text narrative that identifies the resource in addition to the resource reference."/>
<comment
value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.requestor">
<path value="ClaimResponse.requestor"/>
<short value="Party responsible for the claim"/>
<definition
value="The provider which is responsible for the claim, predetermination or preauthorization."/>
<comment
value="Typically this field would be 1..1 where this party is accountable for the data content within the claim but is not necessarily the facility, provider group or practitioner who provided the products and services listed within this claim resource. This field is the Billing Provider, for example, a facility, provider group, lab or practitioner.."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.requestor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.source"/>
</mapping>
</element>
<element id="ClaimResponse.requestor.id">
<path value="ClaimResponse.requestor.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.requestor.extension">
<path value="ClaimResponse.requestor.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.requestor.extension:requestProvider">
<path value="ClaimResponse.requestor.extension"/>
<sliceName value="requestProvider"/>
<short value="DSTU2: Responsible practitioner additional types"/>
<definition
value="DSTU2: `ClaimResponse.requestProvider` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.requestProvider` is mapped to FHIR R5 element `ClaimResponse.requestor` as `RelatedTo`.
The mappings for `ClaimResponse.requestProvider` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.requestProvider` with unmapped reference targets: Practitioner."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.requestor.extension:requestOrganization">
<path value="ClaimResponse.requestor.extension"/>
<sliceName value="requestOrganization"/>
<short value="DSTU2: Responsible organization additional types"/>
<definition
value="DSTU2: `ClaimResponse.requestOrganization` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.requestOrganization` is mapped to FHIR R5 element `ClaimResponse.requestor` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.requestOrganization` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.requestOrganization` with unmapped reference targets: Organization."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.requestor.reference">
<path value="ClaimResponse.requestor.reference"/>
<short value="Literal reference, Relative, internal or absolute URL"/>
<definition
value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
<comment
value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.reference"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<condition value="ref-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.requestor.type">
<path value="ClaimResponse.requestor.type"/>
<short
value="Type the reference refers to (e.g. "Patient") - must be a resource in resources"/>
<definition
value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)."/>
<comment
value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt"/>
</extension>
<strength value="extensible"/>
<description
value="Aa resource (or, for logical models, the URI of the logical model)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.requestor.identifier">
<path value="ClaimResponse.requestor.identifier"/>
<short value="Logical reference, when literal reference is not known"/>
<definition
value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
<comment
value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="ClaimResponse.requestor.display">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ClaimResponse.requestor.display"/>
<short value="Text alternative for the resource"/>
<definition
value="Plain text narrative that identifies the resource in addition to the resource reference."/>
<comment
value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.request">
<path value="ClaimResponse.request"/>
<short value="Id of resource triggering adjudication"/>
<definition value="Original request resource reference."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.request"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Claim|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Event.basedOn"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.why[x]"/>
</mapping>
</element>
<element id="ClaimResponse.request.id">
<path value="ClaimResponse.request.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.request.extension">
<path value="ClaimResponse.request.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.request.extension:request">
<path value="ClaimResponse.request.extension"/>
<sliceName value="request"/>
<short value="DSTU2: request additional types"/>
<definition
value="DSTU2: `ClaimResponse.request` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.request` is mapped to FHIR R5 element `ClaimResponse.request` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.request` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.request` with unmapped reference targets: Claim."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.request.reference">
<path value="ClaimResponse.request.reference"/>
<short value="Literal reference, Relative, internal or absolute URL"/>
<definition
value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
<comment
value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.reference"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<condition value="ref-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.request.type">
<path value="ClaimResponse.request.type"/>
<short
value="Type the reference refers to (e.g. "Patient") - must be a resource in resources"/>
<definition
value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)."/>
<comment
value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt"/>
</extension>
<strength value="extensible"/>
<description
value="Aa resource (or, for logical models, the URI of the logical model)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.request.identifier">
<path value="ClaimResponse.request.identifier"/>
<short value="Logical reference, when literal reference is not known"/>
<definition
value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
<comment
value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="ClaimResponse.request.display">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ClaimResponse.request.display"/>
<short value="Text alternative for the resource"/>
<definition
value="Plain text narrative that identifies the resource in addition to the resource reference."/>
<comment
value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.outcome">
<path value="ClaimResponse.outcome"/>
<short value="queued | complete | error | partial"/>
<definition
value="The outcome of the claim, predetermination, or preauthorization processing."/>
<comment
value="The resource may be used to indicate that the Claim/Preauthorization/Pre-determination has been received but processing has not begun (queued); that it has been processed and one or more errors have been detected (error); no errors were detected and some of the adjudication processing has been performed (partial); or all of the adjudication processing has completed without errors (complete)."/>
<requirements
value="To advise the requestor of an overall processing outcome."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.outcome"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="RemittanceOutcome"/>
</extension>
<strength value="required"/>
<description value="The result of the claim processing."/>
<valueSet value="http://hl7.org/fhir/ValueSet/claim-outcome|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.decision">
<path value="ClaimResponse.decision"/>
<short value="Result of the adjudication"/>
<definition
value="The result of the claim, predetermination, or preauthorization adjudication."/>
<comment
value="The element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amount will be paid (partial)."/>
<requirements
value="To advise the requestor of the result of the adjudication process."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.decision"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdjudicationDecision"/>
</extension>
<strength value="example"/>
<description value="The overall result of the claim adjudication."/>
<valueSet value="http://hl7.org/fhir/ValueSet/claim-decision|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.disposition">
<path value="ClaimResponse.disposition"/>
<short value="Disposition Message"/>
<definition
value="A human readable description of the status of the adjudication."/>
<requirements value="Provided for user display."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.disposition"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Event.note"/>
</mapping>
</element>
<element id="ClaimResponse.preAuthRef">
<path value="ClaimResponse.preAuthRef"/>
<short value="Preauthorization reference"/>
<definition
value="Reference from the Insurer which is used in later communications which refers to this adjudication."/>
<comment
value="This value is only present on preauthorization adjudications."/>
<requirements
value="On subsequent claims, the insurer may require the provider to quote this value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.preAuthRef"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.preAuthPeriod">
<path value="ClaimResponse.preAuthPeriod"/>
<short value="Preauthorization reference effective period"/>
<definition
value="The time frame during which this authorization is effective."/>
<requirements
value="To convey to the provider when the authorized products and services must be supplied for the authorized adjudication to apply."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.preAuthPeriod"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.event">
<path value="ClaimResponse.event"/>
<short value="Event information"/>
<definition
value="Information code for an event with a corresponding date or period."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.event"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.event.id">
<path value="ClaimResponse.event.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.event.extension">
<path value="ClaimResponse.event.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.event.modifierExtension">
<path value="ClaimResponse.event.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.event.type">
<path value="ClaimResponse.event.type"/>
<short value="Specific event"/>
<definition
value="A coded event such as when a service is expected or a card printed."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.event.type"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DatesType"/>
</extension>
<strength value="example"/>
<valueSet value="http://hl7.org/fhir/ValueSet/datestype|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.event.when[x]">
<path value="ClaimResponse.event.when[x]"/>
<short value="Occurance date or period"/>
<definition
value="A date or period in the past or future indicating when the event occurred or is expectd to occur."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.event.when[x]"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.payeeType">
<path value="ClaimResponse.payeeType"/>
<short value="Party to be paid any benefits payable"/>
<definition
value="Type of Party to be reimbursed: subscriber, provider, other."/>
<requirements
value="Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.payeeType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="PayeeType"/>
</extension>
<strength value="example"/>
<description value="A code for the party to be reimbursed."/>
<valueSet value="http://hl7.org/fhir/ValueSet/payeetype|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.encounter">
<path value="ClaimResponse.encounter"/>
<short value="Encounters associated with the listed treatments"/>
<definition value="Healthcare encounters related to this claim."/>
<comment
value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter."/>
<requirements
value="Used in some jurisdictions to link clinical events to claim items."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.encounter"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.diagnosisRelatedGroup">
<path value="ClaimResponse.diagnosisRelatedGroup"/>
<short value="Package billing code"/>
<definition
value="A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system."/>
<comment
value="For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event."/>
<requirements
value="Required to relate the current diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.diagnosisRelatedGroup"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DiagnosisRelatedGroup"/>
</extension>
<strength value="example"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.item">
<path value="ClaimResponse.item"/>
<short value="Adjudication for claim line items"/>
<definition
value="A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details."/>
<requirements
value="The adjudication for items provided on the claim."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.id">
<path value="ClaimResponse.item.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.extension">
<path value="ClaimResponse.item.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.modifierExtension">
<path value="ClaimResponse.item.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.item.itemSequence">
<path value="ClaimResponse.item.itemSequence"/>
<short value="Claim item instance identifier"/>
<definition
value="A number to uniquely reference the claim item entries."/>
<requirements
value="Necessary to provide a mechanism to link the adjudication result to the submitted claim item."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.itemSequence"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.traceNumber">
<path value="ClaimResponse.item.traceNumber"/>
<short value="Number for tracking"/>
<definition
value="Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners."/>
<requirements
value="Allows partners to uniquely identify components for tracking."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.traceNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.noteNumber">
<path value="ClaimResponse.item.noteNumber"/>
<short value="Applicable note numbers"/>
<definition
value="The numbers associated with notes below which apply to the adjudication of this item."/>
<requirements
value="Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.noteNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.reviewOutcome">
<path value="ClaimResponse.item.reviewOutcome"/>
<short value="Adjudication results"/>
<definition
value="The high-level results of the adjudication if adjudication has been performed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.reviewOutcome"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.reviewOutcome.id">
<path value="ClaimResponse.item.reviewOutcome.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.reviewOutcome.extension">
<path value="ClaimResponse.item.reviewOutcome.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.reviewOutcome.modifierExtension">
<path value="ClaimResponse.item.reviewOutcome.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.item.reviewOutcome.decision">
<path value="ClaimResponse.item.reviewOutcome.decision"/>
<short value="Result of the adjudication"/>
<definition
value="The result of the claim, predetermination, or preauthorization adjudication."/>
<comment
value="The element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amount will be paid (partial)."/>
<requirements
value="To advise the requestor of the result of the adjudication process."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.reviewOutcome.decision"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdjudicationDecision"/>
</extension>
<strength value="example"/>
<valueSet value="http://hl7.org/fhir/ValueSet/claim-decision|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.item.reviewOutcome.reason">
<path value="ClaimResponse.item.reviewOutcome.reason"/>
<short value="Reason for result of the adjudication"/>
<definition
value="The reasons for the result of the claim, predetermination, or preauthorization adjudication."/>
<requirements
value="To advise the requestor of the contributors to the result of the adjudication process."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.reviewOutcome.reason"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdjudicationDecisionReason"/>
</extension>
<strength value="example"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/claim-decision-reason|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.item.reviewOutcome.preAuthRef">
<path value="ClaimResponse.item.reviewOutcome.preAuthRef"/>
<short value="Preauthorization reference"/>
<definition
value="Reference from the Insurer which is used in later communications which refers to this adjudication."/>
<comment
value="This value is only present on preauthorization adjudications."/>
<requirements
value="On subsequent claims, the insurer may require the provider to quote this value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.reviewOutcome.preAuthRef"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.reviewOutcome.preAuthPeriod">
<path value="ClaimResponse.item.reviewOutcome.preAuthPeriod"/>
<short value="Preauthorization reference effective period"/>
<definition
value="The time frame during which this authorization is effective."/>
<requirements
value="To convey to the provider when the authorized products and services must be supplied for the authorized adjudication to apply."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.reviewOutcome.preAuthPeriod"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.adjudication">
<path value="ClaimResponse.item.adjudication"/>
<short value="Adjudication details"/>
<definition
value="If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item."/>
<requirements
value="The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.adjudication"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.adjudication.id">
<path value="ClaimResponse.item.adjudication.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.adjudication.extension">
<path value="ClaimResponse.item.adjudication.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.adjudication.modifierExtension">
<path value="ClaimResponse.item.adjudication.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.item.adjudication.category">
<path value="ClaimResponse.item.adjudication.category"/>
<short value="Type of adjudication information"/>
<definition
value="A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item."/>
<comment
value="For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
<requirements
value="Needed to enable understanding of the context of the other information in the adjudication."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.category"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Adjudication"/>
</extension>
<strength value="example"/>
<description value="The adjudication codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/adjudication|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.item.adjudication.reason">
<path value="ClaimResponse.item.adjudication.reason"/>
<short value="Explanation of adjudication outcome"/>
<definition
value="A code supporting the understanding of the adjudication result and explaining variance from expected amount."/>
<comment
value="For example may indicate that the funds for this benefit type have been exhausted."/>
<requirements
value="To support understanding of variance from adjudication expectations."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.reason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdjudicationReason"/>
</extension>
<strength value="example"/>
<description value="The adjudication reason codes."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/adjudication-reason|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.item.adjudication.amount">
<path value="ClaimResponse.item.adjudication.amount"/>
<short value="Monetary amount"/>
<definition value="Monetary amount associated with the category."/>
<comment
value="For example: amount submitted, eligible amount, co-payment, and benefit payable."/>
<requirements
value="Most adjudication categories convey a monetary amount."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.amount"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.adjudication.quantity">
<path value="ClaimResponse.item.adjudication.quantity"/>
<short value="Non-monetary value"/>
<definition
value="A non-monetary value associated with the category. Mutually exclusive to the amount element above."/>
<comment
value="For example: eligible percentage or co-payment percentage."/>
<requirements
value="Some adjudication categories convey a percentage or a fixed value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.adjudication.quantity.id">
<path value="ClaimResponse.item.adjudication.quantity.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.adjudication.quantity.extension">
<path value="ClaimResponse.item.adjudication.quantity.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.adjudication.quantity.extension:value">
<path value="ClaimResponse.item.adjudication.quantity.extension"/>
<sliceName value="value"/>
<short value="DSTU2: value additional types"/>
<definition
value="DSTU2: `ClaimResponse.item.adjudication.value` additional types (decimal) additional types from child elements (value)"/>
<comment
value="Element `ClaimResponse.item.adjudication.value` is mapped to FHIR R5 element `ClaimResponse.item.adjudication.quantity` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.item.adjudication.value` do not cover the following types: decimal.
The mappings for `ClaimResponse.item.adjudication.value` do not cover the following types based on type expansion: value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.adjudication.value|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.adjudication.quantity.value">
<path value="ClaimResponse.item.adjudication.quantity.value"/>
<short value="Numerical value (with implicit precision)"/>
<definition
value="The value of the measured amount. The value includes an implicit precision in the presentation of the value."/>
<comment
value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)."/>
<requirements
value="Precision is handled implicitly in almost all cases of measurement."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Quantity.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="SN.2 / CQ - N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/>
</mapping>
</element>
<element id="ClaimResponse.item.adjudication.quantity.comparator">
<path value="ClaimResponse.item.adjudication.quantity.comparator"/>
<short
value="< | <= | >= | > | ad - how to understand the value"/>
<definition
value="How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value."/>
<requirements
value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Quantity.comparator"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<meaningWhenMissing
value="If there is no comparator, then there is no modification of the value"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="QuantityComparator"/>
</extension>
<strength value="required"/>
<description
value="How the Quantity should be understood and represented."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="SN.1 / CQ.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="IVL properties"/>
</mapping>
</element>
<element id="ClaimResponse.item.adjudication.quantity.unit">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ClaimResponse.item.adjudication.quantity.unit"/>
<short value="Unit representation"/>
<definition value="A human-readable form of the unit."/>
<requirements
value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Quantity.unit"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="(see OBX.6 etc.) / CQ.2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="PQ.unit"/>
</mapping>
</element>
<element id="ClaimResponse.item.adjudication.quantity.system">
<path value="ClaimResponse.item.adjudication.quantity.system"/>
<short value="System that defines coded unit form"/>
<definition
value="The identification of the system that provides the coded form of the unit."/>
<requirements
value="Need to know the system that defines the coded form of the unit."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Quantity.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<condition value="qty-3"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="(see OBX.6 etc.) / CQ.2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CO.codeSystem, PQ.translation.codeSystem"/>
</mapping>
</element>
<element id="ClaimResponse.item.adjudication.quantity.code">
<path value="ClaimResponse.item.adjudication.quantity.code"/>
<short value="Coded form of the unit"/>
<definition
value="A computer processable form of the unit in some unit representation system."/>
<comment
value="The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system."/>
<requirements
value="Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Quantity.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<condition value="qty-3"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="(see OBX.6 etc.) / CQ.2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="PQ.code, MO.currency, PQ.translation.code"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail">
<path value="ClaimResponse.item.detail"/>
<short value="Adjudication for claim details"/>
<definition
value="A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items."/>
<requirements
value="The adjudication for details provided on the claim."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.detail"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.id">
<path value="ClaimResponse.item.detail.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.extension">
<path value="ClaimResponse.item.detail.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.modifierExtension">
<path value="ClaimResponse.item.detail.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.detailSequence">
<path value="ClaimResponse.item.detail.detailSequence"/>
<short value="Claim detail instance identifier"/>
<definition
value="A number to uniquely reference the claim detail entry."/>
<requirements
value="Necessary to provide a mechanism to link the adjudication result to the submitted claim detail."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.detail.detailSequence"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.traceNumber">
<path value="ClaimResponse.item.detail.traceNumber"/>
<short value="Number for tracking"/>
<definition
value="Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners."/>
<requirements
value="Allows partners to uniquely identify components for tracking."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.detail.traceNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.noteNumber">
<path value="ClaimResponse.item.detail.noteNumber"/>
<short value="Applicable note numbers"/>
<definition
value="The numbers associated with notes below which apply to the adjudication of this item."/>
<requirements
value="Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.detail.noteNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.reviewOutcome">
<path value="ClaimResponse.item.detail.reviewOutcome"/>
<short value="Detail level adjudication results"/>
<definition
value="The high-level results of the adjudication if adjudication has been performed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.detail.reviewOutcome"/>
<min value="0"/>
<max value="1"/>
</base>
<contentReference
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse#ClaimResponse.item.reviewOutcome"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.adjudication">
<path value="ClaimResponse.item.detail.adjudication"/>
<short value="Detail level adjudication details"/>
<definition value="The adjudication results."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.detail.adjudication"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.adjudication.id">
<path value="ClaimResponse.item.detail.adjudication.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.adjudication.extension">
<path value="ClaimResponse.item.detail.adjudication.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.adjudication.extension:amount">
<path value="ClaimResponse.item.detail.adjudication.extension"/>
<sliceName value="amount"/>
<short value="DSTU2: Monetary amount (new)"/>
<definition
value="DSTU2: `ClaimResponse.item.detail.adjudication.amount` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.item.detail.adjudication.amount` has a context of ClaimResponse.item.detail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.item.detail.adjudication.amount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.adjudication.amount|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.adjudication.extension:value">
<path value="ClaimResponse.item.detail.adjudication.extension"/>
<sliceName value="value"/>
<short value="DSTU2: Non-monetary value (new)"/>
<definition
value="DSTU2: `ClaimResponse.item.detail.adjudication.value` (new:decimal)"/>
<comment
value="Element `ClaimResponse.item.detail.adjudication.value` has a context of ClaimResponse.item.detail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.item.detail.adjudication.value` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.adjudication.value|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.adjudication.modifierExtension">
<path value="ClaimResponse.item.detail.adjudication.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.adjudication.category">
<path value="ClaimResponse.item.detail.adjudication.category"/>
<short value="Type of adjudication information"/>
<definition
value="A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item."/>
<comment
value="For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
<requirements
value="Needed to enable understanding of the context of the other information in the adjudication."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.category"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Adjudication"/>
</extension>
<strength value="example"/>
<description value="The adjudication codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/adjudication|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.item.detail.adjudication.reason">
<path value="ClaimResponse.item.detail.adjudication.reason"/>
<short value="Explanation of adjudication outcome"/>
<definition
value="A code supporting the understanding of the adjudication result and explaining variance from expected amount."/>
<comment
value="For example may indicate that the funds for this benefit type have been exhausted."/>
<requirements
value="To support understanding of variance from adjudication expectations."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.reason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdjudicationReason"/>
</extension>
<strength value="example"/>
<description value="The adjudication reason codes."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/adjudication-reason|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.item.detail.adjudication.amount">
<path value="ClaimResponse.item.detail.adjudication.amount"/>
<short value="Monetary amount"/>
<definition value="Monetary amount associated with the category."/>
<comment
value="For example: amount submitted, eligible amount, co-payment, and benefit payable."/>
<requirements
value="Most adjudication categories convey a monetary amount."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.amount"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.adjudication.quantity">
<path value="ClaimResponse.item.detail.adjudication.quantity"/>
<short value="Non-monetary value"/>
<definition
value="A non-monetary value associated with the category. Mutually exclusive to the amount element above."/>
<comment
value="For example: eligible percentage or co-payment percentage."/>
<requirements
value="Some adjudication categories convey a percentage or a fixed value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.subDetail">
<path value="ClaimResponse.item.detail.subDetail"/>
<short value="Adjudication for claim sub-details"/>
<definition
value="A sub-detail adjudication of a simple product or service."/>
<requirements
value="The adjudication for sub-details provided on the claim."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.detail.subDetail"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.subDetail.id">
<path value="ClaimResponse.item.detail.subDetail.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.subDetail.extension">
<path value="ClaimResponse.item.detail.subDetail.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.subDetail.modifierExtension">
<path value="ClaimResponse.item.detail.subDetail.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.subDetail.subDetailSequence">
<path value="ClaimResponse.item.detail.subDetail.subDetailSequence"/>
<short value="Claim sub-detail instance identifier"/>
<definition
value="A number to uniquely reference the claim sub-detail entry."/>
<requirements
value="Necessary to provide a mechanism to link the adjudication result to the submitted claim sub-detail."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.detail.subDetail.subDetailSequence"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.subDetail.traceNumber">
<path value="ClaimResponse.item.detail.subDetail.traceNumber"/>
<short value="Number for tracking"/>
<definition
value="Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners."/>
<requirements
value="Allows partners to uniquely identify components for tracking."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.detail.subDetail.traceNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.subDetail.noteNumber">
<path value="ClaimResponse.item.detail.subDetail.noteNumber"/>
<short value="Applicable note numbers"/>
<definition
value="The numbers associated with notes below which apply to the adjudication of this item."/>
<requirements
value="Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.detail.subDetail.noteNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.subDetail.reviewOutcome">
<path value="ClaimResponse.item.detail.subDetail.reviewOutcome"/>
<short value="Subdetail level adjudication results"/>
<definition
value="The high-level results of the adjudication if adjudication has been performed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.detail.subDetail.reviewOutcome"/>
<min value="0"/>
<max value="1"/>
</base>
<contentReference
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse#ClaimResponse.item.reviewOutcome"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.subDetail.adjudication">
<path value="ClaimResponse.item.detail.subDetail.adjudication"/>
<short value="Subdetail level adjudication details"/>
<definition value="The adjudication results."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.item.detail.subDetail.adjudication"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.subDetail.adjudication.id">
<path value="ClaimResponse.item.detail.subDetail.adjudication.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.subDetail.adjudication.extension">
<path
value="ClaimResponse.item.detail.subDetail.adjudication.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="ClaimResponse.item.detail.subDetail.adjudication.extension:amount">
<path
value="ClaimResponse.item.detail.subDetail.adjudication.extension"/>
<sliceName value="amount"/>
<short value="DSTU2: Monetary amount (new)"/>
<definition
value="DSTU2: `ClaimResponse.item.detail.subDetail.adjudication.amount` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.item.detail.subDetail.adjudication.amount` has a context of ClaimResponse.item.detail.subDetail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.item.detail.subDetail.adjudication.amount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.subDetail.adjudication.amount|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="ClaimResponse.item.detail.subDetail.adjudication.extension:value">
<path
value="ClaimResponse.item.detail.subDetail.adjudication.extension"/>
<sliceName value="value"/>
<short value="DSTU2: Non-monetary value (new)"/>
<definition
value="DSTU2: `ClaimResponse.item.detail.subDetail.adjudication.value` (new:decimal)"/>
<comment
value="Element `ClaimResponse.item.detail.subDetail.adjudication.value` has a context of ClaimResponse.item.detail.subDetail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.item.detail.subDetail.adjudication.value` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.subDetail.adjudication.value|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="ClaimResponse.item.detail.subDetail.adjudication.modifierExtension">
<path
value="ClaimResponse.item.detail.subDetail.adjudication.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.item.detail.subDetail.adjudication.category">
<path
value="ClaimResponse.item.detail.subDetail.adjudication.category"/>
<short value="Type of adjudication information"/>
<definition
value="A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item."/>
<comment
value="For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
<requirements
value="Needed to enable understanding of the context of the other information in the adjudication."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.category"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Adjudication"/>
</extension>
<strength value="example"/>
<description value="The adjudication codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/adjudication|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.item.detail.subDetail.adjudication.reason">
<path value="ClaimResponse.item.detail.subDetail.adjudication.reason"/>
<short value="Explanation of adjudication outcome"/>
<definition
value="A code supporting the understanding of the adjudication result and explaining variance from expected amount."/>
<comment
value="For example may indicate that the funds for this benefit type have been exhausted."/>
<requirements
value="To support understanding of variance from adjudication expectations."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.reason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdjudicationReason"/>
</extension>
<strength value="example"/>
<description value="The adjudication reason codes."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/adjudication-reason|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.item.detail.subDetail.adjudication.amount">
<path value="ClaimResponse.item.detail.subDetail.adjudication.amount"/>
<short value="Monetary amount"/>
<definition value="Monetary amount associated with the category."/>
<comment
value="For example: amount submitted, eligible amount, co-payment, and benefit payable."/>
<requirements
value="Most adjudication categories convey a monetary amount."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.amount"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.item.detail.subDetail.adjudication.quantity">
<path
value="ClaimResponse.item.detail.subDetail.adjudication.quantity"/>
<short value="Non-monetary value"/>
<definition
value="A non-monetary value associated with the category. Mutually exclusive to the amount element above."/>
<comment
value="For example: eligible percentage or co-payment percentage."/>
<requirements
value="Some adjudication categories convey a percentage or a fixed value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem">
<path value="ClaimResponse.addItem"/>
<short value="Insurer added line items"/>
<definition
value="The first-tier service adjudications for payor added product or service lines."/>
<requirements
value="Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.id">
<path value="ClaimResponse.addItem.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.extension">
<path value="ClaimResponse.addItem.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.extension:fee">
<path value="ClaimResponse.addItem.extension"/>
<sliceName value="fee"/>
<short value="DSTU2: Professional fee or Product charge (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.fee` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.addItem.fee` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.fee` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.fee|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.modifierExtension">
<path value="ClaimResponse.addItem.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.itemSequence">
<path value="ClaimResponse.addItem.itemSequence"/>
<short value="Item sequence number"/>
<definition
value="Claim items which this service line is intended to replace."/>
<requirements value="Provides references to the claim items."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.itemSequence"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detailSequence">
<path value="ClaimResponse.addItem.detailSequence"/>
<short value="Detail sequence number"/>
<definition
value="The sequence number of the details within the claim item which this line is intended to replace."/>
<requirements
value="Provides references to the claim details within the claim item."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detailSequence"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.subdetailSequence">
<path value="ClaimResponse.addItem.subdetailSequence"/>
<short value="Subdetail sequence number"/>
<definition
value="The sequence number of the sub-details within the details within the claim item which this line is intended to replace."/>
<requirements
value="Provides references to the claim sub-details within the claim detail."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.subdetailSequence"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.traceNumber">
<path value="ClaimResponse.addItem.traceNumber"/>
<short value="Number for tracking"/>
<definition
value="Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners."/>
<requirements
value="Allows partners to uniquely identify components for tracking."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.traceNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.provider">
<path value="ClaimResponse.addItem.provider"/>
<short value="Authorized providers"/>
<definition
value="The providers who are authorized for the services rendered to the patient."/>
<requirements
value="Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.provider"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.source"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.revenue">
<path value="ClaimResponse.addItem.revenue"/>
<short value="Revenue or cost center code"/>
<definition
value="The type of revenue or cost center providing the product and/or service."/>
<requirements
value="Needed in the processing of institutional claims."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.revenue"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="RevenueCenter"/>
</extension>
<strength value="example"/>
<description
value="Codes for the revenue or cost centers supplying the service and/or products."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/ex-revenue-center|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.productOrService">
<path value="ClaimResponse.addItem.productOrService"/>
<short value="Billing, service, product, or drug code"/>
<definition
value="When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used."/>
<comment
value="If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."/>
<requirements value="Necessary to state what was provided or done."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.productOrService"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceProduct"/>
</extension>
<strength value="example"/>
<description value="Allowable service and product codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/service-uscls|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.productOrServiceEnd">
<path value="ClaimResponse.addItem.productOrServiceEnd"/>
<short value="End of a range of codes"/>
<definition
value="This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims."/>
<alias value="End of a range of Drug Code; Bill Code; Service Cod"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.productOrServiceEnd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceProduct"/>
</extension>
<strength value="example"/>
<valueSet value="http://hl7.org/fhir/ValueSet/service-uscls|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.request">
<path value="ClaimResponse.addItem.request"/>
<short value="Request or Referral for Service"/>
<definition
value="Request or Referral for Goods or Service to be rendered."/>
<requirements
value="May identify the service to be provided or provider authorization for the service."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.request"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/DeviceRequest|5.0.0"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest|5.0.0"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/NutritionOrder|5.0.0"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest|5.0.0"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/SupplyRequest|5.0.0"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/VisionPrescription|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.modifier">
<path value="ClaimResponse.addItem.modifier"/>
<short value="Service/Product billing modifiers"/>
<definition
value="Item typification or modifiers codes to convey additional context for the product or service."/>
<comment
value="For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours."/>
<requirements
value="To support inclusion of the item for adjudication or to charge an elevated fee."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.modifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Modifiers"/>
</extension>
<strength value="example"/>
<description
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."/>
<valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="24.C, 24.D mods"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.programCode">
<path value="ClaimResponse.addItem.programCode"/>
<short value="Program the product or service is provided under"/>
<definition
value="Identifies the program under which this may be recovered."/>
<comment
value="For example: Neonatal program, child dental program or drug users recovery program."/>
<requirements
value="Commonly used in in the identification of publicly provided program focused on population segments or disease classifications."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.programCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ProgramCode"/>
</extension>
<strength value="example"/>
<description value="Program specific reason codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/ex-program-code|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="24.H"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.serviced[x]">
<path value="ClaimResponse.addItem.serviced[x]"/>
<short value="Date or dates of service or product delivery"/>
<definition
value="The date or dates when the service or product was supplied, performed or completed."/>
<requirements
value="Needed to determine whether the service or product was provided during the term of the insurance coverage."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.serviced[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.done[x]"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="24.A"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.location[x]">
<path value="ClaimResponse.addItem.location[x]"/>
<short value="Place of service or where product was supplied"/>
<definition value="Where the product or service was provided."/>
<requirements
value="The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.location[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<type>
<code value="Address"/>
</type>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Location|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServicePlace"/>
</extension>
<strength value="example"/>
<description
value="Place of service: pharmacy, school, prison, etc."/>
<valueSet value="http://hl7.org/fhir/ValueSet/service-place|5.0.0"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.where[x]"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="24.B"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.quantity">
<path value="ClaimResponse.addItem.quantity"/>
<short value="Count of products or services"/>
<definition value="The number of repetitions of a service or product."/>
<requirements
value="Required when the product or service code does not convey the quantity provided."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="24.G"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.unitPrice">
<path value="ClaimResponse.addItem.unitPrice"/>
<short value="Fee, charge or cost per item"/>
<definition
value="If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group."/>
<requirements
value="The amount charged to the patient by the provider for a single unit."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.unitPrice"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.factor">
<path value="ClaimResponse.addItem.factor"/>
<short value="Price scaling factor"/>
<definition
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."/>
<comment
value="To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
<requirements
value="When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.factor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.tax">
<path value="ClaimResponse.addItem.tax"/>
<short value="Total tax"/>
<definition
value="The total of taxes applicable for this product or service."/>
<requirements
value="Required when taxes are not embedded in the unit price or provided as a separate service."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.tax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.net">
<path value="ClaimResponse.addItem.net"/>
<short value="Total item cost"/>
<definition
value="The total amount claimed for the group (if a grouper) or the addItem. Net = unit price * quantity * factor."/>
<comment
value="For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
<requirements
value="Provides the total amount claimed for the group (if a grouper) or the line item."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.net"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="24.F"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.bodySite">
<path value="ClaimResponse.addItem.bodySite"/>
<short value="Anatomical location"/>
<definition
value="Physical location where the service is performed or applies."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.bodySite"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.bodySite.id">
<path value="ClaimResponse.addItem.bodySite.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.bodySite.extension">
<path value="ClaimResponse.addItem.bodySite.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.bodySite.modifierExtension">
<path value="ClaimResponse.addItem.bodySite.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.bodySite.site">
<path value="ClaimResponse.addItem.bodySite.site"/>
<short value="Location"/>
<definition
value="Physical service site on the patient (limb, tooth, etc.)."/>
<comment
value="For example: Providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed."/>
<requirements value="Allows insurer to validate specific procedures."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.bodySite.site"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="CodeableReference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/BodyStructure|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="OralSites"/>
</extension>
<strength value="example"/>
<valueSet value="http://hl7.org/fhir/ValueSet/tooth|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.bodySite.subSite">
<path value="ClaimResponse.addItem.bodySite.subSite"/>
<short value="Sub-location"/>
<definition
value="A region or surface of the bodySite, e.g. limb region or tooth surface(s)."/>
<requirements value="Allows insurer to validate specific procedures."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.bodySite.subSite"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Surface"/>
</extension>
<strength value="example"/>
<valueSet value="http://hl7.org/fhir/ValueSet/surface|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.noteNumber">
<path value="ClaimResponse.addItem.noteNumber"/>
<short value="Applicable note numbers"/>
<definition
value="The numbers associated with notes below which apply to the adjudication of this item."/>
<requirements
value="Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.noteNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.reviewOutcome">
<path value="ClaimResponse.addItem.reviewOutcome"/>
<short value="Added items adjudication results"/>
<definition
value="The high-level results of the adjudication if adjudication has been performed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.reviewOutcome"/>
<min value="0"/>
<max value="1"/>
</base>
<contentReference
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse#ClaimResponse.item.reviewOutcome"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.adjudication">
<path value="ClaimResponse.addItem.adjudication"/>
<short value="Added items adjudication"/>
<definition value="The adjudication results."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.adjudication"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.adjudication.id">
<path value="ClaimResponse.addItem.adjudication.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.adjudication.extension">
<path value="ClaimResponse.addItem.adjudication.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.adjudication.extension:amount">
<path value="ClaimResponse.addItem.adjudication.extension"/>
<sliceName value="amount"/>
<short value="DSTU2: Monetary amount (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.adjudication.amount` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.addItem.adjudication.amount` has a context of ClaimResponse.addItem.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.adjudication.amount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.adjudication.amount|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.adjudication.extension:value">
<path value="ClaimResponse.addItem.adjudication.extension"/>
<sliceName value="value"/>
<short value="DSTU2: Non-monetary value (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.adjudication.value` (new:decimal)"/>
<comment
value="Element `ClaimResponse.addItem.adjudication.value` has a context of ClaimResponse.addItem.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.adjudication.value` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.adjudication.value|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.adjudication.modifierExtension">
<path value="ClaimResponse.addItem.adjudication.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.adjudication.category">
<path value="ClaimResponse.addItem.adjudication.category"/>
<short value="Type of adjudication information"/>
<definition
value="A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item."/>
<comment
value="For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
<requirements
value="Needed to enable understanding of the context of the other information in the adjudication."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.category"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Adjudication"/>
</extension>
<strength value="example"/>
<description value="The adjudication codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/adjudication|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.adjudication.reason">
<path value="ClaimResponse.addItem.adjudication.reason"/>
<short value="Explanation of adjudication outcome"/>
<definition
value="A code supporting the understanding of the adjudication result and explaining variance from expected amount."/>
<comment
value="For example may indicate that the funds for this benefit type have been exhausted."/>
<requirements
value="To support understanding of variance from adjudication expectations."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.reason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdjudicationReason"/>
</extension>
<strength value="example"/>
<description value="The adjudication reason codes."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/adjudication-reason|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.adjudication.amount">
<path value="ClaimResponse.addItem.adjudication.amount"/>
<short value="Monetary amount"/>
<definition value="Monetary amount associated with the category."/>
<comment
value="For example: amount submitted, eligible amount, co-payment, and benefit payable."/>
<requirements
value="Most adjudication categories convey a monetary amount."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.amount"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.adjudication.quantity">
<path value="ClaimResponse.addItem.adjudication.quantity"/>
<short value="Non-monetary value"/>
<definition
value="A non-monetary value associated with the category. Mutually exclusive to the amount element above."/>
<comment
value="For example: eligible percentage or co-payment percentage."/>
<requirements
value="Some adjudication categories convey a percentage or a fixed value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail">
<path value="ClaimResponse.addItem.detail"/>
<short value="Insurer added line details"/>
<definition
value="The second-tier service adjudications for payor added services."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.id">
<path value="ClaimResponse.addItem.detail.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.extension">
<path value="ClaimResponse.addItem.detail.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.extension:fee">
<path value="ClaimResponse.addItem.detail.extension"/>
<sliceName value="fee"/>
<short value="DSTU2: Professional fee or Product charge (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.detail.fee` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.addItem.detail.fee` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.detail.fee` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.fee|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.modifierExtension">
<path value="ClaimResponse.addItem.detail.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.traceNumber">
<path value="ClaimResponse.addItem.detail.traceNumber"/>
<short value="Number for tracking"/>
<definition
value="Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners."/>
<requirements
value="Allows partners to uniquely identify components for tracking."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail.traceNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.revenue">
<path value="ClaimResponse.addItem.detail.revenue"/>
<short value="Revenue or cost center code"/>
<definition
value="The type of revenue or cost center providing the product and/or service."/>
<requirements
value="Needed in the processing of institutional claims."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.revenue"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="RevenueCenter"/>
</extension>
<strength value="example"/>
<description
value="Codes for the revenue or cost centers supplying the service and/or products."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/ex-revenue-center|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.detail.productOrService">
<path value="ClaimResponse.addItem.detail.productOrService"/>
<short value="Billing, service, product, or drug code"/>
<definition
value="When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used."/>
<comment
value="If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."/>
<requirements value="Necessary to state what was provided or done."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.productOrService"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceProduct"/>
</extension>
<strength value="example"/>
<description value="Allowable service and product codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/service-uscls|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.detail.productOrServiceEnd">
<path value="ClaimResponse.addItem.detail.productOrServiceEnd"/>
<short value="End of a range of codes"/>
<definition
value="This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims."/>
<alias value="End of a range of Drug Code; Bill Code; Service Cod"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.productOrServiceEnd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceProduct"/>
</extension>
<strength value="example"/>
<valueSet value="http://hl7.org/fhir/ValueSet/service-uscls|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.detail.modifier">
<path value="ClaimResponse.addItem.detail.modifier"/>
<short value="Service/Product billing modifiers"/>
<definition
value="Item typification or modifiers codes to convey additional context for the product or service."/>
<comment
value="For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours."/>
<requirements
value="To support inclusion of the item for adjudication or to charge an elevated fee."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail.modifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Modifiers"/>
</extension>
<strength value="example"/>
<description
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."/>
<valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="24.C, 24.D mods"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.quantity">
<path value="ClaimResponse.addItem.detail.quantity"/>
<short value="Count of products or services"/>
<definition value="The number of repetitions of a service or product."/>
<requirements
value="Required when the product or service code does not convey the quantity provided."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="24.G"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.unitPrice">
<path value="ClaimResponse.addItem.detail.unitPrice"/>
<short value="Fee, charge or cost per item"/>
<definition
value="If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group."/>
<requirements
value="The amount charged to the patient by the provider for a single unit."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.unitPrice"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.factor">
<path value="ClaimResponse.addItem.detail.factor"/>
<short value="Price scaling factor"/>
<definition
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."/>
<comment
value="To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
<requirements
value="When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.factor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.tax">
<path value="ClaimResponse.addItem.detail.tax"/>
<short value="Total tax"/>
<definition
value="The total of taxes applicable for this product or service."/>
<requirements
value="Required when taxes are not embedded in the unit price or provided as a separate service."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.tax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.net">
<path value="ClaimResponse.addItem.detail.net"/>
<short value="Total item cost"/>
<definition
value="The total amount claimed for the group (if a grouper) or the addItem.detail. Net = unit price * quantity * factor."/>
<comment
value="For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
<requirements
value="Provides the total amount claimed for the group (if a grouper) or the line item."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.net"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="24.F"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.noteNumber">
<path value="ClaimResponse.addItem.detail.noteNumber"/>
<short value="Applicable note numbers"/>
<definition
value="The numbers associated with notes below which apply to the adjudication of this item."/>
<requirements
value="Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail.noteNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.reviewOutcome">
<path value="ClaimResponse.addItem.detail.reviewOutcome"/>
<short value="Added items detail level adjudication results"/>
<definition
value="The high-level results of the adjudication if adjudication has been performed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.reviewOutcome"/>
<min value="0"/>
<max value="1"/>
</base>
<contentReference
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse#ClaimResponse.item.reviewOutcome"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.adjudication">
<path value="ClaimResponse.addItem.detail.adjudication"/>
<short value="Added items detail adjudication"/>
<definition value="The adjudication results."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail.adjudication"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.id">
<path value="ClaimResponse.addItem.detail.adjudication.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.extension">
<path value="ClaimResponse.addItem.detail.adjudication.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.extension:amount">
<path value="ClaimResponse.addItem.detail.adjudication.extension"/>
<sliceName value="amount"/>
<short value="DSTU2: Monetary amount (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.detail.adjudication.amount` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.addItem.detail.adjudication.amount` has a context of ClaimResponse.addItem.detail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.detail.adjudication.amount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.adjudication.amount|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.extension:value">
<path value="ClaimResponse.addItem.detail.adjudication.extension"/>
<sliceName value="value"/>
<short value="DSTU2: Non-monetary value (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.detail.adjudication.value` (new:decimal)"/>
<comment
value="Element `ClaimResponse.addItem.detail.adjudication.value` has a context of ClaimResponse.addItem.detail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.detail.adjudication.value` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.adjudication.value|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="ClaimResponse.addItem.detail.adjudication.modifierExtension">
<path
value="ClaimResponse.addItem.detail.adjudication.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.category">
<path value="ClaimResponse.addItem.detail.adjudication.category"/>
<short value="Type of adjudication information"/>
<definition
value="A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item."/>
<comment
value="For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
<requirements
value="Needed to enable understanding of the context of the other information in the adjudication."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.category"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Adjudication"/>
</extension>
<strength value="example"/>
<description value="The adjudication codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/adjudication|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.reason">
<path value="ClaimResponse.addItem.detail.adjudication.reason"/>
<short value="Explanation of adjudication outcome"/>
<definition
value="A code supporting the understanding of the adjudication result and explaining variance from expected amount."/>
<comment
value="For example may indicate that the funds for this benefit type have been exhausted."/>
<requirements
value="To support understanding of variance from adjudication expectations."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.reason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdjudicationReason"/>
</extension>
<strength value="example"/>
<description value="The adjudication reason codes."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/adjudication-reason|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.amount">
<path value="ClaimResponse.addItem.detail.adjudication.amount"/>
<short value="Monetary amount"/>
<definition value="Monetary amount associated with the category."/>
<comment
value="For example: amount submitted, eligible amount, co-payment, and benefit payable."/>
<requirements
value="Most adjudication categories convey a monetary amount."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.amount"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.quantity">
<path value="ClaimResponse.addItem.detail.adjudication.quantity"/>
<short value="Non-monetary value"/>
<definition
value="A non-monetary value associated with the category. Mutually exclusive to the amount element above."/>
<comment
value="For example: eligible percentage or co-payment percentage."/>
<requirements
value="Some adjudication categories convey a percentage or a fixed value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.item.adjudication.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.subDetail">
<path value="ClaimResponse.addItem.detail.subDetail"/>
<short value="Insurer added line items"/>
<definition
value="The third-tier service adjudications for payor added services."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.id">
<path value="ClaimResponse.addItem.detail.subDetail.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.extension">
<path value="ClaimResponse.addItem.detail.subDetail.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.modifierExtension">
<path value="ClaimResponse.addItem.detail.subDetail.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.traceNumber">
<path value="ClaimResponse.addItem.detail.subDetail.traceNumber"/>
<short value="Number for tracking"/>
<definition
value="Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners."/>
<requirements
value="Allows partners to uniquely identify components for tracking."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.traceNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.revenue">
<path value="ClaimResponse.addItem.detail.subDetail.revenue"/>
<short value="Revenue or cost center code"/>
<definition
value="The type of revenue or cost center providing the product and/or service."/>
<requirements
value="Needed in the processing of institutional claims."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.revenue"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="RevenueCenter"/>
</extension>
<strength value="example"/>
<description
value="Codes for the revenue or cost centers supplying the service and/or products."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/ex-revenue-center|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.productOrService">
<path value="ClaimResponse.addItem.detail.subDetail.productOrService"/>
<short value="Billing, service, product, or drug code"/>
<definition
value="When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used."/>
<comment
value="If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."/>
<requirements value="Necessary to state what was provided or done."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="ClaimResponse.addItem.detail.subDetail.productOrService"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceProduct"/>
</extension>
<strength value="example"/>
<description value="Allowable service and product codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/service-uscls|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.productOrServiceEnd">
<path
value="ClaimResponse.addItem.detail.subDetail.productOrServiceEnd"/>
<short value="End of a range of codes"/>
<definition
value="This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims."/>
<alias value="End of a range of Drug Code; Bill Code; Service Cod"/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="ClaimResponse.addItem.detail.subDetail.productOrServiceEnd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceProduct"/>
</extension>
<strength value="example"/>
<valueSet value="http://hl7.org/fhir/ValueSet/service-uscls|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.modifier">
<path value="ClaimResponse.addItem.detail.subDetail.modifier"/>
<short value="Service/Product billing modifiers"/>
<definition
value="Item typification or modifiers codes to convey additional context for the product or service."/>
<comment
value="For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours."/>
<requirements
value="To support inclusion of the item for adjudication or to charge an elevated fee."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.modifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Modifiers"/>
</extension>
<strength value="example"/>
<description
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."/>
<valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="24.C, 24.D mods"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.quantity">
<path value="ClaimResponse.addItem.detail.subDetail.quantity"/>
<short value="Count of products or services"/>
<definition value="The number of repetitions of a service or product."/>
<requirements
value="Required when the product or service code does not convey the quantity provided."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.quantity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="24.G"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.unitPrice">
<path value="ClaimResponse.addItem.detail.subDetail.unitPrice"/>
<short value="Fee, charge or cost per item"/>
<definition
value="If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group."/>
<requirements
value="The amount charged to the patient by the provider for a single unit."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.unitPrice"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.factor">
<path value="ClaimResponse.addItem.detail.subDetail.factor"/>
<short value="Price scaling factor"/>
<definition
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."/>
<comment
value="To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
<requirements
value="When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.factor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.tax">
<path value="ClaimResponse.addItem.detail.subDetail.tax"/>
<short value="Total tax"/>
<definition
value="The total of taxes applicable for this product or service."/>
<requirements
value="Required when taxes are not embedded in the unit price or provided as a separate service."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.tax"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.net">
<path value="ClaimResponse.addItem.detail.subDetail.net"/>
<short value="Total item cost"/>
<definition
value="The total amount claimed for the addItem.detail.subDetail. Net = unit price * quantity * factor."/>
<comment
value="For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
<requirements
value="Provides the total amount claimed for the group (if a grouper) or the line item."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.net"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="24.F"/>
</mapping>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.noteNumber">
<path value="ClaimResponse.addItem.detail.subDetail.noteNumber"/>
<short value="Applicable note numbers"/>
<definition
value="The numbers associated with notes below which apply to the adjudication of this item."/>
<requirements
value="Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.noteNumber"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.reviewOutcome">
<path value="ClaimResponse.addItem.detail.subDetail.reviewOutcome"/>
<short value="Added items subdetail level adjudication results"/>
<definition
value="The high-level results of the adjudication if adjudication has been performed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.reviewOutcome"/>
<min value="0"/>
<max value="1"/>
</base>
<contentReference
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse#ClaimResponse.item.reviewOutcome"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.addItem.detail.subDetail.adjudication">
<path value="ClaimResponse.addItem.detail.subDetail.adjudication"/>
<short value="Added items subdetail adjudication"/>
<definition value="The adjudication results."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.addItem.detail.subDetail.adjudication"/>
<min value="0"/>
<max value="*"/>
</base>
<contentReference
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse#ClaimResponse.item.adjudication"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.adjudication">
<path value="ClaimResponse.adjudication"/>
<short value="Header-level adjudication"/>
<definition
value="The adjudication results which are presented at the header level rather than at the line-item or add-item levels."/>
<requirements
value="Some insurers will receive line-items but provide the adjudication only at a summary or header-level."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.adjudication"/>
<min value="0"/>
<max value="*"/>
</base>
<contentReference
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse#ClaimResponse.item.adjudication"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.total">
<path value="ClaimResponse.total"/>
<short value="Adjudication totals"/>
<definition value="Categorized monetary totals for the adjudication."/>
<comment
value="Totals for amounts submitted, co-pays, benefits payable etc."/>
<requirements
value="To provide the requestor with financial totals by category for the adjudication."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.total"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ClaimResponse.total.id">
<path value="ClaimResponse.total.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.total.extension">
<path value="ClaimResponse.total.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.total.modifierExtension">
<path value="ClaimResponse.total.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.total.category">
<path value="ClaimResponse.total.category"/>
<short value="Type of adjudication information"/>
<definition
value="A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item."/>
<comment
value="For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
<requirements value="Needed to convey the type of total provided."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.total.category"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Adjudication"/>
</extension>
<strength value="example"/>
<description value="The adjudication codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/adjudication|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.total.amount">
<path value="ClaimResponse.total.amount"/>
<short value="Financial total for the category"/>
<definition
value="Monetary total amount associated with the category."/>
<requirements value="Needed to convey the total monetary amount."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.total.amount"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ClaimResponse.payment">
<path value="ClaimResponse.payment"/>
<short value="Payment Details"/>
<definition value="Payment details for the adjudication of the claim."/>
<requirements
value="Needed to convey references to the financial instrument that has been used if payment has been made."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.payment"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.payment.id">
<path value="ClaimResponse.payment.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.payment.extension">
<path value="ClaimResponse.payment.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.payment.modifierExtension">
<path value="ClaimResponse.payment.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.payment.type">
<path value="ClaimResponse.payment.type"/>
<short value="Partial or complete payment"/>
<definition
value="Whether this represents partial or complete payment of the benefits payable."/>
<requirements
value="To advise the requestor when the insurer believes all payments to have been completed."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.payment.type"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="PaymentType"/>
</extension>
<strength value="example"/>
<description value="The type (partial, complete) of the payment."/>
<valueSet value="http://hl7.org/fhir/ValueSet/ex-paymenttype|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.payment.adjustment">
<path value="ClaimResponse.payment.adjustment"/>
<short value="Payment adjustment for non-claim issues"/>
<definition
value="Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication."/>
<comment
value="Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider."/>
<requirements
value="To advise the requestor of adjustments applied to the payment."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.payment.adjustment"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.payment.adjustmentReason">
<path value="ClaimResponse.payment.adjustmentReason"/>
<short value="Explanation for the adjustment"/>
<definition value="Reason for the payment adjustment."/>
<requirements value="Needed to clarify the monetary adjustment."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.payment.adjustmentReason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="PaymentAdjustmentReason"/>
</extension>
<strength value="example"/>
<description value="Payment Adjustment reason codes."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/payment-adjustment-reason|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.payment.date">
<path value="ClaimResponse.payment.date"/>
<short value="Expected date of payment"/>
<definition
value="Estimated date the payment will be issued or the actual issue date of payment."/>
<requirements
value="To advise the payee when payment can be expected."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.payment.date"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.payment.amount">
<path value="ClaimResponse.payment.amount"/>
<short value="Payable amount after adjustment"/>
<definition value="Benefits payable less any payment adjustment."/>
<requirements value="Needed to provide the actual payment amount."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.payment.amount"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.payment.identifier">
<path value="ClaimResponse.payment.identifier"/>
<short value="Business identifier for the payment"/>
<definition
value="Issuer's unique identifier for the payment instrument."/>
<comment value="For example: EFT number or check number."/>
<requirements
value="Enable the receiver to reconcile when payment received."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.payment.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.payment.identifier.id">
<path value="ClaimResponse.payment.identifier.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.payment.identifier.extension">
<path value="ClaimResponse.payment.identifier.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.payment.identifier.extension:paymentRef">
<path value="ClaimResponse.payment.identifier.extension"/>
<sliceName value="paymentRef"/>
<short value="DSTU2: Payment identifier additional types"/>
<definition
value="DSTU2: `ClaimResponse.paymentRef` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)"/>
<comment
value="Element `ClaimResponse.paymentRef` is mapped to FHIR R5 element `ClaimResponse.payment.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.paymentRef` do not cover the following types: Identifier.
The mappings for `ClaimResponse.paymentRef` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.paymentRef|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.payment.identifier.use">
<path value="ClaimResponse.payment.identifier.use"/>
<short value="usual | official | temp | secondary | old (If known)"/>
<definition value="The purpose of this identifier."/>
<comment
value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/>
<requirements
value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.use"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one."/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierUse"/>
</extension>
<strength value="required"/>
<description
value="Identifies the purpose for this identifier, if known ."/>
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|5.0.0"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.code or implied by context"/>
</mapping>
</element>
<element id="ClaimResponse.payment.identifier.type">
<path value="ClaimResponse.payment.identifier.type"/>
<short value="Description of identifier"/>
<definition
value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose."/>
<comment
value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type."/>
<requirements
value="Allows users to make use of identifiers when the identifier system is not known."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierType"/>
</extension>
<strength value="extensible"/>
<description
value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/>
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-type|5.0.0"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="CX.5"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.code or implied by context"/>
</mapping>
</element>
<element id="ClaimResponse.payment.identifier.system">
<path value="ClaimResponse.payment.identifier.system"/>
<short value="The namespace for the identifier value"/>
<definition
value="Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique."/>
<comment value="Identifier.system is always case sensitive."/>
<requirements
value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<example>
<label value="General"/>
<valueUri value="http://www.acme.com/identifiers/patient"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / EI-2-4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="II.root or Role.id.root"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierType"/>
</mapping>
</element>
<element id="ClaimResponse.payment.identifier.value">
<path value="ClaimResponse.payment.identifier.value"/>
<short value="The value that is unique"/>
<definition
value="The portion of the identifier typically relevant to the user and which is unique within the context of the system."/>
<comment
value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-rendered-value.html)). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<example>
<label value="General"/>
<valueString value="123456"/>
</example>
<condition value="ident-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.1 / EI.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./Value"/>
</mapping>
</element>
<element id="ClaimResponse.payment.identifier.period">
<path value="ClaimResponse.payment.identifier.period"/>
<short value="Time period when id is/was valid for use"/>
<definition
value="Time period during which identifier is/was valid for use."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.7 + CX.8"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.effectiveTime or implied by context"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./StartDate and ./EndDate"/>
</mapping>
</element>
<element id="ClaimResponse.payment.identifier.assigner">
<path value="ClaimResponse.payment.identifier.assigner"/>
<short value="Organization that issued id (may be just text)"/>
<definition value="Organization that issued/manages the identifier."/>
<comment
value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.assigner"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / (CX.4,CX.9,CX.10)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierIssuingAuthority"/>
</mapping>
</element>
<element id="ClaimResponse.fundsReserve">
<path value="ClaimResponse.fundsReserve"/>
<short value="Funds reserved status"/>
<definition
value="A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom."/>
<comment
value="Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none."/>
<requirements
value="Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.fundsReserve"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FundsReserve"/>
</extension>
<strength value="example"/>
<description
value="For whom funds are to be reserved: (Patient, Provider, None)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/fundsreserve|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.formCode">
<path value="ClaimResponse.formCode"/>
<short value="Printed form identifier"/>
<definition
value="A code for the form to be used for printing the content."/>
<comment
value="May be needed to identify specific jurisdictional forms."/>
<requirements
value="Needed to specify the specific form used for producing output for this response."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.formCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Forms"/>
</extension>
<strength value="example"/>
<description value="The forms codes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/forms|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.formCode.id">
<path value="ClaimResponse.formCode.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.formCode.extension">
<path value="ClaimResponse.formCode.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.formCode.extension:form">
<path value="ClaimResponse.formCode.extension"/>
<sliceName value="form"/>
<short value="DSTU2: Printed Form Identifier"/>
<definition value="DSTU2: `ClaimResponse.form`"/>
<comment
value="Element `ClaimResponse.form` is mapped to FHIR R5 element `ClaimResponse.formCode` as `SourceIsNarrowerThanTarget`."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.form|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.formCode.coding">
<path value="ClaimResponse.formCode.coding"/>
<short value="Code defined by a terminology system"/>
<definition
value="A reference to a code defined by a terminology system."/>
<comment
value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
<requirements
value="Allows for alternative encodings within a code system, and translations to other code systems."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
</element>
<element id="ClaimResponse.formCode.text">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ClaimResponse.formCode.text"/>
<short value="Plain text representation of the concept"/>
<definition
value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
<comment
value="Very often the text is the same as a displayName of one of the codings."/>
<requirements
value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CodeableConcept.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.9. But note many systems use C*E.2 for this"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="./originalText[mediaType/code="text/plain"]/data"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
</mapping>
</element>
<element id="ClaimResponse.form">
<path value="ClaimResponse.form"/>
<short value="Printed reference or actual form"/>
<definition
value="The actual form, by reference or inclusion, for printing the content or an EOB."/>
<comment value="Needed to permit insurers to include the actual form."/>
<requirements
value="Needed to include the specific form used for producing output for this response."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.form"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Attachment"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.processNote">
<path value="ClaimResponse.processNote"/>
<short value="Note concerning adjudication"/>
<definition
value="A note that describes or explains adjudication results in a human readable form."/>
<requirements
value="Provides the insurer specific textual explanations associated with the processing."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.processNote"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.processNote.id">
<path value="ClaimResponse.processNote.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.processNote.extension">
<path value="ClaimResponse.processNote.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.processNote.modifierExtension">
<path value="ClaimResponse.processNote.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.processNote.number">
<path value="ClaimResponse.processNote.number"/>
<short value="Note instance identifier"/>
<definition value="A number to uniquely identify a note entry."/>
<requirements
value="Necessary to provide a mechanism to link from adjudications."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.processNote.number"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.processNote.type">
<path value="ClaimResponse.processNote.type"/>
<short value="Note purpose"/>
<definition value="The business purpose of the note text."/>
<requirements
value="To convey the expectation for when the text is used."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.processNote.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="NoteType"/>
</extension>
<strength value="extensible"/>
<description value="The presentation types of notes."/>
<valueSet value="http://hl7.org/fhir/ValueSet/note-type|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.processNote.type.id">
<path value="ClaimResponse.processNote.type.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.processNote.type.extension">
<path value="ClaimResponse.processNote.type.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.processNote.type.extension:type">
<path value="ClaimResponse.processNote.type.extension"/>
<sliceName value="type"/>
<short value="DSTU2: display | print | printoper"/>
<definition value="DSTU2: `ClaimResponse.note.type`"/>
<comment
value="Element `ClaimResponse.note.type` is mapped to FHIR R5 element `ClaimResponse.processNote.type` as `RelatedTo`."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.note.type|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.processNote.type.coding">
<path value="ClaimResponse.processNote.type.coding"/>
<short value="Code defined by a terminology system"/>
<definition
value="A reference to a code defined by a terminology system."/>
<comment
value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
<requirements
value="Allows for alternative encodings within a code system, and translations to other code systems."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
</element>
<element id="ClaimResponse.processNote.type.text">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ClaimResponse.processNote.type.text"/>
<short value="Plain text representation of the concept"/>
<definition
value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
<comment
value="Very often the text is the same as a displayName of one of the codings."/>
<requirements
value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CodeableConcept.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.9. But note many systems use C*E.2 for this"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="./originalText[mediaType/code="text/plain"]/data"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
</mapping>
</element>
<element id="ClaimResponse.processNote.text">
<path value="ClaimResponse.processNote.text"/>
<short value="Note explanatory text"/>
<definition
value="The explanation or description associated with the processing."/>
<requirements value="Required to provide human readable explanation."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.processNote.text"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.processNote.language">
<path value="ClaimResponse.processNote.language"/>
<short value="Language of the text"/>
<definition
value="A code to define the language used in the text of the note."/>
<comment
value="Only required if the language is different from the resource language."/>
<requirements
value="Note text may vary from the resource defined language."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.processNote.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language"/>
</extension>
<strength value="required"/>
<description value="IETF language tag for a human language"/>
<valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0"/>
<additional>
<purpose value="starter"/>
<valueSet value="http://hl7.org/fhir/ValueSet/languages|5.0.0"/>
</additional>
</binding>
</element>
<element id="ClaimResponse.communicationRequest">
<path value="ClaimResponse.communicationRequest"/>
<short value="Request for additional information"/>
<definition
value="Request for additional supporting or authorizing information."/>
<comment
value="For example: professional reports, documents, images, clinical resources, or accident reports."/>
<requirements
value="Need to communicate insurer request for additional information required to support the adjudication."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.communicationRequest"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance">
<path value="ClaimResponse.insurance"/>
<short value="Patient insurance information"/>
<definition
value="Financial instruments for reimbursement for the health care products and services specified on the claim."/>
<comment
value="All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim."/>
<requirements
value="At least one insurer is required for a claim to be a claim."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.insurance"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Coverage"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.id">
<path value="ClaimResponse.insurance.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.extension">
<path value="ClaimResponse.insurance.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.extension:relationship">
<path value="ClaimResponse.insurance.extension"/>
<sliceName value="relationship"/>
<short value="DSTU2: Patient relationship to subscriber (new)"/>
<definition
value="DSTU2: `ClaimResponse.coverage.relationship` (new:Coding)"/>
<comment
value="Element `ClaimResponse.coverage.relationship` has a context of ClaimResponse.insurance based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.coverage.relationship` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.relationship|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.extension:preAuthRef">
<path value="ClaimResponse.insurance.extension"/>
<sliceName value="preAuthRef"/>
<short value="DSTU2: Pre-Authorization/Determination Reference (new)"/>
<definition
value="DSTU2: `ClaimResponse.coverage.preAuthRef` (new:string)"/>
<comment
value="Element `ClaimResponse.coverage.preAuthRef` has a context of ClaimResponse.insurance based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.coverage.preAuthRef` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.preAuthRef|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.extension:originalRuleset">
<path value="ClaimResponse.insurance.extension"/>
<sliceName value="originalRuleset"/>
<short value="DSTU2: Original version (new)"/>
<definition
value="DSTU2: `ClaimResponse.coverage.originalRuleset` (new:Coding)"/>
<comment
value="Element `ClaimResponse.coverage.originalRuleset` has a context of ClaimResponse.insurance based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.coverage.originalRuleset` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.originalRuleset|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.modifierExtension">
<path value="ClaimResponse.insurance.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.sequence">
<path value="ClaimResponse.insurance.sequence"/>
<short value="Insurance instance identifier"/>
<definition
value="A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order."/>
<requirements value="To maintain order of the coverages."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.insurance.sequence"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.focal">
<path value="ClaimResponse.insurance.focal"/>
<short value="Coverage to be used for adjudication"/>
<definition
value="A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true."/>
<comment
value="A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies."/>
<requirements
value="To identify which coverage in the list is being used to adjudicate this claim."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.insurance.focal"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.coverage">
<path value="ClaimResponse.insurance.coverage"/>
<short value="Insurance information"/>
<definition
value="Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system."/>
<requirements
value="Required to allow the adjudicator to locate the correct policy and history within their information system."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.insurance.coverage"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Coverage|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.coverage.id">
<path value="ClaimResponse.insurance.coverage.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.coverage.extension">
<path value="ClaimResponse.insurance.coverage.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.coverage.extension:coverage">
<path value="ClaimResponse.insurance.coverage.extension"/>
<sliceName value="coverage"/>
<short value="DSTU2: coverage additional types"/>
<definition
value="DSTU2: `ClaimResponse.coverage.coverage` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.coverage.coverage` is mapped to FHIR R5 element `ClaimResponse.insurance.coverage` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.coverage.coverage` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.coverage.coverage` with unmapped reference targets: Coverage."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.coverage.reference">
<path value="ClaimResponse.insurance.coverage.reference"/>
<short value="Literal reference, Relative, internal or absolute URL"/>
<definition
value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
<comment
value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.reference"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<condition value="ref-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.coverage.type">
<path value="ClaimResponse.insurance.coverage.type"/>
<short
value="Type the reference refers to (e.g. "Patient") - must be a resource in resources"/>
<definition
value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)."/>
<comment
value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt"/>
</extension>
<strength value="extensible"/>
<description
value="Aa resource (or, for logical models, the URI of the logical model)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.coverage.identifier">
<path value="ClaimResponse.insurance.coverage.identifier"/>
<short value="Logical reference, when literal reference is not known"/>
<definition
value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
<comment
value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.coverage.display">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ClaimResponse.insurance.coverage.display"/>
<short value="Text alternative for the resource"/>
<definition
value="Plain text narrative that identifies the resource in addition to the resource reference."/>
<comment
value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.businessArrangement">
<path value="ClaimResponse.insurance.businessArrangement"/>
<short value="Additional provider contract number"/>
<definition
value="A business agreement number established between the provider and the insurer for special business processing purposes."/>
<requirements
value="Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.insurance.businessArrangement"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.claimResponse">
<path value="ClaimResponse.insurance.claimResponse"/>
<short value="Adjudication results"/>
<definition
value="The result of the adjudication of the line items for the Coverage specified in this insurance."/>
<comment
value="Must not be specified when 'focal=true' for this insurance."/>
<requirements
value="An insurer need the adjudication results from prior insurers to determine the outstanding balance remaining by item for the items in the curent claim."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.insurance.claimResponse"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy">
<valueBoolean value="false"/>
</extension>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.claimResponse.id">
<path value="ClaimResponse.insurance.claimResponse.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.claimResponse.extension">
<path value="ClaimResponse.insurance.claimResponse.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="ClaimResponse.insurance.claimResponse.extension:claimResponse">
<path value="ClaimResponse.insurance.claimResponse.extension"/>
<sliceName value="claimResponse"/>
<short value="DSTU2: claimResponse additional types"/>
<definition
value="DSTU2: `ClaimResponse.coverage.claimResponse` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.coverage.claimResponse` is mapped to FHIR R5 element `ClaimResponse.insurance.claimResponse` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.coverage.claimResponse` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.coverage.claimResponse` with unmapped reference targets: ClaimResponse."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.insurance.claimResponse.reference">
<path value="ClaimResponse.insurance.claimResponse.reference"/>
<short value="Literal reference, Relative, internal or absolute URL"/>
<definition
value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
<comment
value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.reference"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<condition value="ref-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.claimResponse.type">
<path value="ClaimResponse.insurance.claimResponse.type"/>
<short
value="Type the reference refers to (e.g. "Patient") - must be a resource in resources"/>
<definition
value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)."/>
<comment
value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt"/>
</extension>
<strength value="extensible"/>
<description
value="Aa resource (or, for logical models, the URI of the logical model)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.claimResponse.identifier">
<path value="ClaimResponse.insurance.claimResponse.identifier"/>
<short value="Logical reference, when literal reference is not known"/>
<definition
value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
<comment
value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="ClaimResponse.insurance.claimResponse.display">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ClaimResponse.insurance.claimResponse.display"/>
<short value="Text alternative for the resource"/>
<definition
value="Plain text narrative that identifies the resource in addition to the resource reference."/>
<comment
value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.error">
<path value="ClaimResponse.error"/>
<short value="Processing errors"/>
<definition
value="Errors encountered during the processing of the adjudication."/>
<comment
value="If the request contains errors then an error element should be provided and no adjudication related sections (item, addItem, or payment) should be present."/>
<requirements
value="Need to communicate processing issues to the requestor."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.error"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.error.id">
<path value="ClaimResponse.error.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.error.extension">
<path value="ClaimResponse.error.extension"/>
<short value="Additional content defined by implementations"/>
<definition
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 managable, 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."/>
<comment
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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.error.modifierExtension">
<path value="ClaimResponse.error.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ClaimResponse.error.itemSequence">
<path value="ClaimResponse.error.itemSequence"/>
<short value="Item sequence number"/>
<definition
value="The sequence number of the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure."/>
<requirements value="Provides references to the claim items."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.error.itemSequence"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.error.detailSequence">
<path value="ClaimResponse.error.detailSequence"/>
<short value="Detail sequence number"/>
<definition
value="The sequence number of the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure."/>
<requirements
value="Provides references to the claim details within the claim item."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.error.detailSequence"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.error.subDetailSequence">
<path value="ClaimResponse.error.subDetailSequence"/>
<short value="Subdetail sequence number"/>
<definition
value="The sequence number of the sub-detail within the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure."/>
<requirements
value="Provides references to the claim sub-details within the claim detail."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ClaimResponse.error.subDetailSequence"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.error.code">
<path value="ClaimResponse.error.code"/>
<short value="Error code detailing processing issues"/>
<definition
value="An error code, from a specified code system, which details why the claim could not be adjudicated."/>
<requirements value="Required to convey processing errors."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ClaimResponse.error.code"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdjudicationError"/>
</extension>
<strength value="example"/>
<description value="The adjudication error codes."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/adjudication-error|5.0.0"/>
</binding>
</element>
<element id="ClaimResponse.error.code.id">
<path value="ClaimResponse.error.code.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ClaimResponse.error.code.extension">
<path value="ClaimResponse.error.code.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.error.code.extension:code">
<path value="ClaimResponse.error.code.extension"/>
<sliceName value="code"/>
<short value="DSTU2: code"/>
<definition value="DSTU2: `ClaimResponse.error.code`"/>
<comment
value="Element `ClaimResponse.error.code` is mapped to FHIR R5 element `ClaimResponse.error.code` as `SourceIsNarrowerThanTarget`."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.error.code|0.1.0"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="ClaimResponse.error.code.coding">
<path value="ClaimResponse.error.code.coding"/>
<short value="Code defined by a terminology system"/>
<definition
value="A reference to a code defined by a terminology system."/>
<comment
value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
<requirements
value="Allows for alternative encodings within a code system, and translations to other code systems."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
</element>
<element id="ClaimResponse.error.code.text">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ClaimResponse.error.code.text"/>
<short value="Plain text representation of the concept"/>
<definition
value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
<comment
value="Very often the text is the same as a displayName of one of the codings."/>
<requirements
value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CodeableConcept.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.9. But note many systems use C*E.2 for this"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="./originalText[mediaType/code="text/plain"]/data"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
</mapping>
</element>
<element id="ClaimResponse.error.expression">
<path value="ClaimResponse.error.expression"/>
<short value="FHIRPath of element(s) related to issue"/>
<definition
value="A [simple subset of FHIRPath](http://hl7.org/fhir/R5/fhirpath.html#simple) limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised."/>
<comment
value="The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each FHIRPath SHALL resolve to a single node."/>
<requirements
value="Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ClaimResponse.error.expression"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Element|5.0.0"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
</snapshot>
<differential>
<element id="ClaimResponse">
<path value="ClaimResponse"/>
</element>
<element id="ClaimResponse.meta.extension">
<path value="ClaimResponse.meta.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.meta.extension:meta">
<path value="ClaimResponse.meta.extension"/>
<sliceName value="meta"/>
<short value="DSTU2: meta additional types"/>
<definition
value="DSTU2: `ClaimResponse.meta` additional types (Meta) additional types from child elements (lastUpdated, profile, security, tag, versionId)"/>
<comment
value="Element `ClaimResponse.meta` is mapped to FHIR R5 element `ClaimResponse.meta` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.meta` do not cover the following types: Meta.
The mappings for `ClaimResponse.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.meta|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.text.extension">
<path value="ClaimResponse.text.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.text.extension:text">
<path value="ClaimResponse.text.extension"/>
<sliceName value="text"/>
<short value="DSTU2: text additional types"/>
<definition
value="DSTU2: `ClaimResponse.text` additional types (Narrative) additional types from child elements (div, status)"/>
<comment
value="Element `ClaimResponse.text` is mapped to FHIR R5 element `ClaimResponse.text` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.text` do not cover the following types: Narrative.
The mappings for `ClaimResponse.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.text|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.extension">
<path value="ClaimResponse.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.extension:ruleset">
<path value="ClaimResponse.extension"/>
<sliceName value="ruleset"/>
<short value="DSTU2: Resource version (new)"/>
<definition value="DSTU2: `ClaimResponse.ruleset` (new:Coding)"/>
<comment
value="Element `ClaimResponse.ruleset` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.ruleset` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.ruleset|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.extension:originalRuleset">
<path value="ClaimResponse.extension"/>
<sliceName value="originalRuleset"/>
<short value="DSTU2: Original version (new)"/>
<definition
value="DSTU2: `ClaimResponse.originalRuleset` (new:Coding)"/>
<comment
value="Element `ClaimResponse.originalRuleset` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.originalRuleset` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.originalRuleset|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.extension:unallocDeductable">
<path value="ClaimResponse.extension"/>
<sliceName value="unallocDeductable"/>
<short value="DSTU2: Unallocated deductible (new)"/>
<definition
value="DSTU2: `ClaimResponse.unallocDeductable` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.unallocDeductable` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.unallocDeductable` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.unallocDeductable|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.identifier.extension">
<path value="ClaimResponse.identifier.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.identifier.extension:identifier">
<path value="ClaimResponse.identifier.extension"/>
<sliceName value="identifier"/>
<short value="DSTU2: Response number additional types"/>
<definition
value="DSTU2: `ClaimResponse.identifier` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)"/>
<comment
value="Element `ClaimResponse.identifier` is mapped to FHIR R5 element `ClaimResponse.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.identifier` do not cover the following types: Identifier.
The mappings for `ClaimResponse.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.identifier|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.insurer.extension">
<path value="ClaimResponse.insurer.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.insurer.extension:organization">
<path value="ClaimResponse.insurer.extension"/>
<sliceName value="organization"/>
<short value="DSTU2: Insurer additional types"/>
<definition
value="DSTU2: `ClaimResponse.organization` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.organization` is mapped to FHIR R5 element `ClaimResponse.insurer` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.organization` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.organization` with unmapped reference targets: Organization."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
</element>
<element id="ClaimResponse.requestor.extension">
<path value="ClaimResponse.requestor.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.requestor.extension:requestProvider">
<path value="ClaimResponse.requestor.extension"/>
<sliceName value="requestProvider"/>
<short value="DSTU2: Responsible practitioner additional types"/>
<definition
value="DSTU2: `ClaimResponse.requestProvider` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.requestProvider` is mapped to FHIR R5 element `ClaimResponse.requestor` as `RelatedTo`.
The mappings for `ClaimResponse.requestProvider` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.requestProvider` with unmapped reference targets: Practitioner."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
</element>
<element id="ClaimResponse.requestor.extension:requestOrganization">
<path value="ClaimResponse.requestor.extension"/>
<sliceName value="requestOrganization"/>
<short value="DSTU2: Responsible organization additional types"/>
<definition
value="DSTU2: `ClaimResponse.requestOrganization` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.requestOrganization` is mapped to FHIR R5 element `ClaimResponse.requestor` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.requestOrganization` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.requestOrganization` with unmapped reference targets: Organization."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
</element>
<element id="ClaimResponse.request.extension">
<path value="ClaimResponse.request.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.request.extension:request">
<path value="ClaimResponse.request.extension"/>
<sliceName value="request"/>
<short value="DSTU2: request additional types"/>
<definition
value="DSTU2: `ClaimResponse.request` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.request` is mapped to FHIR R5 element `ClaimResponse.request` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.request` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.request` with unmapped reference targets: Claim."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
</element>
<element id="ClaimResponse.item.adjudication.quantity.extension">
<path value="ClaimResponse.item.adjudication.quantity.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.item.adjudication.quantity.extension:value">
<path value="ClaimResponse.item.adjudication.quantity.extension"/>
<sliceName value="value"/>
<short value="DSTU2: value additional types"/>
<definition
value="DSTU2: `ClaimResponse.item.adjudication.value` additional types (decimal) additional types from child elements (value)"/>
<comment
value="Element `ClaimResponse.item.adjudication.value` is mapped to FHIR R5 element `ClaimResponse.item.adjudication.quantity` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.item.adjudication.value` do not cover the following types: decimal.
The mappings for `ClaimResponse.item.adjudication.value` do not cover the following types based on type expansion: value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.adjudication.value|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.item.detail.adjudication.extension">
<path value="ClaimResponse.item.detail.adjudication.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.item.detail.adjudication.extension:amount">
<path value="ClaimResponse.item.detail.adjudication.extension"/>
<sliceName value="amount"/>
<short value="DSTU2: Monetary amount (new)"/>
<definition
value="DSTU2: `ClaimResponse.item.detail.adjudication.amount` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.item.detail.adjudication.amount` has a context of ClaimResponse.item.detail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.item.detail.adjudication.amount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.adjudication.amount|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.item.detail.adjudication.extension:value">
<path value="ClaimResponse.item.detail.adjudication.extension"/>
<sliceName value="value"/>
<short value="DSTU2: Non-monetary value (new)"/>
<definition
value="DSTU2: `ClaimResponse.item.detail.adjudication.value` (new:decimal)"/>
<comment
value="Element `ClaimResponse.item.detail.adjudication.value` has a context of ClaimResponse.item.detail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.item.detail.adjudication.value` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.adjudication.value|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.item.detail.subDetail.adjudication.extension">
<path
value="ClaimResponse.item.detail.subDetail.adjudication.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element
id="ClaimResponse.item.detail.subDetail.adjudication.extension:amount">
<path
value="ClaimResponse.item.detail.subDetail.adjudication.extension"/>
<sliceName value="amount"/>
<short value="DSTU2: Monetary amount (new)"/>
<definition
value="DSTU2: `ClaimResponse.item.detail.subDetail.adjudication.amount` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.item.detail.subDetail.adjudication.amount` has a context of ClaimResponse.item.detail.subDetail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.item.detail.subDetail.adjudication.amount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.subDetail.adjudication.amount|0.1.0"/>
</type>
</element>
<element
id="ClaimResponse.item.detail.subDetail.adjudication.extension:value">
<path
value="ClaimResponse.item.detail.subDetail.adjudication.extension"/>
<sliceName value="value"/>
<short value="DSTU2: Non-monetary value (new)"/>
<definition
value="DSTU2: `ClaimResponse.item.detail.subDetail.adjudication.value` (new:decimal)"/>
<comment
value="Element `ClaimResponse.item.detail.subDetail.adjudication.value` has a context of ClaimResponse.item.detail.subDetail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.item.detail.subDetail.adjudication.value` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.item.detail.subDetail.adjudication.value|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.addItem.extension">
<path value="ClaimResponse.addItem.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.addItem.extension:fee">
<path value="ClaimResponse.addItem.extension"/>
<sliceName value="fee"/>
<short value="DSTU2: Professional fee or Product charge (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.fee` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.addItem.fee` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.fee` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.fee|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.addItem.adjudication.extension">
<path value="ClaimResponse.addItem.adjudication.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.addItem.adjudication.extension:amount">
<path value="ClaimResponse.addItem.adjudication.extension"/>
<sliceName value="amount"/>
<short value="DSTU2: Monetary amount (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.adjudication.amount` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.addItem.adjudication.amount` has a context of ClaimResponse.addItem.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.adjudication.amount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.adjudication.amount|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.addItem.adjudication.extension:value">
<path value="ClaimResponse.addItem.adjudication.extension"/>
<sliceName value="value"/>
<short value="DSTU2: Non-monetary value (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.adjudication.value` (new:decimal)"/>
<comment
value="Element `ClaimResponse.addItem.adjudication.value` has a context of ClaimResponse.addItem.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.adjudication.value` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.adjudication.value|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.addItem.detail.extension">
<path value="ClaimResponse.addItem.detail.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.addItem.detail.extension:fee">
<path value="ClaimResponse.addItem.detail.extension"/>
<sliceName value="fee"/>
<short value="DSTU2: Professional fee or Product charge (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.detail.fee` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.addItem.detail.fee` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.detail.fee` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.fee|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.extension">
<path value="ClaimResponse.addItem.detail.adjudication.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.extension:amount">
<path value="ClaimResponse.addItem.detail.adjudication.extension"/>
<sliceName value="amount"/>
<short value="DSTU2: Monetary amount (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.detail.adjudication.amount` (new:Quantity[Money])"/>
<comment
value="Element `ClaimResponse.addItem.detail.adjudication.amount` has a context of ClaimResponse.addItem.detail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.detail.adjudication.amount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.adjudication.amount|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.addItem.detail.adjudication.extension:value">
<path value="ClaimResponse.addItem.detail.adjudication.extension"/>
<sliceName value="value"/>
<short value="DSTU2: Non-monetary value (new)"/>
<definition
value="DSTU2: `ClaimResponse.addItem.detail.adjudication.value` (new:decimal)"/>
<comment
value="Element `ClaimResponse.addItem.detail.adjudication.value` has a context of ClaimResponse.addItem.detail.adjudication based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.addItem.detail.adjudication.value` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.addItem.detail.adjudication.value|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.payment.identifier.extension">
<path value="ClaimResponse.payment.identifier.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.payment.identifier.extension:paymentRef">
<path value="ClaimResponse.payment.identifier.extension"/>
<sliceName value="paymentRef"/>
<short value="DSTU2: Payment identifier additional types"/>
<definition
value="DSTU2: `ClaimResponse.paymentRef` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)"/>
<comment
value="Element `ClaimResponse.paymentRef` is mapped to FHIR R5 element `ClaimResponse.payment.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.paymentRef` do not cover the following types: Identifier.
The mappings for `ClaimResponse.paymentRef` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.paymentRef|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.formCode.extension">
<path value="ClaimResponse.formCode.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.formCode.extension:form">
<path value="ClaimResponse.formCode.extension"/>
<sliceName value="form"/>
<short value="DSTU2: Printed Form Identifier"/>
<definition value="DSTU2: `ClaimResponse.form`"/>
<comment
value="Element `ClaimResponse.form` is mapped to FHIR R5 element `ClaimResponse.formCode` as `SourceIsNarrowerThanTarget`."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.form|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.processNote.type.extension">
<path value="ClaimResponse.processNote.type.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.processNote.type.extension:type">
<path value="ClaimResponse.processNote.type.extension"/>
<sliceName value="type"/>
<short value="DSTU2: display | print | printoper"/>
<definition value="DSTU2: `ClaimResponse.note.type`"/>
<comment
value="Element `ClaimResponse.note.type` is mapped to FHIR R5 element `ClaimResponse.processNote.type` as `RelatedTo`."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.note.type|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.insurance.extension">
<path value="ClaimResponse.insurance.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="1"/>
<max value="*"/>
</element>
<element id="ClaimResponse.insurance.extension:relationship">
<path value="ClaimResponse.insurance.extension"/>
<sliceName value="relationship"/>
<short value="DSTU2: Patient relationship to subscriber (new)"/>
<definition
value="DSTU2: `ClaimResponse.coverage.relationship` (new:Coding)"/>
<comment
value="Element `ClaimResponse.coverage.relationship` has a context of ClaimResponse.insurance based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.coverage.relationship` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.relationship|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.insurance.extension:preAuthRef">
<path value="ClaimResponse.insurance.extension"/>
<sliceName value="preAuthRef"/>
<short value="DSTU2: Pre-Authorization/Determination Reference (new)"/>
<definition
value="DSTU2: `ClaimResponse.coverage.preAuthRef` (new:string)"/>
<comment
value="Element `ClaimResponse.coverage.preAuthRef` has a context of ClaimResponse.insurance based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.coverage.preAuthRef` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.preAuthRef|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.insurance.extension:originalRuleset">
<path value="ClaimResponse.insurance.extension"/>
<sliceName value="originalRuleset"/>
<short value="DSTU2: Original version (new)"/>
<definition
value="DSTU2: `ClaimResponse.coverage.originalRuleset` (new:Coding)"/>
<comment
value="Element `ClaimResponse.coverage.originalRuleset` has a context of ClaimResponse.insurance based on following the parent source element upwards and mapping to `ClaimResponse`.
Element `ClaimResponse.coverage.originalRuleset` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.coverage.originalRuleset|0.1.0"/>
</type>
</element>
<element id="ClaimResponse.insurance.coverage.extension">
<path value="ClaimResponse.insurance.coverage.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.insurance.coverage.extension:coverage">
<path value="ClaimResponse.insurance.coverage.extension"/>
<sliceName value="coverage"/>
<short value="DSTU2: coverage additional types"/>
<definition
value="DSTU2: `ClaimResponse.coverage.coverage` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.coverage.coverage` is mapped to FHIR R5 element `ClaimResponse.insurance.coverage` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.coverage.coverage` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.coverage.coverage` with unmapped reference targets: Coverage."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
</element>
<element id="ClaimResponse.insurance.claimResponse.extension">
<path value="ClaimResponse.insurance.claimResponse.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element
id="ClaimResponse.insurance.claimResponse.extension:claimResponse">
<path value="ClaimResponse.insurance.claimResponse.extension"/>
<sliceName value="claimResponse"/>
<short value="DSTU2: claimResponse additional types"/>
<definition
value="DSTU2: `ClaimResponse.coverage.claimResponse` additional types from child elements (display, reference)"/>
<comment
value="Element `ClaimResponse.coverage.claimResponse` is mapped to FHIR R5 element `ClaimResponse.insurance.claimResponse` as `SourceIsBroaderThanTarget`.
The mappings for `ClaimResponse.coverage.claimResponse` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClaimResponse.coverage.claimResponse` with unmapped reference targets: ClaimResponse."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0"/>
</type>
</element>
<element id="ClaimResponse.error.code.extension">
<path value="ClaimResponse.error.code.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="0"/>
<max value="*"/>
</element>
<element id="ClaimResponse.error.code.extension:code">
<path value="ClaimResponse.error.code.extension"/>
<sliceName value="code"/>
<short value="DSTU2: code"/>
<definition value="DSTU2: `ClaimResponse.error.code`"/>
<comment
value="Element `ClaimResponse.error.code` is mapped to FHIR R5 element `ClaimResponse.error.code` as `SourceIsNarrowerThanTarget`."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-ClaimResponse.error.code|0.1.0"/>
</type>
</element>
</differential>
</StructureDefinition>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r2.r5#0.1.0 based on FHIR 5.0.0. Generated 2026-03-20
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