Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="R4-ClaimResponse-element-map-to-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R4-ClaimResponse-element-map-to-R4B</b></p><a name="R4-ClaimResponse-element-map-to-R4B"> </a><a name="hcR4-ClaimResponse-element-map-to-R4B"> </a><p>Mapping from http://hl7.org/fhir/4.0 to http://hl7.org/fhir/4.3</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.0.1</code> to <a href="http://hl7.org/fhir/R4B/claimresponse.html">ClaimResponseversion: 4.3.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ClaimResponse.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.meta</td><td>Element `ClaimResponse.meta` is mapped to FHIR R4B element `ClaimResponse.meta` as `Equivalent`.</td></tr><tr><td>ClaimResponse.implicitRules (implicitRules)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.implicitRules</td><td>Element `ClaimResponse.implicitRules` is mapped to FHIR R4B element `ClaimResponse.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.</td></tr><tr><td>ClaimResponse.language (language)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.language</td><td>Element `ClaimResponse.language` is mapped to FHIR R4B element `ClaimResponse.language` as `Equivalent`.
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).</td></tr><tr><td>ClaimResponse.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.text</td><td>Element `ClaimResponse.text` is mapped to FHIR R4B element `ClaimResponse.text` as `Equivalent`.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.</td></tr><tr><td>ClaimResponse.contained (contained)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.contained</td><td>Element `ClaimResponse.contained` is mapped to FHIR R4B element `ClaimResponse.contained` as `Equivalent`.
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.</td></tr><tr><td>ClaimResponse.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.identifier</td><td>Element `ClaimResponse.identifier` is mapped to FHIR R4B element `ClaimResponse.identifier` as `Equivalent`.</td></tr><tr><td>ClaimResponse.status (status)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.status</td><td>Element `ClaimResponse.status` is mapped to FHIR R4B element `ClaimResponse.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.</td></tr><tr><td>ClaimResponse.type (type)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.type</td><td>Element `ClaimResponse.type` is mapped to FHIR R4B element `ClaimResponse.type` as `Equivalent`.
This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.</td></tr><tr><td>ClaimResponse.subType (subType)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.subType</td><td>Element `ClaimResponse.subType` is mapped to FHIR R4B element `ClaimResponse.subType` as `Equivalent`.
This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.</td></tr><tr><td>ClaimResponse.use (use)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.use</td><td>Element `ClaimResponse.use` is mapped to FHIR R4B element `ClaimResponse.use` as `Equivalent`.</td></tr><tr><td>ClaimResponse.patient (patient)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.patient</td><td>Element `ClaimResponse.patient` is mapped to FHIR R4B element `ClaimResponse.patient` as `Equivalent`.</td></tr><tr><td>ClaimResponse.created (created)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.created</td><td>Element `ClaimResponse.created` is mapped to FHIR R4B element `ClaimResponse.created` as `Equivalent`.</td></tr><tr><td>ClaimResponse.insurer (insurer)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.insurer</td><td>Element `ClaimResponse.insurer` is mapped to FHIR R4B element `ClaimResponse.insurer` as `Equivalent`.</td></tr><tr><td>ClaimResponse.requestor (requestor)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.requestor</td><td>Element `ClaimResponse.requestor` is mapped to FHIR R4B element `ClaimResponse.requestor` as `Equivalent`.
Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.</td></tr><tr><td>ClaimResponse.request (request)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.request</td><td>Element `ClaimResponse.request` is mapped to FHIR R4B element `ClaimResponse.request` as `Equivalent`.</td></tr><tr><td>ClaimResponse.outcome (outcome)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.outcome</td><td>Element `ClaimResponse.outcome` is mapped to FHIR R4B element `ClaimResponse.outcome` as `Equivalent`.
The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).</td></tr><tr><td>ClaimResponse.disposition (disposition)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.disposition</td><td>Element `ClaimResponse.disposition` is mapped to FHIR R4B element `ClaimResponse.disposition` as `Equivalent`.</td></tr><tr><td>ClaimResponse.preAuthRef (preAuthRef)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.preAuthRef</td><td>Element `ClaimResponse.preAuthRef` is mapped to FHIR R4B element `ClaimResponse.preAuthRef` as `Equivalent`.
This value is only present on preauthorization adjudications.</td></tr><tr><td>ClaimResponse.preAuthPeriod (preAuthPeriod)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.preAuthPeriod</td><td>Element `ClaimResponse.preAuthPeriod` is mapped to FHIR R4B element `ClaimResponse.preAuthPeriod` as `Equivalent`.</td></tr><tr><td>ClaimResponse.payeeType (payeeType)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.payeeType</td><td>Element `ClaimResponse.payeeType` is mapped to FHIR R4B element `ClaimResponse.payeeType` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item (item)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.item</td><td>Element `ClaimResponse.item` is mapped to FHIR R4B element `ClaimResponse.item` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.itemSequence (itemSequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.itemSequence</td><td>Element `ClaimResponse.item.itemSequence` is mapped to FHIR R4B element `ClaimResponse.item.itemSequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.noteNumber (noteNumber)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.noteNumber</td><td>Element `ClaimResponse.item.noteNumber` is mapped to FHIR R4B element `ClaimResponse.item.noteNumber` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.adjudication (adjudication)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.item.adjudication</td><td>Element `ClaimResponse.item.adjudication` is mapped to FHIR R4B element `ClaimResponse.item.adjudication` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.adjudication.category (category)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.adjudication.category</td><td>Element `ClaimResponse.item.adjudication.category` is mapped to FHIR R4B element `ClaimResponse.item.adjudication.category` as `Equivalent`.
For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.</td></tr><tr><td>ClaimResponse.item.adjudication.reason (reason)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.adjudication.reason</td><td>Element `ClaimResponse.item.adjudication.reason` is mapped to FHIR R4B element `ClaimResponse.item.adjudication.reason` as `Equivalent`.
For example may indicate that the funds for this benefit type have been exhausted.</td></tr><tr><td>ClaimResponse.item.adjudication.amount (amount)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.adjudication.amount</td><td>Element `ClaimResponse.item.adjudication.amount` is mapped to FHIR R4B element `ClaimResponse.item.adjudication.amount` as `Equivalent`.
For example: amount submitted, eligible amount, co-payment, and benefit payable.</td></tr><tr><td>ClaimResponse.item.adjudication.value (value)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.adjudication.value</td><td>Element `ClaimResponse.item.adjudication.value` is mapped to FHIR R4B element `ClaimResponse.item.adjudication.value` as `Equivalent`.
For example: eligible percentage or co-payment percentage.</td></tr><tr><td>ClaimResponse.item.detail (detail)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.item.detail</td><td>Element `ClaimResponse.item.detail` is mapped to FHIR R4B element `ClaimResponse.item.detail` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.detail.detailSequence (detailSequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.detail.detailSequence</td><td>Element `ClaimResponse.item.detail.detailSequence` is mapped to FHIR R4B element `ClaimResponse.item.detail.detailSequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.detail.noteNumber (noteNumber)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.detail.noteNumber</td><td>Element `ClaimResponse.item.detail.noteNumber` is mapped to FHIR R4B element `ClaimResponse.item.detail.noteNumber` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.detail.adjudication (adjudication)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.detail.adjudication</td><td>Element `ClaimResponse.item.detail.adjudication` is mapped to FHIR R4B element `ClaimResponse.item.detail.adjudication` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.detail.subDetail (subDetail)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.item.detail.subDetail</td><td>Element `ClaimResponse.item.detail.subDetail` is mapped to FHIR R4B element `ClaimResponse.item.detail.subDetail` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.detail.subDetail.subDetailSequence (subDetailSequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.detail.subDetail.subDetailSequence</td><td>Element `ClaimResponse.item.detail.subDetail.subDetailSequence` is mapped to FHIR R4B element `ClaimResponse.item.detail.subDetail.subDetailSequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.detail.subDetail.noteNumber (noteNumber)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.detail.subDetail.noteNumber</td><td>Element `ClaimResponse.item.detail.subDetail.noteNumber` is mapped to FHIR R4B element `ClaimResponse.item.detail.subDetail.noteNumber` as `Equivalent`.</td></tr><tr><td>ClaimResponse.item.detail.subDetail.adjudication (adjudication)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.item.detail.subDetail.adjudication</td><td>Element `ClaimResponse.item.detail.subDetail.adjudication` is mapped to FHIR R4B element `ClaimResponse.item.detail.subDetail.adjudication` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem (addItem)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.addItem</td><td>Element `ClaimResponse.addItem` is mapped to FHIR R4B element `ClaimResponse.addItem` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.itemSequence (itemSequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.itemSequence</td><td>Element `ClaimResponse.addItem.itemSequence` is mapped to FHIR R4B element `ClaimResponse.addItem.itemSequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detailSequence (detailSequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detailSequence</td><td>Element `ClaimResponse.addItem.detailSequence` is mapped to FHIR R4B element `ClaimResponse.addItem.detailSequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.subdetailSequence (subdetailSequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.subdetailSequence</td><td>Element `ClaimResponse.addItem.subdetailSequence` is mapped to FHIR R4B element `ClaimResponse.addItem.subdetailSequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.provider (provider)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.provider</td><td>Element `ClaimResponse.addItem.provider` is mapped to FHIR R4B element `ClaimResponse.addItem.provider` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.productOrService (productOrService)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.productOrService</td><td>Element `ClaimResponse.addItem.productOrService` is mapped to FHIR R4B element `ClaimResponse.addItem.productOrService` as `Equivalent`.
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'.</td></tr><tr><td>ClaimResponse.addItem.modifier (modifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.modifier</td><td>Element `ClaimResponse.addItem.modifier` is mapped to FHIR R4B element `ClaimResponse.addItem.modifier` as `Equivalent`.
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.</td></tr><tr><td>ClaimResponse.addItem.programCode (programCode)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.programCode</td><td>Element `ClaimResponse.addItem.programCode` is mapped to FHIR R4B element `ClaimResponse.addItem.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program.</td></tr><tr><td>ClaimResponse.addItem.serviced[x] (serviced[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.serviced[x]</td><td>Element `ClaimResponse.addItem.serviced[x]` is mapped to FHIR R4B element `ClaimResponse.addItem.serviced[x]` as `Equivalent`.
The target context `ClaimResponse.addItem.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClaimResponse.addItem`.</td></tr><tr><td>ClaimResponse.addItem.location[x] (location[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.location[x]</td><td>Element `ClaimResponse.addItem.location[x]` is mapped to FHIR R4B element `ClaimResponse.addItem.location[x]` as `Equivalent`.
The target context `ClaimResponse.addItem.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClaimResponse.addItem`.</td></tr><tr><td>ClaimResponse.addItem.quantity (quantity)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.quantity</td><td>Element `ClaimResponse.addItem.quantity` is mapped to FHIR R4B element `ClaimResponse.addItem.quantity` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.unitPrice (unitPrice)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.unitPrice</td><td>Element `ClaimResponse.addItem.unitPrice` is mapped to FHIR R4B element `ClaimResponse.addItem.unitPrice` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.factor (factor)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.factor</td><td>Element `ClaimResponse.addItem.factor` is mapped to FHIR R4B element `ClaimResponse.addItem.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).</td></tr><tr><td>ClaimResponse.addItem.net (net)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.net</td><td>Element `ClaimResponse.addItem.net` is mapped to FHIR R4B element `ClaimResponse.addItem.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.</td></tr><tr><td>ClaimResponse.addItem.bodySite (bodySite)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.bodySite</td><td>Element `ClaimResponse.addItem.bodySite` is mapped to FHIR R4B element `ClaimResponse.addItem.bodySite` as `Equivalent`.
For example: Providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed.</td></tr><tr><td>ClaimResponse.addItem.subSite (subSite)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.subSite</td><td>Element `ClaimResponse.addItem.subSite` is mapped to FHIR R4B element `ClaimResponse.addItem.subSite` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.noteNumber (noteNumber)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.noteNumber</td><td>Element `ClaimResponse.addItem.noteNumber` is mapped to FHIR R4B element `ClaimResponse.addItem.noteNumber` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.adjudication (adjudication)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.adjudication</td><td>Element `ClaimResponse.addItem.adjudication` is mapped to FHIR R4B element `ClaimResponse.addItem.adjudication` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail (detail)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.addItem.detail</td><td>Element `ClaimResponse.addItem.detail` is mapped to FHIR R4B element `ClaimResponse.addItem.detail` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail.productOrService (productOrService)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.productOrService</td><td>Element `ClaimResponse.addItem.detail.productOrService` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.productOrService` as `Equivalent`.
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'.</td></tr><tr><td>ClaimResponse.addItem.detail.modifier (modifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.modifier</td><td>Element `ClaimResponse.addItem.detail.modifier` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.modifier` as `Equivalent`.
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.</td></tr><tr><td>ClaimResponse.addItem.detail.quantity (quantity)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.quantity</td><td>Element `ClaimResponse.addItem.detail.quantity` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.quantity` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail.unitPrice (unitPrice)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.unitPrice</td><td>Element `ClaimResponse.addItem.detail.unitPrice` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.unitPrice` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail.factor (factor)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.factor</td><td>Element `ClaimResponse.addItem.detail.factor` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).</td></tr><tr><td>ClaimResponse.addItem.detail.net (net)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.net</td><td>Element `ClaimResponse.addItem.detail.net` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.</td></tr><tr><td>ClaimResponse.addItem.detail.noteNumber (noteNumber)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.noteNumber</td><td>Element `ClaimResponse.addItem.detail.noteNumber` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.noteNumber` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail.adjudication (adjudication)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.adjudication</td><td>Element `ClaimResponse.addItem.detail.adjudication` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.adjudication` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail.subDetail (subDetail)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.addItem.detail.subDetail</td><td>Element `ClaimResponse.addItem.detail.subDetail` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail.subDetail.productOrService (productOrService)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.subDetail.productOrService</td><td>Element `ClaimResponse.addItem.detail.subDetail.productOrService` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.productOrService` as `Equivalent`.
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'.</td></tr><tr><td>ClaimResponse.addItem.detail.subDetail.modifier (modifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.subDetail.modifier</td><td>Element `ClaimResponse.addItem.detail.subDetail.modifier` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.modifier` as `Equivalent`.
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.</td></tr><tr><td>ClaimResponse.addItem.detail.subDetail.quantity (quantity)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.subDetail.quantity</td><td>Element `ClaimResponse.addItem.detail.subDetail.quantity` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.quantity` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail.subDetail.unitPrice (unitPrice)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.subDetail.unitPrice</td><td>Element `ClaimResponse.addItem.detail.subDetail.unitPrice` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.unitPrice` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail.subDetail.factor (factor)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.subDetail.factor</td><td>Element `ClaimResponse.addItem.detail.subDetail.factor` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).</td></tr><tr><td>ClaimResponse.addItem.detail.subDetail.net (net)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.subDetail.net</td><td>Element `ClaimResponse.addItem.detail.subDetail.net` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.</td></tr><tr><td>ClaimResponse.addItem.detail.subDetail.noteNumber (noteNumber)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.subDetail.noteNumber</td><td>Element `ClaimResponse.addItem.detail.subDetail.noteNumber` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.noteNumber` as `Equivalent`.</td></tr><tr><td>ClaimResponse.addItem.detail.subDetail.adjudication (adjudication)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.addItem.detail.subDetail.adjudication</td><td>Element `ClaimResponse.addItem.detail.subDetail.adjudication` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.adjudication` as `Equivalent`.</td></tr><tr><td>ClaimResponse.adjudication (adjudication)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.adjudication</td><td>Element `ClaimResponse.adjudication` is mapped to FHIR R4B element `ClaimResponse.adjudication` as `Equivalent`.</td></tr><tr><td>ClaimResponse.total (total)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.total</td><td>Element `ClaimResponse.total` is mapped to FHIR R4B element `ClaimResponse.total` as `Equivalent`.
Totals for amounts submitted, co-pays, benefits payable etc.</td></tr><tr><td>ClaimResponse.total.category (category)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.total.category</td><td>Element `ClaimResponse.total.category` is mapped to FHIR R4B element `ClaimResponse.total.category` as `Equivalent`.
For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.</td></tr><tr><td>ClaimResponse.total.amount (amount)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.total.amount</td><td>Element `ClaimResponse.total.amount` is mapped to FHIR R4B element `ClaimResponse.total.amount` as `Equivalent`.</td></tr><tr><td>ClaimResponse.payment (payment)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.payment</td><td>Element `ClaimResponse.payment` is mapped to FHIR R4B element `ClaimResponse.payment` as `Equivalent`.</td></tr><tr><td>ClaimResponse.payment.type (type)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.payment.type</td><td>Element `ClaimResponse.payment.type` is mapped to FHIR R4B element `ClaimResponse.payment.type` as `Equivalent`.</td></tr><tr><td>ClaimResponse.payment.adjustment (adjustment)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.payment.adjustment</td><td>Element `ClaimResponse.payment.adjustment` is mapped to FHIR R4B element `ClaimResponse.payment.adjustment` as `Equivalent`.
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.</td></tr><tr><td>ClaimResponse.payment.adjustmentReason (adjustmentReason)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.payment.adjustmentReason</td><td>Element `ClaimResponse.payment.adjustmentReason` is mapped to FHIR R4B element `ClaimResponse.payment.adjustmentReason` as `Equivalent`.</td></tr><tr><td>ClaimResponse.payment.date (date)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.payment.date</td><td>Element `ClaimResponse.payment.date` is mapped to FHIR R4B element `ClaimResponse.payment.date` as `Equivalent`.</td></tr><tr><td>ClaimResponse.payment.amount (amount)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.payment.amount</td><td>Element `ClaimResponse.payment.amount` is mapped to FHIR R4B element `ClaimResponse.payment.amount` as `Equivalent`.</td></tr><tr><td>ClaimResponse.payment.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.payment.identifier</td><td>Element `ClaimResponse.payment.identifier` is mapped to FHIR R4B element `ClaimResponse.payment.identifier` as `Equivalent`.
For example: EFT number or check number.</td></tr><tr><td>ClaimResponse.fundsReserve (fundsReserve)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.fundsReserve</td><td>Element `ClaimResponse.fundsReserve` is mapped to FHIR R4B element `ClaimResponse.fundsReserve` as `Equivalent`.
Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.</td></tr><tr><td>ClaimResponse.formCode (formCode)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.formCode</td><td>Element `ClaimResponse.formCode` is mapped to FHIR R4B element `ClaimResponse.formCode` as `Equivalent`.
May be needed to identify specific jurisdictional forms.</td></tr><tr><td>ClaimResponse.form (form)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.form</td><td>Element `ClaimResponse.form` is mapped to FHIR R4B element `ClaimResponse.form` as `Equivalent`.
Needed to permit insurers to include the actual form.</td></tr><tr><td>ClaimResponse.processNote (processNote)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.processNote</td><td>Element `ClaimResponse.processNote` is mapped to FHIR R4B element `ClaimResponse.processNote` as `Equivalent`.</td></tr><tr><td>ClaimResponse.processNote.number (number)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.processNote.number</td><td>Element `ClaimResponse.processNote.number` is mapped to FHIR R4B element `ClaimResponse.processNote.number` as `Equivalent`.</td></tr><tr><td>ClaimResponse.processNote.type (type)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.processNote.type</td><td>Element `ClaimResponse.processNote.type` is mapped to FHIR R4B element `ClaimResponse.processNote.type` as `Equivalent`.</td></tr><tr><td>ClaimResponse.processNote.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.processNote.text</td><td>Element `ClaimResponse.processNote.text` is mapped to FHIR R4B element `ClaimResponse.processNote.text` as `Equivalent`.</td></tr><tr><td>ClaimResponse.processNote.language (language)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.processNote.language</td><td>Element `ClaimResponse.processNote.language` is mapped to FHIR R4B element `ClaimResponse.processNote.language` as `Equivalent`.
Only required if the language is different from the resource language.</td></tr><tr><td>ClaimResponse.communicationRequest (communicationRequest)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.communicationRequest</td><td>Element `ClaimResponse.communicationRequest` is mapped to FHIR R4B element `ClaimResponse.communicationRequest` as `Equivalent`.
For example: professional reports, documents, images, clinical resources, or accident reports.</td></tr><tr><td>ClaimResponse.insurance (insurance)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.insurance</td><td>Element `ClaimResponse.insurance` is mapped to FHIR R4B element `ClaimResponse.insurance` as `Equivalent`.
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.</td></tr><tr><td>ClaimResponse.insurance.sequence (sequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.insurance.sequence</td><td>Element `ClaimResponse.insurance.sequence` is mapped to FHIR R4B element `ClaimResponse.insurance.sequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.insurance.focal (focal)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.insurance.focal</td><td>Element `ClaimResponse.insurance.focal` is mapped to FHIR R4B element `ClaimResponse.insurance.focal` as `Equivalent`.
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.</td></tr><tr><td>ClaimResponse.insurance.coverage (coverage)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.insurance.coverage</td><td>Element `ClaimResponse.insurance.coverage` is mapped to FHIR R4B element `ClaimResponse.insurance.coverage` as `Equivalent`.</td></tr><tr><td>ClaimResponse.insurance.businessArrangement (businessArrangement)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.insurance.businessArrangement</td><td>Element `ClaimResponse.insurance.businessArrangement` is mapped to FHIR R4B element `ClaimResponse.insurance.businessArrangement` as `Equivalent`.</td></tr><tr><td>ClaimResponse.insurance.claimResponse (claimResponse)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.insurance.claimResponse</td><td>Element `ClaimResponse.insurance.claimResponse` is mapped to FHIR R4B element `ClaimResponse.insurance.claimResponse` as `Equivalent`.
Must not be specified when 'focal=true' for this insurance.</td></tr><tr><td>ClaimResponse.error (error)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>ClaimResponse.error</td><td>Element `ClaimResponse.error` is mapped to FHIR R4B element `ClaimResponse.error` as `Equivalent`.
If the request contains errors then an error element should be provided and no adjudication related sections (item, addItem, or payment) should be present.</td></tr><tr><td>ClaimResponse.error.itemSequence (itemSequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.error.itemSequence</td><td>Element `ClaimResponse.error.itemSequence` is mapped to FHIR R4B element `ClaimResponse.error.itemSequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.error.detailSequence (detailSequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.error.detailSequence</td><td>Element `ClaimResponse.error.detailSequence` is mapped to FHIR R4B element `ClaimResponse.error.detailSequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.error.subDetailSequence (subDetailSequence)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.error.subDetailSequence</td><td>Element `ClaimResponse.error.subDetailSequence` is mapped to FHIR R4B element `ClaimResponse.error.subDetailSequence` as `Equivalent`.</td></tr><tr><td>ClaimResponse.error.code (code)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ClaimResponse.error.code</td><td>Element `ClaimResponse.error.code` is mapped to FHIR R4B element `ClaimResponse.error.code` as `Equivalent`.</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/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-r4.r4b"/>
</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-r4.r4b"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R4-ClaimResponse-element-map-to-R4B"/>
<version value="0.1.0"/>
<name value="R4ClaimResponseElementMapToR4B"/>
<title
value="Cross-version mapping for FHIR R4 ClaimResponse to FHIR R4B ClaimResponse"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:40.8308464-05:00"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This ConceptMap represents cross-version mappings for elements from a FHIR R4 ClaimResponse to FHIR R4B."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceCanonical value="http://hl7.org/fhir/4.0"/>
<targetUri value="http://hl7.org/fhir/4.3"/>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
<sourceVersion value="4.0.1"/>
<target value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
<targetVersion value="4.3.0"/>
<element>
<code value="ClaimResponse.meta"/>
<display value="meta"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.meta"/>
<display value="ClaimResponse.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.meta` is mapped to FHIR R4B element `ClaimResponse.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.implicitRules"/>
<display value="implicitRules"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.implicitRules"/>
<display value="ClaimResponse.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.implicitRules` is mapped to FHIR R4B element `ClaimResponse.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
</target>
</element>
<element>
<code value="ClaimResponse.language"/>
<display value="language"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.language"/>
<display value="ClaimResponse.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.language` is mapped to FHIR R4B element `ClaimResponse.language` as `Equivalent`.
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)."/>
</target>
</element>
<element>
<code value="ClaimResponse.text"/>
<display value="text"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.text"/>
<display value="ClaimResponse.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.text` is mapped to FHIR R4B element `ClaimResponse.text` as `Equivalent`.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
</target>
</element>
<element>
<code value="ClaimResponse.contained"/>
<display value="contained"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.contained"/>
<display value="ClaimResponse.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.contained` is mapped to FHIR R4B element `ClaimResponse.contained` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="ClaimResponse.identifier"/>
<display value="identifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.identifier"/>
<display value="ClaimResponse.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.identifier` is mapped to FHIR R4B element `ClaimResponse.identifier` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.status"/>
<display value="status"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.status"/>
<display value="ClaimResponse.status"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.status` is mapped to FHIR R4B element `ClaimResponse.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
</target>
</element>
<element>
<code value="ClaimResponse.type"/>
<display value="type"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.type"/>
<display value="ClaimResponse.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.type` is mapped to FHIR R4B element `ClaimResponse.type` as `Equivalent`.
This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type."/>
</target>
</element>
<element>
<code value="ClaimResponse.subType"/>
<display value="subType"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.subType"/>
<display value="ClaimResponse.subType"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.subType` is mapped to FHIR R4B element `ClaimResponse.subType` as `Equivalent`.
This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type."/>
</target>
</element>
<element>
<code value="ClaimResponse.use"/>
<display value="use"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.use"/>
<display value="ClaimResponse.use"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.use` is mapped to FHIR R4B element `ClaimResponse.use` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.patient"/>
<display value="patient"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.patient"/>
<display value="ClaimResponse.patient"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.patient` is mapped to FHIR R4B element `ClaimResponse.patient` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.created"/>
<display value="created"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.created"/>
<display value="ClaimResponse.created"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.created` is mapped to FHIR R4B element `ClaimResponse.created` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.insurer"/>
<display value="insurer"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.insurer"/>
<display value="ClaimResponse.insurer"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.insurer` is mapped to FHIR R4B element `ClaimResponse.insurer` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.requestor"/>
<display value="requestor"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.requestor"/>
<display value="ClaimResponse.requestor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.requestor` is mapped to FHIR R4B element `ClaimResponse.requestor` as `Equivalent`.
Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below."/>
</target>
</element>
<element>
<code value="ClaimResponse.request"/>
<display value="request"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.request"/>
<display value="ClaimResponse.request"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.request` is mapped to FHIR R4B element `ClaimResponse.request` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.outcome"/>
<display value="outcome"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.outcome"/>
<display value="ClaimResponse.outcome"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.outcome` is mapped to FHIR R4B element `ClaimResponse.outcome` as `Equivalent`.
The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete)."/>
</target>
</element>
<element>
<code value="ClaimResponse.disposition"/>
<display value="disposition"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.disposition"/>
<display value="ClaimResponse.disposition"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.disposition` is mapped to FHIR R4B element `ClaimResponse.disposition` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.preAuthRef"/>
<display value="preAuthRef"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.preAuthRef"/>
<display value="ClaimResponse.preAuthRef"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.preAuthRef` is mapped to FHIR R4B element `ClaimResponse.preAuthRef` as `Equivalent`.
This value is only present on preauthorization adjudications."/>
</target>
</element>
<element>
<code value="ClaimResponse.preAuthPeriod"/>
<display value="preAuthPeriod"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.preAuthPeriod"/>
<display value="ClaimResponse.preAuthPeriod"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.preAuthPeriod` is mapped to FHIR R4B element `ClaimResponse.preAuthPeriod` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.payeeType"/>
<display value="payeeType"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.payeeType"/>
<display value="ClaimResponse.payeeType"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.payeeType` is mapped to FHIR R4B element `ClaimResponse.payeeType` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item"/>
<display value="item"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.item"/>
<display value="ClaimResponse.item"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.item` is mapped to FHIR R4B element `ClaimResponse.item` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.itemSequence"/>
<display value="itemSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.itemSequence"/>
<display value="ClaimResponse.item.itemSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.itemSequence` is mapped to FHIR R4B element `ClaimResponse.item.itemSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.noteNumber"/>
<display value="noteNumber"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.noteNumber"/>
<display value="ClaimResponse.item.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.noteNumber` is mapped to FHIR R4B element `ClaimResponse.item.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.adjudication"/>
<display value="adjudication"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.item.adjudication"/>
<display value="ClaimResponse.item.adjudication"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.item.adjudication` is mapped to FHIR R4B element `ClaimResponse.item.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.adjudication.category"/>
<display value="category"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.adjudication.category"/>
<display value="ClaimResponse.item.adjudication.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.adjudication.category` is mapped to FHIR R4B element `ClaimResponse.item.adjudication.category` as `Equivalent`.
For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.adjudication.reason"/>
<display value="reason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.adjudication.reason"/>
<display value="ClaimResponse.item.adjudication.reason"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.adjudication.reason` is mapped to FHIR R4B element `ClaimResponse.item.adjudication.reason` as `Equivalent`.
For example may indicate that the funds for this benefit type have been exhausted."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.adjudication.amount"/>
<display value="amount"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.adjudication.amount"/>
<display value="ClaimResponse.item.adjudication.amount"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.adjudication.amount` is mapped to FHIR R4B element `ClaimResponse.item.adjudication.amount` as `Equivalent`.
For example: amount submitted, eligible amount, co-payment, and benefit payable."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.adjudication.value"/>
<display value="value"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.adjudication.value"/>
<display value="ClaimResponse.item.adjudication.value"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.adjudication.value` is mapped to FHIR R4B element `ClaimResponse.item.adjudication.value` as `Equivalent`.
For example: eligible percentage or co-payment percentage."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.detail"/>
<display value="detail"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.item.detail"/>
<display value="ClaimResponse.item.detail"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.item.detail` is mapped to FHIR R4B element `ClaimResponse.item.detail` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.detail.detailSequence"/>
<display value="detailSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.detail.detailSequence"/>
<display value="ClaimResponse.item.detail.detailSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.detail.detailSequence` is mapped to FHIR R4B element `ClaimResponse.item.detail.detailSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.detail.noteNumber"/>
<display value="noteNumber"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.detail.noteNumber"/>
<display value="ClaimResponse.item.detail.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.detail.noteNumber` is mapped to FHIR R4B element `ClaimResponse.item.detail.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.detail.adjudication"/>
<display value="adjudication"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.detail.adjudication"/>
<display value="ClaimResponse.item.detail.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.detail.adjudication` is mapped to FHIR R4B element `ClaimResponse.item.detail.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.detail.subDetail"/>
<display value="subDetail"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.item.detail.subDetail"/>
<display value="ClaimResponse.item.detail.subDetail"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.item.detail.subDetail` is mapped to FHIR R4B element `ClaimResponse.item.detail.subDetail` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.detail.subDetail.subDetailSequence"/>
<display value="subDetailSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.detail.subDetail.subDetailSequence"/>
<display
value="ClaimResponse.item.detail.subDetail.subDetailSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.detail.subDetail.subDetailSequence` is mapped to FHIR R4B element `ClaimResponse.item.detail.subDetail.subDetailSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.detail.subDetail.noteNumber"/>
<display value="noteNumber"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.detail.subDetail.noteNumber"/>
<display value="ClaimResponse.item.detail.subDetail.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.detail.subDetail.noteNumber` is mapped to FHIR R4B element `ClaimResponse.item.detail.subDetail.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.item.detail.subDetail.adjudication"/>
<display value="adjudication"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.item.detail.subDetail.adjudication"/>
<display value="ClaimResponse.item.detail.subDetail.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.item.detail.subDetail.adjudication` is mapped to FHIR R4B element `ClaimResponse.item.detail.subDetail.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem"/>
<display value="addItem"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.addItem"/>
<display value="ClaimResponse.addItem"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.addItem` is mapped to FHIR R4B element `ClaimResponse.addItem` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.itemSequence"/>
<display value="itemSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.itemSequence"/>
<display value="ClaimResponse.addItem.itemSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.itemSequence` is mapped to FHIR R4B element `ClaimResponse.addItem.itemSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detailSequence"/>
<display value="detailSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detailSequence"/>
<display value="ClaimResponse.addItem.detailSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detailSequence` is mapped to FHIR R4B element `ClaimResponse.addItem.detailSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.subdetailSequence"/>
<display value="subdetailSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.subdetailSequence"/>
<display value="ClaimResponse.addItem.subdetailSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.subdetailSequence` is mapped to FHIR R4B element `ClaimResponse.addItem.subdetailSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.provider"/>
<display value="provider"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.provider"/>
<display value="ClaimResponse.addItem.provider"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.provider` is mapped to FHIR R4B element `ClaimResponse.addItem.provider` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.productOrService"/>
<display value="productOrService"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.productOrService"/>
<display value="ClaimResponse.addItem.productOrService"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.productOrService` is mapped to FHIR R4B element `ClaimResponse.addItem.productOrService` as `Equivalent`.
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'."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.modifier"/>
<display value="modifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.modifier"/>
<display value="ClaimResponse.addItem.modifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.modifier` is mapped to FHIR R4B element `ClaimResponse.addItem.modifier` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.programCode"/>
<display value="programCode"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.programCode"/>
<display value="ClaimResponse.addItem.programCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.programCode` is mapped to FHIR R4B element `ClaimResponse.addItem.programCode` as `Equivalent`.
For example: Neonatal program, child dental program or drug users recovery program."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.serviced[x]"/>
<display value="serviced[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.serviced[x]"/>
<display value="ClaimResponse.addItem.serviced[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.serviced[x]` is mapped to FHIR R4B element `ClaimResponse.addItem.serviced[x]` as `Equivalent`.
The target context `ClaimResponse.addItem.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClaimResponse.addItem`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.location[x]"/>
<display value="location[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.location[x]"/>
<display value="ClaimResponse.addItem.location[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.location[x]` is mapped to FHIR R4B element `ClaimResponse.addItem.location[x]` as `Equivalent`.
The target context `ClaimResponse.addItem.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClaimResponse.addItem`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.quantity"/>
<display value="quantity"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.quantity"/>
<display value="ClaimResponse.addItem.quantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.quantity` is mapped to FHIR R4B element `ClaimResponse.addItem.quantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.unitPrice"/>
<display value="unitPrice"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.unitPrice"/>
<display value="ClaimResponse.addItem.unitPrice"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.unitPrice` is mapped to FHIR R4B element `ClaimResponse.addItem.unitPrice` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.factor"/>
<display value="factor"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.factor"/>
<display value="ClaimResponse.addItem.factor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.factor` is mapped to FHIR R4B element `ClaimResponse.addItem.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.net"/>
<display value="net"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.net"/>
<display value="ClaimResponse.addItem.net"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.net` is mapped to FHIR R4B element `ClaimResponse.addItem.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.bodySite"/>
<display value="bodySite"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.bodySite"/>
<display value="ClaimResponse.addItem.bodySite"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.bodySite` is mapped to FHIR R4B element `ClaimResponse.addItem.bodySite` as `Equivalent`.
For example: Providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.subSite"/>
<display value="subSite"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.subSite"/>
<display value="ClaimResponse.addItem.subSite"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.subSite` is mapped to FHIR R4B element `ClaimResponse.addItem.subSite` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.noteNumber"/>
<display value="noteNumber"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.noteNumber"/>
<display value="ClaimResponse.addItem.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.noteNumber` is mapped to FHIR R4B element `ClaimResponse.addItem.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.adjudication"/>
<display value="adjudication"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.adjudication"/>
<display value="ClaimResponse.addItem.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.adjudication` is mapped to FHIR R4B element `ClaimResponse.addItem.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail"/>
<display value="detail"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail"/>
<display value="ClaimResponse.addItem.detail"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.addItem.detail` is mapped to FHIR R4B element `ClaimResponse.addItem.detail` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.productOrService"/>
<display value="productOrService"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.productOrService"/>
<display value="ClaimResponse.addItem.detail.productOrService"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.productOrService` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.productOrService` as `Equivalent`.
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'."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.modifier"/>
<display value="modifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.modifier"/>
<display value="ClaimResponse.addItem.detail.modifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.modifier` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.modifier` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.quantity"/>
<display value="quantity"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.quantity"/>
<display value="ClaimResponse.addItem.detail.quantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.quantity` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.quantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.unitPrice"/>
<display value="unitPrice"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.unitPrice"/>
<display value="ClaimResponse.addItem.detail.unitPrice"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.unitPrice` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.unitPrice` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.factor"/>
<display value="factor"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.factor"/>
<display value="ClaimResponse.addItem.detail.factor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.factor` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.net"/>
<display value="net"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.net"/>
<display value="ClaimResponse.addItem.detail.net"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.net` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.noteNumber"/>
<display value="noteNumber"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.noteNumber"/>
<display value="ClaimResponse.addItem.detail.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.noteNumber` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.adjudication"/>
<display value="adjudication"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.adjudication"/>
<display value="ClaimResponse.addItem.detail.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.adjudication` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.subDetail"/>
<display value="subDetail"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.subDetail"/>
<display value="ClaimResponse.addItem.detail.subDetail"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.addItem.detail.subDetail` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.subDetail.productOrService"/>
<display value="productOrService"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code
value="ClaimResponse.addItem.detail.subDetail.productOrService"/>
<display
value="ClaimResponse.addItem.detail.subDetail.productOrService"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.subDetail.productOrService` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.productOrService` as `Equivalent`.
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'."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.subDetail.modifier"/>
<display value="modifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.subDetail.modifier"/>
<display value="ClaimResponse.addItem.detail.subDetail.modifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.subDetail.modifier` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.modifier` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.subDetail.quantity"/>
<display value="quantity"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.subDetail.quantity"/>
<display value="ClaimResponse.addItem.detail.subDetail.quantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.subDetail.quantity` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.quantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.subDetail.unitPrice"/>
<display value="unitPrice"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.subDetail.unitPrice"/>
<display value="ClaimResponse.addItem.detail.subDetail.unitPrice"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.subDetail.unitPrice` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.unitPrice` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.subDetail.factor"/>
<display value="factor"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.subDetail.factor"/>
<display value="ClaimResponse.addItem.detail.subDetail.factor"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.subDetail.factor` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.factor` as `Equivalent`.
To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.subDetail.net"/>
<display value="net"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.subDetail.net"/>
<display value="ClaimResponse.addItem.detail.subDetail.net"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.subDetail.net` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.net` as `Equivalent`.
For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.subDetail.noteNumber"/>
<display value="noteNumber"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.subDetail.noteNumber"/>
<display value="ClaimResponse.addItem.detail.subDetail.noteNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.subDetail.noteNumber` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.noteNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.addItem.detail.subDetail.adjudication"/>
<display value="adjudication"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.addItem.detail.subDetail.adjudication"/>
<display value="ClaimResponse.addItem.detail.subDetail.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.addItem.detail.subDetail.adjudication` is mapped to FHIR R4B element `ClaimResponse.addItem.detail.subDetail.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.adjudication"/>
<display value="adjudication"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.adjudication"/>
<display value="ClaimResponse.adjudication"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.adjudication` is mapped to FHIR R4B element `ClaimResponse.adjudication` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.total"/>
<display value="total"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.total"/>
<display value="ClaimResponse.total"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.total` is mapped to FHIR R4B element `ClaimResponse.total` as `Equivalent`.
Totals for amounts submitted, co-pays, benefits payable etc."/>
</target>
</element>
<element>
<code value="ClaimResponse.total.category"/>
<display value="category"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.total.category"/>
<display value="ClaimResponse.total.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.total.category` is mapped to FHIR R4B element `ClaimResponse.total.category` as `Equivalent`.
For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
</target>
</element>
<element>
<code value="ClaimResponse.total.amount"/>
<display value="amount"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.total.amount"/>
<display value="ClaimResponse.total.amount"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.total.amount` is mapped to FHIR R4B element `ClaimResponse.total.amount` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.payment"/>
<display value="payment"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.payment"/>
<display value="ClaimResponse.payment"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.payment` is mapped to FHIR R4B element `ClaimResponse.payment` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.payment.type"/>
<display value="type"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.payment.type"/>
<display value="ClaimResponse.payment.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.payment.type` is mapped to FHIR R4B element `ClaimResponse.payment.type` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.payment.adjustment"/>
<display value="adjustment"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.payment.adjustment"/>
<display value="ClaimResponse.payment.adjustment"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.payment.adjustment` is mapped to FHIR R4B element `ClaimResponse.payment.adjustment` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="ClaimResponse.payment.adjustmentReason"/>
<display value="adjustmentReason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.payment.adjustmentReason"/>
<display value="ClaimResponse.payment.adjustmentReason"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.payment.adjustmentReason` is mapped to FHIR R4B element `ClaimResponse.payment.adjustmentReason` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.payment.date"/>
<display value="date"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.payment.date"/>
<display value="ClaimResponse.payment.date"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.payment.date` is mapped to FHIR R4B element `ClaimResponse.payment.date` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.payment.amount"/>
<display value="amount"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.payment.amount"/>
<display value="ClaimResponse.payment.amount"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.payment.amount` is mapped to FHIR R4B element `ClaimResponse.payment.amount` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.payment.identifier"/>
<display value="identifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.payment.identifier"/>
<display value="ClaimResponse.payment.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.payment.identifier` is mapped to FHIR R4B element `ClaimResponse.payment.identifier` as `Equivalent`.
For example: EFT number or check number."/>
</target>
</element>
<element>
<code value="ClaimResponse.fundsReserve"/>
<display value="fundsReserve"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.fundsReserve"/>
<display value="ClaimResponse.fundsReserve"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.fundsReserve` is mapped to FHIR R4B element `ClaimResponse.fundsReserve` as `Equivalent`.
Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none."/>
</target>
</element>
<element>
<code value="ClaimResponse.formCode"/>
<display value="formCode"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.formCode"/>
<display value="ClaimResponse.formCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.formCode` is mapped to FHIR R4B element `ClaimResponse.formCode` as `Equivalent`.
May be needed to identify specific jurisdictional forms."/>
</target>
</element>
<element>
<code value="ClaimResponse.form"/>
<display value="form"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.form"/>
<display value="ClaimResponse.form"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.form` is mapped to FHIR R4B element `ClaimResponse.form` as `Equivalent`.
Needed to permit insurers to include the actual form."/>
</target>
</element>
<element>
<code value="ClaimResponse.processNote"/>
<display value="processNote"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.processNote"/>
<display value="ClaimResponse.processNote"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.processNote` is mapped to FHIR R4B element `ClaimResponse.processNote` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.processNote.number"/>
<display value="number"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.processNote.number"/>
<display value="ClaimResponse.processNote.number"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.processNote.number` is mapped to FHIR R4B element `ClaimResponse.processNote.number` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.processNote.type"/>
<display value="type"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.processNote.type"/>
<display value="ClaimResponse.processNote.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.processNote.type` is mapped to FHIR R4B element `ClaimResponse.processNote.type` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.processNote.text"/>
<display value="text"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.processNote.text"/>
<display value="ClaimResponse.processNote.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.processNote.text` is mapped to FHIR R4B element `ClaimResponse.processNote.text` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.processNote.language"/>
<display value="language"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.processNote.language"/>
<display value="ClaimResponse.processNote.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.processNote.language` is mapped to FHIR R4B element `ClaimResponse.processNote.language` as `Equivalent`.
Only required if the language is different from the resource language."/>
</target>
</element>
<element>
<code value="ClaimResponse.communicationRequest"/>
<display value="communicationRequest"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.communicationRequest"/>
<display value="ClaimResponse.communicationRequest"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.communicationRequest` is mapped to FHIR R4B element `ClaimResponse.communicationRequest` as `Equivalent`.
For example: professional reports, documents, images, clinical resources, or accident reports."/>
</target>
</element>
<element>
<code value="ClaimResponse.insurance"/>
<display value="insurance"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.insurance"/>
<display value="ClaimResponse.insurance"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.insurance` is mapped to FHIR R4B element `ClaimResponse.insurance` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="ClaimResponse.insurance.sequence"/>
<display value="sequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.insurance.sequence"/>
<display value="ClaimResponse.insurance.sequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.insurance.sequence` is mapped to FHIR R4B element `ClaimResponse.insurance.sequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.insurance.focal"/>
<display value="focal"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.insurance.focal"/>
<display value="ClaimResponse.insurance.focal"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.insurance.focal` is mapped to FHIR R4B element `ClaimResponse.insurance.focal` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="ClaimResponse.insurance.coverage"/>
<display value="coverage"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.insurance.coverage"/>
<display value="ClaimResponse.insurance.coverage"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.insurance.coverage` is mapped to FHIR R4B element `ClaimResponse.insurance.coverage` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.insurance.businessArrangement"/>
<display value="businessArrangement"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.insurance.businessArrangement"/>
<display value="ClaimResponse.insurance.businessArrangement"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.insurance.businessArrangement` is mapped to FHIR R4B element `ClaimResponse.insurance.businessArrangement` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.insurance.claimResponse"/>
<display value="claimResponse"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.insurance.claimResponse"/>
<display value="ClaimResponse.insurance.claimResponse"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.insurance.claimResponse` is mapped to FHIR R4B element `ClaimResponse.insurance.claimResponse` as `Equivalent`.
Must not be specified when 'focal=true' for this insurance."/>
</target>
</element>
<element>
<code value="ClaimResponse.error"/>
<display value="error"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="ClaimResponse.error"/>
<display value="ClaimResponse.error"/>
<equivalence value="wider"/>
<comment
value="Element `ClaimResponse.error` is mapped to FHIR R4B element `ClaimResponse.error` as `Equivalent`.
If the request contains errors then an error element should be provided and no adjudication related sections (item, addItem, or payment) should be present."/>
</target>
</element>
<element>
<code value="ClaimResponse.error.itemSequence"/>
<display value="itemSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.error.itemSequence"/>
<display value="ClaimResponse.error.itemSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.error.itemSequence` is mapped to FHIR R4B element `ClaimResponse.error.itemSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.error.detailSequence"/>
<display value="detailSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.error.detailSequence"/>
<display value="ClaimResponse.error.detailSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.error.detailSequence` is mapped to FHIR R4B element `ClaimResponse.error.detailSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.error.subDetailSequence"/>
<display value="subDetailSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.error.subDetailSequence"/>
<display value="ClaimResponse.error.subDetailSequence"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.error.subDetailSequence` is mapped to FHIR R4B element `ClaimResponse.error.subDetailSequence` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ClaimResponse.error.code"/>
<display value="code"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="ClaimResponse.error.code"/>
<display value="ClaimResponse.error.code"/>
<equivalence value="equivalent"/>
<comment
value="Element `ClaimResponse.error.code` is mapped to FHIR R4B element `ClaimResponse.error.code` as `Equivalent`."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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