Generated Narrative: ConceptMap R4B-ClaimResponse-element-map-to-R3 Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/3.0 Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to http://hl7.org/fhir/StructureDefinition/ClaimResponse|3.0.2 Source Concept Details Relationship Target Concept Details Comment Codes from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 Codes from http://hl7.org/fhir/StructureDefinition/ClaimResponse|3.0.2 ClaimResponse.meta meta maps to wider concept ClaimResponse.meta ClaimResponse.meta Element `ClaimResponse.meta` is mapped to FHIR STU3 element `ClaimResponse.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.meta` do not cover the following types: Meta. The mappings for `ClaimResponse.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId. ClaimResponse.implicitRules implicitRules is equivalent to ClaimResponse.implicitRules ClaimResponse.implicitRules Element `ClaimResponse.implicitRules` is mapped to FHIR STU3 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. ClaimResponse.language language is equivalent to ClaimResponse.language ClaimResponse.language Element `ClaimResponse.language` is mapped to FHIR STU3 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). ClaimResponse.text text maps to wider concept ClaimResponse.text ClaimResponse.text Element `ClaimResponse.text` is mapped to FHIR STU3 element `ClaimResponse.text` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.text` do not cover the following types: Narrative. The mappings for `ClaimResponse.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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. ClaimResponse.contained contained is equivalent to ClaimResponse.contained ClaimResponse.contained Element `ClaimResponse.contained` is mapped to FHIR STU3 element `ClaimResponse.contained` as `SourceIsBroaderThanTarget`. 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. ClaimResponse.identifier identifier maps to wider concept ClaimResponse.identifier ClaimResponse.identifier Element `ClaimResponse.identifier` is mapped to FHIR STU3 element `ClaimResponse.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.identifier` do not cover the following types: Identifier. The mappings for `ClaimResponse.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. ClaimResponse.status status is equivalent to ClaimResponse.status ClaimResponse.status Element `ClaimResponse.status` is mapped to FHIR STU3 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. ClaimResponse.patient patient maps to wider concept ClaimResponse.patient ClaimResponse.patient Element `ClaimResponse.patient` is mapped to FHIR STU3 element `ClaimResponse.patient` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.patient` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.patient` with unmapped reference targets: Patient. ClaimResponse.created created is equivalent to ClaimResponse.created ClaimResponse.created Element `ClaimResponse.created` is mapped to FHIR STU3 element `ClaimResponse.created` as `Equivalent`. ClaimResponse.insurer insurer maps to wider concept ClaimResponse.insurer ClaimResponse.insurer Element `ClaimResponse.insurer` is mapped to FHIR STU3 element `ClaimResponse.insurer` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.insurer` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.insurer` with unmapped reference targets: Organization. ClaimResponse.requestor requestor is related to ClaimResponse.requestOrganization ClaimResponse.requestOrganization Element `ClaimResponse.requestor` is mapped to FHIR STU3 element `ClaimResponse.requestProvider` as `SourceIsBroaderThanTarget`. Element `ClaimResponse.requestor` is mapped to FHIR STU3 element `ClaimResponse.requestOrganization` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.requestor` with unmapped reference targets: Organization, Practitioner, PractitionerRole. 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. is related to ClaimResponse.requestProvider ClaimResponse.requestProvider Element `ClaimResponse.requestor` is mapped to FHIR STU3 element `ClaimResponse.requestProvider` as `SourceIsBroaderThanTarget`. Element `ClaimResponse.requestor` is mapped to FHIR STU3 element `ClaimResponse.requestOrganization` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.requestor` with unmapped reference targets: Organization, Practitioner, PractitionerRole. 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. ClaimResponse.request request maps to wider concept ClaimResponse.request ClaimResponse.request Element `ClaimResponse.request` is mapped to FHIR STU3 element `ClaimResponse.request` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.request` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.request` with unmapped reference targets: Claim. ClaimResponse.outcome outcome maps to wider concept ClaimResponse.outcome ClaimResponse.outcome Element `ClaimResponse.outcome` is mapped to FHIR STU3 element `ClaimResponse.outcome` as `RelatedTo`. 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). ClaimResponse.disposition disposition is equivalent to ClaimResponse.disposition ClaimResponse.disposition Element `ClaimResponse.disposition` is mapped to FHIR STU3 element `ClaimResponse.disposition` as `Equivalent`. ClaimResponse.preAuthRef preAuthRef narrower ClaimResponse.insurance.preAuthRef ClaimResponse.insurance.preAuthRef Element `ClaimResponse.preAuthRef` is mapped to FHIR STU3 element `ClaimResponse.insurance.preAuthRef` as `SourceIsNarrowerThanTarget`. This value is only present on preauthorization adjudications. ClaimResponse.payeeType payeeType is equivalent to ClaimResponse.payeeType ClaimResponse.payeeType Element `ClaimResponse.payeeType` is mapped to FHIR STU3 element `ClaimResponse.payeeType` as `Equivalent`. ClaimResponse.item item maps to wider concept ClaimResponse.item ClaimResponse.item Element `ClaimResponse.item` is mapped to FHIR STU3 element `ClaimResponse.item` as `Equivalent`. ClaimResponse.item.itemSequence itemSequence is equivalent to ClaimResponse.item.sequenceLinkId ClaimResponse.item.sequenceLinkId Element `ClaimResponse.item.itemSequence` is mapped to FHIR STU3 element `ClaimResponse.item.sequenceLinkId` as `Equivalent`. ClaimResponse.item.noteNumber noteNumber is equivalent to ClaimResponse.item.noteNumber ClaimResponse.item.noteNumber Element `ClaimResponse.item.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.item.noteNumber` as `Equivalent`. ClaimResponse.item.adjudication adjudication maps to wider concept ClaimResponse.item.adjudication ClaimResponse.item.adjudication Element `ClaimResponse.item.adjudication` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication` as `Equivalent`. ClaimResponse.item.adjudication.category category is equivalent to ClaimResponse.item.adjudication.category ClaimResponse.item.adjudication.category Element `ClaimResponse.item.adjudication.category` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.category` as `Equivalent`. For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc. ClaimResponse.item.adjudication.reason reason is equivalent to ClaimResponse.item.adjudication.reason ClaimResponse.item.adjudication.reason Element `ClaimResponse.item.adjudication.reason` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.reason` as `Equivalent`. For example may indicate that the funds for this benefit type have been exhausted. ClaimResponse.item.adjudication.amount amount is equivalent to ClaimResponse.item.adjudication.amount ClaimResponse.item.adjudication.amount Element `ClaimResponse.item.adjudication.amount` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.amount` as `Equivalent`. For example: amount submitted, eligible amount, co-payment, and benefit payable. ClaimResponse.item.adjudication.value value is equivalent to ClaimResponse.item.adjudication.value ClaimResponse.item.adjudication.value Element `ClaimResponse.item.adjudication.value` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.value` as `Equivalent`. For example: eligible percentage or co-payment percentage. ClaimResponse.item.detail detail maps to wider concept ClaimResponse.item.detail ClaimResponse.item.detail Element `ClaimResponse.item.detail` is mapped to FHIR STU3 element `ClaimResponse.item.detail` as `Equivalent`. ClaimResponse.item.detail.detailSequence detailSequence is equivalent to ClaimResponse.item.detail.sequenceLinkId ClaimResponse.item.detail.sequenceLinkId Element `ClaimResponse.item.detail.detailSequence` is mapped to FHIR STU3 element `ClaimResponse.item.detail.sequenceLinkId` as `Equivalent`. ClaimResponse.item.detail.noteNumber noteNumber is equivalent to ClaimResponse.item.detail.noteNumber ClaimResponse.item.detail.noteNumber Element `ClaimResponse.item.detail.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.item.detail.noteNumber` as `Equivalent`. ClaimResponse.item.detail.adjudication adjudication is equivalent to ClaimResponse.item.detail.adjudication ClaimResponse.item.detail.adjudication Element `ClaimResponse.item.detail.adjudication` is mapped to FHIR STU3 element `ClaimResponse.item.detail.adjudication` as `Equivalent`. ClaimResponse.item.detail.subDetail subDetail maps to wider concept ClaimResponse.item.detail.subDetail ClaimResponse.item.detail.subDetail Element `ClaimResponse.item.detail.subDetail` is mapped to FHIR STU3 element `ClaimResponse.item.detail.subDetail` as `Equivalent`. ClaimResponse.item.detail.subDetail.subDetailSequence subDetailSequence is equivalent to ClaimResponse.item.detail.subDetail.sequenceLinkId ClaimResponse.item.detail.subDetail.sequenceLinkId Element `ClaimResponse.item.detail.subDetail.subDetailSequence` is mapped to FHIR STU3 element `ClaimResponse.item.detail.subDetail.sequenceLinkId` as `Equivalent`. ClaimResponse.item.detail.subDetail.noteNumber noteNumber is equivalent to ClaimResponse.item.detail.subDetail.noteNumber ClaimResponse.item.detail.subDetail.noteNumber Element `ClaimResponse.item.detail.subDetail.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.item.detail.subDetail.noteNumber` as `Equivalent`. ClaimResponse.item.detail.subDetail.adjudication adjudication is equivalent to ClaimResponse.item.detail.subDetail.adjudication ClaimResponse.item.detail.subDetail.adjudication Element `ClaimResponse.item.detail.subDetail.adjudication` is mapped to FHIR STU3 element `ClaimResponse.item.detail.subDetail.adjudication` as `Equivalent`. ClaimResponse.addItem addItem maps to wider concept ClaimResponse.addItem ClaimResponse.addItem Element `ClaimResponse.addItem` is mapped to FHIR STU3 element `ClaimResponse.addItem` as `Equivalent`. ClaimResponse.addItem.itemSequence itemSequence is equivalent to ClaimResponse.addItem.sequenceLinkId ClaimResponse.addItem.sequenceLinkId Element `ClaimResponse.addItem.itemSequence` is mapped to FHIR STU3 element `ClaimResponse.addItem.sequenceLinkId` as `Equivalent`. ClaimResponse.addItem.productOrService productOrService is equivalent to ClaimResponse.addItem.service ClaimResponse.addItem.service Element `ClaimResponse.addItem.productOrService` is mapped to FHIR STU3 element `ClaimResponse.addItem.service` 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'. ClaimResponse.addItem.modifier modifier is equivalent to ClaimResponse.addItem.modifier ClaimResponse.addItem.modifier Element `ClaimResponse.addItem.modifier` is mapped to FHIR STU3 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. ClaimResponse.addItem.net net is equivalent to ClaimResponse.addItem.fee ClaimResponse.addItem.fee Element `ClaimResponse.addItem.net` is mapped to FHIR STU3 element `ClaimResponse.addItem.fee` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. ClaimResponse.addItem.noteNumber noteNumber is equivalent to ClaimResponse.addItem.noteNumber ClaimResponse.addItem.noteNumber Element `ClaimResponse.addItem.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.addItem.noteNumber` as `Equivalent`. ClaimResponse.addItem.adjudication adjudication is equivalent to ClaimResponse.addItem.adjudication ClaimResponse.addItem.adjudication Element `ClaimResponse.addItem.adjudication` is mapped to FHIR STU3 element `ClaimResponse.addItem.adjudication` as `Equivalent`. ClaimResponse.addItem.detail detail maps to wider concept ClaimResponse.addItem.detail ClaimResponse.addItem.detail Element `ClaimResponse.addItem.detail` is mapped to FHIR STU3 element `ClaimResponse.addItem.detail` as `Equivalent`. ClaimResponse.addItem.detail.productOrService productOrService is equivalent to ClaimResponse.addItem.detail.service ClaimResponse.addItem.detail.service Element `ClaimResponse.addItem.detail.productOrService` is mapped to FHIR STU3 element `ClaimResponse.addItem.detail.service` 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'. ClaimResponse.addItem.detail.modifier modifier is equivalent to ClaimResponse.addItem.detail.modifier ClaimResponse.addItem.detail.modifier Element `ClaimResponse.addItem.detail.modifier` is mapped to FHIR STU3 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. ClaimResponse.addItem.detail.noteNumber noteNumber is equivalent to ClaimResponse.addItem.detail.noteNumber ClaimResponse.addItem.detail.noteNumber Element `ClaimResponse.addItem.detail.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.addItem.detail.noteNumber` as `Equivalent`. ClaimResponse.addItem.detail.adjudication adjudication is equivalent to ClaimResponse.addItem.detail.adjudication ClaimResponse.addItem.detail.adjudication Element `ClaimResponse.addItem.detail.adjudication` is mapped to FHIR STU3 element `ClaimResponse.addItem.detail.adjudication` as `Equivalent`. ClaimResponse.total.amount amount is related to ClaimResponse.totalBenefit ClaimResponse.totalBenefit Element `ClaimResponse.total.amount` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension. Element `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalCost` as `SourceIsBroaderThanTarget`. Element `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalBenefit` as `SourceIsBroaderThanTarget`. is related to ClaimResponse.totalCost ClaimResponse.totalCost Element `ClaimResponse.total.amount` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension. Element `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalCost` as `SourceIsBroaderThanTarget`. Element `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalBenefit` as `SourceIsBroaderThanTarget`. ClaimResponse.payment payment maps to wider concept ClaimResponse.payment ClaimResponse.payment Element `ClaimResponse.payment` is mapped to FHIR STU3 element `ClaimResponse.payment` as `Equivalent`. ClaimResponse.payment.type type is equivalent to ClaimResponse.payment.type ClaimResponse.payment.type Element `ClaimResponse.payment.type` is mapped to FHIR STU3 element `ClaimResponse.payment.type` as `Equivalent`. ClaimResponse.payment.adjustment adjustment is equivalent to ClaimResponse.payment.adjustment ClaimResponse.payment.adjustment Element `ClaimResponse.payment.adjustment` is mapped to FHIR STU3 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. ClaimResponse.payment.adjustmentReason adjustmentReason is equivalent to ClaimResponse.payment.adjustmentReason ClaimResponse.payment.adjustmentReason Element `ClaimResponse.payment.adjustmentReason` is mapped to FHIR STU3 element `ClaimResponse.payment.adjustmentReason` as `Equivalent`. ClaimResponse.payment.date date is equivalent to ClaimResponse.payment.date ClaimResponse.payment.date Element `ClaimResponse.payment.date` is mapped to FHIR STU3 element `ClaimResponse.payment.date` as `Equivalent`. ClaimResponse.payment.amount amount is equivalent to ClaimResponse.payment.amount ClaimResponse.payment.amount Element `ClaimResponse.payment.amount` is mapped to FHIR STU3 element `ClaimResponse.payment.amount` as `Equivalent`. ClaimResponse.payment.identifier identifier maps to wider concept ClaimResponse.payment.identifier ClaimResponse.payment.identifier Element `ClaimResponse.payment.identifier` is mapped to FHIR STU3 element `ClaimResponse.payment.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.payment.identifier` do not cover the following types: Identifier. The mappings for `ClaimResponse.payment.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. For example: EFT number or check number. ClaimResponse.fundsReserve fundsReserve maps to wider concept ClaimResponse.reserved ClaimResponse.reserved Element `ClaimResponse.fundsReserve` is mapped to FHIR STU3 element `ClaimResponse.reserved` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.fundsReserve` do not cover the following types: CodeableConcept. The mappings for `ClaimResponse.fundsReserve` do not cover the following types based on type expansion: text. Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none. ClaimResponse.formCode formCode is equivalent to ClaimResponse.form ClaimResponse.form Element `ClaimResponse.formCode` is mapped to FHIR STU3 element `ClaimResponse.form` as `Equivalent`. May be needed to identify specific jurisdictional forms. ClaimResponse.form form maps to wider concept ClaimResponse.form ClaimResponse.form Element `ClaimResponse.form` is mapped to FHIR STU3 element `ClaimResponse.form` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.form` do not cover the following types: Attachment. The mappings for `ClaimResponse.form` do not cover the following types based on type expansion: creation, data, hash, size, title, url. Needed to permit insurers to include the actual form. ClaimResponse.processNote processNote maps to wider concept ClaimResponse.processNote ClaimResponse.processNote Element `ClaimResponse.processNote` is mapped to FHIR STU3 element `ClaimResponse.processNote` as `Equivalent`. ClaimResponse.processNote.number number is equivalent to ClaimResponse.processNote.number ClaimResponse.processNote.number Element `ClaimResponse.processNote.number` is mapped to FHIR STU3 element `ClaimResponse.processNote.number` as `Equivalent`. ClaimResponse.processNote.type type is equivalent to ClaimResponse.processNote.type ClaimResponse.processNote.type Element `ClaimResponse.processNote.type` is mapped to FHIR STU3 element `ClaimResponse.processNote.type` as `SourceIsNarrowerThanTarget`. ClaimResponse.processNote.text text is equivalent to ClaimResponse.processNote.text ClaimResponse.processNote.text Element `ClaimResponse.processNote.text` is mapped to FHIR STU3 element `ClaimResponse.processNote.text` as `Equivalent`. ClaimResponse.processNote.language language is equivalent to ClaimResponse.processNote.language ClaimResponse.processNote.language Element `ClaimResponse.processNote.language` is mapped to FHIR STU3 element `ClaimResponse.processNote.language` as `Equivalent`. Only required if the language is different from the resource language. ClaimResponse.communicationRequest communicationRequest maps to wider concept ClaimResponse.communicationRequest ClaimResponse.communicationRequest Element `ClaimResponse.communicationRequest` is mapped to FHIR STU3 element `ClaimResponse.communicationRequest` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.communicationRequest` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.communicationRequest` with unmapped reference targets: CommunicationRequest. For example: professional reports, documents, images, clinical resources, or accident reports. ClaimResponse.insurance insurance maps to wider concept ClaimResponse.insurance ClaimResponse.insurance Element `ClaimResponse.insurance` is mapped to FHIR STU3 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. ClaimResponse.insurance.sequence sequence is equivalent to ClaimResponse.insurance.sequence ClaimResponse.insurance.sequence Element `ClaimResponse.insurance.sequence` is mapped to FHIR STU3 element `ClaimResponse.insurance.sequence` as `Equivalent`. ClaimResponse.insurance.focal focal is equivalent to ClaimResponse.insurance.focal ClaimResponse.insurance.focal Element `ClaimResponse.insurance.focal` is mapped to FHIR STU3 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. ClaimResponse.insurance.coverage coverage maps to wider concept ClaimResponse.insurance.coverage ClaimResponse.insurance.coverage Element `ClaimResponse.insurance.coverage` is mapped to FHIR STU3 element `ClaimResponse.insurance.coverage` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.insurance.coverage` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.insurance.coverage` with unmapped reference targets: Coverage. ClaimResponse.insurance.businessArrangement businessArrangement is equivalent to ClaimResponse.insurance.businessArrangement ClaimResponse.insurance.businessArrangement Element `ClaimResponse.insurance.businessArrangement` is mapped to FHIR STU3 element `ClaimResponse.insurance.businessArrangement` as `Equivalent`. ClaimResponse.insurance.claimResponse claimResponse maps to wider concept ClaimResponse.insurance.claimResponse ClaimResponse.insurance.claimResponse Element `ClaimResponse.insurance.claimResponse` is mapped to FHIR STU3 element `ClaimResponse.insurance.claimResponse` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.insurance.claimResponse` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.insurance.claimResponse` with unmapped reference targets: ClaimResponse. Must not be specified when 'focal=true' for this insurance. ClaimResponse.error error maps to wider concept ClaimResponse.error ClaimResponse.error Element `ClaimResponse.error` is mapped to FHIR STU3 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. ClaimResponse.error.itemSequence itemSequence is equivalent to ClaimResponse.error.sequenceLinkId ClaimResponse.error.sequenceLinkId Element `ClaimResponse.error.itemSequence` is mapped to FHIR STU3 element `ClaimResponse.error.sequenceLinkId` as `Equivalent`. ClaimResponse.error.detailSequence detailSequence is equivalent to ClaimResponse.error.detailSequenceLinkId ClaimResponse.error.detailSequenceLinkId Element `ClaimResponse.error.detailSequence` is mapped to FHIR STU3 element `ClaimResponse.error.detailSequenceLinkId` as `Equivalent`. ClaimResponse.error.subDetailSequence subDetailSequence is equivalent to ClaimResponse.error.subdetailSequenceLinkId ClaimResponse.error.subdetailSequenceLinkId Element `ClaimResponse.error.subDetailSequence` is mapped to FHIR STU3 element `ClaimResponse.error.subdetailSequenceLinkId` as `Equivalent`. ClaimResponse.error.code code is equivalent to ClaimResponse.error.code ClaimResponse.error.code Element `ClaimResponse.error.code` is mapped to FHIR STU3 element `ClaimResponse.error.code` as `Equivalent`. Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: meta additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.meta (meta) is equivalent to Extension (R4B: meta additional types) Element `ClaimResponse.meta` is mapped to FHIR STU3 element `ClaimResponse.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.meta` do not cover the following types: Meta. The mappings for `ClaimResponse.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId. Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: text additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.text (text) is equivalent to Extension (R4B: text additional types) Element `ClaimResponse.text` is mapped to FHIR STU3 element `ClaimResponse.text` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.text` do not cover the following types: Narrative. The mappings for `ClaimResponse.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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. Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Business Identifier for a claim response additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.identifier (identifier) is equivalent to Extension (R4B: Business Identifier for a claim response additional types) Element `ClaimResponse.identifier` is mapped to FHIR STU3 element `ClaimResponse.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.identifier` do not cover the following types: Identifier. The mappings for `ClaimResponse.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: More granular claim type (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.type (type) is equivalent to Extension (R4B: More granular claim type (new)) Element `ClaimResponse.type` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type. Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: More granular claim type (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.subType (subType) is equivalent to Extension (R4B: More granular claim type (new)) Element `ClaimResponse.subType` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.subType` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type. Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: claim | preauthorization | predetermination (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.use (use) is equivalent to Extension (R4B: claim | preauthorization | predetermination (new)) Element `ClaimResponse.use` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.use` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: queued | complete | error | partialversion: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.outcome (outcome) is equivalent to Extension (R4B: queued | complete | error | partial) Element `ClaimResponse.outcome` is mapped to FHIR STU3 element `ClaimResponse.outcome` as `RelatedTo`. 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). Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Preauthorization reference effective period (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.preAuthPeriod (preAuthPeriod) is equivalent to Extension (R4B: Preauthorization reference effective period (new)) Element `ClaimResponse.preAuthPeriod` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.preAuthPeriod` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: adjudicationversion: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.item.adjudication (adjudication) is equivalent to Extension (R4B: adjudication) Element `ClaimResponse.item.adjudication` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication` as `Equivalent`. ClaimResponse.item.adjudication.category (category) is equivalent to Extension.extension:category (R4B: Type of adjudication information) Element `ClaimResponse.item.adjudication.category` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.category` as `Equivalent`. For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc. ClaimResponse.item.adjudication.reason (reason) is equivalent to Extension.extension:reason (R4B: Explanation of adjudication outcome) Element `ClaimResponse.item.adjudication.reason` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.reason` as `Equivalent`. For example may indicate that the funds for this benefit type have been exhausted. ClaimResponse.item.adjudication.amount (amount) is equivalent to Extension.extension:amount (R4B: amount) Element `ClaimResponse.item.adjudication.amount` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.amount` as `Equivalent`. For example: amount submitted, eligible amount, co-payment, and benefit payable. ClaimResponse.item.adjudication.value (value) is equivalent to Extension.extension:value (R4B: value) Element `ClaimResponse.item.adjudication.value` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.value` as `Equivalent`. For example: eligible percentage or co-payment percentage. ClaimResponse.addItem.detail.subDetail.adjudication (adjudication) is equivalent to Extension.extension:adjudication Element `ClaimResponse.addItem.detail.subDetail.adjudication` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.adjudication` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.adjudication` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Detail sequence number (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.detailSequence (detailSequence) is equivalent to Extension (R4B: Detail sequence number (new)) Element `ClaimResponse.addItem.detailSequence` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detailSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Subdetail sequence number (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.subdetailSequence (subdetailSequence) is equivalent to Extension (R4B: Subdetail sequence number (new)) Element `ClaimResponse.addItem.subdetailSequence` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.subdetailSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Authorized providers (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.provider (provider) is equivalent to Extension (R4B: Authorized providers (new)) Element `ClaimResponse.addItem.provider` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Program the product or service is provided under (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.programCode (programCode) is equivalent to Extension (R4B: Program the product or service is provided under (new)) Element `ClaimResponse.addItem.programCode` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.programCode` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example: Neonatal program, child dental program or drug users recovery program. Group 15 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Date or dates of service or product delivery (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.serviced[x] (serviced[x]) is equivalent to Extension (R4B: Date or dates of service or product delivery (new)) Element `ClaimResponse.addItem.serviced[x]` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.serviced[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 16 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Place of service or where product was supplied (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.location[x] (location[x]) is equivalent to Extension (R4B: Place of service or where product was supplied (new)) Element `ClaimResponse.addItem.location[x]` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.location[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 17 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Count of products or services (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.quantity (quantity) is equivalent to Extension (R4B: Count of products or services (new)) Element `ClaimResponse.addItem.quantity` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 18 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Fee, charge or cost per item (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.unitPrice (unitPrice) is equivalent to Extension (R4B: Fee, charge or cost per item (new)) Element `ClaimResponse.addItem.unitPrice` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 19 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Price scaling factor (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.factor (factor) is equivalent to Extension (R4B: Price scaling factor (new)) Element `ClaimResponse.addItem.factor` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). Group 20 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Anatomical location (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.bodySite (bodySite) is equivalent to Extension (R4B: Anatomical location (new)) Element `ClaimResponse.addItem.bodySite` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.bodySite` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example: Providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed. Group 21 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Anatomical sub-location (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.subSite (subSite) is equivalent to Extension (R4B: Anatomical sub-location (new)) Element `ClaimResponse.addItem.subSite` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.subSite` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 22 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Count of products or services (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.detail.quantity (quantity) is equivalent to Extension (R4B: Count of products or services (new)) Element `ClaimResponse.addItem.detail.quantity` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 23 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Fee, charge or cost per item (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.detail.unitPrice (unitPrice) is equivalent to Extension (R4B: Fee, charge or cost per item (new)) Element `ClaimResponse.addItem.detail.unitPrice` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 24 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Price scaling factor (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.detail.factor (factor) is equivalent to Extension (R4B: Price scaling factor (new)) Element `ClaimResponse.addItem.detail.factor` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). Group 25 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Total item cost (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.detail.net (net) is equivalent to Extension (R4B: Total item cost (new)) Element `ClaimResponse.addItem.detail.net` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.net` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. Group 26 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Insurer added line items (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.addItem.detail.subDetail (subDetail) is equivalent to Extension (R4B: Insurer added line items (new)) Element `ClaimResponse.addItem.detail.subDetail` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). ClaimResponse.addItem.detail.subDetail.productOrService (productOrService) is equivalent to Extension.extension:productOrService (R4B: Billing, service, product, or drug code (new)) Element `ClaimResponse.addItem.detail.subDetail.productOrService` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.productOrService` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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'. ClaimResponse.addItem.detail.subDetail.modifier (modifier) is equivalent to Extension.extension:modifier (R4B: Service/Product billing modifiers (new)) Element `ClaimResponse.addItem.detail.subDetail.modifier` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.modifier` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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. ClaimResponse.addItem.detail.subDetail.quantity (quantity) is equivalent to Extension.extension:quantity (R4B: Count of products or services (new)) Element `ClaimResponse.addItem.detail.subDetail.quantity` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.quantity` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). ClaimResponse.addItem.detail.subDetail.unitPrice (unitPrice) is equivalent to Extension.extension:unitPrice (R4B: Fee, charge or cost per item (new)) Element `ClaimResponse.addItem.detail.subDetail.unitPrice` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.unitPrice` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). ClaimResponse.addItem.detail.subDetail.factor (factor) is equivalent to Extension.extension:factor (R4B: Price scaling factor (new)) Element `ClaimResponse.addItem.detail.subDetail.factor` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.factor` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). ClaimResponse.addItem.detail.subDetail.net (net) is equivalent to Extension.extension:net (R4B: Total item cost (new)) Element `ClaimResponse.addItem.detail.subDetail.net` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.net` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.net` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. ClaimResponse.addItem.detail.subDetail.noteNumber (noteNumber) is equivalent to Extension.extension:noteNumber (R4B: Applicable note numbers (new)) Element `ClaimResponse.addItem.detail.subDetail.noteNumber` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.noteNumber` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.noteNumber` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). ClaimResponse.addItem.detail.subDetail.adjudication (adjudication) is equivalent to Extension.extension:adjudication (R4B: Added items detail adjudication (new)) Element `ClaimResponse.addItem.detail.subDetail.adjudication` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.adjudication` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.adjudication` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Group 27 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Adjudication totals (new)version: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.total (total) is equivalent to Extension (R4B: Adjudication totals (new)) Element `ClaimResponse.total` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.total` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Totals for amounts submitted, co-pays, benefits payable etc. ClaimResponse.total.category (category) is equivalent to Extension.extension:category (R4B: Type of adjudication information (new)) Element `ClaimResponse.total.category` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension. Element `ClaimResponse.total.category` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.total.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc. ClaimResponse.total.amount (amount) maps to wider concept Extension.extension:amount (R4B: Financial total for the category) Element `ClaimResponse.total.amount` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension. Element `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalCost` as `SourceIsBroaderThanTarget`. Element `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalBenefit` as `SourceIsBroaderThanTarget`. Group 28 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Business identifier for the payment additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.payment.identifier (identifier) is equivalent to Extension (R4B: Business identifier for the payment additional types) Element `ClaimResponse.payment.identifier` is mapped to FHIR STU3 element `ClaimResponse.payment.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.payment.identifier` do not cover the following types: Identifier. The mappings for `ClaimResponse.payment.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. For example: EFT number or check number. Group 29 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: fundsReserve additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.fundsReserve (fundsReserve) maps to wider concept Extension (R4B: fundsReserve additional types) Element `ClaimResponse.fundsReserve` is mapped to FHIR STU3 element `ClaimResponse.reserved` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.fundsReserve` do not cover the following types: CodeableConcept. The mappings for `ClaimResponse.fundsReserve` do not cover the following types based on type expansion: text. Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none. Group 30 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.3.0 to R4B: Printed reference or actual form additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ClaimResponse.form (form) is equivalent to Extension (R4B: Printed reference or actual form additional types) Element `ClaimResponse.form` is mapped to FHIR STU3 element `ClaimResponse.form` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.form` do not cover the following types: Attachment. The mappings for `ClaimResponse.form` do not cover the following types based on type expansion: creation, data, hash, size, title, url. Needed to permit insurers to include the actual form.
Cross-version mapping for FHIR R4B ClaimResponse to FHIR STU3 ClaimResponse
This ConceptMap represents cross-version mappings for elements from a FHIR R4B ClaimResponse to FHIR STU3.
Element `ClaimResponse.meta` is mapped to FHIR STU3 element `ClaimResponse.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.meta` do not cover the following types: Meta. The mappings for `ClaimResponse.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.
Element `ClaimResponse.implicitRules` is mapped to FHIR STU3 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.
Element `ClaimResponse.language` is mapped to FHIR STU3 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).
Element `ClaimResponse.text` is mapped to FHIR STU3 element `ClaimResponse.text` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.text` do not cover the following types: Narrative. The mappings for `ClaimResponse.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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.
Element `ClaimResponse.contained` is mapped to FHIR STU3 element `ClaimResponse.contained` as `SourceIsBroaderThanTarget`. 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.
Element `ClaimResponse.identifier` is mapped to FHIR STU3 element `ClaimResponse.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.identifier` do not cover the following types: Identifier. The mappings for `ClaimResponse.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
Element `ClaimResponse.status` is mapped to FHIR STU3 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.
Element `ClaimResponse.patient` is mapped to FHIR STU3 element `ClaimResponse.patient` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.patient` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.patient` with unmapped reference targets: Patient.
Element `ClaimResponse.created` is mapped to FHIR STU3 element `ClaimResponse.created` as `Equivalent`.
Element `ClaimResponse.insurer` is mapped to FHIR STU3 element `ClaimResponse.insurer` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.insurer` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.insurer` with unmapped reference targets: Organization.
Element `ClaimResponse.requestor` is mapped to FHIR STU3 element `ClaimResponse.requestProvider` as `SourceIsBroaderThanTarget`. Element `ClaimResponse.requestor` is mapped to FHIR STU3 element `ClaimResponse.requestOrganization` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.requestor` with unmapped reference targets: Organization, Practitioner, PractitionerRole. 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.
Element `ClaimResponse.request` is mapped to FHIR STU3 element `ClaimResponse.request` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.request` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.request` with unmapped reference targets: Claim.
Element `ClaimResponse.outcome` is mapped to FHIR STU3 element `ClaimResponse.outcome` as `RelatedTo`. 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).
Element `ClaimResponse.disposition` is mapped to FHIR STU3 element `ClaimResponse.disposition` as `Equivalent`.
Element `ClaimResponse.preAuthRef` is mapped to FHIR STU3 element `ClaimResponse.insurance.preAuthRef` as `SourceIsNarrowerThanTarget`. This value is only present on preauthorization adjudications.
Element `ClaimResponse.payeeType` is mapped to FHIR STU3 element `ClaimResponse.payeeType` as `Equivalent`.
Element `ClaimResponse.item` is mapped to FHIR STU3 element `ClaimResponse.item` as `Equivalent`.
Element `ClaimResponse.item.itemSequence` is mapped to FHIR STU3 element `ClaimResponse.item.sequenceLinkId` as `Equivalent`.
Element `ClaimResponse.item.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.item.noteNumber` as `Equivalent`.
Element `ClaimResponse.item.adjudication` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication` as `Equivalent`.
Element `ClaimResponse.item.adjudication.category` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.category` as `Equivalent`. For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.
Element `ClaimResponse.item.adjudication.reason` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.reason` as `Equivalent`. For example may indicate that the funds for this benefit type have been exhausted.
Element `ClaimResponse.item.adjudication.amount` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.amount` as `Equivalent`. For example: amount submitted, eligible amount, co-payment, and benefit payable.
Element `ClaimResponse.item.adjudication.value` is mapped to FHIR STU3 element `ClaimResponse.item.adjudication.value` as `Equivalent`. For example: eligible percentage or co-payment percentage.
Element `ClaimResponse.item.detail` is mapped to FHIR STU3 element `ClaimResponse.item.detail` as `Equivalent`.
Element `ClaimResponse.item.detail.detailSequence` is mapped to FHIR STU3 element `ClaimResponse.item.detail.sequenceLinkId` as `Equivalent`.
Element `ClaimResponse.item.detail.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.item.detail.noteNumber` as `Equivalent`.
Element `ClaimResponse.item.detail.adjudication` is mapped to FHIR STU3 element `ClaimResponse.item.detail.adjudication` as `Equivalent`.
Element `ClaimResponse.item.detail.subDetail` is mapped to FHIR STU3 element `ClaimResponse.item.detail.subDetail` as `Equivalent`.
Element `ClaimResponse.item.detail.subDetail.subDetailSequence` is mapped to FHIR STU3 element `ClaimResponse.item.detail.subDetail.sequenceLinkId` as `Equivalent`.
Element `ClaimResponse.item.detail.subDetail.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.item.detail.subDetail.noteNumber` as `Equivalent`.
Element `ClaimResponse.item.detail.subDetail.adjudication` is mapped to FHIR STU3 element `ClaimResponse.item.detail.subDetail.adjudication` as `Equivalent`.
Element `ClaimResponse.addItem` is mapped to FHIR STU3 element `ClaimResponse.addItem` as `Equivalent`.
Element `ClaimResponse.addItem.itemSequence` is mapped to FHIR STU3 element `ClaimResponse.addItem.sequenceLinkId` as `Equivalent`.
Element `ClaimResponse.addItem.productOrService` is mapped to FHIR STU3 element `ClaimResponse.addItem.service` 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'.
Element `ClaimResponse.addItem.modifier` is mapped to FHIR STU3 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.
Element `ClaimResponse.addItem.net` is mapped to FHIR STU3 element `ClaimResponse.addItem.fee` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.
Element `ClaimResponse.addItem.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.addItem.noteNumber` as `Equivalent`.
Element `ClaimResponse.addItem.adjudication` is mapped to FHIR STU3 element `ClaimResponse.addItem.adjudication` as `Equivalent`.
Element `ClaimResponse.addItem.detail` is mapped to FHIR STU3 element `ClaimResponse.addItem.detail` as `Equivalent`.
Element `ClaimResponse.addItem.detail.productOrService` is mapped to FHIR STU3 element `ClaimResponse.addItem.detail.service` 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'.
Element `ClaimResponse.addItem.detail.modifier` is mapped to FHIR STU3 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.
Element `ClaimResponse.addItem.detail.noteNumber` is mapped to FHIR STU3 element `ClaimResponse.addItem.detail.noteNumber` as `Equivalent`.
Element `ClaimResponse.addItem.detail.adjudication` is mapped to FHIR STU3 element `ClaimResponse.addItem.detail.adjudication` as `Equivalent`.
Element `ClaimResponse.total.amount` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension. Element `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalCost` as `SourceIsBroaderThanTarget`. Element `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalBenefit` as `SourceIsBroaderThanTarget`.
Element `ClaimResponse.payment` is mapped to FHIR STU3 element `ClaimResponse.payment` as `Equivalent`.
Element `ClaimResponse.payment.type` is mapped to FHIR STU3 element `ClaimResponse.payment.type` as `Equivalent`.
Element `ClaimResponse.payment.adjustment` is mapped to FHIR STU3 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.
Element `ClaimResponse.payment.adjustmentReason` is mapped to FHIR STU3 element `ClaimResponse.payment.adjustmentReason` as `Equivalent`.
Element `ClaimResponse.payment.date` is mapped to FHIR STU3 element `ClaimResponse.payment.date` as `Equivalent`.
Element `ClaimResponse.payment.amount` is mapped to FHIR STU3 element `ClaimResponse.payment.amount` as `Equivalent`.
Element `ClaimResponse.payment.identifier` is mapped to FHIR STU3 element `ClaimResponse.payment.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.payment.identifier` do not cover the following types: Identifier. The mappings for `ClaimResponse.payment.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. For example: EFT number or check number.
Element `ClaimResponse.fundsReserve` is mapped to FHIR STU3 element `ClaimResponse.reserved` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.fundsReserve` do not cover the following types: CodeableConcept. The mappings for `ClaimResponse.fundsReserve` do not cover the following types based on type expansion: text. Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.
Element `ClaimResponse.formCode` is mapped to FHIR STU3 element `ClaimResponse.form` as `Equivalent`. May be needed to identify specific jurisdictional forms.
Element `ClaimResponse.form` is mapped to FHIR STU3 element `ClaimResponse.form` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.form` do not cover the following types: Attachment. The mappings for `ClaimResponse.form` do not cover the following types based on type expansion: creation, data, hash, size, title, url. Needed to permit insurers to include the actual form.
Element `ClaimResponse.processNote` is mapped to FHIR STU3 element `ClaimResponse.processNote` as `Equivalent`.
Element `ClaimResponse.processNote.number` is mapped to FHIR STU3 element `ClaimResponse.processNote.number` as `Equivalent`.
Element `ClaimResponse.processNote.type` is mapped to FHIR STU3 element `ClaimResponse.processNote.type` as `SourceIsNarrowerThanTarget`.
Element `ClaimResponse.processNote.text` is mapped to FHIR STU3 element `ClaimResponse.processNote.text` as `Equivalent`.
Element `ClaimResponse.processNote.language` is mapped to FHIR STU3 element `ClaimResponse.processNote.language` as `Equivalent`. Only required if the language is different from the resource language.
Element `ClaimResponse.communicationRequest` is mapped to FHIR STU3 element `ClaimResponse.communicationRequest` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.communicationRequest` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.communicationRequest` with unmapped reference targets: CommunicationRequest. For example: professional reports, documents, images, clinical resources, or accident reports.
Element `ClaimResponse.insurance` is mapped to FHIR STU3 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.
Element `ClaimResponse.insurance.sequence` is mapped to FHIR STU3 element `ClaimResponse.insurance.sequence` as `Equivalent`.
Element `ClaimResponse.insurance.focal` is mapped to FHIR STU3 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.
Element `ClaimResponse.insurance.coverage` is mapped to FHIR STU3 element `ClaimResponse.insurance.coverage` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.insurance.coverage` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.insurance.coverage` with unmapped reference targets: Coverage.
Element `ClaimResponse.insurance.businessArrangement` is mapped to FHIR STU3 element `ClaimResponse.insurance.businessArrangement` as `Equivalent`.
Element `ClaimResponse.insurance.claimResponse` is mapped to FHIR STU3 element `ClaimResponse.insurance.claimResponse` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.insurance.claimResponse` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ClaimResponse.insurance.claimResponse` with unmapped reference targets: ClaimResponse. Must not be specified when 'focal=true' for this insurance.
Element `ClaimResponse.error` is mapped to FHIR STU3 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.
Element `ClaimResponse.error.itemSequence` is mapped to FHIR STU3 element `ClaimResponse.error.sequenceLinkId` as `Equivalent`.
Element `ClaimResponse.error.detailSequence` is mapped to FHIR STU3 element `ClaimResponse.error.detailSequenceLinkId` as `Equivalent`.
Element `ClaimResponse.error.subDetailSequence` is mapped to FHIR STU3 element `ClaimResponse.error.subdetailSequenceLinkId` as `Equivalent`.
Element `ClaimResponse.error.code` is mapped to FHIR STU3 element `ClaimResponse.error.code` as `Equivalent`.
Element `ClaimResponse.type` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.
Element `ClaimResponse.subType` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.subType` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.
Element `ClaimResponse.use` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.use` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.preAuthPeriod` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.preAuthPeriod` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.detail.subDetail.adjudication` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.adjudication` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.adjudication` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.detailSequence` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detailSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.subdetailSequence` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.subdetailSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.provider` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.programCode` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.programCode` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example: Neonatal program, child dental program or drug users recovery program.
Element `ClaimResponse.addItem.serviced[x]` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.serviced[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.location[x]` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.location[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.quantity` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.unitPrice` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.factor` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).
Element `ClaimResponse.addItem.bodySite` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.bodySite` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example: Providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed.
Element `ClaimResponse.addItem.subSite` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.subSite` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.detail.quantity` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.detail.unitPrice` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.detail.factor` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).
Element `ClaimResponse.addItem.detail.net` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.net` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.
Element `ClaimResponse.addItem.detail.subDetail` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.detail.subDetail.productOrService` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.productOrService` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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'.
Element `ClaimResponse.addItem.detail.subDetail.modifier` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.modifier` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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.
Element `ClaimResponse.addItem.detail.subDetail.quantity` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.quantity` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.detail.subDetail.unitPrice` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.unitPrice` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.addItem.detail.subDetail.factor` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.factor` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.factor` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).
Element `ClaimResponse.addItem.detail.subDetail.net` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.net` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.net` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.
Element `ClaimResponse.addItem.detail.subDetail.noteNumber` is part of an existing definition because parent element `ClaimResponse.addItem.detail.subDetail` requires a cross-version extension. Element `ClaimResponse.addItem.detail.subDetail.noteNumber` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.noteNumber` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `ClaimResponse.total` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.total` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Totals for amounts submitted, co-pays, benefits payable etc.
Element `ClaimResponse.total.category` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension. Element `ClaimResponse.total.category` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.total.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.