Generated Narrative: StructureDefinition profile-Claim Name Flags Card. Type Description & Constraints Claim 0..* Claim Claim, Pre-determination or Pre-authorization #xD; meta #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:meta 0..1 Meta R4B: meta additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.meta #xD; text #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:text 0..1 (Complex) R4B: text additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.text #xD; identifier #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:identifier 0..* Identifier R4B: Business Identifier for claim additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.identifier #xD; patient #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:patient 1..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: The recipient of the products and services additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; billablePeriod #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:billablePeriod 0..1 Period R4B: Relevant time frame for the claim additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.billablePeriod #xD; enterer #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:enterer 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Author of the claim additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; insurer #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:insurer 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: insurer additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; provider #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:provider 1..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Party responsible for the claim URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; related #xD; claim #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:claim 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: claim additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; reference #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:reference 0..1 Identifier R4B: File or case reference additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.related.reference #xD; prescription #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:prescription 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Prescription authorizing services and products URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; originalPrescription #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:originalPrescription 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Original prescription if superseded by fulfiller URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; payee #xD; party #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:party 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Recipient reference URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; referral #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:referral 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Treatment referral additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; facility #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:facility 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Servicing facility additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; careTeam #xD; provider #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:provider 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Practitioner or organization URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; information #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:timing 0..1 Period R4B: timing additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.supportingInfo.timing #xD; extension:value 0..1 boolean, Attachment R4B: Data to be provided additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.supportingInfo.value #xD; valueReference #xD; Slices for extension Content/Rules for all slices #xD; extension:alternateReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Data to be provided additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; diagnosis #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:onAdmission 0..1 CodeableConcept R4B: Present on admission (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.diagnosis.onAdmission Binding: R4BExDiagnosisOnAdmissionForR3 (0.1.0) (example): Present on admission. #xD; diagnosisReference #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:alternateReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Nature of illness or problem additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; procedure #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:type 0..* CodeableConcept R4B: Category of Procedure (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.procedure.type Binding: R4BExProcedureTypeForR3 (0.1.0) (example): Example procedure type codes. #xD; extension:udi 0..* Reference(Cross-version Profile for R4B.Device for use in FHIR STU3(0.1.0) | Device) R4B: Unique device identifier (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.procedure.udi #xD; procedureReference #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:alternateReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Specific clinical procedure additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; insurance #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:identifier 0..1 Identifier R4B: Pre-assigned Claim number (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.insurance.identifier #xD; coverage #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:coverage 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: coverage additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; claimResponse #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:claimResponse 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: claimResponse additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; accident #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:location 0..1 Address R4B: Where the event occurred additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.accident.location #xD; locationReference #xD; Slices for extension Content/Rules for all slices #xD; extension:alternateReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Where the event occurred additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; item #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:serviced 0..1 Period R4B: Date or dates of service or product delivery additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.item.serviced #xD; extension:location 0..1 Address R4B: Place of service or where product was supplied additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.item.location #xD; locationReference #xD; Slices for extension Content/Rules for all slices #xD; extension:alternateReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Place of service or where product was supplied additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; udi #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:udi 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Unique device identifier additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; encounter #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:encounter 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: encounter additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; detail #xD; udi #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:udi 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Unique device identifier additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; subDetail #xD; udi #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:udi 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Unique device identifier additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; Documentation for this format
Cross-version Profile for R4B.Claim for use in FHIR STU3
This cross-version profile allows R4B Claim content to be represented via FHIR STU3 Claim resources.
Claim, Pre-determination or Pre-authorization
A provider issued list of services and products provided, or to be provided, to a patient which is provided to an insurer for payment recovery.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
If the resource is contained in another resource, it SHALL NOT contain any narrative
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
contained.where(('#'+id in %resource.descendants().reference).not()).empty()
not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
R4B: `Claim.meta` additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)
Element `Claim.meta` is mapped to FHIR STU3 element `Claim.meta` as `SourceIsBroaderThanTarget`. The mappings for `Claim.meta` do not cover the following types: Meta. The mappings for `Claim.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.
The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.
The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
When the resource last changed - e.g. when the version changed.
This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/STU3/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/STU3/).
It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Security Labels from the Healthcare Privacy and Security Classification System.
Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
A set of rules under which this content was created
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
The base language in which the resource is written.
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).
Text summary of the resource, for human interpretation
A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
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 in formation is added later.
R4B: `Claim.text` additional types (Narrative) additional types from child elements (div, status)
Element `Claim.text` is mapped to FHIR STU3 element `Claim.text` as `SourceIsBroaderThanTarget`. The mappings for `Claim.text` do not cover the following types: Narrative. The mappings for `Claim.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.
generated | extensions | additional | empty
The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.
The actual narrative content, a stripped down version of XHTML.
The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.
The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes
not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])
The narrative SHALL have some non-whitespace content
descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
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.
Additional Content defined by implementations
May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
The business identifier for the instance: claim number, pre-determination or pre-authorization number.
R4B: Business Identifier for claim additional types
R4B: `Claim.identifier` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)
Element `Claim.identifier` is mapped to FHIR STU3 element `Claim.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Claim.identifier` do not cover the following types: Identifier. The mappings for `Claim.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
usual | official | temp | secondary (If known)
This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Identifies the purpose for this identifier, if known .
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Allows users to make use of identifiers when the identifier system is not known.
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
The portion of the identifier typically relevant to the user and which is unique within the context of the system.
If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Time period when id is/was valid for use
Time period during which identifier is/was valid for use.
Role.effectiveTime or implied by context
Organization that issued id (may be just text)
Organization that issued/manages the identifier.
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
active | cancelled | draft | entered-in-error
This element is labeled as a modifier because the status contains the code entered-in-error that marks the claim as not currently valid.
A code specifying the state of the resource instance.
The category of claim, eg, oral, pharmacy, vision, insitutional, professional.
Affects which fields and value sets are used.
The type or discipline-style of the claim
A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the BillType.
This may contain the local bill type codes such as the US UB-04 bill type code.
complete | proposed | exploratory | other
Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).
The subject of the Products and Services
R4B: The recipient of the products and services additional types
R4B: `Claim.patient` additional types from child elements (display, identifier, reference, type)
Element `Claim.patient` is mapped to FHIR STU3 element `Claim.patient` as `SourceIsBroaderThanTarget`. The mappings for `Claim.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 `Claim.patient` with unmapped reference targets: Patient.
Literal reference, Relative, internal or absolute URL
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Logical reference, when literal reference is not known
An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Plain text narrative that identifies the resource in addition to the resource reference.
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
The billable period for which charges are being submitted.
R4B: Relevant time frame for the claim additional types
R4B: `Claim.billablePeriod` additional types (Period) additional types from child elements (end, start)
Element `Claim.billablePeriod` is mapped to FHIR STU3 element `Claim.billablePeriod` as `SourceIsBroaderThanTarget`. The mappings for `Claim.billablePeriod` do not cover the following types: Period. The mappings for `Claim.billablePeriod` do not cover the following types based on type expansion: end, start. Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and predeterminations. Typically line item dates of service should fall within the billing period if one is specified.
The start of the period. The boundary is inclusive.
If the low element is missing, the meaning is that the low boundary is not known.
End time with inclusive boundary, if not ongoing
The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.
If the end of the period is missing, it means that the period is ongoing
The date when the enclosed suite of services were performed or completed.
Person who created the invoice/claim/pre-determination or pre-authorization.
R4B: Author of the claim additional types
R4B: `Claim.enterer` additional types from child elements (display, identifier, reference, type)
Element `Claim.enterer` is mapped to FHIR STU3 element `Claim.enterer` as `SourceIsBroaderThanTarget`. The mappings for `Claim.enterer` 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 `Claim.enterer` with unmapped reference targets: Practitioner, PractitionerRole.
The Insurer who is target of the request.
R4B: `Claim.insurer` additional types from child elements (display, identifier, reference, type)
Element `Claim.insurer` is mapped to FHIR STU3 element `Claim.insurer` as `SourceIsBroaderThanTarget`. The mappings for `Claim.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 `Claim.insurer` with unmapped reference targets: Organization.
The provider which is responsible for the bill, claim pre-determination, pre-authorization.
Element `Claim.provider` is mapped to FHIR STU3 element `Claim.provider` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Claim.provider` 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.
The organization which is responsible for the bill, claim pre-determination, pre-authorization.
Immediate (STAT), best effort (NORMAL), deferred (DEFER).
The timeliness with which processing is required: STAT, normal, Deferred
In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.
For whom funds are to be reserved: (Patient, Provider, None).
Related Claims which may be revelant to processing this claimn
Other claims which are related to this claim such as prior claim versions or for related services.
All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
R4B: `Claim.related.claim` additional types from child elements (display, identifier, reference, type)
Element `Claim.related.claim` is mapped to FHIR STU3 element `Claim.related.claim` as `SourceIsBroaderThanTarget`. The mappings for `Claim.related.claim` 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 `Claim.related.claim` with unmapped reference targets: Claim.
Relationship of this claim to a related Claim
An alternate organizational reference to the case or file to which this particular claim pertains - eg Property/Casualy insurer claim # or Workers Compensation case # .
R4B: File or case reference additional types
R4B: `Claim.related.reference` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)
Element `Claim.related.reference` is mapped to FHIR STU3 element `Claim.related.reference` as `SourceIsBroaderThanTarget`. The mappings for `Claim.related.reference` do not cover the following types: Identifier. The mappings for `Claim.related.reference` do not cover the following types based on type expansion: assigner, period, system, type, use, value. For example, Property/Casualty insurer claim # or Workers Compensation case # .
Prescription authorizing services or products
Prescription to support the dispensing of Pharmacy or Vision products.
Should we create a group to hold multiple prescriptions and add a sequence number and on the line items a link to the sequence.
R4B: Prescription authorizing services and products
Element `Claim.prescription` is mapped to FHIR STU3 element `Claim.prescription` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Claim.prescription` with unmapped reference targets: DeviceRequest, MedicationRequest, VisionPrescription.
Original prescription if superceded by fulfiller
Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.
R4B: Original prescription if superseded by fulfiller
Element `Claim.originalPrescription` is mapped to FHIR STU3 element `Claim.originalPrescription` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Claim.originalPrescription` with unmapped reference targets: DeviceRequest, MedicationRequest, VisionPrescription. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefore issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.
The party to be reimbursed for the services.
Type of party: Subscriber, Provider, other
Type of Party to be reimbursed: Subscriber, provider, other.
organization | patient | practitioner | relatedperson
organization | patient | practitioner | relatedperson.
Party to be reimbursed: Subscriber, provider, other.
Element `Claim.payee.party` is mapped to FHIR STU3 element `Claim.payee.party` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Claim.payee.party` with unmapped reference targets: Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. Not required if the payee is 'subscriber' or 'provider'.
The referral resource which lists the date, practitioner, reason and other supporting information.
R4B: Treatment referral additional types
R4B: `Claim.referral` additional types from child elements (display, identifier, reference, type)
Element `Claim.referral` is mapped to FHIR STU3 element `Claim.referral` as `SourceIsBroaderThanTarget`. The mappings for `Claim.referral` 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 `Claim.referral` with unmapped reference targets: ServiceRequest. The referral resource which lists the date, practitioner, reason and other supporting information.
Facility where the services were provided.
R4B: Servicing facility additional types
R4B: `Claim.facility` additional types from child elements (display, identifier, reference, type)
Element `Claim.facility` is mapped to FHIR STU3 element `Claim.facility` as `SourceIsBroaderThanTarget`. The mappings for `Claim.facility` 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 `Claim.facility` with unmapped reference targets: Location.
The members of the team who provided the overall service as well as their role and whether responsible and qualifications.
Role and Responsible may not be required when there is only a single provider listed.
Sequence of the careTeam which serves to order and provide a link.
Required to maintain order of the careTeam.
Member of the team who provided the overall service.
Element `Claim.careTeam.provider` is mapped to FHIR STU3 element `Claim.careTeam.provider` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Claim.careTeam.provider` with unmapped reference targets: Organization, Practitioner, PractitionerRole.
The party who is billing and responsible for the claimed good or service rendered to the patient.
The lead, assisting or supervising practitioner and their discipline if a multidisiplinary team.
The role codes for the care team members.
The qualification which is applicable for this service.
Exceptions, special considerations, the condition, situation, prior or concurrent issues
Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required.
Typically these information codes are required to support the services rendered or the adjudication of the services rendered.
R4B: `Claim.supportingInfo.timing[x]` additional types (Period) additional types from child elements (end, start)
Element `Claim.supportingInfo.timing[x]` is mapped to FHIR STU3 element `Claim.information.timing[x]` as `SourceIsBroaderThanTarget`. The mappings for `Claim.supportingInfo.timing[x]` do not cover the following types: Period. The mappings for `Claim.supportingInfo.timing[x]` do not cover the following types based on type expansion: end, start. The target context `Claim.information.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Claim.information`.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
R4B: Data to be provided additional types
R4B: `Claim.supportingInfo.value[x]` additional types (boolean, Attachment)
Element `Claim.supportingInfo.value[x]` is mapped to FHIR STU3 element `Claim.information.value[x]` as `SourceIsBroaderThanTarget`. The mappings for `Claim.supportingInfo.value[x]` do not cover the following types: Attachment, boolean. The target context `Claim.information.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Claim.information`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `Claim.supportingInfo.value[x]` with unmapped reference targets: Resource. Source element `Claim.supportingInfo.value[x]` has unmapped reference types. While the target element `Claim.information.value[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. Could be used to provide references to other resources, document. For example could contain a PDF in an Attachment of the Police Report for an Accident.
Sequence of the information element which serves to provide a link.
The general class of the information supplied: information; exception; accident, employment; onset, etc.
The valuset used for additional information category codes.
System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought which may influence the adjudication.
The valuset used for additional information codes.
The date when or period to which this information refers.
Additional Data or supporting information
Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
For example, provides the reason for: the additional stay, or missing tooth or any other situation where a reason code is required in addition to the content.
List of patient diagnosis for which care is sought.
R4B: `Claim.diagnosis.onAdmission` (new:CodeableConcept)
Element `Claim.diagnosis.onAdmission` has a context of Claim.diagnosis based on following the parent source element upwards and mapping to `Claim`. Element `Claim.diagnosis.onAdmission` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Sequence of diagnosis which serves to provide a link.
Required to allow line items to reference the diagnoses.
Required to adjudicate services rendered to condition presented.
R4B: Nature of illness or problem additional types
R4B: `Claim.diagnosis.diagnosis[x]` additional types from child elements (display, identifier, reference, type)
Element `Claim.diagnosis.diagnosis[x]` is mapped to FHIR STU3 element `Claim.diagnosis.diagnosis[x]` as `SourceIsBroaderThanTarget`. The mappings for `Claim.diagnosis.diagnosis[x]` 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 `Claim.diagnosis.diagnosis[x]` with unmapped reference targets: Condition. Source element `Claim.diagnosis.diagnosis[x]` has unmapped reference types. While the target element `Claim.diagnosis.diagnosis[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
The type of the Diagnosis, for example: admitting, primary, secondary, discharge.
Diagnosis are presented in list order to their expected importance: primary, secondary, etc.
May be required to adjudicate services rendered.
The type of the diagnosis: admitting, principal, discharge
The package billing code, for example DRG, based on the assigned grouping code system.
May be required to adjudicate services rendered to the mandated grouping system.
The DRG codes associated with the diagnosis
Ordered list of patient procedures performed to support the adjudication.
R4B: `Claim.procedure.type` (new:CodeableConcept)
Element `Claim.procedure.type` has a context of Claim.procedure based on following the parent source element upwards and mapping to `Claim`. Element `Claim.procedure.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example: primary, secondary.
R4B: `Claim.procedure.udi` (new:Reference(Device))
Element `Claim.procedure.udi` has a context of Claim.procedure based on following the parent source element upwards and mapping to `Claim`. Element `Claim.procedure.udi` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Sequence of procedures which serves to order and provide a link.
Required to maintain order of the procudures.
Date and optionally time the procedure was performed .
Required to adjudicate services rendered.
R4B: Specific clinical procedure additional types
R4B: `Claim.procedure.procedure[x]` additional types from child elements (display, identifier, reference, type)
Element `Claim.procedure.procedure[x]` is mapped to FHIR STU3 element `Claim.procedure.procedure[x]` as `SourceIsBroaderThanTarget`. The mappings for `Claim.procedure.procedure[x]` 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 `Claim.procedure.procedure[x]` with unmapped reference targets: Procedure. Source element `Claim.procedure.procedure[x]` has unmapped reference types. While the target element `Claim.procedure.procedure[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
Financial instrument by which payment information for health care.
Health care programs and insurers are significant payors of health service costs.
R4B: `Claim.insurance.identifier` (new:Identifier)
Element `Claim.insurance.identifier` has a context of Claim.insurance based on following the parent source element upwards and mapping to `Claim`. Element `Claim.insurance.identifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Only required in jurisdictions where insurers, rather than the provider, are required to send claims to insurers that appear after them in the list. This element is not required when 'subrogation=true'.
Sequence of coverage which serves to provide a link and convey coordination of benefit order.
A flag to indicate that this Coverage is the focus for adjudication. The Coverage against which the claim is to be adjudicated.
To identify which coverage is being adjudicated.
Reference to the program or plan identification, underwriter or payor.
Need to identify the issuer to target for processing and for coordination of benefit processing.
R4B: `Claim.insurance.coverage` additional types from child elements (display, identifier, reference, type)
Element `Claim.insurance.coverage` is mapped to FHIR STU3 element `Claim.insurance.coverage` as `SourceIsBroaderThanTarget`. The mappings for `Claim.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 `Claim.insurance.coverage` with unmapped reference targets: Coverage.
The contract number of a business agreement which describes the terms and conditions.
Pre-Authorization/Determination Reference
A list of references from the Insurer to which these services pertain.
To provide any pre=determination or prior authorization reference.
Used by downstream payers to determine what balance remains and the net payable.
R4B: `Claim.insurance.claimResponse` additional types from child elements (display, identifier, reference, type)
Element `Claim.insurance.claimResponse` is mapped to FHIR STU3 element `Claim.insurance.claimResponse` as `SourceIsBroaderThanTarget`. The mappings for `Claim.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 `Claim.insurance.claimResponse` with unmapped reference targets: ClaimResponse. Must not be specified when 'focal=true' for this insurance.
An accident which resulted in the need for healthcare services.
R4B: Where the event occurred additional types
R4B: `Claim.accident.location[x]` additional types (Address) additional types from child elements (city, country, district, line, period, postalCode, state, text, type, use, display, identifier, reference)
Element `Claim.accident.location[x]` is mapped to FHIR STU3 element `Claim.accident.location[x]` as `SourceIsBroaderThanTarget`. The mappings for `Claim.accident.location[x]` do not cover the following types: Address. The mappings for `Claim.accident.location[x]` do not cover the following types based on type expansion: city, country, display, district, identifier, line, period, postalCode, reference, state, text, type, use. The target context `Claim.accident.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Claim.accident`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `Claim.accident.location[x]` with unmapped reference targets: Location. Source element `Claim.accident.location[x]` has unmapped reference types. While the target element `Claim.accident.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
When the accident occurred see information codes see information codes
Date of an accident which these services are addressing.
Coverage may be dependant on the type of accident.
Type of accident: work place, auto, etc.
The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).
The start and optional end dates of when the patient was confined to a treatment center.
R4B: Date or dates of service or product delivery additional types
R4B: `Claim.item.serviced[x]` additional types (Period) additional types from child elements (end, start)
Element `Claim.item.serviced[x]` is mapped to FHIR STU3 element `Claim.item.serviced[x]` as `SourceIsBroaderThanTarget`. The mappings for `Claim.item.serviced[x]` do not cover the following types: Period. The mappings for `Claim.item.serviced[x]` do not cover the following types based on type expansion: end, start. The target context `Claim.item.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Claim.item`.
R4B: Place of service or where product was supplied additional types
R4B: `Claim.item.location[x]` additional types (Address)
Element `Claim.item.location[x]` is mapped to FHIR STU3 element `Claim.item.location[x]` as `SourceIsBroaderThanTarget`. The mappings for `Claim.item.location[x]` do not cover the following types: Address. The target context `Claim.item.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Claim.item`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R4B element `Claim.item.location[x]` with unmapped reference targets: Location. Source element `Claim.item.location[x]` has unmapped reference types. While the target element `Claim.item.location[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
CareTeam applicable for this service or product line.
Diagnosis applicable for this service or product line.
Procedures applicable for this service or product line.
Applicable exception and supporting information
Exceptions, special conditions and supporting information pplicable for this service or product line.
The type of reveneu or cost center providing the product and/or service.
Codes for the revenue or cost centers supplying the service and/or products.
Health Care Service Type Codes to identify the classification of service or benefits.
Benefit subcategories such as: oral-basic, major, glasses
If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. 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 eg. 'glasses' or 'compound'.
Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.
Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
Program specific reason for item inclusion
For programs which require reason codes for the inclusion or covering of this billed item under the program or sub-program.
The date or dates when the enclosed suite of services were performed or completed.
Place of service: pharmacy,school, prison, etc.
The number of repetitions of a service or product.
If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group.
A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
If a fee is present the associated product/service code must be present.
The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.
List of Unique Device Identifiers associated with this line item.
The UDI code and issuer if applicable for the supplied product.
R4B: Unique device identifier additional types
R4B: `Claim.item.udi` additional types from child elements (display, identifier, reference, type)
Element `Claim.item.udi` is mapped to FHIR STU3 element `Claim.item.udi` as `SourceIsBroaderThanTarget`. The mappings for `Claim.item.udi` 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 `Claim.item.udi` with unmapped reference targets: Device.
Physical service site on the patient (limb, tooth, etc).
The code for the teeth, quadrant, sextant and arch
A region or surface of the site, eg. limb region or tooth surface(s).
The code for the tooth surface and surface combinations
A billed item may include goods or services provided in multiple encounters.
R4B: `Claim.item.encounter` additional types from child elements (display, identifier, reference, type)
Element `Claim.item.encounter` is mapped to FHIR STU3 element `Claim.item.encounter` as `SourceIsBroaderThanTarget`. The mappings for `Claim.item.encounter` 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 `Claim.item.encounter` with unmapped reference targets: Encounter. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.
For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.
R4B: `Claim.item.detail.udi` additional types from child elements (display, identifier, reference, type)
Element `Claim.item.detail.udi` is mapped to FHIR STU3 element `Claim.item.detail.udi` as `SourceIsBroaderThanTarget`. The mappings for `Claim.item.detail.udi` 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 `Claim.item.detail.udi` with unmapped reference targets: Device.
A code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI).
The fee for an addittional service or product or charge.
R4B: `Claim.item.detail.subDetail.udi` additional types from child elements (display, identifier, reference, type)
Element `Claim.item.detail.subDetail.udi` is mapped to FHIR STU3 element `Claim.item.detail.subDetail.udi` as `SourceIsBroaderThanTarget`. The mappings for `Claim.item.detail.subDetail.udi` 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 `Claim.item.detail.subDetail.udi` with unmapped reference targets: Device.