Left: | PAS Claim Inquiry Response (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claiminquiryresponse) |
Right: | PAS Claim Inquiry Response (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claiminquiryresponse) |
Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '1.1.0' |
Information | StructureDefinition.date | Values for date differ: '2020-12-20T18:54:26+00:00' vs '2021-12-20T21:46:38+00:00' |
Warning | ClaimResponse.identifier | Elements differ in short: 'Business Identifier for a claim response' 'An identifier intended for computation' |
Warning | ClaimResponse.identifier | Elements differ in definition: 'A unique identifier assigned to this claim response.' 'An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.' |
Error | ClaimResponse.item.adjudication | Elements differ in definition for mustSupport: 'false' 'true' |
Warning | ClaimResponse.item.adjudication.extension | Elements differ in short: 'Additional content defined by implementations' 'Extension' |
Warning | ClaimResponse.item.adjudication.extension | Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' 'An Extension' |
Warning | ClaimResponse.item.adjudication.category | Elements differ in short: 'Type of adjudication information' 'This code is fixed to 'submitted' to indicate that the adjudication result is on what was submitted.' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/ClaimResponse | ||
copyright | |||
date | 2020-12-20T18:54:26+00:00 | 2021-12-20T21:46:38+00:00 |
|
description | PAS constraints on Claim resource mandating support for elements relevant to the response of an inquiry for details of previous authorizations. | ||
experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | PASClaimInquiryResponse | ||
publisher | HL7 International - Financial Management Work Group | ||
purpose | |||
status | active | ||
title | PAS Claim Inquiry Response | ||
type | ClaimResponse | ||
url | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claiminquiryresponse | ||
version | 1.0.0 | 1.1.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments |
---|---|---|---|---|---|---|---|---|---|
ClaimResponse | |||||||||
id | Σ | Σ | |||||||
meta | Σ | Σ | |||||||
implicitRules | ?!Σ | ?!Σ | |||||||
language | |||||||||
text | |||||||||
contained | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?! | ?! | |||||||
identifier | S | S |
| ||||||
status | ?!SΣ | ?!SΣ | |||||||
type | Σ | Σ | |||||||
subType | |||||||||
use | Σ | Σ | |||||||
patient | SΣ | SΣ | |||||||
created | SΣ | SΣ | |||||||
insurer | SΣ | SΣ | |||||||
requestor | S | S | |||||||
request | SΣ | SΣ | |||||||
outcome | SΣ | SΣ | |||||||
disposition | |||||||||
preAuthRef | |||||||||
preAuthPeriod | S | S | |||||||
payeeType | |||||||||
item | S | S | |||||||
id | |||||||||
Slices for extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
itemSequence | |||||||||
noteNumber | |||||||||
adjudication | S |
| |||||||
id | |||||||||
extension | Extension | Extension |
| ||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
category |
| ||||||||
reason | |||||||||
amount | |||||||||
value | |||||||||
detail | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
detailSequence | |||||||||
noteNumber | |||||||||
adjudication | |||||||||
subDetail | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
subDetailSequence | |||||||||
noteNumber | |||||||||
adjudication | |||||||||
addItem | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
itemSequence | |||||||||
detailSequence | |||||||||
subdetailSequence | |||||||||
provider | |||||||||
productOrService | |||||||||
modifier | |||||||||
programCode | |||||||||
serviced[x] | |||||||||
location[x] | |||||||||
quantity | |||||||||
unitPrice | |||||||||
factor | |||||||||
net | |||||||||
bodySite | |||||||||
subSite | |||||||||
noteNumber | |||||||||
adjudication | |||||||||
detail | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
productOrService | |||||||||
modifier | |||||||||
quantity | |||||||||
unitPrice | |||||||||
factor | |||||||||
net | |||||||||
noteNumber | |||||||||
adjudication | |||||||||
subDetail | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
productOrService | |||||||||
modifier | |||||||||
quantity | |||||||||
unitPrice | |||||||||
factor | |||||||||
net | |||||||||
noteNumber | |||||||||
adjudication | |||||||||
adjudication | |||||||||
total | Σ | Σ | |||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
category | Σ | Σ | |||||||
amount | Σ | Σ | |||||||
payment | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
type | |||||||||
adjustment | |||||||||
adjustmentReason | |||||||||
date | |||||||||
amount | |||||||||
identifier | |||||||||
fundsReserve | |||||||||
formCode | |||||||||
form | |||||||||
processNote | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
number | |||||||||
type | |||||||||
text | |||||||||
language | |||||||||
communicationRequest | |||||||||
insurance | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | |||||||||
focal | |||||||||
coverage | |||||||||
businessArrangement | |||||||||
claimResponse | |||||||||
error | S | S | |||||||
id | |||||||||
Slices for extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
itemSequence | |||||||||
detailSequence | |||||||||
subDetailSequence | |||||||||
code | S | S | |||||||
Documentation for this format |