Left: | PASClaimResponse (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claimresponse) |
Right: | PAS Claim Response (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claimresponse) |
Error | StructureDefinition.version | Values for version differ: '0.1.0' vs '1.0.0' |
Information | StructureDefinition.status | Values for status differ: 'draft' vs 'active' |
Information | StructureDefinition.date | Values for date differ: '2018-07-25T00:00:00-04:00' vs '2020-12-20T19:17:24+00:00' |
Information | StructureDefinition.publisher | Values for publisher differ: 'DaVinci' vs 'HL7 International - Financial Management Work Group' |
Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#US' |
Warning | StructureDefinition.fhirVersion | Values for fhirVersion differ: '4.0.0' vs '4.0.1' |
Warning | ClaimResponse.extension | Elements differ in short: 'Extension' 'Additional content defined by implementations' |
Warning | ClaimResponse.extension | Elements differ in definition: 'An Extension' 'May be used to represent additional information that is not part of the basic definition of the resource. 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.' |
Error | ClaimResponse.status | Elements differ in definition for mustSupport: 'false' 'true' |
Error | ClaimResponse.use | Elements differ in definition for mustSupport: 'true' 'false' |
Error | ClaimResponse.patient | Elements differ in definition for mustSupport: 'false' 'true' |
Error | ClaimResponse.requestor | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practrole-requestor], CanonicalType[http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-organization-requestor]]) Reference([CanonicalType[http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor]]) |
Error | ClaimResponse.processNote | Elements differ in definition for mustSupport: 'true' 'false' |
Error | ClaimResponse.processNote.number | Elements differ in definition for mustSupport: 'true' 'false' |
Error | ClaimResponse.processNote.text | Elements differ in definition for mustSupport: 'true' 'false' |
Error | ClaimResponse.insurance | Elements differ in definition for mustSupport: 'true' 'false' |
Error | ClaimResponse.insurance.coverage | Elements differ in definition for mustSupport: 'true' 'false' |
Warning | ClaimResponse.error.extension | Elements differ in short: 'Additional content defined by implementations' 'Extension' |
Warning | ClaimResponse.error.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' |
Error | ClaimResponse.error.itemSequence | Elements differ in definition for mustSupport: 'true' 'false' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/ClaimResponse | ||
copyright | |||
date | 2018-07-25T00:00:00-04:00 | 2020-12-20T19:17:24+00:00 |
|
description | PAS constraints on Claim resource mandating support for elements relevant to the response of a prior authorization request |
| |
experimental | false |
| |
fhirVersion | 4.0.0 | 4.0.1 |
|
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US |
| |
kind | resource | ||
name | PASClaimResponse | ||
publisher | DaVinci | HL7 International - Financial Management Work Group |
|
purpose | |||
status | draft | active |
|
title | PAS Claim Response |
| |
type | ClaimResponse | ||
url | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claimresponse | ||
version | 0.1.0 | 1.0.0 |
|
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 | ?!Σ | ?!SΣ |
| ||||||
type | Σ | Σ | |||||||
subType | |||||||||
use | SΣ | Σ |
| ||||||
patient | Σ | 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 | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
itemSequence | |||||||||
noteNumber | S | S | |||||||
adjudication | |||||||||
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 | S |
| |||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
number | S |
| |||||||
type | |||||||||
text | S |
| |||||||
language | |||||||||
communicationRequest | S | S | |||||||
insurance | S |
| |||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | |||||||||
focal | |||||||||
coverage | S |
| |||||||
businessArrangement | |||||||||
claimResponse | |||||||||
error | S | S | |||||||
id | |||||||||
extension | Extension | Extension |
| ||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
itemSequence | S |
| |||||||
detailSequence | |||||||||
subDetailSequence | |||||||||
code | S | S | |||||||
Documentation for this format |