| 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 | |||||||||