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Resource "ClaimResponse" Version "1" (StructureDefinition)

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XML or JSON representation. Try out the Profile as a questionnaire based web form . Edit this as XML or JSON. provenance for this resource

Generated Narrative with Details

id: ClaimResponse

meta:

url: http://hl7.org/fhir/StructureDefinition/ClaimResponse

name: ClaimResponse

status: draft

date: 10/24/2019 11:53:00 AM

publisher: Health Level Seven International (Financial Management)

contact: ,

description: Base StructureDefinition for ClaimResponse Resource

fhirVersion: 3.0.2

kind: resource

abstract: false

type: ClaimResponse

baseDefinition: http://hl7.org/fhir/StructureDefinition/DomainResource

derivation: specialization


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ClaimResponse"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-11-06T21:31:51.048Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: ClaimResponse</p>
      <p>
        <b>meta</b>: </p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/ClaimResponse">http://hl7.org/fhir/StructureDefinition/ClaimResponse</a>
      </p>
      <p>
        <b>name</b>: ClaimResponse</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>date</b>: 10/24/2019 11:53:00 AM</p>
      <p>
        <b>publisher</b>: Health Level Seven International (Financial Management)</p>
      <p>
        <b>contact</b>: , </p>
      <p>
        <b>description</b>: Base StructureDefinition for ClaimResponse Resource</p>
      <p>
        <b>fhirVersion</b>: 3.0.2</p>
      <p>
        <b>kind</b>: resource</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>type</b>: ClaimResponse</p>
      <p>
        <b>baseDefinition</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/DomainResource">http://hl7.org/fhir/StructureDefinition/DomainResource</a>
      </p>
      <p>
        <b>derivation</b>: specialization</p>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
  <name value="ClaimResponse"/>
  <status value="draft"/>
  <date value="2019-10-24T11:53:00+11:00"/>
  <publisher value="Health Level Seven International (Financial Management)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm/index.cfm"/>
    </telecom>
  </contact>
  <description value="Base StructureDefinition for ClaimResponse Resource"/>
  <fhirVersion value="3.0.2"/>
  <mapping>
    <identity value="workflow"/>
    <uri value="http://hl7.org/fhir/workflow"/>
    <name value="Workflow Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="cdanetv4"/>
    <uri value="http://www.cda-adc.ca/en/services/cdanet/"/>
    <name value="Canadian Dental Association eclaims standard"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="ClaimResponse"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="ClaimResponse">
      <path value="ClaimResponse"/>
      <short value="Remittance resource"/>
      <definition value="This resource provides the adjudication details from the processing of a Claim resource."/>
      <alias value="Remittance Advice"/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression value="contained.where((&apos;#&apos;+id in %resource.descendants().reference).not()).empty()"/>
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat(&apos;#&apos;, $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="workflow"/>
        <map value="Event"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="financial.billing"/>
      </mapping>
    </element>
    <element id="ClaimResponse.id">
      <path value="ClaimResponse.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="ClaimResponse.meta">
      <path value="ClaimResponse.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="ClaimResponse.implicitRules">
      <path value="ClaimResponse.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comment value="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. &#10;&#10;This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&apos;s meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="ClaimResponse.language">
      <path value="ClaimResponse.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comment value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.text">
      <path value="ClaimResponse.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="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 &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment value="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 &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="ClaimResponse.contained">
      <path value="ClaimResponse.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.extension">
      <path value="ClaimResponse.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.modifierExtension">
      <path value="ClaimResponse.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.identifier">
      <path value="ClaimResponse.identifier"/>
      <short value="Response number"/>
      <definition value="The Response business identifier."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.identifier"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="ClaimResponse.status">
      <path value="ClaimResponse.status"/>
      <short value="active | cancelled | draft | entered-in-error"/>
      <definition value="The status of the resource instance."/>
      <comment value="This element is labeled as a modifier because the status contains the code cancelled and entered-in-error that mark the response as not currently valid."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClaimResponseStatus"/>
        </extension>
        <strength value="required"/>
        <description value="A code specifying the state of the resource instance."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.status"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="ClaimResponse.patient">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
        <valueString value="who.focus"/>
      </extension>
      <path value="ClaimResponse.patient"/>
      <short value="The subject of the Products and Services"/>
      <definition value="Patient Resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
    </element>
    <element id="ClaimResponse.created">
      <path value="ClaimResponse.created"/>
      <short value="Creation date"/>
      <definition value="The date when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.occurrence"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="ClaimResponse.insurer">
      <path value="ClaimResponse.insurer"/>
      <short value="Insurance issuing organization"/>
      <definition value="The Insurer who produced this adjudicated response."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.onBehalfOf"/>
      </mapping>
    </element>
    <element id="ClaimResponse.requestProvider">
      <path value="ClaimResponse.requestProvider"/>
      <short value="Responsible practitioner"/>
      <definition value="The practitioner who is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="B01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="ClaimResponse.requestOrganization">
      <path value="ClaimResponse.requestOrganization"/>
      <short value="Responsible organization"/>
      <definition value="The organization which is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="ClaimResponse.request">
      <path value="ClaimResponse.request"/>
      <short value="Id of resource triggering adjudication"/>
      <definition value="Original request resource referrence."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Claim"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.basedOn"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="A02|G01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="ClaimResponse.outcome">
      <path value="ClaimResponse.outcome"/>
      <short value="complete | error | partial"/>
      <definition value="Processing outcome errror, partial or complete processing."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RemittanceOutcome"/>
        </extension>
        <strength value="example"/>
        <description value="The result of the claim processing"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/remittance-outcome"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.disposition">
      <path value="ClaimResponse.disposition"/>
      <short value="Disposition Message"/>
      <definition value="A description of the status of the adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.note"/>
      </mapping>
    </element>
    <element id="ClaimResponse.payeeType">
      <path value="ClaimResponse.payeeType"/>
      <short value="Party to be paid any benefits payable"/>
      <definition value="Party to be reimbursed: Subscriber, provider, other."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PayeeType"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="A code for the party to be reimbursed."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/payeetype"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.item">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Item"/>
      </extension>
      <path value="ClaimResponse.item"/>
      <short value="Line items"/>
      <definition value="The first tier service adjudications for submitted services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClaimResponse.item.id">
      <path value="ClaimResponse.item.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.extension">
      <path value="ClaimResponse.item.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.modifierExtension">
      <path value="ClaimResponse.item.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.sequenceLinkId">
      <path value="ClaimResponse.item.sequenceLinkId"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="F07"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.noteNumber">
      <path value="ClaimResponse.item.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.item.adjudication">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Adjudication"/>
      </extension>
      <path value="ClaimResponse.item.adjudication"/>
      <short value="Adjudication details"/>
      <definition value="The adjudication results."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClaimResponse.item.adjudication.id">
      <path value="ClaimResponse.item.adjudication.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.adjudication.extension">
      <path value="ClaimResponse.item.adjudication.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.adjudication.modifierExtension">
      <path value="ClaimResponse.item.adjudication.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.adjudication.category">
      <path value="ClaimResponse.item.adjudication.category"/>
      <short value="Adjudication category such as co-pay, eligible, benefit, etc."/>
      <definition value="Code indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Adjudication"/>
        </extension>
        <strength value="example"/>
        <description value="The adjudication codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.item.adjudication.reason">
      <path value="ClaimResponse.item.adjudication.reason"/>
      <short value="Explanation of Adjudication outcome"/>
      <definition value="Adjudication reason such as limit reached."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjudicationReason"/>
        </extension>
        <strength value="example"/>
        <description value="The adjudication reason codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication-reason"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.item.adjudication.amount">
      <path value="ClaimResponse.item.adjudication.amount"/>
      <short value="Monetary amount"/>
      <definition value="Monetary amount associated with the code."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.item.adjudication.value">
      <path value="ClaimResponse.item.adjudication.value"/>
      <short value="Non-monetary value"/>
      <definition value="A non-monetary value for example a percentage. Mutually exclusive to the amount element above."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element id="ClaimResponse.item.detail">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ItemDetail"/>
      </extension>
      <path value="ClaimResponse.item.detail"/>
      <short value="Detail line items"/>
      <definition value="The second tier service adjudications for submitted services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClaimResponse.item.detail.id">
      <path value="ClaimResponse.item.detail.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.extension">
      <path value="ClaimResponse.item.detail.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.modifierExtension">
      <path value="ClaimResponse.item.detail.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.sequenceLinkId">
      <path value="ClaimResponse.item.detail.sequenceLinkId"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="F07"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.noteNumber">
      <path value="ClaimResponse.item.detail.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.item.detail.adjudication">
      <path value="ClaimResponse.item.detail.adjudication"/>
      <short value="Detail level adjudication details"/>
      <definition value="The adjudications results."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#ClaimResponse.item.adjudication"/>
    </element>
    <element id="ClaimResponse.item.detail.subDetail">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="SubDetail"/>
      </extension>
      <path value="ClaimResponse.item.detail.subDetail"/>
      <short value="Subdetail line items"/>
      <definition value="The third tier service adjudications for submitted services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClaimResponse.item.detail.subDetail.id">
      <path value="ClaimResponse.item.detail.subDetail.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.subDetail.extension">
      <path value="ClaimResponse.item.detail.subDetail.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.subDetail.modifierExtension">
      <path value="ClaimResponse.item.detail.subDetail.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.subDetail.sequenceLinkId">
      <path value="ClaimResponse.item.detail.subDetail.sequenceLinkId"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="F07"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.subDetail.noteNumber">
      <path value="ClaimResponse.item.detail.subDetail.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.item.detail.subDetail.adjudication">
      <path value="ClaimResponse.item.detail.subDetail.adjudication"/>
      <short value="Subdetail level adjudication details"/>
      <definition value="The adjudications results."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#ClaimResponse.item.adjudication"/>
    </element>
    <element id="ClaimResponse.addItem">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="AddedItem"/>
      </extension>
      <path value="ClaimResponse.addItem"/>
      <short value="Insurer added line items"/>
      <definition value="The first tier service adjudications for payor added services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClaimResponse.addItem.id">
      <path value="ClaimResponse.addItem.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.extension">
      <path value="ClaimResponse.addItem.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.modifierExtension">
      <path value="ClaimResponse.addItem.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.sequenceLinkId">
      <path value="ClaimResponse.addItem.sequenceLinkId"/>
      <short value="Service instances"/>
      <definition value="List of input service items which this service line is intended to replace."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.revenue">
      <path value="ClaimResponse.addItem.revenue"/>
      <short value="Revenue or cost center code"/>
      <definition value="The type of reveneu or cost center providing the product and/or service."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RevenueCenter"/>
        </extension>
        <strength value="example"/>
        <description value="Codes for the revenue or cost centers supplying the service and/or products."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.category">
      <path value="ClaimResponse.addItem.category"/>
      <short value="Type of service or product"/>
      <definition value="Health Care Service Type Codes to identify the classification of service or benefits."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitSubCategory"/>
        </extension>
        <strength value="example"/>
        <description value="Benefit subcategories such as: oral-basic, major, glasses"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-subcategory"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.service">
      <path value="ClaimResponse.addItem.service"/>
      <short value="Group, Service or Product"/>
      <definition value="A code to indicate the Professional Service or Product supplied."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceProduct"/>
        </extension>
        <strength value="example"/>
        <description value="Allowable service and product codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.modifier">
      <path value="ClaimResponse.addItem.modifier"/>
      <short value="Service/Product billing modifiers"/>
      <definition value="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."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Modifiers"/>
        </extension>
        <strength value="example"/>
        <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="24.C, 24.D mods"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.fee">
      <path value="ClaimResponse.addItem.fee"/>
      <short value="Professional fee or Product charge"/>
      <definition value="The fee charged for the professional service or product.."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.noteNumber">
      <path value="ClaimResponse.addItem.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.adjudication">
      <path value="ClaimResponse.addItem.adjudication"/>
      <short value="Added items adjudication"/>
      <definition value="The adjudications results."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#ClaimResponse.item.adjudication"/>
    </element>
    <element id="ClaimResponse.addItem.detail">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="AddedItemsDetail"/>
      </extension>
      <path value="ClaimResponse.addItem.detail"/>
      <short value="Added items details"/>
      <definition value="The second tier service adjudications for payor added services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClaimResponse.addItem.detail.id">
      <path value="ClaimResponse.addItem.detail.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.detail.extension">
      <path value="ClaimResponse.addItem.detail.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.detail.modifierExtension">
      <path value="ClaimResponse.addItem.detail.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.detail.revenue">
      <path value="ClaimResponse.addItem.detail.revenue"/>
      <short value="Revenue or cost center code"/>
      <definition value="The type of reveneu or cost center providing the product and/or service."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RevenueCenter"/>
        </extension>
        <strength value="example"/>
        <description value="Codes for the revenue or cost centers supplying the service and/or products."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.detail.category">
      <path value="ClaimResponse.addItem.detail.category"/>
      <short value="Type of service or product"/>
      <definition value="Health Care Service Type Codes to identify the classification of service or benefits."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitSubCategory"/>
        </extension>
        <strength value="example"/>
        <description value="Benefit subcategories such as: oral-basic, major, glasses"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-subcategory"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.detail.service">
      <path value="ClaimResponse.addItem.detail.service"/>
      <short value="Service or Product"/>
      <definition value="A code to indicate the Professional Service or Product supplied."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceProduct"/>
        </extension>
        <strength value="example"/>
        <description value="Allowable service and product codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.detail.modifier">
      <path value="ClaimResponse.addItem.detail.modifier"/>
      <short value="Service/Product billing modifiers"/>
      <definition value="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."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Modifiers"/>
        </extension>
        <strength value="example"/>
        <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="24.C, 24.D mods"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.detail.fee">
      <path value="ClaimResponse.addItem.detail.fee"/>
      <short value="Professional fee or Product charge"/>
      <definition value="The fee charged for the professional service or product.."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.detail.noteNumber">
      <path value="ClaimResponse.addItem.detail.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.detail.adjudication">
      <path value="ClaimResponse.addItem.detail.adjudication"/>
      <short value="Added items detail adjudication"/>
      <definition value="The adjudications results."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#ClaimResponse.item.adjudication"/>
    </element>
    <element id="ClaimResponse.error">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Error"/>
      </extension>
      <path value="ClaimResponse.error"/>
      <short value="Processing errors"/>
      <definition value="Mutually exclusive with Services Provided (Item)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClaimResponse.error.id">
      <path value="ClaimResponse.error.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.error.extension">
      <path value="ClaimResponse.error.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.error.modifierExtension">
      <path value="ClaimResponse.error.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.error.sequenceLinkId">
      <path value="ClaimResponse.error.sequenceLinkId"/>
      <short value="Item sequence number"/>
      <definition value="The sequence number of the line item submitted which contains the error. This value is omitted when the error is elsewhere."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.error.detailSequenceLinkId">
      <path value="ClaimResponse.error.detailSequenceLinkId"/>
      <short value="Detail sequence number"/>
      <definition value="The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.error.subdetailSequenceLinkId">
      <path value="ClaimResponse.error.subdetailSequenceLinkId"/>
      <short value="Subdetail sequence number"/>
      <definition value="The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.error.code">
      <path value="ClaimResponse.error.code"/>
      <short value="Error code detailing processing issues"/>
      <definition value="An error code,from a specified code system, which details why the claim could not be adjudicated."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjudicationError"/>
        </extension>
        <strength value="example"/>
        <description value="The adjudication error codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication-error"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.totalCost">
      <path value="ClaimResponse.totalCost"/>
      <short value="Total Cost of service from the Claim"/>
      <definition value="The total cost of the services reported."/>
      <requirements value="This is a check value that the receiver calculates and returns."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.unallocDeductable">
      <path value="ClaimResponse.unallocDeductable"/>
      <short value="Unallocated deductible"/>
      <definition value="The amount of deductible applied which was not allocated to any particular service line."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.totalBenefit">
      <path value="ClaimResponse.totalBenefit"/>
      <short value="Total benefit payable for the Claim"/>
      <definition value="Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductible)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.payment">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Payment"/>
      </extension>
      <path value="ClaimResponse.payment"/>
      <short value="Payment details, if paid"/>
      <definition value="Payment details for the claim if the claim has been paid."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClaimResponse.payment.id">
      <path value="ClaimResponse.payment.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.payment.extension">
      <path value="ClaimResponse.payment.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.payment.modifierExtension">
      <path value="ClaimResponse.payment.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.payment.type">
      <path value="ClaimResponse.payment.type"/>
      <short value="Partial or Complete"/>
      <definition value="Whether this represents partial or complete payment of the claim."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PaymentType"/>
        </extension>
        <strength value="example"/>
        <description value="The type (partial, complete) of the payment"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-paymenttype"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.payment.adjustment">
      <path value="ClaimResponse.payment.adjustment"/>
      <short value="Payment adjustment for non-Claim issues"/>
      <definition value="Adjustment to the payment of this transaction which is not related to adjudication of this transaction."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.payment.adjustmentReason">
      <path value="ClaimResponse.payment.adjustmentReason"/>
      <short value="Explanation for the non-claim adjustment"/>
      <definition value="Reason for the payment adjustment."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PaymentAdjustmentReason"/>
        </extension>
        <strength value="example"/>
        <description value="Payment Adjustment reason codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/payment-adjustment-reason"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.payment.date">
      <path value="ClaimResponse.payment.date"/>
      <short value="Expected data of Payment"/>
      <definition value="Estimated payment data."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
    </element>
    <element id="ClaimResponse.payment.amount">
      <path value="ClaimResponse.payment.amount"/>
      <short value="Payable amount after adjustment"/>
      <definition value="Payable less any payment adjustment."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.payment.identifier">
      <path value="ClaimResponse.payment.identifier"/>
      <short value="Identifier of the payment instrument"/>
      <definition value="Payment identifier."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="ClaimResponse.reserved">
      <path value="ClaimResponse.reserved"/>
      <short value="Funds reserved status"/>
      <definition value="Status of funds reservation (For provider, for Patient, None)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="FundsReserve"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="For whom funds are to be reserved: (Patient, Provider, None)."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fundsreserve"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.form">
      <path value="ClaimResponse.form"/>
      <short value="Printed Form Identifier"/>
      <definition value="The form to be used for printing the content."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Forms"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="The forms codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/forms"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="G42"/>
      </mapping>
    </element>
    <element id="ClaimResponse.processNote">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Note"/>
      </extension>
      <path value="ClaimResponse.processNote"/>
      <short value="Processing notes"/>
      <definition value="Note text."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="ClaimResponse.processNote.id">
      <path value="ClaimResponse.processNote.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.processNote.extension">
      <path value="ClaimResponse.processNote.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.processNote.modifierExtension">
      <path value="ClaimResponse.processNote.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.processNote.number">
      <path value="ClaimResponse.processNote.number"/>
      <short value="Sequence Number for this note"/>
      <definition value="An integer associated with each note which may be referred to from each service line item."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.processNote.type">
      <path value="ClaimResponse.processNote.type"/>
      <short value="display | print | printoper"/>
      <definition value="The note purpose: Print/Display."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="NoteType"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="required"/>
        <description value="The presentation types of notes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/note-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.processNote.text">
      <path value="ClaimResponse.processNote.text"/>
      <short value="Note explanatory text"/>
      <definition value="The note text."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="G32"/>
      </mapping>
    </element>
    <element id="ClaimResponse.processNote.language">
      <path value="ClaimResponse.processNote.language"/>
      <short value="Language if different from the resource"/>
      <definition value="The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case e.g. &quot;en&quot; for English, or &quot;en-US&quot; for American English versus &quot;en-EN&quot; for England English."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.communicationRequest">
      <path value="ClaimResponse.communicationRequest"/>
      <short value="Request for additional information"/>
      <definition value="Request for additional supporting or authorizing information, such as: documents, images or resources."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Insurance"/>
      </extension>
      <path value="ClaimResponse.insurance"/>
      <short value="Insurance or medical plan"/>
      <definition value="Financial instrument by which payment information for health care."/>
      <requirements value="Health care programs and insurers are significant payors of health service costs."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Coverage"/>
      </mapping>
    </element>
    <element id="ClaimResponse.insurance.id">
      <path value="ClaimResponse.insurance.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.insurance.extension">
      <path value="ClaimResponse.insurance.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClaimResponse.insurance.modifierExtension">
      <path value="ClaimResponse.insurance.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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."/>
      <comment value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ClaimResponse.insurance.sequence">
      <path value="ClaimResponse.insurance.sequence"/>
      <short value="Service instance identifier"/>
      <definition value="A service line item."/>
      <requirements value="To maintain order of the coverages."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance.focal">
      <path value="ClaimResponse.insurance.focal"/>
      <short value="Is the focal Coverage"/>
      <definition value="The instance number of the Coverage which is the focus for adjudication. The Coverage against which the claim is to be adjudicated."/>
      <requirements value="To identify which coverage is being adjudicated."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance.coverage">
      <path value="ClaimResponse.insurance.coverage"/>
      <short value="Insurance information"/>
      <definition value="Reference to the program or plan identification, underwriter or payor."/>
      <requirements value="Need to identify the issuer to target for processing and for coordination of benefit processing."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance.businessArrangement">
      <path value="ClaimResponse.insurance.businessArrangement"/>
      <short value="Business agreement"/>
      <definition value="The contract number of a business agreement which describes the terms and conditions."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance.preAuthRef">
      <path value="ClaimResponse.insurance.preAuthRef"/>
      <short value="Pre-Authorization/Determination Reference"/>
      <definition value="A list of references from the Insurer to which these services pertain."/>
      <requirements value="To provide any pre-determination or prior authorization reference."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="F03"/>
      </mapping>
    </element>
    <element id="ClaimResponse.insurance.claimResponse">
      <path value="ClaimResponse.insurance.claimResponse"/>
      <short value="Adjudication results"/>
      <definition value="The Coverages adjudication details."/>
      <requirements value="Used by downstream payers to determine what balance remains and the net payable."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="EOB"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="ClaimResponse">
      <path value="ClaimResponse"/>
      <short value="Remittance resource"/>
      <definition value="This resource provides the adjudication details from the processing of a Claim resource."/>
      <alias value="Remittance Advice"/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="financial.billing"/>
      </mapping>
    </element>
    <element id="ClaimResponse.identifier">
      <path value="ClaimResponse.identifier"/>
      <short value="Response number"/>
      <definition value="The Response business identifier."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.identifier"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="ClaimResponse.status">
      <path value="ClaimResponse.status"/>
      <short value="active | cancelled | draft | entered-in-error"/>
      <definition value="The status of the resource instance."/>
      <comment value="This element is labeled as a modifier because the status contains the code cancelled and entered-in-error that mark the response as not currently valid."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ClaimResponseStatus"/>
        </extension>
        <strength value="required"/>
        <description value="A code specifying the state of the resource instance."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.status"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="ClaimResponse.patient">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
        <valueString value="who.focus"/>
      </extension>
      <path value="ClaimResponse.patient"/>
      <short value="The subject of the Products and Services"/>
      <definition value="Patient Resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
    </element>
    <element id="ClaimResponse.created">
      <path value="ClaimResponse.created"/>
      <short value="Creation date"/>
      <definition value="The date when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.occurrence"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="ClaimResponse.insurer">
      <path value="ClaimResponse.insurer"/>
      <short value="Insurance issuing organization"/>
      <definition value="The Insurer who produced this adjudicated response."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.onBehalfOf"/>
      </mapping>
    </element>
    <element id="ClaimResponse.requestProvider">
      <path value="ClaimResponse.requestProvider"/>
      <short value="Responsible practitioner"/>
      <definition value="The practitioner who is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="B01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="ClaimResponse.requestOrganization">
      <path value="ClaimResponse.requestOrganization"/>
      <short value="Responsible organization"/>
      <definition value="The organization which is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="ClaimResponse.request">
      <path value="ClaimResponse.request"/>
      <short value="Id of resource triggering adjudication"/>
      <definition value="Original request resource referrence."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Claim"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.basedOn"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="A02|G01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="ClaimResponse.outcome">
      <path value="ClaimResponse.outcome"/>
      <short value="complete | error | partial"/>
      <definition value="Processing outcome errror, partial or complete processing."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RemittanceOutcome"/>
        </extension>
        <strength value="example"/>
        <description value="The result of the claim processing"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/remittance-outcome"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.disposition">
      <path value="ClaimResponse.disposition"/>
      <short value="Disposition Message"/>
      <definition value="A description of the status of the adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.note"/>
      </mapping>
    </element>
    <element id="ClaimResponse.payeeType">
      <path value="ClaimResponse.payeeType"/>
      <short value="Party to be paid any benefits payable"/>
      <definition value="Party to be reimbursed: Subscriber, provider, other."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PayeeType"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="A code for the party to be reimbursed."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/payeetype"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.item">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Item"/>
      </extension>
      <path value="ClaimResponse.item"/>
      <short value="Line items"/>
      <definition value="The first tier service adjudications for submitted services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClaimResponse.item.sequenceLinkId">
      <path value="ClaimResponse.item.sequenceLinkId"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="F07"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.noteNumber">
      <path value="ClaimResponse.item.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.item.adjudication">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Adjudication"/>
      </extension>
      <path value="ClaimResponse.item.adjudication"/>
      <short value="Adjudication details"/>
      <definition value="The adjudication results."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClaimResponse.item.adjudication.category">
      <path value="ClaimResponse.item.adjudication.category"/>
      <short value="Adjudication category such as co-pay, eligible, benefit, etc."/>
      <definition value="Code indicating: Co-Pay, deductible, eligible, benefit, tax, etc."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Adjudication"/>
        </extension>
        <strength value="example"/>
        <description value="The adjudication codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.item.adjudication.reason">
      <path value="ClaimResponse.item.adjudication.reason"/>
      <short value="Explanation of Adjudication outcome"/>
      <definition value="Adjudication reason such as limit reached."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjudicationReason"/>
        </extension>
        <strength value="example"/>
        <description value="The adjudication reason codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication-reason"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.item.adjudication.amount">
      <path value="ClaimResponse.item.adjudication.amount"/>
      <short value="Monetary amount"/>
      <definition value="Monetary amount associated with the code."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.item.adjudication.value">
      <path value="ClaimResponse.item.adjudication.value"/>
      <short value="Non-monetary value"/>
      <definition value="A non-monetary value for example a percentage. Mutually exclusive to the amount element above."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element id="ClaimResponse.item.detail">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ItemDetail"/>
      </extension>
      <path value="ClaimResponse.item.detail"/>
      <short value="Detail line items"/>
      <definition value="The second tier service adjudications for submitted services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClaimResponse.item.detail.sequenceLinkId">
      <path value="ClaimResponse.item.detail.sequenceLinkId"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="F07"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.noteNumber">
      <path value="ClaimResponse.item.detail.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.item.detail.adjudication">
      <path value="ClaimResponse.item.detail.adjudication"/>
      <short value="Detail level adjudication details"/>
      <definition value="The adjudications results."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#ClaimResponse.item.adjudication"/>
    </element>
    <element id="ClaimResponse.item.detail.subDetail">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="SubDetail"/>
      </extension>
      <path value="ClaimResponse.item.detail.subDetail"/>
      <short value="Subdetail line items"/>
      <definition value="The third tier service adjudications for submitted services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClaimResponse.item.detail.subDetail.sequenceLinkId">
      <path value="ClaimResponse.item.detail.subDetail.sequenceLinkId"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="F07"/>
      </mapping>
    </element>
    <element id="ClaimResponse.item.detail.subDetail.noteNumber">
      <path value="ClaimResponse.item.detail.subDetail.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.item.detail.subDetail.adjudication">
      <path value="ClaimResponse.item.detail.subDetail.adjudication"/>
      <short value="Subdetail level adjudication details"/>
      <definition value="The adjudications results."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#ClaimResponse.item.adjudication"/>
    </element>
    <element id="ClaimResponse.addItem">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="AddedItem"/>
      </extension>
      <path value="ClaimResponse.addItem"/>
      <short value="Insurer added line items"/>
      <definition value="The first tier service adjudications for payor added services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.sequenceLinkId">
      <path value="ClaimResponse.addItem.sequenceLinkId"/>
      <short value="Service instances"/>
      <definition value="List of input service items which this service line is intended to replace."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.revenue">
      <path value="ClaimResponse.addItem.revenue"/>
      <short value="Revenue or cost center code"/>
      <definition value="The type of reveneu or cost center providing the product and/or service."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RevenueCenter"/>
        </extension>
        <strength value="example"/>
        <description value="Codes for the revenue or cost centers supplying the service and/or products."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.category">
      <path value="ClaimResponse.addItem.category"/>
      <short value="Type of service or product"/>
      <definition value="Health Care Service Type Codes to identify the classification of service or benefits."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitSubCategory"/>
        </extension>
        <strength value="example"/>
        <description value="Benefit subcategories such as: oral-basic, major, glasses"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-subcategory"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.service">
      <path value="ClaimResponse.addItem.service"/>
      <short value="Group, Service or Product"/>
      <definition value="A code to indicate the Professional Service or Product supplied."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceProduct"/>
        </extension>
        <strength value="example"/>
        <description value="Allowable service and product codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.modifier">
      <path value="ClaimResponse.addItem.modifier"/>
      <short value="Service/Product billing modifiers"/>
      <definition value="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."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Modifiers"/>
        </extension>
        <strength value="example"/>
        <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="24.C, 24.D mods"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.fee">
      <path value="ClaimResponse.addItem.fee"/>
      <short value="Professional fee or Product charge"/>
      <definition value="The fee charged for the professional service or product.."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.noteNumber">
      <path value="ClaimResponse.addItem.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.adjudication">
      <path value="ClaimResponse.addItem.adjudication"/>
      <short value="Added items adjudication"/>
      <definition value="The adjudications results."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#ClaimResponse.item.adjudication"/>
    </element>
    <element id="ClaimResponse.addItem.detail">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="AddedItemsDetail"/>
      </extension>
      <path value="ClaimResponse.addItem.detail"/>
      <short value="Added items details"/>
      <definition value="The second tier service adjudications for payor added services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.detail.revenue">
      <path value="ClaimResponse.addItem.detail.revenue"/>
      <short value="Revenue or cost center code"/>
      <definition value="The type of reveneu or cost center providing the product and/or service."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RevenueCenter"/>
        </extension>
        <strength value="example"/>
        <description value="Codes for the revenue or cost centers supplying the service and/or products."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.detail.category">
      <path value="ClaimResponse.addItem.detail.category"/>
      <short value="Type of service or product"/>
      <definition value="Health Care Service Type Codes to identify the classification of service or benefits."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitSubCategory"/>
        </extension>
        <strength value="example"/>
        <description value="Benefit subcategories such as: oral-basic, major, glasses"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-subcategory"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.detail.service">
      <path value="ClaimResponse.addItem.detail.service"/>
      <short value="Service or Product"/>
      <definition value="A code to indicate the Professional Service or Product supplied."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceProduct"/>
        </extension>
        <strength value="example"/>
        <description value="Allowable service and product codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.addItem.detail.modifier">
      <path value="ClaimResponse.addItem.detail.modifier"/>
      <short value="Service/Product billing modifiers"/>
      <definition value="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."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Modifiers"/>
        </extension>
        <strength value="example"/>
        <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="24.C, 24.D mods"/>
      </mapping>
    </element>
    <element id="ClaimResponse.addItem.detail.fee">
      <path value="ClaimResponse.addItem.detail.fee"/>
      <short value="Professional fee or Product charge"/>
      <definition value="The fee charged for the professional service or product.."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.detail.noteNumber">
      <path value="ClaimResponse.addItem.detail.noteNumber"/>
      <short value="List of note numbers which apply"/>
      <definition value="A list of note references to the notes provided below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.addItem.detail.adjudication">
      <path value="ClaimResponse.addItem.detail.adjudication"/>
      <short value="Added items detail adjudication"/>
      <definition value="The adjudications results."/>
      <min value="0"/>
      <max value="*"/>
      <contentReference value="#ClaimResponse.item.adjudication"/>
    </element>
    <element id="ClaimResponse.error">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Error"/>
      </extension>
      <path value="ClaimResponse.error"/>
      <short value="Processing errors"/>
      <definition value="Mutually exclusive with Services Provided (Item)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClaimResponse.error.sequenceLinkId">
      <path value="ClaimResponse.error.sequenceLinkId"/>
      <short value="Item sequence number"/>
      <definition value="The sequence number of the line item submitted which contains the error. This value is omitted when the error is elsewhere."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.error.detailSequenceLinkId">
      <path value="ClaimResponse.error.detailSequenceLinkId"/>
      <short value="Detail sequence number"/>
      <definition value="The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.error.subdetailSequenceLinkId">
      <path value="ClaimResponse.error.subdetailSequenceLinkId"/>
      <short value="Subdetail sequence number"/>
      <definition value="The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.error.code">
      <path value="ClaimResponse.error.code"/>
      <short value="Error code detailing processing issues"/>
      <definition value="An error code,from a specified code system, which details why the claim could not be adjudicated."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjudicationError"/>
        </extension>
        <strength value="example"/>
        <description value="The adjudication error codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication-error"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.totalCost">
      <path value="ClaimResponse.totalCost"/>
      <short value="Total Cost of service from the Claim"/>
      <definition value="The total cost of the services reported."/>
      <requirements value="This is a check value that the receiver calculates and returns."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.unallocDeductable">
      <path value="ClaimResponse.unallocDeductable"/>
      <short value="Unallocated deductible"/>
      <definition value="The amount of deductible applied which was not allocated to any particular service line."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.totalBenefit">
      <path value="ClaimResponse.totalBenefit"/>
      <short value="Total benefit payable for the Claim"/>
      <definition value="Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductible)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.payment">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Payment"/>
      </extension>
      <path value="ClaimResponse.payment"/>
      <short value="Payment details, if paid"/>
      <definition value="Payment details for the claim if the claim has been paid."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClaimResponse.payment.type">
      <path value="ClaimResponse.payment.type"/>
      <short value="Partial or Complete"/>
      <definition value="Whether this represents partial or complete payment of the claim."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PaymentType"/>
        </extension>
        <strength value="example"/>
        <description value="The type (partial, complete) of the payment"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-paymenttype"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.payment.adjustment">
      <path value="ClaimResponse.payment.adjustment"/>
      <short value="Payment adjustment for non-Claim issues"/>
      <definition value="Adjustment to the payment of this transaction which is not related to adjudication of this transaction."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.payment.adjustmentReason">
      <path value="ClaimResponse.payment.adjustmentReason"/>
      <short value="Explanation for the non-claim adjustment"/>
      <definition value="Reason for the payment adjustment."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PaymentAdjustmentReason"/>
        </extension>
        <strength value="example"/>
        <description value="Payment Adjustment reason codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/payment-adjustment-reason"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.payment.date">
      <path value="ClaimResponse.payment.date"/>
      <short value="Expected data of Payment"/>
      <definition value="Estimated payment data."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
    </element>
    <element id="ClaimResponse.payment.amount">
      <path value="ClaimResponse.payment.amount"/>
      <short value="Payable amount after adjustment"/>
      <definition value="Payable less any payment adjustment."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="ClaimResponse.payment.identifier">
      <path value="ClaimResponse.payment.identifier"/>
      <short value="Identifier of the payment instrument"/>
      <definition value="Payment identifier."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="ClaimResponse.reserved">
      <path value="ClaimResponse.reserved"/>
      <short value="Funds reserved status"/>
      <definition value="Status of funds reservation (For provider, for Patient, None)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="FundsReserve"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="For whom funds are to be reserved: (Patient, Provider, None)."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fundsreserve"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.form">
      <path value="ClaimResponse.form"/>
      <short value="Printed Form Identifier"/>
      <definition value="The form to be used for printing the content."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Forms"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="The forms codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/forms"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="G42"/>
      </mapping>
    </element>
    <element id="ClaimResponse.processNote">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Note"/>
      </extension>
      <path value="ClaimResponse.processNote"/>
      <short value="Processing notes"/>
      <definition value="Note text."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ClaimResponse.processNote.number">
      <path value="ClaimResponse.processNote.number"/>
      <short value="Sequence Number for this note"/>
      <definition value="An integer associated with each note which may be referred to from each service line item."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.processNote.type">
      <path value="ClaimResponse.processNote.type"/>
      <short value="display | print | printoper"/>
      <definition value="The note purpose: Print/Display."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="NoteType"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="required"/>
        <description value="The presentation types of notes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/note-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.processNote.text">
      <path value="ClaimResponse.processNote.text"/>
      <short value="Note explanatory text"/>
      <definition value="The note text."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="G32"/>
      </mapping>
    </element>
    <element id="ClaimResponse.processNote.language">
      <path value="ClaimResponse.processNote.language"/>
      <short value="Language if different from the resource"/>
      <definition value="The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case e.g. &quot;en&quot; for English, or &quot;en-US&quot; for American English versus &quot;en-EN&quot; for England English."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="ClaimResponse.communicationRequest">
      <path value="ClaimResponse.communicationRequest"/>
      <short value="Request for additional information"/>
      <definition value="Request for additional supporting or authorizing information, such as: documents, images or resources."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Insurance"/>
      </extension>
      <path value="ClaimResponse.insurance"/>
      <short value="Insurance or medical plan"/>
      <definition value="Financial instrument by which payment information for health care."/>
      <requirements value="Health care programs and insurers are significant payors of health service costs."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="Coverage"/>
      </mapping>
    </element>
    <element id="ClaimResponse.insurance.sequence">
      <path value="ClaimResponse.insurance.sequence"/>
      <short value="Service instance identifier"/>
      <definition value="A service line item."/>
      <requirements value="To maintain order of the coverages."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance.focal">
      <path value="ClaimResponse.insurance.focal"/>
      <short value="Is the focal Coverage"/>
      <definition value="The instance number of the Coverage which is the focus for adjudication. The Coverage against which the claim is to be adjudicated."/>
      <requirements value="To identify which coverage is being adjudicated."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance.coverage">
      <path value="ClaimResponse.insurance.coverage"/>
      <short value="Insurance information"/>
      <definition value="Reference to the program or plan identification, underwriter or payor."/>
      <requirements value="Need to identify the issuer to target for processing and for coordination of benefit processing."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance.businessArrangement">
      <path value="ClaimResponse.insurance.businessArrangement"/>
      <short value="Business agreement"/>
      <definition value="The contract number of a business agreement which describes the terms and conditions."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="ClaimResponse.insurance.preAuthRef">
      <path value="ClaimResponse.insurance.preAuthRef"/>
      <short value="Pre-Authorization/Determination Reference"/>
      <definition value="A list of references from the Insurer to which these services pertain."/>
      <requirements value="To provide any pre-determination or prior authorization reference."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="F03"/>
      </mapping>
    </element>
    <element id="ClaimResponse.insurance.claimResponse">
      <path value="ClaimResponse.insurance.claimResponse"/>
      <short value="Adjudication results"/>
      <definition value="The Coverages adjudication details."/>
      <requirements value="Used by downstream payers to determine what balance remains and the net payable."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="EOB"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>