Profile Comparison between https://dhp.uz/fhir/core/StructureDefinition/uz-core-claim-response vs https://dhp.uz/fhir/core/StructureDefinition/uz-core-claim-response

Left:UZ Core ClaimResponse (https://dhp.uz/fhir/core/StructureDefinition/uz-core-claim-response)
Right:UZ Core ClaimResponse (https://dhp.uz/fhir/core/StructureDefinition/uz-core-claim-response)

Messages

ErrorStructureDefinition.versionValues for version differ: '0.9.0' vs '0.10.0'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0
      .copyright
        .date2026-06-22
          .descriptionUzbekistan Core ClaimResponse profile, used to represent claim adjudication and reimbursement responses
            .experimentaltrue
              .fhirVersion5.0.0
                .jurisdiction
                  ..jurisdiction[0]urn:iso:std:iso:3166#UZ
                    .kindresource
                      .nameUZCoreClaimResponse
                        .publisherMinistry of Health of the Republic of Uzbekistan
                          .purpose
                            .statusactive
                              .titleUZ Core ClaimResponse
                                .typeClaimResponse
                                  .urlhttps://dhp.uz/fhir/core/StructureDefinition/uz-core-claim-response
                                    .version0.9.00.10.0
                                    • Values Differ

                                    Structure

                                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                    .. ClaimResponse 0..*ClaimResponse(5.0.0)Response to a claim predetermination or preauthorization
                                    0..*ClaimResponse(5.0.0)Response to a claim predetermination or preauthorization
                                      ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                                        ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                          ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                            ... language 0..1codeLanguage of the resource content
                                            Binding: ?? (required): IETF language tag for a human language
                                            Additional BindingsPurpose
                                            ??Starter
                                            0..1codeLanguage of the resource content
                                            Binding: ?? (required): IETF language tag for a human language
                                            Additional BindingsPurpose
                                            ??Starter
                                              ... text 0..1NarrativeText summary of the resource, for human interpretation
                                              This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                              0..1NarrativeText summary of the resource, for human interpretation
                                              This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                                ... contained 0..*ResourceContained, inline Resources
                                                0..*ResourceContained, inline Resources
                                                  ... Slices for extension 0..*ExtensionExtension
                                                  Slice: Unordered, Open by value:url
                                                  0..*ExtensionExtension
                                                  Slice: Unordered, Open by value:url
                                                    ... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored
                                                      ... identifier S0..*IdentifierBusiness identifier for the claim response
                                                      S0..*IdentifierBusiness identifier for the claim response
                                                        ... traceNumber 0..*IdentifierNumber for tracking
                                                        0..*IdentifierNumber for tracking
                                                          ... status ?!SΣ1..1codeCurrent status of the claim response
                                                          Binding: ?? (required)
                                                          ?!SΣ1..1codeCurrent status of the claim response
                                                          Binding: ?? (required)
                                                            ... type SΣ1..1CodeableConceptCategory or discipline of the claim
                                                            Binding: ?? (required)
                                                            SΣ1..1CodeableConceptCategory or discipline of the claim
                                                            Binding: ?? (required)
                                                              ... subType 0..1CodeableConceptMore granular claim type
                                                              Binding: ?? (example): A more granular claim typecode.
                                                              0..1CodeableConceptMore granular claim type
                                                              Binding: ?? (example): A more granular claim typecode.
                                                                ... use SΣ1..1codePurpose of the claim response
                                                                Binding: ?? (required)
                                                                SΣ1..1codePurpose of the claim response
                                                                Binding: ?? (required)
                                                                  ... patient SΣ1..1Reference(UZ Core Patient(0.9.0))Patient associated with the claimSΣ1..1Reference(UZ Core Patient(0.10.0))Patient associated with the claim
                                                                    ... created SΣ1..1dateTimeDate the claim response was createdSΣ1..1dateTimeDate the claim response was created
                                                                      ... insurer SΣ0..1Reference(UZ Core Organization(0.9.0))Organization responsible for reimbursementSΣ0..1Reference(UZ Core Organization(0.10.0))Organization responsible for reimbursement
                                                                        ... requestor 0..1Reference(Practitioner | PractitionerRole | Organization)Party responsible for the claim0..1Reference(Practitioner | PractitionerRole | Organization)Party responsible for the claim
                                                                          ... request SΣ0..1Reference(UZ Core Claim(0.9.0))Reference to the original claimSΣ0..1Reference(UZ Core Claim(0.10.0))Reference to the original claim
                                                                            ... outcome SΣ1..1codeProcessing outcome of the claim
                                                                            Binding: ?? (required)
                                                                            SΣ1..1codeProcessing outcome of the claim
                                                                            Binding: ?? (required)
                                                                              ... decision SΣ0..1CodeableConceptAdjudication decision
                                                                              Binding: ?? (required)
                                                                              SΣ0..1CodeableConceptAdjudication decision
                                                                              Binding: ?? (required)
                                                                                ... disposition 0..1stringDisposition Message0..1stringDisposition Message
                                                                                  ... preAuthRef S0..1stringReference to a prior authorizationS0..1stringReference to a prior authorization
                                                                                    ... preAuthPeriod S0..1PeriodValidity period of the prior authorizationS0..1PeriodValidity period of the prior authorization
                                                                                      .... id 0..1idUnique id for inter-element referencing0..1idUnique id for inter-element referencing
                                                                                        .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                        Slice: Unordered, Open by value:url
                                                                                        0..*ExtensionAdditional content defined by implementations
                                                                                        Slice: Unordered, Open by value:url
                                                                                          .... start ΣC0..1dateTimeAuthorization start dateΣC0..1dateTimeAuthorization start date
                                                                                            .... end ΣC0..1dateTimeAuthorization end dateΣC0..1dateTimeAuthorization end date
                                                                                              ... event 0..*BackboneElementEvent information
                                                                                              0..*BackboneElementEvent information
                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                      .... type 1..1CodeableConceptSpecific event
                                                                                                      Binding: ?? (example)
                                                                                                      1..1CodeableConceptSpecific event
                                                                                                      Binding: ?? (example)
                                                                                                        .... when[x] 1..1dateTime, PeriodOccurance date or period1..1dateTime, PeriodOccurance date or period
                                                                                                          ... payeeType 0..1CodeableConceptParty to be paid any benefits payable
                                                                                                          Binding: ?? (example): A code for the party to be reimbursed.
                                                                                                          0..1CodeableConceptParty to be paid any benefits payable
                                                                                                          Binding: ?? (example): A code for the party to be reimbursed.
                                                                                                            ... encounter 0..*Reference(Encounter)Encounters associated with the listed treatments
                                                                                                            0..*Reference(Encounter)Encounters associated with the listed treatments
                                                                                                              ... diagnosisRelatedGroup 0..1CodeableConceptPackage billing code
                                                                                                              Binding: ?? (example)
                                                                                                              0..1CodeableConceptPackage billing code
                                                                                                              Binding: ?? (example)
                                                                                                                ... item 0..*BackboneElementAdjudication for claim line items
                                                                                                                0..*BackboneElementAdjudication for claim line items
                                                                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                        .... itemSequence 1..1positiveIntClaim item instance identifier1..1positiveIntClaim item instance identifier
                                                                                                                          .... traceNumber 0..*IdentifierNumber for tracking
                                                                                                                          0..*IdentifierNumber for tracking
                                                                                                                            .... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                            0..*positiveIntApplicable note numbers
                                                                                                                              .... reviewOutcome 0..1BackboneElementAdjudication results0..1BackboneElementAdjudication results
                                                                                                                                ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                  ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                    ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                      ..... decision 0..1CodeableConceptResult of the adjudication
                                                                                                                                      Binding: ?? (example)
                                                                                                                                      0..1CodeableConceptResult of the adjudication
                                                                                                                                      Binding: ?? (example)
                                                                                                                                        ..... reason 0..*CodeableConceptReason for result of the adjudication
                                                                                                                                        Binding: ?? (example)
                                                                                                                                        0..*CodeableConceptReason for result of the adjudication
                                                                                                                                        Binding: ?? (example)
                                                                                                                                          ..... preAuthRef 0..1stringPreauthorization reference0..1stringPreauthorization reference
                                                                                                                                            ..... preAuthPeriod 0..1PeriodPreauthorization reference effective period0..1PeriodPreauthorization reference effective period
                                                                                                                                              .... adjudication 0..*BackboneElementAdjudication details
                                                                                                                                              0..*BackboneElementAdjudication details
                                                                                                                                                ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                  ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                    ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                      ..... category 1..1CodeableConceptType of adjudication information
                                                                                                                                                      Binding: ?? (example): The adjudication codes.
                                                                                                                                                      1..1CodeableConceptType of adjudication information
                                                                                                                                                      Binding: ?? (example): The adjudication codes.
                                                                                                                                                        ..... reason 0..1CodeableConceptExplanation of adjudication outcome
                                                                                                                                                        Binding: ?? (example): The adjudication reason codes.
                                                                                                                                                        0..1CodeableConceptExplanation of adjudication outcome
                                                                                                                                                        Binding: ?? (example): The adjudication reason codes.
                                                                                                                                                          ..... amount 0..1MoneyMonetary amount0..1MoneyMonetary amount
                                                                                                                                                            ..... quantity 0..1QuantityNon-monetary value0..1QuantityNon-monetary value
                                                                                                                                                              .... detail 0..*BackboneElementAdjudication for claim details
                                                                                                                                                              0..*BackboneElementAdjudication for claim details
                                                                                                                                                                ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                  ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                    ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                      ..... detailSequence 1..1positiveIntClaim detail instance identifier1..1positiveIntClaim detail instance identifier
                                                                                                                                                                        ..... traceNumber 0..*IdentifierNumber for tracking
                                                                                                                                                                        0..*IdentifierNumber for tracking
                                                                                                                                                                          ..... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                          0..*positiveIntApplicable note numbers
                                                                                                                                                                            ..... reviewOutcome 0..1See reviewOutcome (ClaimResponse)Detail level adjudication results0..1See reviewOutcome (ClaimResponse)Detail level adjudication results
                                                                                                                                                                              ..... adjudication 0..*See adjudication (ClaimResponse)Detail level adjudication details
                                                                                                                                                                              0..*See adjudication (ClaimResponse)Detail level adjudication details
                                                                                                                                                                                ..... subDetail 0..*BackboneElementAdjudication for claim sub-details
                                                                                                                                                                                0..*BackboneElementAdjudication for claim sub-details
                                                                                                                                                                                  ...... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                    ...... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                      ...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                        ...... subDetailSequence 1..1positiveIntClaim sub-detail instance identifier1..1positiveIntClaim sub-detail instance identifier
                                                                                                                                                                                          ...... traceNumber 0..*IdentifierNumber for tracking
                                                                                                                                                                                          0..*IdentifierNumber for tracking
                                                                                                                                                                                            ...... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                                            0..*positiveIntApplicable note numbers
                                                                                                                                                                                              ...... reviewOutcome 0..1See reviewOutcome (ClaimResponse)Subdetail level adjudication results0..1See reviewOutcome (ClaimResponse)Subdetail level adjudication results
                                                                                                                                                                                                ...... adjudication 0..*See adjudication (ClaimResponse)Subdetail level adjudication details
                                                                                                                                                                                                0..*See adjudication (ClaimResponse)Subdetail level adjudication details
                                                                                                                                                                                                  ... addItem 0..*BackboneElementInsurer added line items
                                                                                                                                                                                                  0..*BackboneElementInsurer added line items
                                                                                                                                                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                      .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                        .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                          .... itemSequence 0..*positiveIntItem sequence number
                                                                                                                                                                                                          0..*positiveIntItem sequence number
                                                                                                                                                                                                            .... detailSequence 0..*positiveIntDetail sequence number
                                                                                                                                                                                                            0..*positiveIntDetail sequence number
                                                                                                                                                                                                              .... subdetailSequence 0..*positiveIntSubdetail sequence number
                                                                                                                                                                                                              0..*positiveIntSubdetail sequence number
                                                                                                                                                                                                                .... traceNumber 0..*IdentifierNumber for tracking
                                                                                                                                                                                                                0..*IdentifierNumber for tracking
                                                                                                                                                                                                                  .... provider 0..*Reference(Practitioner | PractitionerRole | Organization)Authorized providers
                                                                                                                                                                                                                  0..*Reference(Practitioner | PractitionerRole | Organization)Authorized providers
                                                                                                                                                                                                                    .... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                    Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                    0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                    Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                      .... productOrService 0..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                      Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                      0..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                      Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                        .... productOrServiceEnd 0..1CodeableConceptEnd of a range of codes
                                                                                                                                                                                                                        Binding: ?? (example)
                                                                                                                                                                                                                        0..1CodeableConceptEnd of a range of codes
                                                                                                                                                                                                                        Binding: ?? (example)
                                                                                                                                                                                                                          .... request 0..*Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription)Request or Referral for Service
                                                                                                                                                                                                                          0..*Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription)Request or Referral for Service
                                                                                                                                                                                                                            .... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                            Binding: ?? (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
                                                                                                                                                                                                                            0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                            Binding: ?? (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
                                                                                                                                                                                                                              .... programCode 0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                              Binding: ?? (example): Program specific reason codes.
                                                                                                                                                                                                                              0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                              Binding: ?? (example): Program specific reason codes.
                                                                                                                                                                                                                                .... serviced[x] 0..1date, PeriodDate or dates of service or product delivery0..1date, PeriodDate or dates of service or product delivery
                                                                                                                                                                                                                                  .... location[x] 0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                  Binding: ?? (example): Place of service: pharmacy, school, prison, etc.
                                                                                                                                                                                                                                  0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                  Binding: ?? (example): Place of service: pharmacy, school, prison, etc.
                                                                                                                                                                                                                                    .... quantity 0..1??Count of products or services0..1??Count of products or services
                                                                                                                                                                                                                                      .... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                        .... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                          .... tax 0..1MoneyTotal tax0..1MoneyTotal tax
                                                                                                                                                                                                                                            .... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                              .... bodySite 0..*BackboneElementAnatomical location
                                                                                                                                                                                                                                              0..*BackboneElementAnatomical location
                                                                                                                                                                                                                                                ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                  ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                    ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                      ..... site 1..*CodeableReference(BodyStructure)Location
                                                                                                                                                                                                                                                      Binding: ?? (example)
                                                                                                                                                                                                                                                      1..*CodeableReference(BodyStructure)Location
                                                                                                                                                                                                                                                      Binding: ?? (example)
                                                                                                                                                                                                                                                        ..... subSite 0..*CodeableConceptSub-location
                                                                                                                                                                                                                                                        Binding: ?? (example)
                                                                                                                                                                                                                                                        0..*CodeableConceptSub-location
                                                                                                                                                                                                                                                        Binding: ?? (example)
                                                                                                                                                                                                                                                          .... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                          0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                            .... reviewOutcome 0..1See reviewOutcome (ClaimResponse)Added items adjudication results0..1See reviewOutcome (ClaimResponse)Added items adjudication results
                                                                                                                                                                                                                                                              .... adjudication 0..*See adjudication (ClaimResponse)Added items adjudication
                                                                                                                                                                                                                                                              0..*See adjudication (ClaimResponse)Added items adjudication
                                                                                                                                                                                                                                                                .... detail 0..*BackboneElementInsurer added line details
                                                                                                                                                                                                                                                                0..*BackboneElementInsurer added line details
                                                                                                                                                                                                                                                                  ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                    ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                      ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                        ..... traceNumber 0..*IdentifierNumber for tracking
                                                                                                                                                                                                                                                                        0..*IdentifierNumber for tracking
                                                                                                                                                                                                                                                                          ..... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                          Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                                                          0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                          Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                                                            ..... productOrService 0..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                            Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                                                            0..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                            Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                                                              ..... productOrServiceEnd 0..1CodeableConceptEnd of a range of codes
                                                                                                                                                                                                                                                                              Binding: ?? (example)
                                                                                                                                                                                                                                                                              0..1CodeableConceptEnd of a range of codes
                                                                                                                                                                                                                                                                              Binding: ?? (example)
                                                                                                                                                                                                                                                                                ..... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                Binding: ?? (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
                                                                                                                                                                                                                                                                                0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                Binding: ?? (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
                                                                                                                                                                                                                                                                                  ..... quantity 0..1??Count of products or services0..1??Count of products or services
                                                                                                                                                                                                                                                                                    ..... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                      ..... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                        ..... tax 0..1MoneyTotal tax0..1MoneyTotal tax
                                                                                                                                                                                                                                                                                          ..... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                            ..... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                            0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                              ..... reviewOutcome 0..1See reviewOutcome (ClaimResponse)Added items detail level adjudication results0..1See reviewOutcome (ClaimResponse)Added items detail level adjudication results
                                                                                                                                                                                                                                                                                                ..... adjudication 0..*See adjudication (ClaimResponse)Added items detail adjudication
                                                                                                                                                                                                                                                                                                0..*See adjudication (ClaimResponse)Added items detail adjudication
                                                                                                                                                                                                                                                                                                  ..... subDetail 0..*BackboneElementInsurer added line items
                                                                                                                                                                                                                                                                                                  0..*BackboneElementInsurer added line items
                                                                                                                                                                                                                                                                                                    ...... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                      ...... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                        ...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                          ...... traceNumber 0..*IdentifierNumber for tracking
                                                                                                                                                                                                                                                                                                          0..*IdentifierNumber for tracking
                                                                                                                                                                                                                                                                                                            ...... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                            Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                                                                                            0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                            Binding: ?? (example): Codes for the revenue or cost centers supplying the service and/or products.
                                                                                                                                                                                                                                                                                                              ...... productOrService 0..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                              Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                                                                                              0..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                              Binding: ?? (example): Allowable service and product codes.
                                                                                                                                                                                                                                                                                                                ...... productOrServiceEnd 0..1CodeableConceptEnd of a range of codes
                                                                                                                                                                                                                                                                                                                Binding: ?? (example)
                                                                                                                                                                                                                                                                                                                0..1CodeableConceptEnd of a range of codes
                                                                                                                                                                                                                                                                                                                Binding: ?? (example)
                                                                                                                                                                                                                                                                                                                  ...... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                  Binding: ?? (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
                                                                                                                                                                                                                                                                                                                  0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                  Binding: ?? (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
                                                                                                                                                                                                                                                                                                                    ...... quantity 0..1??Count of products or services0..1??Count of products or services
                                                                                                                                                                                                                                                                                                                      ...... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                                        ...... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                                          ...... tax 0..1MoneyTotal tax0..1MoneyTotal tax
                                                                                                                                                                                                                                                                                                                            ...... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                                              ...... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                              0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                ...... reviewOutcome 0..1See reviewOutcome (ClaimResponse)Added items subdetail level adjudication results0..1See reviewOutcome (ClaimResponse)Added items subdetail level adjudication results
                                                                                                                                                                                                                                                                                                                                  ...... adjudication 0..*See adjudication (ClaimResponse)Added items subdetail adjudication
                                                                                                                                                                                                                                                                                                                                  0..*See adjudication (ClaimResponse)Added items subdetail adjudication
                                                                                                                                                                                                                                                                                                                                    ... adjudication 0..*See adjudication (ClaimResponse)Header-level adjudication
                                                                                                                                                                                                                                                                                                                                    0..*See adjudication (ClaimResponse)Header-level adjudication
                                                                                                                                                                                                                                                                                                                                      ... total SΣ0..*BackboneElementSummary adjudication amounts
                                                                                                                                                                                                                                                                                                                                      SΣ0..*BackboneElementSummary adjudication amounts
                                                                                                                                                                                                                                                                                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                              .... category Σ1..1CodeableConceptType of adjudication information
                                                                                                                                                                                                                                                                                                                                              Binding: ?? (required)
                                                                                                                                                                                                                                                                                                                                              Σ1..1CodeableConceptType of adjudication information
                                                                                                                                                                                                                                                                                                                                              Binding: ?? (required)
                                                                                                                                                                                                                                                                                                                                                .... amount Σ1..1MoneyTotal amount for the categoryΣ1..1MoneyTotal amount for the category
                                                                                                                                                                                                                                                                                                                                                  ... payment 0..1BackboneElementPayment Details0..1BackboneElementPayment Details
                                                                                                                                                                                                                                                                                                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                      .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                        .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                          .... type 1..1CodeableConceptPartial or complete payment
                                                                                                                                                                                                                                                                                                                                                          Binding: ?? (example): The type (partial, complete) of the payment.
                                                                                                                                                                                                                                                                                                                                                          1..1CodeableConceptPartial or complete payment
                                                                                                                                                                                                                                                                                                                                                          Binding: ?? (example): The type (partial, complete) of the payment.
                                                                                                                                                                                                                                                                                                                                                            .... adjustment 0..1MoneyPayment adjustment for non-claim issues0..1MoneyPayment adjustment for non-claim issues
                                                                                                                                                                                                                                                                                                                                                              .... adjustmentReason 0..1CodeableConceptExplanation for the adjustment
                                                                                                                                                                                                                                                                                                                                                              Binding: ?? (example): Payment Adjustment reason codes.
                                                                                                                                                                                                                                                                                                                                                              0..1CodeableConceptExplanation for the adjustment
                                                                                                                                                                                                                                                                                                                                                              Binding: ?? (example): Payment Adjustment reason codes.
                                                                                                                                                                                                                                                                                                                                                                .... date 0..1dateExpected date of payment0..1dateExpected date of payment
                                                                                                                                                                                                                                                                                                                                                                  .... amount 1..1MoneyPayable amount after adjustment1..1MoneyPayable amount after adjustment
                                                                                                                                                                                                                                                                                                                                                                    .... identifier 0..1IdentifierBusiness identifier for the payment0..1IdentifierBusiness identifier for the payment
                                                                                                                                                                                                                                                                                                                                                                      ... fundsReserve 0..1CodeableConceptFunds reserved status
                                                                                                                                                                                                                                                                                                                                                                      Binding: ?? (example): For whom funds are to be reserved: (Patient, Provider, None).
                                                                                                                                                                                                                                                                                                                                                                      0..1CodeableConceptFunds reserved status
                                                                                                                                                                                                                                                                                                                                                                      Binding: ?? (example): For whom funds are to be reserved: (Patient, Provider, None).
                                                                                                                                                                                                                                                                                                                                                                        ... formCode 0..1CodeableConceptPrinted form identifier
                                                                                                                                                                                                                                                                                                                                                                        Binding: ?? (example): The forms codes.
                                                                                                                                                                                                                                                                                                                                                                        0..1CodeableConceptPrinted form identifier
                                                                                                                                                                                                                                                                                                                                                                        Binding: ?? (example): The forms codes.
                                                                                                                                                                                                                                                                                                                                                                          ... form 0..1AttachmentPrinted reference or actual form0..1AttachmentPrinted reference or actual form
                                                                                                                                                                                                                                                                                                                                                                            ... processNote 0..*BackboneElementNote concerning adjudication
                                                                                                                                                                                                                                                                                                                                                                            0..*BackboneElementNote concerning adjudication
                                                                                                                                                                                                                                                                                                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                    .... number 0..1positiveIntNote instance identifier0..1positiveIntNote instance identifier
                                                                                                                                                                                                                                                                                                                                                                                      .... type 0..1CodeableConceptNote purpose
                                                                                                                                                                                                                                                                                                                                                                                      Binding: ?? (extensible): The presentation types of notes.
                                                                                                                                                                                                                                                                                                                                                                                      0..1CodeableConceptNote purpose
                                                                                                                                                                                                                                                                                                                                                                                      Binding: ?? (extensible): The presentation types of notes.
                                                                                                                                                                                                                                                                                                                                                                                        .... text 1..1stringNote explanatory text1..1stringNote explanatory text
                                                                                                                                                                                                                                                                                                                                                                                          .... language 0..1CodeableConceptLanguage of the text
                                                                                                                                                                                                                                                                                                                                                                                          Binding: ?? (required): IETF language tag for a human language
                                                                                                                                                                                                                                                                                                                                                                                          Additional BindingsPurpose
                                                                                                                                                                                                                                                                                                                                                                                          ??Starter
                                                                                                                                                                                                                                                                                                                                                                                          0..1CodeableConceptLanguage of the text
                                                                                                                                                                                                                                                                                                                                                                                          Binding: ?? (required): IETF language tag for a human language
                                                                                                                                                                                                                                                                                                                                                                                          Additional BindingsPurpose
                                                                                                                                                                                                                                                                                                                                                                                          ??Starter
                                                                                                                                                                                                                                                                                                                                                                                            ... communicationRequest 0..*Reference(CommunicationRequest)Request for additional information
                                                                                                                                                                                                                                                                                                                                                                                            0..*Reference(CommunicationRequest)Request for additional information
                                                                                                                                                                                                                                                                                                                                                                                              ... insurance 0..*BackboneElementPatient insurance information
                                                                                                                                                                                                                                                                                                                                                                                              0..*BackboneElementPatient insurance information
                                                                                                                                                                                                                                                                                                                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                      .... sequence 1..1positiveIntInsurance instance identifier1..1positiveIntInsurance instance identifier
                                                                                                                                                                                                                                                                                                                                                                                                        .... focal 1..1booleanCoverage to be used for adjudication1..1booleanCoverage to be used for adjudication
                                                                                                                                                                                                                                                                                                                                                                                                          .... coverage 1..1Reference(Coverage)Insurance information1..1Reference(Coverage)Insurance information
                                                                                                                                                                                                                                                                                                                                                                                                            .... businessArrangement 0..1stringAdditional provider contract number0..1stringAdditional provider contract number
                                                                                                                                                                                                                                                                                                                                                                                                              .... claimResponse 0..1Reference(ClaimResponse)Adjudication results0..1Reference(ClaimResponse)Adjudication results
                                                                                                                                                                                                                                                                                                                                                                                                                ... error 0..*BackboneElementProcessing errors
                                                                                                                                                                                                                                                                                                                                                                                                                0..*BackboneElementProcessing errors
                                                                                                                                                                                                                                                                                                                                                                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                        .... itemSequence 0..1positiveIntItem sequence number0..1positiveIntItem sequence number
                                                                                                                                                                                                                                                                                                                                                                                                                          .... detailSequence 0..1positiveIntDetail sequence number0..1positiveIntDetail sequence number
                                                                                                                                                                                                                                                                                                                                                                                                                            .... subDetailSequence 0..1positiveIntSubdetail sequence number0..1positiveIntSubdetail sequence number
                                                                                                                                                                                                                                                                                                                                                                                                                              .... code Σ1..1CodeableConceptError code detailing processing issues
                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: ?? (example): The adjudication error codes.
                                                                                                                                                                                                                                                                                                                                                                                                                              Σ1..1CodeableConceptError code detailing processing issues
                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: ?? (example): The adjudication error codes.
                                                                                                                                                                                                                                                                                                                                                                                                                                .... expression Σ0..*stringFHIRPath of element(s) related to issue
                                                                                                                                                                                                                                                                                                                                                                                                                                Σ0..*stringFHIRPath of element(s) related to issue

                                                                                                                                                                                                                                                                                                                                                                                                                                  doco Documentation for this format