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StructureDefinitionsClaimResponse

http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0

This resource provides the adjudication details from the processing of a Claim resource.
StructureJSONDependenciesFHIRSchemaOther VersionsDependant (0)ElementsSummary
Base: http://hl7.org/fhir/StructureDefinition/DomainResource4.0.1, 5.0.0, 4.0.1
Type: ClaimResponse (a.k.a: http://hl7.org/fhir/StructureDefinition/ClaimResponse)
Type dependencies: 22
Elements
addItem: BackboneElement
request: Reference
modifier: CodeableConcept
revenue: CodeableConcept
adjudication:
subdetailSequence: positiveInt
productOrServiceEnd: CodeableConcept
traceNumber: Identifier
itemSequence: positiveInt
net: Money
detailSequence: positiveInt
tax: Money
productOrService: CodeableConcept
extension: Extension
programCode: CodeableConcept
factor: decimal
id: http://hl7.org/fhirpath/System.String
bodySite: BackboneElement
id: http://hl7.org/fhirpath/System.String
extension: Extension
modifierExtension: Extension
site: CodeableReference
subSite: CodeableConcept
serviced[x]: date,Period
quantity: Quantity
location[x]: CodeableConcept,Address,Reference
provider: Reference
noteNumber: positiveInt
unitPrice: Money
modifierExtension: Extension
reviewOutcome:
detail: BackboneElement
modifier: CodeableConcept
revenue: CodeableConcept
adjudication:
productOrServiceEnd: CodeableConcept
traceNumber: Identifier
net: Money
tax: Money
productOrService: CodeableConcept
extension: Extension
factor: decimal
id: http://hl7.org/fhirpath/System.String
subDetail: BackboneElement
modifier: CodeableConcept
revenue: CodeableConcept
adjudication:
productOrServiceEnd: CodeableConcept
traceNumber: Identifier
net: Money
tax: Money
productOrService: CodeableConcept
extension: Extension
factor: decimal
id: http://hl7.org/fhirpath/System.String
quantity: Quantity
noteNumber: positiveInt
unitPrice: Money
modifierExtension: Extension
reviewOutcome:
quantity: Quantity
noteNumber: positiveInt
unitPrice: Money
modifierExtension: Extension
reviewOutcome:
adjudication:
communicationRequest: Reference
contained: Resource
created: dateTime
decision: CodeableConcept
diagnosisRelatedGroup: CodeableConcept
disposition: string
encounter: Reference
error: BackboneElement
expression: string
itemSequence: positiveInt
detailSequence: positiveInt
extension: Extension
id: http://hl7.org/fhirpath/System.String
subDetailSequence: positiveInt
code: CodeableConcept
modifierExtension: Extension
event: BackboneElement
id: http://hl7.org/fhirpath/System.String
extension: Extension
modifierExtension: Extension
type: CodeableConcept
when[x]: dateTime,Period
extension: Extension
form: Attachment
formCode: CodeableConcept
fundsReserve: CodeableConcept
id: http://hl7.org/fhirpath/System.String
identifier: Identifier
implicitRules: uri
insurance: BackboneElement
claimResponse: Reference
focal: boolean
businessArrangement: string
coverage: Reference
extension: Extension
id: http://hl7.org/fhirpath/System.String
sequence: positiveInt
modifierExtension: Extension
insurer: Reference
item: BackboneElement
adjudication: BackboneElement
id: http://hl7.org/fhirpath/System.String
extension: Extension
modifierExtension: Extension
category: CodeableConcept
reason: CodeableConcept
amount: Money
quantity: Quantity
traceNumber: Identifier
itemSequence: positiveInt
extension: Extension
id: http://hl7.org/fhirpath/System.String
noteNumber: positiveInt
modifierExtension: Extension
reviewOutcome: BackboneElement
id: http://hl7.org/fhirpath/System.String
extension: Extension
modifierExtension: Extension
decision: CodeableConcept
reason: CodeableConcept
preAuthRef: string
preAuthPeriod: Period
detail: BackboneElement
adjudication:
traceNumber: Identifier
detailSequence: positiveInt
extension: Extension
id: http://hl7.org/fhirpath/System.String
subDetail: BackboneElement
adjudication:
traceNumber: Identifier
extension: Extension
id: http://hl7.org/fhirpath/System.String
subDetailSequence: positiveInt
noteNumber: positiveInt
modifierExtension: Extension
reviewOutcome:
noteNumber: positiveInt
modifierExtension: Extension
reviewOutcome:
language: code
meta: Meta
modifierExtension: Extension
outcome: code
patient: Reference
payeeType: CodeableConcept
payment: BackboneElement
amount: Money
date: date
type: CodeableConcept
adjustment: Money
adjustmentReason: CodeableConcept
extension: Extension
id: http://hl7.org/fhirpath/System.String
identifier: Identifier
modifierExtension: Extension
preAuthPeriod: Period
preAuthRef: string
processNote: BackboneElement
id: http://hl7.org/fhirpath/System.String
extension: Extension
modifierExtension: Extension
number: positiveInt
type: CodeableConcept
text: string
language: CodeableConcept
request: Reference
requestor: Reference
status: code
subType: CodeableConcept
text: Narrative
total: BackboneElement
id: http://hl7.org/fhirpath/System.String
extension: Extension
modifierExtension: Extension
category: CodeableConcept
amount: Money
traceNumber: Identifier
type: CodeableConcept
use: code