http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.0.1
This resource provides the adjudication details from the processing of a Claim resource.
| type | destination |
|---|---|
| baseDefinition | http://hl7.org/fhir/StructureDefinition/DomainResource |
| type | http://hl7.org/fhir/StructureDefinition/ClaimResponse |
| ClaimResponse.identifier.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| ClaimResponse.status.type | http://hl7.org/fhir/StructureDefinition/code |
| ClaimResponse.status.binding.valueSet | http://hl7.org/fhir/ValueSet/fm-status | 4.0.1 |
| ClaimResponse.type.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.type.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-type |
| ClaimResponse.subType.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.subType.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-subtype |
| ClaimResponse.use.type | http://hl7.org/fhir/StructureDefinition/code |
| ClaimResponse.use.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-use | 4.0.1 |
| ClaimResponse.patient.type | http://hl7.org/fhir/StructureDefinition/Reference |
| ClaimResponse.patient.targetProfile | http://hl7.org/fhir/StructureDefinition/Patient |
| ClaimResponse.created.type | http://hl7.org/fhir/StructureDefinition/dateTime |
| ClaimResponse.insurer.type | http://hl7.org/fhir/StructureDefinition/Reference |
| ClaimResponse.insurer.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| ClaimResponse.requestor.type | http://hl7.org/fhir/StructureDefinition/Reference |
| ClaimResponse.requestor.targetProfile | http://hl7.org/fhir/StructureDefinition/Practitioner |
| ClaimResponse.requestor.targetProfile | http://hl7.org/fhir/StructureDefinition/PractitionerRole |
| ClaimResponse.requestor.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| ClaimResponse.request.type | http://hl7.org/fhir/StructureDefinition/Reference |
| ClaimResponse.request.targetProfile | http://hl7.org/fhir/StructureDefinition/Claim |
| ClaimResponse.outcome.type | http://hl7.org/fhir/StructureDefinition/code |
| ClaimResponse.outcome.binding.valueSet | http://hl7.org/fhir/ValueSet/remittance-outcome | 4.0.1 |
| ClaimResponse.disposition.type | http://hl7.org/fhir/StructureDefinition/string |
| ClaimResponse.preAuthRef.type | http://hl7.org/fhir/StructureDefinition/string |
| ClaimResponse.preAuthPeriod.type | http://hl7.org/fhir/StructureDefinition/Period |
| ClaimResponse.payeeType.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.payeeType.binding.valueSet | http://hl7.org/fhir/ValueSet/payeetype |
| ClaimResponse.item.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.item.itemSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.item.noteNumber.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.item.adjudication.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.item.adjudication.category.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.item.adjudication.category.binding.valueSet | http://hl7.org/fhir/ValueSet/adjudication |
| ClaimResponse.item.adjudication.reason.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.item.adjudication.reason.binding.valueSet | http://hl7.org/fhir/ValueSet/adjudication-reason |
| ClaimResponse.item.adjudication.amount.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.item.adjudication.value.type | http://hl7.org/fhir/StructureDefinition/decimal |
| ClaimResponse.item.detail.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.item.detail.detailSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.item.detail.noteNumber.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.item.detail.subDetail.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.item.detail.subDetail.subDetailSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.item.detail.subDetail.noteNumber.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.addItem.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.addItem.itemSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.addItem.detailSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.addItem.subdetailSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.addItem.provider.type | http://hl7.org/fhir/StructureDefinition/Reference |
| ClaimResponse.addItem.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/Practitioner |
| ClaimResponse.addItem.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/PractitionerRole |
| ClaimResponse.addItem.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| ClaimResponse.addItem.productOrService.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.productOrService.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| ClaimResponse.addItem.modifier.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.modifier.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-modifiers |
| ClaimResponse.addItem.programCode.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.programCode.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-program-code |
| ClaimResponse.addItem.serviced[x].type | http://hl7.org/fhir/StructureDefinition/date |
| ClaimResponse.addItem.serviced[x].type | http://hl7.org/fhir/StructureDefinition/Period |
| ClaimResponse.addItem.location[x].type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.location[x].type | http://hl7.org/fhir/StructureDefinition/Address |
| ClaimResponse.addItem.location[x].type | http://hl7.org/fhir/StructureDefinition/Reference |
| ClaimResponse.addItem.location[x].targetProfile | http://hl7.org/fhir/StructureDefinition/Location |
| ClaimResponse.addItem.location[x].binding.valueSet | http://hl7.org/fhir/ValueSet/service-place |
| ClaimResponse.addItem.quantity.type | http://hl7.org/fhir/StructureDefinition/Quantity |
| ClaimResponse.addItem.quantity.profile | http://hl7.org/fhir/StructureDefinition/SimpleQuantity |
| ClaimResponse.addItem.unitPrice.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.addItem.factor.type | http://hl7.org/fhir/StructureDefinition/decimal |
| ClaimResponse.addItem.net.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.addItem.bodySite.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.bodySite.binding.valueSet | http://hl7.org/fhir/ValueSet/tooth |
| ClaimResponse.addItem.subSite.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.subSite.binding.valueSet | http://hl7.org/fhir/ValueSet/surface |
| ClaimResponse.addItem.noteNumber.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.addItem.detail.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.addItem.detail.productOrService.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.detail.productOrService.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| ClaimResponse.addItem.detail.modifier.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.detail.modifier.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-modifiers |
| ClaimResponse.addItem.detail.quantity.type | http://hl7.org/fhir/StructureDefinition/Quantity |
| ClaimResponse.addItem.detail.quantity.profile | http://hl7.org/fhir/StructureDefinition/SimpleQuantity |
| ClaimResponse.addItem.detail.unitPrice.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.addItem.detail.factor.type | http://hl7.org/fhir/StructureDefinition/decimal |
| ClaimResponse.addItem.detail.net.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.addItem.detail.noteNumber.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.addItem.detail.subDetail.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.addItem.detail.subDetail.productOrService.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.detail.subDetail.productOrService.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| ClaimResponse.addItem.detail.subDetail.modifier.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.addItem.detail.subDetail.modifier.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-modifiers |
| ClaimResponse.addItem.detail.subDetail.quantity.type | http://hl7.org/fhir/StructureDefinition/Quantity |
| ClaimResponse.addItem.detail.subDetail.quantity.profile | http://hl7.org/fhir/StructureDefinition/SimpleQuantity |
| ClaimResponse.addItem.detail.subDetail.unitPrice.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.addItem.detail.subDetail.factor.type | http://hl7.org/fhir/StructureDefinition/decimal |
| ClaimResponse.addItem.detail.subDetail.net.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.addItem.detail.subDetail.noteNumber.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.total.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.total.category.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.total.category.binding.valueSet | http://hl7.org/fhir/ValueSet/adjudication |
| ClaimResponse.total.amount.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.payment.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.payment.type.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.payment.type.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-paymenttype |
| ClaimResponse.payment.adjustment.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.payment.adjustmentReason.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.payment.adjustmentReason.binding.valueSet | http://hl7.org/fhir/ValueSet/payment-adjustment-reason |
| ClaimResponse.payment.date.type | http://hl7.org/fhir/StructureDefinition/date |
| ClaimResponse.payment.amount.type | http://hl7.org/fhir/StructureDefinition/Money |
| ClaimResponse.payment.identifier.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| ClaimResponse.fundsReserve.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.fundsReserve.binding.valueSet | http://hl7.org/fhir/ValueSet/fundsreserve |
| ClaimResponse.formCode.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.formCode.binding.valueSet | http://hl7.org/fhir/ValueSet/forms |
| ClaimResponse.form.type | http://hl7.org/fhir/StructureDefinition/Attachment |
| ClaimResponse.processNote.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.processNote.number.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.processNote.type.type | http://hl7.org/fhir/StructureDefinition/code |
| ClaimResponse.processNote.type.binding.valueSet | http://hl7.org/fhir/ValueSet/note-type | 4.0.1 |
| ClaimResponse.processNote.text.type | http://hl7.org/fhir/StructureDefinition/string |
| ClaimResponse.processNote.language.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.processNote.language.binding.valueSet | http://hl7.org/fhir/ValueSet/languages |
| ClaimResponse.communicationRequest.type | http://hl7.org/fhir/StructureDefinition/Reference |
| ClaimResponse.communicationRequest.targetProfile | http://hl7.org/fhir/StructureDefinition/CommunicationRequest |
| ClaimResponse.insurance.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.insurance.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.insurance.focal.type | http://hl7.org/fhir/StructureDefinition/boolean |
| ClaimResponse.insurance.coverage.type | http://hl7.org/fhir/StructureDefinition/Reference |
| ClaimResponse.insurance.coverage.targetProfile | http://hl7.org/fhir/StructureDefinition/Coverage |
| ClaimResponse.insurance.businessArrangement.type | http://hl7.org/fhir/StructureDefinition/string |
| ClaimResponse.insurance.claimResponse.type | http://hl7.org/fhir/StructureDefinition/Reference |
| ClaimResponse.insurance.claimResponse.targetProfile | http://hl7.org/fhir/StructureDefinition/ClaimResponse |
| ClaimResponse.error.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| ClaimResponse.error.itemSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.error.detailSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.error.subDetailSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| ClaimResponse.error.code.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| ClaimResponse.error.code.binding.valueSet | http://hl7.org/fhir/ValueSet/adjudication-error |