openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build

openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

Resource Profile: openIMIS Claim Response

Official URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-claim-response Version: 1.0.0
Active as of 2022-05-31 Responsible: openIMIS Initiative Computable Name: OpenIMISClaimResponse

Defines a ClaimResponse for openIMIS which maps to a Claim. The ClaimResponse resource contains the adjudication result of a Claim.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ClaimResponse

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClaimResponse 0..*ClaimResponseResponse to a claim predetermination or preauthorization
... id 0..1stringClaim UUID
... Slices for identifier S2..2IdentifierBusiness Identifier for a claim response
Slice: Unordered, Closed by value:type.coding.code
.... identifier:All Slices Content/Rules for all slices
..... type 1..1CodeableConceptDescription of identifier
...... coding
....... code 0..1codeSymbol in syntax defined by the system
Binding: openIMIS Identifiers Value Set (required)
..... value 1..1stringThe value that is unique
.... identifier:Code S1..1IdentifierBusiness Identifier for a claim response
..... type
...... coding
....... code 1..1codeClaim openIMIS Code
Required Pattern: Code
.... identifier:UUID 1..1IdentifierBusiness Identifier for a claim response
..... type
...... coding
....... code 1..1codeClaim openIMIS UUID
Required Pattern: UUID
... status 1..1codeFHIR Claim Status
Required Pattern: active
... type
.... coding 0..*CodingVisit type
Binding: Visit Type Codes (Claim) (required)
... subType 0..0
... use 1..1codeClaim Type
Required Pattern: claim
... patient 1..1Reference(openIMIS Patient)The recipient of the products and services
... created 1..1dateTimeResponse creation date
... insurer 1..1Reference(openIMIS Insurance Organization)Party responsible for reimbursement
... requestor 1..1Reference(openIMIS Claim Administrator Practitioner)Party responsible for the claim
... request 1..1Reference(Claim)Id of resource triggering adjudication
... outcome 1..1codequeued | complete | error | partial
... disposition 0..0
... preAuthRef 0..0
... preAuthPeriod 0..0
... payeeType 0..0
... item 1..*BackboneElementAdjudication for claim line items
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... claim-item-reference 1..1Reference(openIMIS Medication | openIMIS ActivityDefinition)Item Reference
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference
.... noteNumber 0..0
.... adjudication 1..4BackboneElementAdjudication details
..... category 1..1CodeableConceptType of adjudication information
Binding: Status of the claim (Claim|ClaimResponse) (required)
..... reason 1..1CodeableConceptExplanation of adjudication outcome
...... coding 1..1CodingCode defined by a terminology system
Binding: Rejection reasons (Claim) (required)
...... text 0..1stringPlain text representation of the concept
..... amount 1..1MoneyMonetary amount
...... value 1..1decimalNumerical value (with implicit precision)
..... value 1..1decimalNon-monetary value
.... detail 0..0
... addItem 0..0
... adjudication 0..0
... total 1..4BackboneElementAdjudication totals
.... category 1..1CodeableConceptType of adjudication information
Binding: Status of the claim (Claim|ClaimResponse) (required)
.... amount
..... value 1..1decimalNumerical value (with implicit precision)
... payment 0..0
... fundsReserve 0..0
... formCode 0..0
... form 0..0
... processNote 0..1BackboneElementNote concerning adjudication
.... number 0..0
.... type 0..0
.... text 1..1stringNote explanatory text
.... language 0..0
... communicationRequest 0..1Reference(openIMIS CommunicationRequest)Request for additional information
... insurance 0..0
... error 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClaimResponse 0..*ClaimResponseResponse to a claim predetermination or preauthorization
... id Σ0..1stringClaim UUID
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier S2..2IdentifierBusiness Identifier for a claim response
Slice: Unordered, Closed by value:type.coding.code
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
Binding: openIMIS Identifiers Value Set (required)
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:Code S1..1IdentifierBusiness Identifier for a claim response
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeClaim openIMIS Code
Required Pattern: Code
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:UUID 1..1IdentifierBusiness Identifier for a claim response
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeClaim openIMIS UUID
Required Pattern: UUID
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!Σ1..1codeFHIR Claim Status
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.


Required Pattern: active
... type Σ1..1CodeableConceptMore granular claim type
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingVisit type
Binding: Visit Type Codes (Claim) (required)
.... text Σ0..1stringPlain text representation of the concept
... use Σ1..1codeClaim Type
Binding: Use (required): Claim, preauthorization, predetermination.


Required Pattern: claim
... patient Σ1..1Reference(openIMIS Patient)The recipient of the products and services
... created Σ1..1dateTimeResponse creation date
... insurer Σ1..1Reference(openIMIS Insurance Organization)Party responsible for reimbursement
... requestor 1..1Reference(openIMIS Claim Administrator Practitioner)Party responsible for the claim
... request Σ1..1Reference(Claim)Id of resource triggering adjudication
... outcome Σ1..1codequeued | complete | error | partial
Binding: ClaimProcessingCodes (required): The result of the claim processing.

... item 1..*BackboneElementAdjudication for claim line items
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... claim-item-reference 1..1Reference(openIMIS Medication | openIMIS ActivityDefinition)Item Reference
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... itemSequence 1..1positiveIntClaim item instance identifier
.... adjudication 1..4BackboneElementAdjudication details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... category 1..1CodeableConceptType of adjudication information
Binding: Status of the claim (Claim|ClaimResponse) (required)
..... reason 1..1CodeableConceptExplanation of adjudication outcome
Binding: AdjudicationReasonCodes (example): The adjudication reason codes.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..1CodingCode defined by a terminology system
Binding: Rejection reasons (Claim) (required)
...... text Σ0..1stringPlain text representation of the concept
..... amount 1..1MoneyMonetary amount
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value (with implicit precision)
...... currency Σ0..1codeISO 4217 Currency Code
Binding: Currencies (required): A code indicating the currency, taken from ISO 4217.

..... value 1..1decimalNon-monetary value
... total Σ1..4BackboneElementAdjudication totals
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... category Σ1..1CodeableConceptType of adjudication information
Binding: Status of the claim (Claim|ClaimResponse) (required)
.... amount Σ1..1MoneyFinancial total for the category
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ1..1decimalNumerical value (with implicit precision)
..... currency Σ0..1codeISO 4217 Currency Code
Binding: Currencies (required): A code indicating the currency, taken from ISO 4217.

... processNote 0..1BackboneElementNote concerning adjudication
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text 1..1stringNote explanatory text
... communicationRequest 0..1Reference(openIMIS CommunicationRequest)Request for additional information

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClaimResponse 0..*ClaimResponseResponse to a claim predetermination or preauthorization
... Slices for identifier 2..2IdentifierBusiness Identifier for a claim response
Slice: Unordered, Closed by value:type.coding.code
.... identifier:Code 1..1IdentifierBusiness Identifier for a claim response

doco Documentation for this format

Differential View

This structure is derived from ClaimResponse

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClaimResponse 0..*ClaimResponseResponse to a claim predetermination or preauthorization
... id 0..1stringClaim UUID
... Slices for identifier S2..2IdentifierBusiness Identifier for a claim response
Slice: Unordered, Closed by value:type.coding.code
.... identifier:All Slices Content/Rules for all slices
..... type 1..1CodeableConceptDescription of identifier
...... coding
....... code 0..1codeSymbol in syntax defined by the system
Binding: openIMIS Identifiers Value Set (required)
..... value 1..1stringThe value that is unique
.... identifier:Code S1..1IdentifierBusiness Identifier for a claim response
..... type
...... coding
....... code 1..1codeClaim openIMIS Code
Required Pattern: Code
.... identifier:UUID 1..1IdentifierBusiness Identifier for a claim response
..... type
...... coding
....... code 1..1codeClaim openIMIS UUID
Required Pattern: UUID
... status 1..1codeFHIR Claim Status
Required Pattern: active
... type
.... coding 0..*CodingVisit type
Binding: Visit Type Codes (Claim) (required)
... subType 0..0
... use 1..1codeClaim Type
Required Pattern: claim
... patient 1..1Reference(openIMIS Patient)The recipient of the products and services
... created 1..1dateTimeResponse creation date
... insurer 1..1Reference(openIMIS Insurance Organization)Party responsible for reimbursement
... requestor 1..1Reference(openIMIS Claim Administrator Practitioner)Party responsible for the claim
... request 1..1Reference(Claim)Id of resource triggering adjudication
... outcome 1..1codequeued | complete | error | partial
... disposition 0..0
... preAuthRef 0..0
... preAuthPeriod 0..0
... payeeType 0..0
... item 1..*BackboneElementAdjudication for claim line items
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... claim-item-reference 1..1Reference(openIMIS Medication | openIMIS ActivityDefinition)Item Reference
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference
.... noteNumber 0..0
.... adjudication 1..4BackboneElementAdjudication details
..... category 1..1CodeableConceptType of adjudication information
Binding: Status of the claim (Claim|ClaimResponse) (required)
..... reason 1..1CodeableConceptExplanation of adjudication outcome
...... coding 1..1CodingCode defined by a terminology system
Binding: Rejection reasons (Claim) (required)
...... text 0..1stringPlain text representation of the concept
..... amount 1..1MoneyMonetary amount
...... value 1..1decimalNumerical value (with implicit precision)
..... value 1..1decimalNon-monetary value
.... detail 0..0
... addItem 0..0
... adjudication 0..0
... total 1..4BackboneElementAdjudication totals
.... category 1..1CodeableConceptType of adjudication information
Binding: Status of the claim (Claim|ClaimResponse) (required)
.... amount
..... value 1..1decimalNumerical value (with implicit precision)
... payment 0..0
... fundsReserve 0..0
... formCode 0..0
... form 0..0
... processNote 0..1BackboneElementNote concerning adjudication
.... number 0..0
.... type 0..0
.... text 1..1stringNote explanatory text
.... language 0..0
... communicationRequest 0..1Reference(openIMIS CommunicationRequest)Request for additional information
... insurance 0..0
... error 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClaimResponse 0..*ClaimResponseResponse to a claim predetermination or preauthorization
... id Σ0..1stringClaim UUID
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier S2..2IdentifierBusiness Identifier for a claim response
Slice: Unordered, Closed by value:type.coding.code
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
Binding: openIMIS Identifiers Value Set (required)
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:Code S1..1IdentifierBusiness Identifier for a claim response
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeClaim openIMIS Code
Required Pattern: Code
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:UUID 1..1IdentifierBusiness Identifier for a claim response
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeClaim openIMIS UUID
Required Pattern: UUID
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!Σ1..1codeFHIR Claim Status
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.


Required Pattern: active
... type Σ1..1CodeableConceptMore granular claim type
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingVisit type
Binding: Visit Type Codes (Claim) (required)
.... text Σ0..1stringPlain text representation of the concept
... use Σ1..1codeClaim Type
Binding: Use (required): Claim, preauthorization, predetermination.


Required Pattern: claim
... patient Σ1..1Reference(openIMIS Patient)The recipient of the products and services
... created Σ1..1dateTimeResponse creation date
... insurer Σ1..1Reference(openIMIS Insurance Organization)Party responsible for reimbursement
... requestor 1..1Reference(openIMIS Claim Administrator Practitioner)Party responsible for the claim
... request Σ1..1Reference(Claim)Id of resource triggering adjudication
... outcome Σ1..1codequeued | complete | error | partial
Binding: ClaimProcessingCodes (required): The result of the claim processing.

... item 1..*BackboneElementAdjudication for claim line items
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... claim-item-reference 1..1Reference(openIMIS Medication | openIMIS ActivityDefinition)Item Reference
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... itemSequence 1..1positiveIntClaim item instance identifier
.... adjudication 1..4BackboneElementAdjudication details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... category 1..1CodeableConceptType of adjudication information
Binding: Status of the claim (Claim|ClaimResponse) (required)
..... reason 1..1CodeableConceptExplanation of adjudication outcome
Binding: AdjudicationReasonCodes (example): The adjudication reason codes.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..1CodingCode defined by a terminology system
Binding: Rejection reasons (Claim) (required)
...... text Σ0..1stringPlain text representation of the concept
..... amount 1..1MoneyMonetary amount
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value (with implicit precision)
...... currency Σ0..1codeISO 4217 Currency Code
Binding: Currencies (required): A code indicating the currency, taken from ISO 4217.

..... value 1..1decimalNon-monetary value
... total Σ1..4BackboneElementAdjudication totals
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... category Σ1..1CodeableConceptType of adjudication information
Binding: Status of the claim (Claim|ClaimResponse) (required)
.... amount Σ1..1MoneyFinancial total for the category
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ1..1decimalNumerical value (with implicit precision)
..... currency Σ0..1codeISO 4217 Currency Code
Binding: Currencies (required): A code indicating the currency, taken from ISO 4217.

... processNote 0..1BackboneElementNote concerning adjudication
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text 1..1stringNote explanatory text
... communicationRequest 0..1Reference(openIMIS CommunicationRequest)Request for additional information

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
ClaimResponse.languagepreferredCommonLanguages
Max Binding: AllLanguages
ClaimResponse.identifier.userequiredIdentifierUse
ClaimResponse.identifier.typeextensibleIdentifier Type Codes
ClaimResponse.identifier.type.coding.coderequiredOpenIMISIdentifierVS
ClaimResponse.identifier:Code.userequiredIdentifierUse
ClaimResponse.identifier:Code.typeextensibleIdentifier Type Codes
ClaimResponse.identifier:UUID.userequiredIdentifierUse
ClaimResponse.identifier:UUID.typeextensibleIdentifier Type Codes
ClaimResponse.statusrequiredPattern: active
ClaimResponse.typeextensibleClaimTypeCodes
ClaimResponse.type.codingrequiredClaimVisitTypeVS
ClaimResponse.userequiredPattern: claim
ClaimResponse.outcomerequiredClaimProcessingCodes
ClaimResponse.item.adjudication.categoryrequiredClaimStatusVS
ClaimResponse.item.adjudication.reasonexampleAdjudicationReasonCodes
ClaimResponse.item.adjudication.reason.codingrequiredClaimRejectionReasonsVS
ClaimResponse.item.adjudication.amount.currencyrequiredCurrencies
ClaimResponse.addItem.productOrServiceexampleUSCLSCodes
ClaimResponse.addItem.modifierexampleModifierTypeCodes
ClaimResponse.addItem.programCodeexampleExampleProgramReasonCodes
ClaimResponse.addItem.location[x]exampleExampleServicePlaceCodes
ClaimResponse.addItem.bodySiteexampleOralSiteCodes
ClaimResponse.addItem.subSiteexampleSurfaceCodes
ClaimResponse.addItem.detail.productOrServiceexampleUSCLSCodes
ClaimResponse.addItem.detail.modifierexampleModifierTypeCodes
ClaimResponse.addItem.detail.subDetail.productOrServiceexampleUSCLSCodes
ClaimResponse.addItem.detail.subDetail.modifierexampleModifierTypeCodes
ClaimResponse.total.categoryrequiredClaimStatusVS
ClaimResponse.total.amount.currencyrequiredCurrencies
ClaimResponse.payment.typeexampleExamplePaymentTypeCodes
ClaimResponse.payment.adjustmentReasonexamplePaymentAdjustmentReasonCodes
ClaimResponse.error.codeexampleAdjudication Error Codes

Constraints

IdGradePathDetailsRequirements
dom-2errorClaimResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorClaimResponseIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorClaimResponseIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorClaimResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeClaimResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorClaimResponse.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.identifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifier.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.type.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.identifier.type.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifier.type.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.type.coding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.identifier.type.coding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifier.type.coding.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.type.coding.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.type.coding.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.type.coding.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.type.coding.userSelectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.type.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:CodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.identifier:Code.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifier:Code.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.type.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.identifier:Code.type.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifier:Code.type.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.type.coding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.identifier:Code.type.coding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifier:Code.type.coding.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.type.coding.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.type.coding.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.type.coding.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.type.coding.userSelectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.type.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:Code.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUIDAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.identifier:UUID.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifier:UUID.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.type.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.identifier:UUID.type.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifier:UUID.type.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.type.coding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.identifier:UUID.type.coding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.identifier:UUID.type.coding.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.type.coding.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.type.coding.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.type.coding.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.type.coding.userSelectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.type.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.identifier:UUID.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.type.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.type.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.type.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.type.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.patientAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.createdAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.insurerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.requestorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.requestAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.outcomeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.itemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.extension:itemReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.extension:itemReferenceMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.itemSequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.adjudicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.adjudication.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.adjudication.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.adjudication.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.adjudication.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.adjudication.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.adjudication.reasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.adjudication.reason.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.adjudication.reason.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.adjudication.reason.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.adjudication.reason.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.adjudication.amountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.adjudication.amount.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.adjudication.amount.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.adjudication.amount.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.adjudication.amount.currencyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.adjudication.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.detail.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.detail.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.detail.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.detail.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.detail.detailSequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.detail.noteNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.detail.adjudicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.detail.subDetailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.detail.subDetail.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.detail.subDetail.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.detail.subDetail.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.item.detail.subDetail.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.item.detail.subDetail.subDetailSequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.detail.subDetail.noteNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.item.detail.subDetail.adjudicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.addItem.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.addItem.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.addItem.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.addItem.itemSequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detailSequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.subdetailSequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.providerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.productOrServiceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.modifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.programCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.serviced[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.location[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.quantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.unitPriceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.factorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.netAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.subSiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.noteNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.adjudicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.addItem.detail.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.addItem.detail.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.addItem.detail.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.addItem.detail.productOrServiceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.modifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.quantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.unitPriceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.factorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.netAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.noteNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.adjudicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.subDetailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.subDetail.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.addItem.detail.subDetail.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.addItem.detail.subDetail.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.addItem.detail.subDetail.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.addItem.detail.subDetail.productOrServiceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.subDetail.modifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.subDetail.quantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.subDetail.unitPriceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.subDetail.factorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.subDetail.netAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.subDetail.noteNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.addItem.detail.subDetail.adjudicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.totalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.total.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.total.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.total.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.total.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.total.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.total.amountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.total.amount.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.total.amount.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.total.amount.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.total.amount.currencyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.payment.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.payment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.payment.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.payment.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.payment.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.payment.adjustmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.payment.adjustmentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.payment.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.payment.amountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.payment.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.processNoteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.processNote.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.processNote.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.processNote.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.processNote.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.processNote.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.communicationRequestAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.insurance.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.insurance.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.insurance.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.insurance.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.insurance.sequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.insurance.focalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.insurance.coverageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.insurance.businessArrangementAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.insurance.claimResponseAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.error.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.error.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.error.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorClaimResponse.error.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorClaimResponse.error.itemSequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.error.detailSequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.error.subDetailSequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorClaimResponse.error.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())