FHIR IG analytics| Package | hl7.fhir.uv.xver-r4.r3 |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ext-R4-ClaimResponse.total.json |
| FHIR Version | R3 |
| Source | http://hl7.org/fhir/uv/xver-r4.r3/0.1.0/StructureDefinition-ext-R4-ClaimResponse.total.html |
| URL | http://hl7.org/fhir/4.0/StructureDefinition/extension-ClaimResponse.total |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T21:02:03.8104715+00:00 |
| Name | ExtensionClaimResponse_Total |
| Title | R4: Adjudication totals (new) |
| Realm | uv |
| Authority | hl7 |
| Description | R4: `ClaimResponse.total` (new:BackboneElement) |
| Purpose | This extension is part of the cross-version definitions generated to enable use of the element `ClaimResponse.total` as defined in FHIR R4 in FHIR STU3. The source element is defined as: `ClaimResponse.total` 0..* `BackboneElement` Following are the generation technical comments: Element `ClaimResponse.total` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.total` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
| Type | Extension |
| Kind | complex-type |
| ConceptMap | ||
| hl7.fhir.uv.xver-r4.r3#0.1.0 | R4-ClaimResponse-element-map-to-R3 | Cross-version mapping for FHIR R4 ClaimResponse to FHIR STU3 ClaimResponse |
No resources found
No extension usage examples found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ext-R4-ClaimResponse.total
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension | 0..* | Extension | R4: Adjudication totals (new) | |
  Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:category | 1..1 | Extension | R4: Type of adjudication information (new) | |
  url | 1..1 | uri | "category" | |
  value[x] | 1..1 | CodeableConcept | Type of adjudication information Binding: http://hl7.org/fhir/uv/xver/ValueSet/R4-adjudication-for-R3 (example): The adjudication codes. | |
 extension:amount | 1..1 | Extension | R4: Financial total for the category | |
 url | 1..1 | uri | "amount" | |
| value[x] | 1..1 | Money | Financial total for the category | |
| url | 1..1 | uri | "http://hl7.org/fhir/4.0/StructureDefinition/extension-ClaimResponse.total" | |
 value[x] | 0..0 | Value of extension | ||
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "ext-R4-ClaimResponse.total",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4.r3"
},
{
"url": "version",
"valueString": "0.1.0"
},
{
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
}
]
}
}
],
"url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-ClaimResponse.total",
"version": "0.1.0",
"name": "ExtensionClaimResponse_Total",
"title": "R4: Adjudication totals (new)",
"status": "active",
"experimental": false,
"date": "2026-03-17T21:02:03.8104715+00:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "R4: `ClaimResponse.total` (new:BackboneElement)",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `ClaimResponse.total` as defined in FHIR R4\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`ClaimResponse.total` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `ClaimResponse.total` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.total` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"fhirVersion": "3.0.2",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "complex-type",
"abstract": false,
"contextType": "resource",
"context": [
"ClaimResponse"
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4: Adjudication totals (new)",
"definition": "R4: `ClaimResponse.total` (new:BackboneElement)",
"comment": "Element `ClaimResponse.total` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.total` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nTotals for amounts submitted, co-pays, benefits payable etc.",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "Extension.id",
"path": "Extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 2,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:category",
"path": "Extension.extension",
"sliceName": "category",
"short": "R4: Type of adjudication information (new)",
"definition": "R4: `ClaimResponse.total.category` (new:CodeableConcept)",
"comment": "Element `ClaimResponse.total.category` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension.\nElement `ClaimResponse.total.category` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.total.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
"requirements": "Needed to convey the type of total provided. Element `ClaimResponse.total.category` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension.\nElement `ClaimResponse.total.category` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.total.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:category.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:category.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:category.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "category",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:category.value[x]",
"path": "Extension.extension.value[x]",
"short": "Type of adjudication information",
"definition": "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
"comment": "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The adjudication codes.",
"valueSetUri": "http://hl7.org/fhir/uv/xver/ValueSet/R4-adjudication-for-R3"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:amount",
"path": "Extension.extension",
"sliceName": "amount",
"short": "R4: Financial total for the category",
"definition": "R4: `ClaimResponse.total.amount`",
"comment": "Element `ClaimResponse.total.amount` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension.\nElement `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalCost` as `SourceIsBroaderThanTarget`.\nElement `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalBenefit` as `SourceIsBroaderThanTarget`.",
"requirements": "Needed to convey the total monetary amount. Element `ClaimResponse.total.amount` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension.\nElement `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalCost` as `SourceIsBroaderThanTarget`.\nElement `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalBenefit` as `SourceIsBroaderThanTarget`.",
"min": 1,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:amount.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:amount.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:amount.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "amount",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:amount.value[x]",
"path": "Extension.extension.value[x]",
"short": "Financial total for the category",
"definition": "Monetary total amount associated with the category.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Money"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-ClaimResponse.total",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "Reference"
},
{
"code": "SampledData"
},
{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "Meta"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4: Adjudication totals (new)",
"definition": "R4: `ClaimResponse.total` (new:BackboneElement)",
"comment": "Element `ClaimResponse.total` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.total` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nTotals for amounts submitted, co-pays, benefits payable etc.",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 2,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:category",
"path": "Extension.extension",
"sliceName": "category",
"short": "R4: Type of adjudication information (new)",
"definition": "R4: `ClaimResponse.total.category` (new:CodeableConcept)",
"comment": "Element `ClaimResponse.total.category` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension.\nElement `ClaimResponse.total.category` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.total.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
"requirements": "Needed to convey the type of total provided. Element `ClaimResponse.total.category` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension.\nElement `ClaimResponse.total.category` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.total.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:category.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "category"
},
{
"id": "Extension.extension:category.value[x]",
"path": "Extension.extension.value[x]",
"short": "Type of adjudication information",
"definition": "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
"comment": "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "The adjudication codes.",
"valueSetUri": "http://hl7.org/fhir/uv/xver/ValueSet/R4-adjudication-for-R3"
}
},
{
"id": "Extension.extension:amount",
"path": "Extension.extension",
"sliceName": "amount",
"short": "R4: Financial total for the category",
"definition": "R4: `ClaimResponse.total.amount`",
"comment": "Element `ClaimResponse.total.amount` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension.\nElement `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalCost` as `SourceIsBroaderThanTarget`.\nElement `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalBenefit` as `SourceIsBroaderThanTarget`.",
"requirements": "Needed to convey the total monetary amount. Element `ClaimResponse.total.amount` is part of an existing definition because parent element `ClaimResponse.total` requires a cross-version extension.\nElement `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalCost` as `SourceIsBroaderThanTarget`.\nElement `ClaimResponse.total.amount` is mapped to FHIR STU3 element `ClaimResponse.totalBenefit` as `SourceIsBroaderThanTarget`.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:amount.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "amount"
},
{
"id": "Extension.extension:amount.value[x]",
"path": "Extension.extension.value[x]",
"short": "Financial total for the category",
"definition": "Monetary total amount associated with the category.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Money"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-ClaimResponse.total"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
}
}
]
}
}