FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4 |
| Resource Type | ConceptMap |
| Id | ConceptMap-R5-ClaimResponse-element-map-to-R4.json |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/uv/xver-r5.r4/0.1.0/ConceptMap-R5-ClaimResponse-element-map-to-R4.html |
| URL | http://hl7.org/fhir/uv/xver/ConceptMap/R5-ClaimResponse-element-map-to-R4 |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T16:04:44.4692385-05:00 |
| Name | R5ClaimResponseElementMapToR4 |
| Title | Cross-version mapping for FHIR R5 ClaimResponse to FHIR R4 ClaimResponse |
| Realm | uv |
| Authority | hl7 |
| Description | This ConceptMap represents cross-version mappings for elements from a FHIR R5 ClaimResponse to FHIR R4. |
No resources found
| StructureDefinition | ||
| hl7.fhir.uv.xver-r5.r4#0.1.0 | extension-ClaimResponse.addItem.bodySite.site | R5: Location (new) |
| hl7.fhir.uv.xver-r5.r4#0.1.0 | extension-ClaimResponse.addItem.bodySite.subSite | R5: Sub-location (new) |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.detail.productOrServiceEnd | Cross-version Extension for R5.ClaimResponse.addItem.detail.productOrServiceEnd for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.detail.revenue | Cross-version Extension for R5.ClaimResponse.addItem.detail.revenue for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.detail.subDetail.productOrServiceEnd | Cross-version Extension for R5.ClaimResponse.addItem.detail.subDetail.productOrServiceEnd for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.detail.subDetail.revenue | Cross-version Extension for R5.ClaimResponse.addItem.detail.subDetail.revenue for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.detail.subDetail.tax | Cross-version Extension for R5.ClaimResponse.addItem.detail.subDetail.tax for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.detail.subDetail.traceNumber | Cross-version Extension for R5.ClaimResponse.addItem.detail.subDetail.traceNumber for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.detail.tax | Cross-version Extension for R5.ClaimResponse.addItem.detail.tax for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.detail.traceNumber | Cross-version Extension for R5.ClaimResponse.addItem.detail.traceNumber for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.productOrServiceEnd | Cross-version Extension for R5.ClaimResponse.addItem.productOrServiceEnd for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.request | Cross-version Extension for R5.ClaimResponse.addItem.request for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.revenue | Cross-version Extension for R5.ClaimResponse.addItem.revenue for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.tax | Cross-version Extension for R5.ClaimResponse.addItem.tax for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.addItem.traceNumber | Cross-version Extension for R5.ClaimResponse.addItem.traceNumber for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.decision | Cross-version Extension for R5.ClaimResponse.decision for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.diagnosisRelatedGroup | Cross-version Extension for R5.ClaimResponse.diagnosisRelatedGroup for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.encounter | Cross-version Extension for R5.ClaimResponse.encounter for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.error.expression | Cross-version Extension for R5.ClaimResponse.error.expression for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.event | Cross-version Extension for R5.ClaimResponse.event for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.item.adjudication.quantity | Cross-version Extension for R5.ClaimResponse.item.adjudication.quantity for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.item.detail.subDetail.traceNumber | Cross-version Extension for R5.ClaimResponse.item.detail.subDetail.traceNumber for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.item.detail.traceNumber | Cross-version Extension for R5.ClaimResponse.item.detail.traceNumber for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.item.reviewOutcome | Cross-version Extension for R5.ClaimResponse.item.reviewOutcome for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.item.traceNumber | Cross-version Extension for R5.ClaimResponse.item.traceNumber for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4#0.1.0 | extension-ClaimResponse.processNote.type | R5: Note purpose additional types |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-ClaimResponse.traceNumber | Cross-version Extension for R5.ClaimResponse.traceNumber for use in FHIR R4 |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap R5-ClaimResponse-element-map-to-R4
Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to ClaimResponseversion: 4.0.1)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.meta (meta) | is equivalent to | ClaimResponse.meta | Element `ClaimResponse.meta` is mapped to FHIR R4 element `ClaimResponse.meta` as `Equivalent`. |
| ClaimResponse.implicitRules (implicitRules) | is equivalent to | ClaimResponse.implicitRules | Element `ClaimResponse.implicitRules` is mapped to FHIR R4 element `ClaimResponse.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc. |
| ClaimResponse.language (language) | is equivalent to | ClaimResponse.language | Element `ClaimResponse.language` is mapped to FHIR R4 element `ClaimResponse.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
| ClaimResponse.text (text) | is equivalent to | ClaimResponse.text | Element `ClaimResponse.text` is mapped to FHIR R4 element `ClaimResponse.text` as `Equivalent`. Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
| ClaimResponse.contained (contained) | is equivalent to | ClaimResponse.contained | Element `ClaimResponse.contained` is mapped to FHIR R4 element `ClaimResponse.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. |
| ClaimResponse.identifier (identifier) | is equivalent to | ClaimResponse.identifier | Element `ClaimResponse.identifier` is mapped to FHIR R4 element `ClaimResponse.identifier` as `Equivalent`. |
| ClaimResponse.status (status) | is equivalent to | ClaimResponse.status | Element `ClaimResponse.status` is mapped to FHIR R4 element `ClaimResponse.status` as `Equivalent`. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| ClaimResponse.type (type) | is equivalent to | ClaimResponse.type | Element `ClaimResponse.type` is mapped to FHIR R4 element `ClaimResponse.type` as `Equivalent`. This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type. |
| ClaimResponse.subType (subType) | is equivalent to | ClaimResponse.subType | Element `ClaimResponse.subType` is mapped to FHIR R4 element `ClaimResponse.subType` as `Equivalent`. This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type. |
| ClaimResponse.use (use) | is equivalent to | ClaimResponse.use | Element `ClaimResponse.use` is mapped to FHIR R4 element `ClaimResponse.use` as `Equivalent`. |
| ClaimResponse.patient (patient) | is equivalent to | ClaimResponse.patient | Element `ClaimResponse.patient` is mapped to FHIR R4 element `ClaimResponse.patient` as `Equivalent`. |
| ClaimResponse.created (created) | is equivalent to | ClaimResponse.created | Element `ClaimResponse.created` is mapped to FHIR R4 element `ClaimResponse.created` as `Equivalent`. |
| ClaimResponse.insurer (insurer) | is equivalent to | ClaimResponse.insurer | Element `ClaimResponse.insurer` is mapped to FHIR R4 element `ClaimResponse.insurer` as `Equivalent`. |
| ClaimResponse.requestor (requestor) | is equivalent to | ClaimResponse.requestor | Element `ClaimResponse.requestor` is mapped to FHIR R4 element `ClaimResponse.requestor` as `Equivalent`. Typically this field would be 1..1 where this party is accountable for the data content within the claim but is not necessarily the facility, provider group or practitioner who provided the products and services listed within this claim resource. This field is the Billing Provider, for example, a facility, provider group, lab or practitioner.. |
| ClaimResponse.request (request) | is equivalent to | ClaimResponse.request | Element `ClaimResponse.request` is mapped to FHIR R4 element `ClaimResponse.request` as `Equivalent`. |
| ClaimResponse.outcome (outcome) | is equivalent to | ClaimResponse.outcome | Element `ClaimResponse.outcome` is mapped to FHIR R4 element `ClaimResponse.outcome` as `Equivalent`. The resource may be used to indicate that the Claim/Preauthorization/Pre-determination has been received but processing has not begun (queued); that it has been processed and one or more errors have been detected (error); no errors were detected and some of the adjudication processing has been performed (partial); or all of the adjudication processing has completed without errors (complete). |
| ClaimResponse.disposition (disposition) | is equivalent to | ClaimResponse.disposition | Element `ClaimResponse.disposition` is mapped to FHIR R4 element `ClaimResponse.disposition` as `Equivalent`. |
| ClaimResponse.preAuthRef (preAuthRef) | is equivalent to | ClaimResponse.preAuthRef | Element `ClaimResponse.preAuthRef` is mapped to FHIR R4 element `ClaimResponse.preAuthRef` as `Equivalent`. This value is only present on preauthorization adjudications. |
| ClaimResponse.preAuthPeriod (preAuthPeriod) | is equivalent to | ClaimResponse.preAuthPeriod | Element `ClaimResponse.preAuthPeriod` is mapped to FHIR R4 element `ClaimResponse.preAuthPeriod` as `Equivalent`. |
| ClaimResponse.payeeType (payeeType) | is equivalent to | ClaimResponse.payeeType | Element `ClaimResponse.payeeType` is mapped to FHIR R4 element `ClaimResponse.payeeType` as `Equivalent`. |
| ClaimResponse.item (item) | maps to wider concept | ClaimResponse.item | Element `ClaimResponse.item` is mapped to FHIR R4 element `ClaimResponse.item` as `Equivalent`. |
| ClaimResponse.item.itemSequence (itemSequence) | is equivalent to | ClaimResponse.item.itemSequence | Element `ClaimResponse.item.itemSequence` is mapped to FHIR R4 element `ClaimResponse.item.itemSequence` as `Equivalent`. |
| ClaimResponse.item.noteNumber (noteNumber) | is equivalent to | ClaimResponse.item.noteNumber | Element `ClaimResponse.item.noteNumber` is mapped to FHIR R4 element `ClaimResponse.item.noteNumber` as `Equivalent`. |
| ClaimResponse.item.adjudication (adjudication) | maps to wider concept | ClaimResponse.item.adjudication | Element `ClaimResponse.item.adjudication` is mapped to FHIR R4 element `ClaimResponse.item.adjudication` as `Equivalent`. |
| ClaimResponse.item.adjudication.category (category) | is equivalent to | ClaimResponse.item.adjudication.category | Element `ClaimResponse.item.adjudication.category` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.category` as `Equivalent`. For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc. |
| ClaimResponse.item.adjudication.reason (reason) | is equivalent to | ClaimResponse.item.adjudication.reason | Element `ClaimResponse.item.adjudication.reason` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.reason` as `Equivalent`. For example may indicate that the funds for this benefit type have been exhausted. |
| ClaimResponse.item.adjudication.amount (amount) | is equivalent to | ClaimResponse.item.adjudication.amount | Element `ClaimResponse.item.adjudication.amount` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.amount` as `Equivalent`. For example: amount submitted, eligible amount, co-payment, and benefit payable. |
| ClaimResponse.item.adjudication.quantity (quantity) | maps to wider concept | ClaimResponse.item.adjudication.value | Element `ClaimResponse.item.adjudication.quantity` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.value` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.item.adjudication.quantity` do not cover the following types: Quantity. The mappings for `ClaimResponse.item.adjudication.quantity` do not cover the following types based on type expansion: code, comparator, system, unit. For example: eligible percentage or co-payment percentage. |
| ClaimResponse.item.detail (detail) | maps to wider concept | ClaimResponse.item.detail | Element `ClaimResponse.item.detail` is mapped to FHIR R4 element `ClaimResponse.item.detail` as `Equivalent`. |
| ClaimResponse.item.detail.detailSequence (detailSequence) | is equivalent to | ClaimResponse.item.detail.detailSequence | Element `ClaimResponse.item.detail.detailSequence` is mapped to FHIR R4 element `ClaimResponse.item.detail.detailSequence` as `Equivalent`. |
| ClaimResponse.item.detail.noteNumber (noteNumber) | is equivalent to | ClaimResponse.item.detail.noteNumber | Element `ClaimResponse.item.detail.noteNumber` is mapped to FHIR R4 element `ClaimResponse.item.detail.noteNumber` as `Equivalent`. |
| ClaimResponse.item.detail.adjudication (adjudication) | is equivalent to | ClaimResponse.item.detail.adjudication | Element `ClaimResponse.item.detail.adjudication` is mapped to FHIR R4 element `ClaimResponse.item.detail.adjudication` as `Equivalent`. |
| ClaimResponse.item.detail.subDetail (subDetail) | maps to wider concept | ClaimResponse.item.detail.subDetail | Element `ClaimResponse.item.detail.subDetail` is mapped to FHIR R4 element `ClaimResponse.item.detail.subDetail` as `Equivalent`. |
| ClaimResponse.item.detail.subDetail.subDetailSequence (subDetailSequence) | is equivalent to | ClaimResponse.item.detail.subDetail.subDetailSequence | Element `ClaimResponse.item.detail.subDetail.subDetailSequence` is mapped to FHIR R4 element `ClaimResponse.item.detail.subDetail.subDetailSequence` as `Equivalent`. |
| ClaimResponse.item.detail.subDetail.noteNumber (noteNumber) | is equivalent to | ClaimResponse.item.detail.subDetail.noteNumber | Element `ClaimResponse.item.detail.subDetail.noteNumber` is mapped to FHIR R4 element `ClaimResponse.item.detail.subDetail.noteNumber` as `Equivalent`. |
| ClaimResponse.item.detail.subDetail.adjudication (adjudication) | is equivalent to | ClaimResponse.item.detail.subDetail.adjudication | Element `ClaimResponse.item.detail.subDetail.adjudication` is mapped to FHIR R4 element `ClaimResponse.item.detail.subDetail.adjudication` as `Equivalent`. |
| ClaimResponse.addItem (addItem) | maps to wider concept | ClaimResponse.addItem | Element `ClaimResponse.addItem` is mapped to FHIR R4 element `ClaimResponse.addItem` as `Equivalent`. |
| ClaimResponse.addItem.itemSequence (itemSequence) | is equivalent to | ClaimResponse.addItem.itemSequence | Element `ClaimResponse.addItem.itemSequence` is mapped to FHIR R4 element `ClaimResponse.addItem.itemSequence` as `Equivalent`. |
| ClaimResponse.addItem.detailSequence (detailSequence) | is equivalent to | ClaimResponse.addItem.detailSequence | Element `ClaimResponse.addItem.detailSequence` is mapped to FHIR R4 element `ClaimResponse.addItem.detailSequence` as `Equivalent`. |
| ClaimResponse.addItem.subdetailSequence (subdetailSequence) | is equivalent to | ClaimResponse.addItem.subdetailSequence | Element `ClaimResponse.addItem.subdetailSequence` is mapped to FHIR R4 element `ClaimResponse.addItem.subdetailSequence` as `Equivalent`. |
| ClaimResponse.addItem.provider (provider) | is equivalent to | ClaimResponse.addItem.provider | Element `ClaimResponse.addItem.provider` is mapped to FHIR R4 element `ClaimResponse.addItem.provider` as `Equivalent`. |
| ClaimResponse.addItem.productOrService (productOrService) | is equivalent to | ClaimResponse.addItem.productOrService | Element `ClaimResponse.addItem.productOrService` is mapped to FHIR R4 element `ClaimResponse.addItem.productOrService` as `Equivalent`. If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
| ClaimResponse.addItem.modifier (modifier) | is equivalent to | ClaimResponse.addItem.modifier | Element `ClaimResponse.addItem.modifier` is mapped to FHIR R4 element `ClaimResponse.addItem.modifier` as `Equivalent`. For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours. |
| ClaimResponse.addItem.programCode (programCode) | is equivalent to | ClaimResponse.addItem.programCode | Element `ClaimResponse.addItem.programCode` is mapped to FHIR R4 element `ClaimResponse.addItem.programCode` as `Equivalent`. For example: Neonatal program, child dental program or drug users recovery program. |
| ClaimResponse.addItem.serviced[x] (serviced[x]) | is equivalent to | ClaimResponse.addItem.serviced[x] | Element `ClaimResponse.addItem.serviced[x]` is mapped to FHIR R4 element `ClaimResponse.addItem.serviced[x]` as `Equivalent`. The target context `ClaimResponse.addItem.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClaimResponse.addItem`. |
| ClaimResponse.addItem.location[x] (location[x]) | is equivalent to | ClaimResponse.addItem.location[x] | Element `ClaimResponse.addItem.location[x]` is mapped to FHIR R4 element `ClaimResponse.addItem.location[x]` as `Equivalent`. The target context `ClaimResponse.addItem.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClaimResponse.addItem`. |
| ClaimResponse.addItem.quantity (quantity) | is equivalent to | ClaimResponse.addItem.quantity | Element `ClaimResponse.addItem.quantity` is mapped to FHIR R4 element `ClaimResponse.addItem.quantity` as `Equivalent`. |
| ClaimResponse.addItem.unitPrice (unitPrice) | is equivalent to | ClaimResponse.addItem.unitPrice | Element `ClaimResponse.addItem.unitPrice` is mapped to FHIR R4 element `ClaimResponse.addItem.unitPrice` as `Equivalent`. |
| ClaimResponse.addItem.factor (factor) | is equivalent to | ClaimResponse.addItem.factor | Element `ClaimResponse.addItem.factor` is mapped to FHIR R4 element `ClaimResponse.addItem.factor` as `Equivalent`. To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). |
| ClaimResponse.addItem.net (net) | is equivalent to | ClaimResponse.addItem.net | Element `ClaimResponse.addItem.net` is mapped to FHIR R4 element `ClaimResponse.addItem.net` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. |
| ClaimResponse.addItem.bodySite (bodySite) | maps to wider concept | ClaimResponse.addItem.bodySite | Element `ClaimResponse.addItem.bodySite` is mapped to FHIR R4 element `ClaimResponse.addItem.bodySite` as `SourceIsBroaderThanTarget`. |
| ClaimResponse.addItem.noteNumber (noteNumber) | is equivalent to | ClaimResponse.addItem.noteNumber | Element `ClaimResponse.addItem.noteNumber` is mapped to FHIR R4 element `ClaimResponse.addItem.noteNumber` as `Equivalent`. |
| ClaimResponse.addItem.adjudication (adjudication) | is equivalent to | ClaimResponse.addItem.adjudication | Element `ClaimResponse.addItem.adjudication` is mapped to FHIR R4 element `ClaimResponse.addItem.adjudication` as `Equivalent`. |
| ClaimResponse.addItem.detail (detail) | maps to wider concept | ClaimResponse.addItem.detail | Element `ClaimResponse.addItem.detail` is mapped to FHIR R4 element `ClaimResponse.addItem.detail` as `Equivalent`. |
| ClaimResponse.addItem.detail.productOrService (productOrService) | is equivalent to | ClaimResponse.addItem.detail.productOrService | Element `ClaimResponse.addItem.detail.productOrService` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.productOrService` as `Equivalent`. If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
| ClaimResponse.addItem.detail.modifier (modifier) | is equivalent to | ClaimResponse.addItem.detail.modifier | Element `ClaimResponse.addItem.detail.modifier` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.modifier` as `Equivalent`. For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours. |
| ClaimResponse.addItem.detail.quantity (quantity) | is equivalent to | ClaimResponse.addItem.detail.quantity | Element `ClaimResponse.addItem.detail.quantity` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.quantity` as `Equivalent`. |
| ClaimResponse.addItem.detail.unitPrice (unitPrice) | is equivalent to | ClaimResponse.addItem.detail.unitPrice | Element `ClaimResponse.addItem.detail.unitPrice` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.unitPrice` as `Equivalent`. |
| ClaimResponse.addItem.detail.factor (factor) | is equivalent to | ClaimResponse.addItem.detail.factor | Element `ClaimResponse.addItem.detail.factor` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.factor` as `Equivalent`. To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). |
| ClaimResponse.addItem.detail.net (net) | is equivalent to | ClaimResponse.addItem.detail.net | Element `ClaimResponse.addItem.detail.net` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.net` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. |
| ClaimResponse.addItem.detail.noteNumber (noteNumber) | is equivalent to | ClaimResponse.addItem.detail.noteNumber | Element `ClaimResponse.addItem.detail.noteNumber` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.noteNumber` as `Equivalent`. |
| ClaimResponse.addItem.detail.adjudication (adjudication) | is equivalent to | ClaimResponse.addItem.detail.adjudication | Element `ClaimResponse.addItem.detail.adjudication` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.adjudication` as `Equivalent`. |
| ClaimResponse.addItem.detail.subDetail (subDetail) | maps to wider concept | ClaimResponse.addItem.detail.subDetail | Element `ClaimResponse.addItem.detail.subDetail` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail` as `Equivalent`. |
| ClaimResponse.addItem.detail.subDetail.productOrService (productOrService) | is equivalent to | ClaimResponse.addItem.detail.subDetail.productOrService | Element `ClaimResponse.addItem.detail.subDetail.productOrService` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.productOrService` as `Equivalent`. If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'. |
| ClaimResponse.addItem.detail.subDetail.modifier (modifier) | is equivalent to | ClaimResponse.addItem.detail.subDetail.modifier | Element `ClaimResponse.addItem.detail.subDetail.modifier` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.modifier` as `Equivalent`. For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours. |
| ClaimResponse.addItem.detail.subDetail.quantity (quantity) | is equivalent to | ClaimResponse.addItem.detail.subDetail.quantity | Element `ClaimResponse.addItem.detail.subDetail.quantity` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.quantity` as `Equivalent`. |
| ClaimResponse.addItem.detail.subDetail.unitPrice (unitPrice) | is equivalent to | ClaimResponse.addItem.detail.subDetail.unitPrice | Element `ClaimResponse.addItem.detail.subDetail.unitPrice` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.unitPrice` as `Equivalent`. |
| ClaimResponse.addItem.detail.subDetail.factor (factor) | is equivalent to | ClaimResponse.addItem.detail.subDetail.factor | Element `ClaimResponse.addItem.detail.subDetail.factor` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.factor` as `Equivalent`. To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10). |
| ClaimResponse.addItem.detail.subDetail.net (net) | is equivalent to | ClaimResponse.addItem.detail.subDetail.net | Element `ClaimResponse.addItem.detail.subDetail.net` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.net` as `Equivalent`. For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied. |
| ClaimResponse.addItem.detail.subDetail.noteNumber (noteNumber) | is equivalent to | ClaimResponse.addItem.detail.subDetail.noteNumber | Element `ClaimResponse.addItem.detail.subDetail.noteNumber` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.noteNumber` as `Equivalent`. |
| ClaimResponse.addItem.detail.subDetail.adjudication (adjudication) | is equivalent to | ClaimResponse.addItem.detail.subDetail.adjudication | Element `ClaimResponse.addItem.detail.subDetail.adjudication` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.adjudication` as `Equivalent`. |
| ClaimResponse.adjudication (adjudication) | is equivalent to | ClaimResponse.adjudication | Element `ClaimResponse.adjudication` is mapped to FHIR R4 element `ClaimResponse.adjudication` as `Equivalent`. |
| ClaimResponse.total (total) | maps to wider concept | ClaimResponse.total | Element `ClaimResponse.total` is mapped to FHIR R4 element `ClaimResponse.total` as `Equivalent`. Totals for amounts submitted, co-pays, benefits payable etc. |
| ClaimResponse.total.category (category) | is equivalent to | ClaimResponse.total.category | Element `ClaimResponse.total.category` is mapped to FHIR R4 element `ClaimResponse.total.category` as `Equivalent`. For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc. |
| ClaimResponse.total.amount (amount) | is equivalent to | ClaimResponse.total.amount | Element `ClaimResponse.total.amount` is mapped to FHIR R4 element `ClaimResponse.total.amount` as `Equivalent`. |
| ClaimResponse.payment (payment) | maps to wider concept | ClaimResponse.payment | Element `ClaimResponse.payment` is mapped to FHIR R4 element `ClaimResponse.payment` as `Equivalent`. |
| ClaimResponse.payment.type (type) | is equivalent to | ClaimResponse.payment.type | Element `ClaimResponse.payment.type` is mapped to FHIR R4 element `ClaimResponse.payment.type` as `Equivalent`. |
| ClaimResponse.payment.adjustment (adjustment) | is equivalent to | ClaimResponse.payment.adjustment | Element `ClaimResponse.payment.adjustment` is mapped to FHIR R4 element `ClaimResponse.payment.adjustment` as `Equivalent`. Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider. |
| ClaimResponse.payment.adjustmentReason (adjustmentReason) | is equivalent to | ClaimResponse.payment.adjustmentReason | Element `ClaimResponse.payment.adjustmentReason` is mapped to FHIR R4 element `ClaimResponse.payment.adjustmentReason` as `Equivalent`. |
| ClaimResponse.payment.date (date) | is equivalent to | ClaimResponse.payment.date | Element `ClaimResponse.payment.date` is mapped to FHIR R4 element `ClaimResponse.payment.date` as `Equivalent`. |
| ClaimResponse.payment.amount (amount) | is equivalent to | ClaimResponse.payment.amount | Element `ClaimResponse.payment.amount` is mapped to FHIR R4 element `ClaimResponse.payment.amount` as `Equivalent`. |
| ClaimResponse.payment.identifier (identifier) | is equivalent to | ClaimResponse.payment.identifier | Element `ClaimResponse.payment.identifier` is mapped to FHIR R4 element `ClaimResponse.payment.identifier` as `Equivalent`. For example: EFT number or check number. |
| ClaimResponse.fundsReserve (fundsReserve) | is equivalent to | ClaimResponse.fundsReserve | Element `ClaimResponse.fundsReserve` is mapped to FHIR R4 element `ClaimResponse.fundsReserve` as `Equivalent`. Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none. |
| ClaimResponse.formCode (formCode) | is equivalent to | ClaimResponse.formCode | Element `ClaimResponse.formCode` is mapped to FHIR R4 element `ClaimResponse.formCode` as `Equivalent`. May be needed to identify specific jurisdictional forms. |
| ClaimResponse.form (form) | is equivalent to | ClaimResponse.form | Element `ClaimResponse.form` is mapped to FHIR R4 element `ClaimResponse.form` as `Equivalent`. Needed to permit insurers to include the actual form. |
| ClaimResponse.processNote (processNote) | maps to wider concept | ClaimResponse.processNote | Element `ClaimResponse.processNote` is mapped to FHIR R4 element `ClaimResponse.processNote` as `Equivalent`. |
| ClaimResponse.processNote.number (number) | is equivalent to | ClaimResponse.processNote.number | Element `ClaimResponse.processNote.number` is mapped to FHIR R4 element `ClaimResponse.processNote.number` as `Equivalent`. |
| ClaimResponse.processNote.type (type) | maps to wider concept | ClaimResponse.processNote.type | Element `ClaimResponse.processNote.type` is mapped to FHIR R4 element `ClaimResponse.processNote.type` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.processNote.type` do not cover the following types: CodeableConcept. The mappings for `ClaimResponse.processNote.type` do not cover the following types based on type expansion: coding. |
| ClaimResponse.processNote.text (text) | is equivalent to | ClaimResponse.processNote.text | Element `ClaimResponse.processNote.text` is mapped to FHIR R4 element `ClaimResponse.processNote.text` as `Equivalent`. |
| ClaimResponse.processNote.language (language) | is equivalent to | ClaimResponse.processNote.language | Element `ClaimResponse.processNote.language` is mapped to FHIR R4 element `ClaimResponse.processNote.language` as `Equivalent`. Only required if the language is different from the resource language. |
| ClaimResponse.communicationRequest (communicationRequest) | is equivalent to | ClaimResponse.communicationRequest | Element `ClaimResponse.communicationRequest` is mapped to FHIR R4 element `ClaimResponse.communicationRequest` as `Equivalent`. For example: professional reports, documents, images, clinical resources, or accident reports. |
| ClaimResponse.insurance (insurance) | maps to wider concept | ClaimResponse.insurance | Element `ClaimResponse.insurance` is mapped to FHIR R4 element `ClaimResponse.insurance` as `Equivalent`. All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim. |
| ClaimResponse.insurance.sequence (sequence) | is equivalent to | ClaimResponse.insurance.sequence | Element `ClaimResponse.insurance.sequence` is mapped to FHIR R4 element `ClaimResponse.insurance.sequence` as `Equivalent`. |
| ClaimResponse.insurance.focal (focal) | is equivalent to | ClaimResponse.insurance.focal | Element `ClaimResponse.insurance.focal` is mapped to FHIR R4 element `ClaimResponse.insurance.focal` as `Equivalent`. A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies. |
| ClaimResponse.insurance.coverage (coverage) | is equivalent to | ClaimResponse.insurance.coverage | Element `ClaimResponse.insurance.coverage` is mapped to FHIR R4 element `ClaimResponse.insurance.coverage` as `Equivalent`. |
| ClaimResponse.insurance.businessArrangement (businessArrangement) | is equivalent to | ClaimResponse.insurance.businessArrangement | Element `ClaimResponse.insurance.businessArrangement` is mapped to FHIR R4 element `ClaimResponse.insurance.businessArrangement` as `Equivalent`. |
| ClaimResponse.insurance.claimResponse (claimResponse) | is equivalent to | ClaimResponse.insurance.claimResponse | Element `ClaimResponse.insurance.claimResponse` is mapped to FHIR R4 element `ClaimResponse.insurance.claimResponse` as `Equivalent`. Must not be specified when 'focal=true' for this insurance. |
| ClaimResponse.error (error) | maps to wider concept | ClaimResponse.error | Element `ClaimResponse.error` is mapped to FHIR R4 element `ClaimResponse.error` as `Equivalent`. If the request contains errors then an error element should be provided and no adjudication related sections (item, addItem, or payment) should be present. |
| ClaimResponse.error.itemSequence (itemSequence) | is equivalent to | ClaimResponse.error.itemSequence | Element `ClaimResponse.error.itemSequence` is mapped to FHIR R4 element `ClaimResponse.error.itemSequence` as `Equivalent`. |
| ClaimResponse.error.detailSequence (detailSequence) | is equivalent to | ClaimResponse.error.detailSequence | Element `ClaimResponse.error.detailSequence` is mapped to FHIR R4 element `ClaimResponse.error.detailSequence` as `Equivalent`. |
| ClaimResponse.error.subDetailSequence (subDetailSequence) | is equivalent to | ClaimResponse.error.subDetailSequence | Element `ClaimResponse.error.subDetailSequence` is mapped to FHIR R4 element `ClaimResponse.error.subDetailSequence` as `Equivalent`. |
| ClaimResponse.error.code (code) | is equivalent to | ClaimResponse.error.code | Element `ClaimResponse.error.code` is mapped to FHIR R4 element `ClaimResponse.error.code` as `Equivalent`. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Number for tracking (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.traceNumber (traceNumber) | maps to wider concept | Extension (R5: Number for tracking (new)) | Element `ClaimResponse.traceNumber` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Result of the adjudication (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.decision (decision) | maps to wider concept | Extension (R5: Result of the adjudication (new)) | Element `ClaimResponse.decision` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.decision` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amount will be paid (partial). |
Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Event information (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.event (event) | maps to wider concept | Extension (R5: Event information (new)) | Element `ClaimResponse.event` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.event` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
| ClaimResponse.event.type (type) | maps to wider concept | Extension.extension:type (R5: Specific event (new)) | Element `ClaimResponse.event.type` is part of an existing definition because parent element `ClaimResponse.event` requires a cross-version extension. Element `ClaimResponse.event.type` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.event.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
| ClaimResponse.event.when[x] (when[x]) | maps to wider concept | Extension.extension:when (R5: Occurance date or period (new)) | Element `ClaimResponse.event.when[x]` is part of an existing definition because parent element `ClaimResponse.event` requires a cross-version extension. Element `ClaimResponse.event.when[x]` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.event.when[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Encounters associated with the listed treatments (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.encounter (encounter) | maps to wider concept | Extension (R5: Encounters associated with the listed treatments (new)) | Element `ClaimResponse.encounter` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.encounter` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Package billing code (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.diagnosisRelatedGroup (diagnosisRelatedGroup) | maps to wider concept | Extension (R5: Package billing code (new)) | Element `ClaimResponse.diagnosisRelatedGroup` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.diagnosisRelatedGroup` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event. |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Number for tracking (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.item.traceNumber (traceNumber) | maps to wider concept | Extension (R5: Number for tracking (new)) | Element `ClaimResponse.item.traceNumber` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.item.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Adjudication results (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.item.reviewOutcome (reviewOutcome) | maps to wider concept | Extension (R5: Adjudication results (new)) | Element `ClaimResponse.item.reviewOutcome` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.item.reviewOutcome` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
| ClaimResponse.item.reviewOutcome.decision (decision) | maps to wider concept | Extension.extension:decision (R5: Result of the adjudication (new)) | Element `ClaimResponse.item.reviewOutcome.decision` is part of an existing definition because parent element `ClaimResponse.item.reviewOutcome` requires a cross-version extension. Element `ClaimResponse.item.reviewOutcome.decision` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.item.reviewOutcome.decision` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amount will be paid (partial). |
| ClaimResponse.item.reviewOutcome.reason (reason) | maps to wider concept | Extension.extension:reason (R5: Reason for result of the adjudication (new)) | Element `ClaimResponse.item.reviewOutcome.reason` is part of an existing definition because parent element `ClaimResponse.item.reviewOutcome` requires a cross-version extension. Element `ClaimResponse.item.reviewOutcome.reason` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.item.reviewOutcome.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
| ClaimResponse.item.reviewOutcome.preAuthRef (preAuthRef) | maps to wider concept | Extension.extension:preAuthRef (R5: Preauthorization reference (new)) | Element `ClaimResponse.item.reviewOutcome.preAuthRef` is part of an existing definition because parent element `ClaimResponse.item.reviewOutcome` requires a cross-version extension. Element `ClaimResponse.item.reviewOutcome.preAuthRef` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.item.reviewOutcome.preAuthRef` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This value is only present on preauthorization adjudications. |
| ClaimResponse.item.reviewOutcome.preAuthPeriod (preAuthPeriod) | maps to wider concept | Extension.extension:preAuthPeriod (R5: Preauthorization reference effective period (new)) | Element `ClaimResponse.item.reviewOutcome.preAuthPeriod` is part of an existing definition because parent element `ClaimResponse.item.reviewOutcome` requires a cross-version extension. Element `ClaimResponse.item.reviewOutcome.preAuthPeriod` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.item.reviewOutcome.preAuthPeriod` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: quantity additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.item.adjudication.quantity (quantity) | maps to wider concept | Extension (R5: quantity additional types) | Element `ClaimResponse.item.adjudication.quantity` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.value` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.item.adjudication.quantity` do not cover the following types: Quantity. The mappings for `ClaimResponse.item.adjudication.quantity` do not cover the following types based on type expansion: code, comparator, system, unit. For example: eligible percentage or co-payment percentage. |
Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Number for tracking (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.item.detail.traceNumber (traceNumber) | maps to wider concept | Extension (R5: Number for tracking (new)) | Element `ClaimResponse.item.detail.traceNumber` has a context of ClaimResponse.item.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.item.detail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Number for tracking (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.item.detail.subDetail.traceNumber (traceNumber) | maps to wider concept | Extension (R5: Number for tracking (new)) | Element `ClaimResponse.item.detail.subDetail.traceNumber` has a context of ClaimResponse.item.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.item.detail.subDetail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Number for tracking (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.traceNumber (traceNumber) | maps to wider concept | Extension (R5: Number for tracking (new)) | Element `ClaimResponse.addItem.traceNumber` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Revenue or cost center code (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.revenue (revenue) | maps to wider concept | Extension (R5: Revenue or cost center code (new)) | Element `ClaimResponse.addItem.revenue` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: End of a range of codes (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.productOrServiceEnd (productOrServiceEnd) | maps to wider concept | Extension (R5: End of a range of codes (new)) | Element `ClaimResponse.addItem.productOrServiceEnd` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 15 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Request or Referral for Service (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.request (request) | maps to wider concept | Extension (R5: Request or Referral for Service (new)) | Element `ClaimResponse.addItem.request` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.request` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 16 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Total tax (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.tax (tax) | maps to wider concept | Extension (R5: Total tax (new)) | Element `ClaimResponse.addItem.tax` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 17 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Location (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.bodySite.site (site) | maps to wider concept | Extension (R5: Location (new)) | Element `ClaimResponse.addItem.bodySite.site` has a context of ClaimResponse.addItem.bodySite based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.bodySite.site` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For example: Providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed. |
Group 18 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Sub-location (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.bodySite.subSite (subSite) | maps to wider concept | Extension (R5: Sub-location (new)) | Element `ClaimResponse.addItem.bodySite.subSite` has a context of ClaimResponse.addItem.bodySite based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.bodySite.subSite` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 19 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Number for tracking (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.detail.traceNumber (traceNumber) | maps to wider concept | Extension (R5: Number for tracking (new)) | Element `ClaimResponse.addItem.detail.traceNumber` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 20 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Revenue or cost center code (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.detail.revenue (revenue) | maps to wider concept | Extension (R5: Revenue or cost center code (new)) | Element `ClaimResponse.addItem.detail.revenue` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 21 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: End of a range of codes (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.detail.productOrServiceEnd (productOrServiceEnd) | maps to wider concept | Extension (R5: End of a range of codes (new)) | Element `ClaimResponse.addItem.detail.productOrServiceEnd` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 22 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Total tax (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.detail.tax (tax) | maps to wider concept | Extension (R5: Total tax (new)) | Element `ClaimResponse.addItem.detail.tax` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 23 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Number for tracking (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.detail.subDetail.traceNumber (traceNumber) | maps to wider concept | Extension (R5: Number for tracking (new)) | Element `ClaimResponse.addItem.detail.subDetail.traceNumber` has a context of ClaimResponse.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 24 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Revenue or cost center code (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.detail.subDetail.revenue (revenue) | maps to wider concept | Extension (R5: Revenue or cost center code (new)) | Element `ClaimResponse.addItem.detail.subDetail.revenue` has a context of ClaimResponse.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 25 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: End of a range of codes (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.detail.subDetail.productOrServiceEnd (productOrServiceEnd) | maps to wider concept | Extension (R5: End of a range of codes (new)) | Element `ClaimResponse.addItem.detail.subDetail.productOrServiceEnd` has a context of ClaimResponse.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 26 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Total tax (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.addItem.detail.subDetail.tax (tax) | maps to wider concept | Extension (R5: Total tax (new)) | Element `ClaimResponse.addItem.detail.subDetail.tax` has a context of ClaimResponse.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.addItem.detail.subDetail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). |
Group 27 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: Note purpose additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.processNote.type (type) | is equivalent to | Extension (R5: Note purpose additional types) | Element `ClaimResponse.processNote.type` is mapped to FHIR R4 element `ClaimResponse.processNote.type` as `SourceIsBroaderThanTarget`. The mappings for `ClaimResponse.processNote.type` do not cover the following types: CodeableConcept. The mappings for `ClaimResponse.processNote.type` do not cover the following types based on type expansion: coding. |
Group 28 Mapping from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 to R5: FHIRPath of element(s) related to issue (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClaimResponse.error.expression (expression) | maps to wider concept | Extension (R5: FHIRPath of element(s) related to issue (new)) | Element `ClaimResponse.error.expression` has a context of ClaimResponse.error based on following the parent source element upwards and mapping to `ClaimResponse`. Element `ClaimResponse.error.expression` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each FHIRPath SHALL resolve to a single node. |
{
"resourceType": "ConceptMap",
"id": "R5-ClaimResponse-element-map-to-R4",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
]
}
}
],
"url": "http://hl7.org/fhir/uv/xver/ConceptMap/R5-ClaimResponse-element-map-to-R4",
"version": "0.1.0",
"name": "R5ClaimResponseElementMapToR4",
"title": "Cross-version mapping for FHIR R5 ClaimResponse to FHIR R4 ClaimResponse",
"status": "active",
"experimental": false,
"date": "2026-03-17T16:04:44.4692385-05:00",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "This ConceptMap represents cross-version mappings for elements from a FHIR R5 ClaimResponse to FHIR R4.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"sourceCanonical": "http://hl7.org/fhir/5.0",
"targetUri": "http://hl7.org/fhir/4.0",
"group": [
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"targetVersion": "4.0.1",
"element": [
{
"code": "ClaimResponse.meta",
"display": "meta",
"target": [
{
"code": "ClaimResponse.meta",
"display": "ClaimResponse.meta",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.meta` is mapped to FHIR R4 element `ClaimResponse.meta` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.implicitRules",
"display": "implicitRules",
"target": [
{
"code": "ClaimResponse.implicitRules",
"display": "ClaimResponse.implicitRules",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.implicitRules` is mapped to FHIR R4 element `ClaimResponse.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc."
}
]
},
{
"code": "ClaimResponse.language",
"display": "language",
"target": [
{
"code": "ClaimResponse.language",
"display": "ClaimResponse.language",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.language` is mapped to FHIR R4 element `ClaimResponse.language` as `Equivalent`.\nLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
}
]
},
{
"code": "ClaimResponse.text",
"display": "text",
"target": [
{
"code": "ClaimResponse.text",
"display": "ClaimResponse.text",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.text` is mapped to FHIR R4 element `ClaimResponse.text` as `Equivalent`.\nContained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
}
]
},
{
"code": "ClaimResponse.contained",
"display": "contained",
"target": [
{
"code": "ClaimResponse.contained",
"display": "ClaimResponse.contained",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.contained` is mapped to FHIR R4 element `ClaimResponse.contained` as `Equivalent`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels."
}
]
},
{
"code": "ClaimResponse.identifier",
"display": "identifier",
"target": [
{
"code": "ClaimResponse.identifier",
"display": "ClaimResponse.identifier",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.identifier` is mapped to FHIR R4 element `ClaimResponse.identifier` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.status",
"display": "status",
"target": [
{
"code": "ClaimResponse.status",
"display": "ClaimResponse.status",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.status` is mapped to FHIR R4 element `ClaimResponse.status` as `Equivalent`.\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
}
]
},
{
"code": "ClaimResponse.type",
"display": "type",
"target": [
{
"code": "ClaimResponse.type",
"display": "ClaimResponse.type",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.type` is mapped to FHIR R4 element `ClaimResponse.type` as `Equivalent`.\nThis may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type."
}
]
},
{
"code": "ClaimResponse.subType",
"display": "subType",
"target": [
{
"code": "ClaimResponse.subType",
"display": "ClaimResponse.subType",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.subType` is mapped to FHIR R4 element `ClaimResponse.subType` as `Equivalent`.\nThis may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type."
}
]
},
{
"code": "ClaimResponse.use",
"display": "use",
"target": [
{
"code": "ClaimResponse.use",
"display": "ClaimResponse.use",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.use` is mapped to FHIR R4 element `ClaimResponse.use` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.patient",
"display": "patient",
"target": [
{
"code": "ClaimResponse.patient",
"display": "ClaimResponse.patient",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.patient` is mapped to FHIR R4 element `ClaimResponse.patient` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.created",
"display": "created",
"target": [
{
"code": "ClaimResponse.created",
"display": "ClaimResponse.created",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.created` is mapped to FHIR R4 element `ClaimResponse.created` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.insurer",
"display": "insurer",
"target": [
{
"code": "ClaimResponse.insurer",
"display": "ClaimResponse.insurer",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.insurer` is mapped to FHIR R4 element `ClaimResponse.insurer` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.requestor",
"display": "requestor",
"target": [
{
"code": "ClaimResponse.requestor",
"display": "ClaimResponse.requestor",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.requestor` is mapped to FHIR R4 element `ClaimResponse.requestor` as `Equivalent`.\nTypically this field would be 1..1 where this party is accountable for the data content within the claim but is not necessarily the facility, provider group or practitioner who provided the products and services listed within this claim resource. This field is the Billing Provider, for example, a facility, provider group, lab or practitioner.."
}
]
},
{
"code": "ClaimResponse.request",
"display": "request",
"target": [
{
"code": "ClaimResponse.request",
"display": "ClaimResponse.request",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.request` is mapped to FHIR R4 element `ClaimResponse.request` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.outcome",
"display": "outcome",
"target": [
{
"code": "ClaimResponse.outcome",
"display": "ClaimResponse.outcome",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.outcome` is mapped to FHIR R4 element `ClaimResponse.outcome` as `Equivalent`.\nThe resource may be used to indicate that the Claim/Preauthorization/Pre-determination has been received but processing has not begun (queued); that it has been processed and one or more errors have been detected (error); no errors were detected and some of the adjudication processing has been performed (partial); or all of the adjudication processing has completed without errors (complete)."
}
]
},
{
"code": "ClaimResponse.disposition",
"display": "disposition",
"target": [
{
"code": "ClaimResponse.disposition",
"display": "ClaimResponse.disposition",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.disposition` is mapped to FHIR R4 element `ClaimResponse.disposition` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.preAuthRef",
"display": "preAuthRef",
"target": [
{
"code": "ClaimResponse.preAuthRef",
"display": "ClaimResponse.preAuthRef",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.preAuthRef` is mapped to FHIR R4 element `ClaimResponse.preAuthRef` as `Equivalent`.\nThis value is only present on preauthorization adjudications."
}
]
},
{
"code": "ClaimResponse.preAuthPeriod",
"display": "preAuthPeriod",
"target": [
{
"code": "ClaimResponse.preAuthPeriod",
"display": "ClaimResponse.preAuthPeriod",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.preAuthPeriod` is mapped to FHIR R4 element `ClaimResponse.preAuthPeriod` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.payeeType",
"display": "payeeType",
"target": [
{
"code": "ClaimResponse.payeeType",
"display": "ClaimResponse.payeeType",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.payeeType` is mapped to FHIR R4 element `ClaimResponse.payeeType` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item",
"display": "item",
"target": [
{
"code": "ClaimResponse.item",
"display": "ClaimResponse.item",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item` is mapped to FHIR R4 element `ClaimResponse.item` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.itemSequence",
"display": "itemSequence",
"target": [
{
"code": "ClaimResponse.item.itemSequence",
"display": "ClaimResponse.item.itemSequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.itemSequence` is mapped to FHIR R4 element `ClaimResponse.item.itemSequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.noteNumber",
"display": "noteNumber",
"target": [
{
"code": "ClaimResponse.item.noteNumber",
"display": "ClaimResponse.item.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.noteNumber` is mapped to FHIR R4 element `ClaimResponse.item.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.adjudication",
"display": "adjudication",
"target": [
{
"code": "ClaimResponse.item.adjudication",
"display": "ClaimResponse.item.adjudication",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.adjudication` is mapped to FHIR R4 element `ClaimResponse.item.adjudication` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.adjudication.category",
"display": "category",
"target": [
{
"code": "ClaimResponse.item.adjudication.category",
"display": "ClaimResponse.item.adjudication.category",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.adjudication.category` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.category` as `Equivalent`.\nFor example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."
}
]
},
{
"code": "ClaimResponse.item.adjudication.reason",
"display": "reason",
"target": [
{
"code": "ClaimResponse.item.adjudication.reason",
"display": "ClaimResponse.item.adjudication.reason",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.adjudication.reason` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.reason` as `Equivalent`.\nFor example may indicate that the funds for this benefit type have been exhausted."
}
]
},
{
"code": "ClaimResponse.item.adjudication.amount",
"display": "amount",
"target": [
{
"code": "ClaimResponse.item.adjudication.amount",
"display": "ClaimResponse.item.adjudication.amount",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.adjudication.amount` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.amount` as `Equivalent`.\nFor example: amount submitted, eligible amount, co-payment, and benefit payable."
}
]
},
{
"code": "ClaimResponse.item.adjudication.quantity",
"display": "quantity",
"target": [
{
"code": "ClaimResponse.item.adjudication.value",
"display": "ClaimResponse.item.adjudication.value",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.adjudication.quantity` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.value` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClaimResponse.item.adjudication.quantity` do not cover the following types: Quantity.\nThe mappings for `ClaimResponse.item.adjudication.quantity` do not cover the following types based on type expansion: code, comparator, system, unit.\nFor example: eligible percentage or co-payment percentage."
}
]
},
{
"code": "ClaimResponse.item.detail",
"display": "detail",
"target": [
{
"code": "ClaimResponse.item.detail",
"display": "ClaimResponse.item.detail",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.detail` is mapped to FHIR R4 element `ClaimResponse.item.detail` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.detail.detailSequence",
"display": "detailSequence",
"target": [
{
"code": "ClaimResponse.item.detail.detailSequence",
"display": "ClaimResponse.item.detail.detailSequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.detail.detailSequence` is mapped to FHIR R4 element `ClaimResponse.item.detail.detailSequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.detail.noteNumber",
"display": "noteNumber",
"target": [
{
"code": "ClaimResponse.item.detail.noteNumber",
"display": "ClaimResponse.item.detail.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.detail.noteNumber` is mapped to FHIR R4 element `ClaimResponse.item.detail.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.detail.adjudication",
"display": "adjudication",
"target": [
{
"code": "ClaimResponse.item.detail.adjudication",
"display": "ClaimResponse.item.detail.adjudication",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.detail.adjudication` is mapped to FHIR R4 element `ClaimResponse.item.detail.adjudication` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.detail.subDetail",
"display": "subDetail",
"target": [
{
"code": "ClaimResponse.item.detail.subDetail",
"display": "ClaimResponse.item.detail.subDetail",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.detail.subDetail` is mapped to FHIR R4 element `ClaimResponse.item.detail.subDetail` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.detail.subDetail.subDetailSequence",
"display": "subDetailSequence",
"target": [
{
"code": "ClaimResponse.item.detail.subDetail.subDetailSequence",
"display": "ClaimResponse.item.detail.subDetail.subDetailSequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.detail.subDetail.subDetailSequence` is mapped to FHIR R4 element `ClaimResponse.item.detail.subDetail.subDetailSequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.detail.subDetail.noteNumber",
"display": "noteNumber",
"target": [
{
"code": "ClaimResponse.item.detail.subDetail.noteNumber",
"display": "ClaimResponse.item.detail.subDetail.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.detail.subDetail.noteNumber` is mapped to FHIR R4 element `ClaimResponse.item.detail.subDetail.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.item.detail.subDetail.adjudication",
"display": "adjudication",
"target": [
{
"code": "ClaimResponse.item.detail.subDetail.adjudication",
"display": "ClaimResponse.item.detail.subDetail.adjudication",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.item.detail.subDetail.adjudication` is mapped to FHIR R4 element `ClaimResponse.item.detail.subDetail.adjudication` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem",
"display": "addItem",
"target": [
{
"code": "ClaimResponse.addItem",
"display": "ClaimResponse.addItem",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem` is mapped to FHIR R4 element `ClaimResponse.addItem` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.itemSequence",
"display": "itemSequence",
"target": [
{
"code": "ClaimResponse.addItem.itemSequence",
"display": "ClaimResponse.addItem.itemSequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.itemSequence` is mapped to FHIR R4 element `ClaimResponse.addItem.itemSequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detailSequence",
"display": "detailSequence",
"target": [
{
"code": "ClaimResponse.addItem.detailSequence",
"display": "ClaimResponse.addItem.detailSequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detailSequence` is mapped to FHIR R4 element `ClaimResponse.addItem.detailSequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.subdetailSequence",
"display": "subdetailSequence",
"target": [
{
"code": "ClaimResponse.addItem.subdetailSequence",
"display": "ClaimResponse.addItem.subdetailSequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.subdetailSequence` is mapped to FHIR R4 element `ClaimResponse.addItem.subdetailSequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.provider",
"display": "provider",
"target": [
{
"code": "ClaimResponse.addItem.provider",
"display": "ClaimResponse.addItem.provider",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.provider` is mapped to FHIR R4 element `ClaimResponse.addItem.provider` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.productOrService",
"display": "productOrService",
"target": [
{
"code": "ClaimResponse.addItem.productOrService",
"display": "ClaimResponse.addItem.productOrService",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.productOrService` is mapped to FHIR R4 element `ClaimResponse.addItem.productOrService` as `Equivalent`.\nIf this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."
}
]
},
{
"code": "ClaimResponse.addItem.modifier",
"display": "modifier",
"target": [
{
"code": "ClaimResponse.addItem.modifier",
"display": "ClaimResponse.addItem.modifier",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.modifier` is mapped to FHIR R4 element `ClaimResponse.addItem.modifier` as `Equivalent`.\nFor example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours."
}
]
},
{
"code": "ClaimResponse.addItem.programCode",
"display": "programCode",
"target": [
{
"code": "ClaimResponse.addItem.programCode",
"display": "ClaimResponse.addItem.programCode",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.programCode` is mapped to FHIR R4 element `ClaimResponse.addItem.programCode` as `Equivalent`.\nFor example: Neonatal program, child dental program or drug users recovery program."
}
]
},
{
"code": "ClaimResponse.addItem.serviced[x]",
"display": "serviced[x]",
"target": [
{
"code": "ClaimResponse.addItem.serviced[x]",
"display": "ClaimResponse.addItem.serviced[x]",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.serviced[x]` is mapped to FHIR R4 element `ClaimResponse.addItem.serviced[x]` as `Equivalent`.\nThe target context `ClaimResponse.addItem.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClaimResponse.addItem`."
}
]
},
{
"code": "ClaimResponse.addItem.location[x]",
"display": "location[x]",
"target": [
{
"code": "ClaimResponse.addItem.location[x]",
"display": "ClaimResponse.addItem.location[x]",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.location[x]` is mapped to FHIR R4 element `ClaimResponse.addItem.location[x]` as `Equivalent`.\nThe target context `ClaimResponse.addItem.location[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClaimResponse.addItem`."
}
]
},
{
"code": "ClaimResponse.addItem.quantity",
"display": "quantity",
"target": [
{
"code": "ClaimResponse.addItem.quantity",
"display": "ClaimResponse.addItem.quantity",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.quantity` is mapped to FHIR R4 element `ClaimResponse.addItem.quantity` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.unitPrice",
"display": "unitPrice",
"target": [
{
"code": "ClaimResponse.addItem.unitPrice",
"display": "ClaimResponse.addItem.unitPrice",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.unitPrice` is mapped to FHIR R4 element `ClaimResponse.addItem.unitPrice` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.factor",
"display": "factor",
"target": [
{
"code": "ClaimResponse.addItem.factor",
"display": "ClaimResponse.addItem.factor",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.factor` is mapped to FHIR R4 element `ClaimResponse.addItem.factor` as `Equivalent`.\nTo show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."
}
]
},
{
"code": "ClaimResponse.addItem.net",
"display": "net",
"target": [
{
"code": "ClaimResponse.addItem.net",
"display": "ClaimResponse.addItem.net",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.net` is mapped to FHIR R4 element `ClaimResponse.addItem.net` as `Equivalent`.\nFor example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."
}
]
},
{
"code": "ClaimResponse.addItem.bodySite",
"display": "bodySite",
"target": [
{
"code": "ClaimResponse.addItem.bodySite",
"display": "ClaimResponse.addItem.bodySite",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.bodySite` is mapped to FHIR R4 element `ClaimResponse.addItem.bodySite` as `SourceIsBroaderThanTarget`."
}
]
},
{
"code": "ClaimResponse.addItem.noteNumber",
"display": "noteNumber",
"target": [
{
"code": "ClaimResponse.addItem.noteNumber",
"display": "ClaimResponse.addItem.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.noteNumber` is mapped to FHIR R4 element `ClaimResponse.addItem.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.adjudication",
"display": "adjudication",
"target": [
{
"code": "ClaimResponse.addItem.adjudication",
"display": "ClaimResponse.addItem.adjudication",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.adjudication` is mapped to FHIR R4 element `ClaimResponse.addItem.adjudication` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail",
"display": "detail",
"target": [
{
"code": "ClaimResponse.addItem.detail",
"display": "ClaimResponse.addItem.detail",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail` is mapped to FHIR R4 element `ClaimResponse.addItem.detail` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail.productOrService",
"display": "productOrService",
"target": [
{
"code": "ClaimResponse.addItem.detail.productOrService",
"display": "ClaimResponse.addItem.detail.productOrService",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.productOrService` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.productOrService` as `Equivalent`.\nIf this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."
}
]
},
{
"code": "ClaimResponse.addItem.detail.modifier",
"display": "modifier",
"target": [
{
"code": "ClaimResponse.addItem.detail.modifier",
"display": "ClaimResponse.addItem.detail.modifier",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.modifier` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.modifier` as `Equivalent`.\nFor example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours."
}
]
},
{
"code": "ClaimResponse.addItem.detail.quantity",
"display": "quantity",
"target": [
{
"code": "ClaimResponse.addItem.detail.quantity",
"display": "ClaimResponse.addItem.detail.quantity",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.quantity` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.quantity` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail.unitPrice",
"display": "unitPrice",
"target": [
{
"code": "ClaimResponse.addItem.detail.unitPrice",
"display": "ClaimResponse.addItem.detail.unitPrice",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.unitPrice` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.unitPrice` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail.factor",
"display": "factor",
"target": [
{
"code": "ClaimResponse.addItem.detail.factor",
"display": "ClaimResponse.addItem.detail.factor",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.factor` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.factor` as `Equivalent`.\nTo show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."
}
]
},
{
"code": "ClaimResponse.addItem.detail.net",
"display": "net",
"target": [
{
"code": "ClaimResponse.addItem.detail.net",
"display": "ClaimResponse.addItem.detail.net",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.net` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.net` as `Equivalent`.\nFor example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."
}
]
},
{
"code": "ClaimResponse.addItem.detail.noteNumber",
"display": "noteNumber",
"target": [
{
"code": "ClaimResponse.addItem.detail.noteNumber",
"display": "ClaimResponse.addItem.detail.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.noteNumber` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail.adjudication",
"display": "adjudication",
"target": [
{
"code": "ClaimResponse.addItem.detail.adjudication",
"display": "ClaimResponse.addItem.detail.adjudication",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.adjudication` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.adjudication` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail.subDetail",
"display": "subDetail",
"target": [
{
"code": "ClaimResponse.addItem.detail.subDetail",
"display": "ClaimResponse.addItem.detail.subDetail",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail.subDetail` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail.subDetail.productOrService",
"display": "productOrService",
"target": [
{
"code": "ClaimResponse.addItem.detail.subDetail.productOrService",
"display": "ClaimResponse.addItem.detail.subDetail.productOrService",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.productOrService` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.productOrService` as `Equivalent`.\nIf this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'."
}
]
},
{
"code": "ClaimResponse.addItem.detail.subDetail.modifier",
"display": "modifier",
"target": [
{
"code": "ClaimResponse.addItem.detail.subDetail.modifier",
"display": "ClaimResponse.addItem.detail.subDetail.modifier",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.modifier` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.modifier` as `Equivalent`.\nFor example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours."
}
]
},
{
"code": "ClaimResponse.addItem.detail.subDetail.quantity",
"display": "quantity",
"target": [
{
"code": "ClaimResponse.addItem.detail.subDetail.quantity",
"display": "ClaimResponse.addItem.detail.subDetail.quantity",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.quantity` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.quantity` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail.subDetail.unitPrice",
"display": "unitPrice",
"target": [
{
"code": "ClaimResponse.addItem.detail.subDetail.unitPrice",
"display": "ClaimResponse.addItem.detail.subDetail.unitPrice",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.unitPrice` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.unitPrice` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail.subDetail.factor",
"display": "factor",
"target": [
{
"code": "ClaimResponse.addItem.detail.subDetail.factor",
"display": "ClaimResponse.addItem.detail.subDetail.factor",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.factor` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.factor` as `Equivalent`.\nTo show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."
}
]
},
{
"code": "ClaimResponse.addItem.detail.subDetail.net",
"display": "net",
"target": [
{
"code": "ClaimResponse.addItem.detail.subDetail.net",
"display": "ClaimResponse.addItem.detail.subDetail.net",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.net` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.net` as `Equivalent`.\nFor example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied."
}
]
},
{
"code": "ClaimResponse.addItem.detail.subDetail.noteNumber",
"display": "noteNumber",
"target": [
{
"code": "ClaimResponse.addItem.detail.subDetail.noteNumber",
"display": "ClaimResponse.addItem.detail.subDetail.noteNumber",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.noteNumber` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.noteNumber` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.addItem.detail.subDetail.adjudication",
"display": "adjudication",
"target": [
{
"code": "ClaimResponse.addItem.detail.subDetail.adjudication",
"display": "ClaimResponse.addItem.detail.subDetail.adjudication",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.adjudication` is mapped to FHIR R4 element `ClaimResponse.addItem.detail.subDetail.adjudication` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.adjudication",
"display": "adjudication",
"target": [
{
"code": "ClaimResponse.adjudication",
"display": "ClaimResponse.adjudication",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.adjudication` is mapped to FHIR R4 element `ClaimResponse.adjudication` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.total",
"display": "total",
"target": [
{
"code": "ClaimResponse.total",
"display": "ClaimResponse.total",
"equivalence": "wider",
"comment": "Element `ClaimResponse.total` is mapped to FHIR R4 element `ClaimResponse.total` as `Equivalent`.\nTotals for amounts submitted, co-pays, benefits payable etc."
}
]
},
{
"code": "ClaimResponse.total.category",
"display": "category",
"target": [
{
"code": "ClaimResponse.total.category",
"display": "ClaimResponse.total.category",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.total.category` is mapped to FHIR R4 element `ClaimResponse.total.category` as `Equivalent`.\nFor example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc."
}
]
},
{
"code": "ClaimResponse.total.amount",
"display": "amount",
"target": [
{
"code": "ClaimResponse.total.amount",
"display": "ClaimResponse.total.amount",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.total.amount` is mapped to FHIR R4 element `ClaimResponse.total.amount` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.payment",
"display": "payment",
"target": [
{
"code": "ClaimResponse.payment",
"display": "ClaimResponse.payment",
"equivalence": "wider",
"comment": "Element `ClaimResponse.payment` is mapped to FHIR R4 element `ClaimResponse.payment` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.payment.type",
"display": "type",
"target": [
{
"code": "ClaimResponse.payment.type",
"display": "ClaimResponse.payment.type",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.payment.type` is mapped to FHIR R4 element `ClaimResponse.payment.type` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.payment.adjustment",
"display": "adjustment",
"target": [
{
"code": "ClaimResponse.payment.adjustment",
"display": "ClaimResponse.payment.adjustment",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.payment.adjustment` is mapped to FHIR R4 element `ClaimResponse.payment.adjustment` as `Equivalent`.\nInsurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider."
}
]
},
{
"code": "ClaimResponse.payment.adjustmentReason",
"display": "adjustmentReason",
"target": [
{
"code": "ClaimResponse.payment.adjustmentReason",
"display": "ClaimResponse.payment.adjustmentReason",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.payment.adjustmentReason` is mapped to FHIR R4 element `ClaimResponse.payment.adjustmentReason` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.payment.date",
"display": "date",
"target": [
{
"code": "ClaimResponse.payment.date",
"display": "ClaimResponse.payment.date",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.payment.date` is mapped to FHIR R4 element `ClaimResponse.payment.date` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.payment.amount",
"display": "amount",
"target": [
{
"code": "ClaimResponse.payment.amount",
"display": "ClaimResponse.payment.amount",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.payment.amount` is mapped to FHIR R4 element `ClaimResponse.payment.amount` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.payment.identifier",
"display": "identifier",
"target": [
{
"code": "ClaimResponse.payment.identifier",
"display": "ClaimResponse.payment.identifier",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.payment.identifier` is mapped to FHIR R4 element `ClaimResponse.payment.identifier` as `Equivalent`.\nFor example: EFT number or check number."
}
]
},
{
"code": "ClaimResponse.fundsReserve",
"display": "fundsReserve",
"target": [
{
"code": "ClaimResponse.fundsReserve",
"display": "ClaimResponse.fundsReserve",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.fundsReserve` is mapped to FHIR R4 element `ClaimResponse.fundsReserve` as `Equivalent`.\nFund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none."
}
]
},
{
"code": "ClaimResponse.formCode",
"display": "formCode",
"target": [
{
"code": "ClaimResponse.formCode",
"display": "ClaimResponse.formCode",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.formCode` is mapped to FHIR R4 element `ClaimResponse.formCode` as `Equivalent`.\nMay be needed to identify specific jurisdictional forms."
}
]
},
{
"code": "ClaimResponse.form",
"display": "form",
"target": [
{
"code": "ClaimResponse.form",
"display": "ClaimResponse.form",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.form` is mapped to FHIR R4 element `ClaimResponse.form` as `Equivalent`.\nNeeded to permit insurers to include the actual form."
}
]
},
{
"code": "ClaimResponse.processNote",
"display": "processNote",
"target": [
{
"code": "ClaimResponse.processNote",
"display": "ClaimResponse.processNote",
"equivalence": "wider",
"comment": "Element `ClaimResponse.processNote` is mapped to FHIR R4 element `ClaimResponse.processNote` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.processNote.number",
"display": "number",
"target": [
{
"code": "ClaimResponse.processNote.number",
"display": "ClaimResponse.processNote.number",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.processNote.number` is mapped to FHIR R4 element `ClaimResponse.processNote.number` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.processNote.type",
"display": "type",
"target": [
{
"code": "ClaimResponse.processNote.type",
"display": "ClaimResponse.processNote.type",
"equivalence": "wider",
"comment": "Element `ClaimResponse.processNote.type` is mapped to FHIR R4 element `ClaimResponse.processNote.type` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClaimResponse.processNote.type` do not cover the following types: CodeableConcept.\nThe mappings for `ClaimResponse.processNote.type` do not cover the following types based on type expansion: coding."
}
]
},
{
"code": "ClaimResponse.processNote.text",
"display": "text",
"target": [
{
"code": "ClaimResponse.processNote.text",
"display": "ClaimResponse.processNote.text",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.processNote.text` is mapped to FHIR R4 element `ClaimResponse.processNote.text` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.processNote.language",
"display": "language",
"target": [
{
"code": "ClaimResponse.processNote.language",
"display": "ClaimResponse.processNote.language",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.processNote.language` is mapped to FHIR R4 element `ClaimResponse.processNote.language` as `Equivalent`.\nOnly required if the language is different from the resource language."
}
]
},
{
"code": "ClaimResponse.communicationRequest",
"display": "communicationRequest",
"target": [
{
"code": "ClaimResponse.communicationRequest",
"display": "ClaimResponse.communicationRequest",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.communicationRequest` is mapped to FHIR R4 element `ClaimResponse.communicationRequest` as `Equivalent`.\nFor example: professional reports, documents, images, clinical resources, or accident reports."
}
]
},
{
"code": "ClaimResponse.insurance",
"display": "insurance",
"target": [
{
"code": "ClaimResponse.insurance",
"display": "ClaimResponse.insurance",
"equivalence": "wider",
"comment": "Element `ClaimResponse.insurance` is mapped to FHIR R4 element `ClaimResponse.insurance` as `Equivalent`.\nAll insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim."
}
]
},
{
"code": "ClaimResponse.insurance.sequence",
"display": "sequence",
"target": [
{
"code": "ClaimResponse.insurance.sequence",
"display": "ClaimResponse.insurance.sequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.insurance.sequence` is mapped to FHIR R4 element `ClaimResponse.insurance.sequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.insurance.focal",
"display": "focal",
"target": [
{
"code": "ClaimResponse.insurance.focal",
"display": "ClaimResponse.insurance.focal",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.insurance.focal` is mapped to FHIR R4 element `ClaimResponse.insurance.focal` as `Equivalent`.\nA patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies."
}
]
},
{
"code": "ClaimResponse.insurance.coverage",
"display": "coverage",
"target": [
{
"code": "ClaimResponse.insurance.coverage",
"display": "ClaimResponse.insurance.coverage",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.insurance.coverage` is mapped to FHIR R4 element `ClaimResponse.insurance.coverage` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.insurance.businessArrangement",
"display": "businessArrangement",
"target": [
{
"code": "ClaimResponse.insurance.businessArrangement",
"display": "ClaimResponse.insurance.businessArrangement",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.insurance.businessArrangement` is mapped to FHIR R4 element `ClaimResponse.insurance.businessArrangement` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.insurance.claimResponse",
"display": "claimResponse",
"target": [
{
"code": "ClaimResponse.insurance.claimResponse",
"display": "ClaimResponse.insurance.claimResponse",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.insurance.claimResponse` is mapped to FHIR R4 element `ClaimResponse.insurance.claimResponse` as `Equivalent`.\nMust not be specified when 'focal=true' for this insurance."
}
]
},
{
"code": "ClaimResponse.error",
"display": "error",
"target": [
{
"code": "ClaimResponse.error",
"display": "ClaimResponse.error",
"equivalence": "wider",
"comment": "Element `ClaimResponse.error` is mapped to FHIR R4 element `ClaimResponse.error` as `Equivalent`.\nIf the request contains errors then an error element should be provided and no adjudication related sections (item, addItem, or payment) should be present."
}
]
},
{
"code": "ClaimResponse.error.itemSequence",
"display": "itemSequence",
"target": [
{
"code": "ClaimResponse.error.itemSequence",
"display": "ClaimResponse.error.itemSequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.error.itemSequence` is mapped to FHIR R4 element `ClaimResponse.error.itemSequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.error.detailSequence",
"display": "detailSequence",
"target": [
{
"code": "ClaimResponse.error.detailSequence",
"display": "ClaimResponse.error.detailSequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.error.detailSequence` is mapped to FHIR R4 element `ClaimResponse.error.detailSequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.error.subDetailSequence",
"display": "subDetailSequence",
"target": [
{
"code": "ClaimResponse.error.subDetailSequence",
"display": "ClaimResponse.error.subDetailSequence",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.error.subDetailSequence` is mapped to FHIR R4 element `ClaimResponse.error.subDetailSequence` as `Equivalent`."
}
]
},
{
"code": "ClaimResponse.error.code",
"display": "code",
"target": [
{
"code": "ClaimResponse.error.code",
"display": "ClaimResponse.error.code",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.error.code` is mapped to FHIR R4 element `ClaimResponse.error.code` as `Equivalent`."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.traceNumber",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.traceNumber",
"display": "traceNumber",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.traceNumber` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.decision",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.decision",
"display": "decision",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.decision` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.decision` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amount will be paid (partial)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.event",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.event",
"display": "event",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.event` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.event` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ClaimResponse.event.type",
"display": "type",
"target": [
{
"code": "Extension.extension:type",
"equivalence": "wider",
"comment": "Element `ClaimResponse.event.type` is part of an existing definition because parent element `ClaimResponse.event` requires a cross-version extension.\nElement `ClaimResponse.event.type` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.event.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ClaimResponse.event.when[x]",
"display": "when[x]",
"target": [
{
"code": "Extension.extension:when",
"equivalence": "wider",
"comment": "Element `ClaimResponse.event.when[x]` is part of an existing definition because parent element `ClaimResponse.event` requires a cross-version extension.\nElement `ClaimResponse.event.when[x]` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.event.when[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.encounter",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.encounter",
"display": "encounter",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.encounter` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.encounter` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.diagnosisRelatedGroup",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.diagnosisRelatedGroup",
"display": "diagnosisRelatedGroup",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.diagnosisRelatedGroup` has a context of ClaimResponse based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.diagnosisRelatedGroup` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nFor example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.traceNumber",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.item.traceNumber",
"display": "traceNumber",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.traceNumber` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.item.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.item.reviewOutcome",
"display": "reviewOutcome",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.reviewOutcome` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.item.reviewOutcome` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ClaimResponse.item.reviewOutcome.decision",
"display": "decision",
"target": [
{
"code": "Extension.extension:decision",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.reviewOutcome.decision` is part of an existing definition because parent element `ClaimResponse.item.reviewOutcome` requires a cross-version extension.\nElement `ClaimResponse.item.reviewOutcome.decision` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.item.reviewOutcome.decision` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amount will be paid (partial)."
}
]
},
{
"code": "ClaimResponse.item.reviewOutcome.reason",
"display": "reason",
"target": [
{
"code": "Extension.extension:reason",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.reviewOutcome.reason` is part of an existing definition because parent element `ClaimResponse.item.reviewOutcome` requires a cross-version extension.\nElement `ClaimResponse.item.reviewOutcome.reason` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.item.reviewOutcome.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ClaimResponse.item.reviewOutcome.preAuthRef",
"display": "preAuthRef",
"target": [
{
"code": "Extension.extension:preAuthRef",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.reviewOutcome.preAuthRef` is part of an existing definition because parent element `ClaimResponse.item.reviewOutcome` requires a cross-version extension.\nElement `ClaimResponse.item.reviewOutcome.preAuthRef` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.item.reviewOutcome.preAuthRef` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis value is only present on preauthorization adjudications."
}
]
},
{
"code": "ClaimResponse.item.reviewOutcome.preAuthPeriod",
"display": "preAuthPeriod",
"target": [
{
"code": "Extension.extension:preAuthPeriod",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.reviewOutcome.preAuthPeriod` is part of an existing definition because parent element `ClaimResponse.item.reviewOutcome` requires a cross-version extension.\nElement `ClaimResponse.item.reviewOutcome.preAuthPeriod` has a context of ClaimResponse.item based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.item.reviewOutcome.preAuthPeriod` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.adjudication.quantity",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.item.adjudication.quantity",
"display": "quantity",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.adjudication.quantity` is mapped to FHIR R4 element `ClaimResponse.item.adjudication.value` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClaimResponse.item.adjudication.quantity` do not cover the following types: Quantity.\nThe mappings for `ClaimResponse.item.adjudication.quantity` do not cover the following types based on type expansion: code, comparator, system, unit.\nFor example: eligible percentage or co-payment percentage."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.detail.traceNumber",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.item.detail.traceNumber",
"display": "traceNumber",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.detail.traceNumber` has a context of ClaimResponse.item.detail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.item.detail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.detail.subDetail.traceNumber",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.item.detail.subDetail.traceNumber",
"display": "traceNumber",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.item.detail.subDetail.traceNumber` has a context of ClaimResponse.item.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.item.detail.subDetail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.traceNumber",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.traceNumber",
"display": "traceNumber",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.traceNumber` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.revenue",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.revenue",
"display": "revenue",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.revenue` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.productOrServiceEnd",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.productOrServiceEnd",
"display": "productOrServiceEnd",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.productOrServiceEnd` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.request",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.request",
"display": "request",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.request` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.request` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.tax",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.tax",
"display": "tax",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.tax` has a context of ClaimResponse.addItem based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.bodySite.site",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.bodySite.site",
"display": "site",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.bodySite.site` has a context of ClaimResponse.addItem.bodySite based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.bodySite.site` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nFor example: Providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.bodySite.subSite",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.bodySite.subSite",
"display": "subSite",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.bodySite.subSite` has a context of ClaimResponse.addItem.bodySite based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.bodySite.subSite` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.traceNumber",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.detail.traceNumber",
"display": "traceNumber",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail.traceNumber` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.detail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.revenue",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.detail.revenue",
"display": "revenue",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail.revenue` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.detail.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.productOrServiceEnd",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.detail.productOrServiceEnd",
"display": "productOrServiceEnd",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail.productOrServiceEnd` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.detail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.tax",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.detail.tax",
"display": "tax",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail.tax` has a context of ClaimResponse.addItem.detail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.detail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.subDetail.traceNumber",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.detail.subDetail.traceNumber",
"display": "traceNumber",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.traceNumber` has a context of ClaimResponse.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.detail.subDetail.traceNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.subDetail.revenue",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.detail.subDetail.revenue",
"display": "revenue",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.revenue` has a context of ClaimResponse.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.detail.subDetail.revenue` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.subDetail.productOrServiceEnd",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.detail.subDetail.productOrServiceEnd",
"display": "productOrServiceEnd",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.productOrServiceEnd` has a context of ClaimResponse.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.detail.subDetail.productOrServiceEnd` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.addItem.detail.subDetail.tax",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.addItem.detail.subDetail.tax",
"display": "tax",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.addItem.detail.subDetail.tax` has a context of ClaimResponse.addItem.detail.subDetail based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.addItem.detail.subDetail.tax` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.processNote.type",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.processNote.type",
"display": "type",
"target": [
{
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `ClaimResponse.processNote.type` is mapped to FHIR R4 element `ClaimResponse.processNote.type` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClaimResponse.processNote.type` do not cover the following types: CodeableConcept.\nThe mappings for `ClaimResponse.processNote.type` do not cover the following types based on type expansion: coding."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.error.expression",
"targetVersion": "0.1.0",
"element": [
{
"code": "ClaimResponse.error.expression",
"display": "expression",
"target": [
{
"code": "Extension",
"equivalence": "wider",
"comment": "Element `ClaimResponse.error.expression` has a context of ClaimResponse.error based on following the parent source element upwards and mapping to `ClaimResponse`.\nElement `ClaimResponse.error.expression` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each FHIRPath SHALL resolve to a single node."
}
]
}
]
}
]
}