臺灣健保事前審查實作指引
1.2.3 - ci-build

臺灣健保事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.2.3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

Resource Profile: ClaimResponseSelfAssessmentTWPAS - Mappings

Active as of 2026-05-06

Mappings for the ClaimResponse-self-assessment-twpas resource profile.

Mappings to Structures in this Implementation Guide

NameMapping to TWPAS ClaimResponse Self AssessmentMapping to TWPAS ClaimResponse Self Assessmentdoco
.. ClaimResponse
      ... id
          ... meta
              .... id
                  .... extension
                      .... versionId
                          .... lastUpdated
                              .... source
                                  .... profile
                                      .... security
                                          .... tag
                                              ... implicitRules
                                                  ... language
                                                      ... text
                                                          ... contained
                                                              ... Slices for extension
                                                              .... extension:requestor
                                                              ... modifierExtension
                                                                  ... identifier
                                                                      ... status
                                                                          ... type
                                                                              ... subType
                                                                                  ... use
                                                                                      ... patient
                                                                                          ... created
                                                                                          ... insurer
                                                                                              ... requestor
                                                                                                  ... request
                                                                                                      ... outcome
                                                                                                          ... disposition
                                                                                                              ... preAuthRef
                                                                                                                  ... preAuthPeriod
                                                                                                                      ... payeeType
                                                                                                                          ... item
                                                                                                                              .... id
                                                                                                                                  .... extension
                                                                                                                                      .... modifierExtension
                                                                                                                                          .... itemSequence
                                                                                                                                              .... noteNumber
                                                                                                                                                  .... adjudication
                                                                                                                                                      ..... id
                                                                                                                                                          ..... extension
                                                                                                                                                              ..... modifierExtension
                                                                                                                                                                  ..... category
                                                                                                                                                                      ..... reason
                                                                                                                                                                      ..... amount
                                                                                                                                                                          ..... value
                                                                                                                                                                          .... detail
                                                                                                                                                                              ..... id
                                                                                                                                                                                  ..... extension
                                                                                                                                                                                      ..... modifierExtension
                                                                                                                                                                                          ..... detailSequence
                                                                                                                                                                                              ..... noteNumber
                                                                                                                                                                                                  ..... adjudication
                                                                                                                                                                                                      ...... id
                                                                                                                                                                                                          ...... extension
                                                                                                                                                                                                              ...... modifierExtension
                                                                                                                                                                                                                  ...... category
                                                                                                                                                                                                                      ....... id
                                                                                                                                                                                                                          ....... extension
                                                                                                                                                                                                                              ....... coding
                                                                                                                                                                                                                                  ........ id
                                                                                                                                                                                                                                      ........ extension
                                                                                                                                                                                                                                          ........ system
                                                                                                                                                                                                                                              ........ version
                                                                                                                                                                                                                                                  ........ code
                                                                                                                                                                                                                                                      ........ display
                                                                                                                                                                                                                                                          ........ userSelected
                                                                                                                                                                                                                                                              ....... text
                                                                                                                                                                                                                                                                  ...... reason
                                                                                                                                                                                                                                                                  ...... amount
                                                                                                                                                                                                                                                                      ...... value
                                                                                                                                                                                                                                                                          ..... subDetail
                                                                                                                                                                                                                                                                              ...... id
                                                                                                                                                                                                                                                                                  ...... extension
                                                                                                                                                                                                                                                                                      ...... modifierExtension
                                                                                                                                                                                                                                                                                          ...... subDetailSequence
                                                                                                                                                                                                                                                                                              ...... noteNumber
                                                                                                                                                                                                                                                                                                  ...... adjudication
                                                                                                                                                                                                                                                                                                      ... addItem
                                                                                                                                                                                                                                                                                                          .... id
                                                                                                                                                                                                                                                                                                              .... extension
                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                      .... itemSequence
                                                                                                                                                                                                                                                                                                                          .... detailSequence
                                                                                                                                                                                                                                                                                                                              .... subdetailSequence
                                                                                                                                                                                                                                                                                                                                  .... provider
                                                                                                                                                                                                                                                                                                                                      .... productOrService
                                                                                                                                                                                                                                                                                                                                          .... modifier
                                                                                                                                                                                                                                                                                                                                              .... programCode
                                                                                                                                                                                                                                                                                                                                                  .... serviced[x]
                                                                                                                                                                                                                                                                                                                                                      .... location[x]
                                                                                                                                                                                                                                                                                                                                                          .... quantity
                                                                                                                                                                                                                                                                                                                                                              .... unitPrice
                                                                                                                                                                                                                                                                                                                                                                  .... factor
                                                                                                                                                                                                                                                                                                                                                                      .... net
                                                                                                                                                                                                                                                                                                                                                                          .... bodySite
                                                                                                                                                                                                                                                                                                                                                                              .... subSite
                                                                                                                                                                                                                                                                                                                                                                                  .... noteNumber
                                                                                                                                                                                                                                                                                                                                                                                      .... adjudication
                                                                                                                                                                                                                                                                                                                                                                                          .... detail
                                                                                                                                                                                                                                                                                                                                                                                              ..... id
                                                                                                                                                                                                                                                                                                                                                                                                  ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                      ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                          ..... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                              ..... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                  ..... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                      ..... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                          ..... factor
                                                                                                                                                                                                                                                                                                                                                                                                                              ..... net
                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... noteNumber
                                                                                                                                                                                                                                                                                                                                                                                                                                      ..... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                          ..... subDetail
                                                                                                                                                                                                                                                                                                                                                                                                                                              ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                      ...... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                          ...... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                              ...... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ...... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ...... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ...... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... noteNumber
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ...... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ... total
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... amount
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ... payment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... adjustment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... adjustmentReason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... date
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... amount
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ... fundsReserve
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... formCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ... form
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ... processNote
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... number
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... language
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ... communicationRequest
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ... insurance
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... focal
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... coverage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... businessArrangement
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... claimResponse
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... error
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... itemSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... detailSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... subDetailSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... code

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  doco Documentation for this format

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Mappings to other Structures

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  No Mappings Found

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Other Mappings

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  NameWorkflow PatternFiveWs Pattern MappingRIM Mappingdoco
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .. ClaimResponse
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Event
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Entity. Role
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • or Act
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... meta
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... versionId
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... lastUpdated
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... source
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... profile
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... security
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... tag
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... implicitRules
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... language
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Act.text?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... contained
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... Slices for extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension:requestor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Event.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... status
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Event.status
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.status
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.class
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... subType
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.class
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... use
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.class
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... patient
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.subject
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... created
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Event.occurrence[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.recorded
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... insurer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Event.performer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... requestor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.source
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... request
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Event.basedOn
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.why[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... outcome
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... disposition
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Event.note
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... preAuthRef
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... preAuthPeriod
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... payeeType
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... item
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... itemSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... noteNumber
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... amount
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... detail
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... detailSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... noteNumber
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ....... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ....... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ....... coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ........ id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ........ extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ........ system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ........ version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ........ code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ........ display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ........ userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ....... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... amount
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... subDetail
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... subDetailSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... noteNumber
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... addItem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... itemSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... detailSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... subdetailSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... provider
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.source
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • 24.C
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • 24.D mods
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24.H
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... serviced[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.done[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24.A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... location[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  FiveWs.where[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24.B
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24.G
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24.F
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... bodySite
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... subSite
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... noteNumber
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... detail
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • 24.C
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • 24.D mods
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24.G
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24.F
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... noteNumber
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... subDetail
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • 24.C
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • 24.D mods
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24.G
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24.F
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... noteNumber
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... total
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... amount
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... payment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... adjustment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... adjustmentReason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... date
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... amount
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... fundsReserve
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... formCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... form
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... processNote
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... number
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... language
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... communicationRequest
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... insurance
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Coverage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... focal
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... coverage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... businessArrangement
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... claimResponse
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ... error
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... itemSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... detailSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... subDetailSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... code

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  doco Documentation for this format