臺灣社政領域基礎實作指引
0.0.1 - ci-build

臺灣社政領域基礎實作指引, published by 衛生福利部社會及家庭署. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/sfaassn2025-source/base/ and changes regularly. See the Directory of published versions

Resource Profile: ClaimResponseTWSSBase - Mappings

Draft as of 2026-10-21

Mappings for the ClaimResponse-twss-base resource profile.

Mappings to Structures in this Implementation Guide

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

                                                                                                                                                                                                                                                                                                                                                                                                                                                    doco Documentation for this format