Current Build

Переводит команда Health Samurai. Приглашаем поучаствовать в русификации стандарта FHIR: GitHub, Email.

Claimresponse.profile.json

Financial Management Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Patient, Practitioner

Raw JSON (каноническая форма + also see JSON Format Specification)

StructureDefinition for claimresponse

{
  "resourceType" : "StructureDefinition",
  "id" : "ClaimResponse",
  "meta" : {
    "lastUpdated" : "2019-05-17T12:34:53.932+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "patient"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
  "version" : "3.6.0",
  "name" : "ClaimResponse",
  "status" : "draft",
  "date" : "2019-05-17T12:34:53+00:00",
  "publisher" : "Health Level Seven International (Financial Management)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
    }]
  }],
  "description" : "Этот ресурс предоставляет информацию о вынесенном решении по результату обработки ресурса Claim.",
  "fhirVersion" : "3.6.0",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "ClaimResponse",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "ClaimResponse",
      "path" : "ClaimResponse",
      "short" : "Response to a claim predetermination or preauthorization",
      "definition" : "Этот ресурс предоставляет информацию о вынесенном решении по результату обработки ресурса Claim.",
      "alias" : ["Remittance Advice"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "dom-2",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ дана ссылка or SHALL refer to the containing resource",
        "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
        "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        }],
        "key" : "dom-6",
        "severity" : "warning",
        "human" : "A resource should have narrative for robust management",
        "expression" : "text.div.exists()",
        "xpath" : "exists(f:text/h:div)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-5",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
        "expression" : "contained.meta.security.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
        "source" : "DomainResource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "workflow",
        "map" : "Event"
      }]
    },
    {
      "id" : "ClaimResponse.id",
      "path" : "ClaimResponse.id",
      "short" : "Logical id of this artifact",
      "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "id"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "ClaimResponse.meta",
      "path" : "ClaimResponse.meta",
      "short" : "Метаданные ресурса",
      "definition" : "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "ClaimResponse.implicitRules",
      "path" : "ClaimResponse.implicitRules",
      "short" : "Свод правил, в соответствии с которыми создавалось это содержимое",
      "definition" : "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.implicitRules",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary" : true
    },
    {
      "id" : "ClaimResponse.language",
      "path" : "ClaimResponse.language",
      "short" : "Язык содержимого ресурса",
      "definition" : "Основной язык, на котором написан ресурс.",
      "comment" : "Язык указывается для поддержки предварительной обработки текстов и доступности для понимания (например при преобразовании текста в речь используется языковой тег). HTML-тег language в описательной части применяется к этой описательной части. Языковой тег ресурса может использоваться для указания языков других представлений, генерируемых из данных ресурса\n\nНе все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя автоматически принимать за язык описательной части. Если язык указан, его также следует указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang см. в правилах HTML5).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "ClaimResponse.text",
      "path" : "ClaimResponse.text",
      "short" : "Краткое текстовое изложение ресурса для интерпретации человеком",
      "definition" : "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
      "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DomainResource.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Narrative"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "ClaimResponse.contained",
      "path" : "ClaimResponse.contained",
      "short" : "Вложенные, встроенные инлайн ресурсы",
      "definition" : "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
      "comment" : "Этого не следует делать, когда содержимое может быть идентифицировано должным образом, поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова восстановить её. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.contained",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Resource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.extension",
      "path" : "ClaimResponse.extension",
      "short" : "Дополнительное содержимое, определенное реализаторами",
      "definition" : "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.modifierExtension",
      "path" : "ClaimResponse.modifierExtension",
      "short" : "Расширения, которые нельзя игнорировать",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.identifier",
      "path" : "ClaimResponse.identifier",
      "short" : "Business Identifier for a claim response",
      "definition" : "A unique identifier assigned to this claim response.",
      "requirements" : "Allows claim responses to be distinguished and referenced.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      }]
    },
    {
      "id" : "ClaimResponse.status",
      "path" : "ClaimResponse.status",
      "short" : "active | cancelled | draft | entered-in-error",
      "definition" : "The status of the resource instance.",
      "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.status",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClaimResponseStatus"
        }],
        "strength" : "required",
        "description" : "A code specifying the state of the resource instance.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      }]
    },
    {
      "id" : "ClaimResponse.type",
      "path" : "ClaimResponse.type",
      "short" : "More granular claim type",
      "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
      "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
      "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.type",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClaimType"
        }],
        "strength" : "extensible",
        "description" : "The type or discipline-style of the claim.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-type"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "ClaimResponse.subType",
      "path" : "ClaimResponse.subType",
      "short" : "More granular claim type",
      "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
      "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
      "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.subType",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClaimSubType"
        }],
        "strength" : "example",
        "description" : "A more granular claim typecode.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-subtype"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "ClaimResponse.use",
      "path" : "ClaimResponse.use",
      "short" : "claim | preauthorization | predetermination",
      "definition" : "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.",
      "requirements" : "This element is required to understand the nature of the request for adjudication.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.use",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Use"
        }],
        "strength" : "required",
        "description" : "Claim, preauthorization, predetermination.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-use"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "ClaimResponse.patient",
      "path" : "ClaimResponse.patient",
      "short" : "The recipient of the products and services",
      "definition" : "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimburement is sought.",
      "requirements" : "The patient must be supplied to the insurer so that confirmation of coverage and service hstory may be considered as part of the authorization and/or adjudiction.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.patient",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "ClaimResponse.created",
      "path" : "ClaimResponse.created",
      "short" : "Response Дата создания",
      "definition" : "The date this resource was created.",
      "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.created",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      }]
    },
    {
      "id" : "ClaimResponse.insurer",
      "path" : "ClaimResponse.insurer",
      "short" : "Party responsible for reimbursement",
      "definition" : "The party responsible for authorization, adjudication and reimbursement.",
      "requirements" : "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.insurer",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer"
      }]
    },
    {
      "id" : "ClaimResponse.requestor",
      "path" : "ClaimResponse.requestor",
      "short" : "Party responsible for the claim",
      "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
      "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.requestor",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      }]
    },
    {
      "id" : "ClaimResponse.request",
      "path" : "ClaimResponse.request",
      "short" : "Идентификатор ресурса, инициировавшего решение по иску",
      "definition" : "Original request resource reference.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.request",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.basedOn"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      }]
    },
    {
      "id" : "ClaimResponse.outcome",
      "path" : "ClaimResponse.outcome",
      "short" : "queued | complete | error | partial",
      "definition" : "The outcome of the claim, predetermination, or preauthorization processing.",
      "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
      "requirements" : "To advise the requestor of an overall processing outcome.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.outcome",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "RemittanceOutcome"
        }],
        "strength" : "required",
        "description" : "The result of the claim processing.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome"
      }
    },
    {
      "id" : "ClaimResponse.disposition",
      "path" : "ClaimResponse.disposition",
      "short" : "Сообщение о возможности воспользоваться",
      "definition" : "A human readable description of the status of the adjudication.",
      "requirements" : "Provided for user display.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.disposition",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      }]
    },
    {
      "id" : "ClaimResponse.preAuthRef",
      "path" : "ClaimResponse.preAuthRef",
      "short" : "Preauthorization reference",
      "definition" : "Reference from the Insurer which is used in later communications which refers to this adjudication.",
      "comment" : "This value is only present on preauthorization adjudications.",
      "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.preAuthRef",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.preAuthPeriod",
      "path" : "ClaimResponse.preAuthPeriod",
      "short" : "Preauthorization reference effective period",
      "definition" : "The time frame during which this authorization is effective.",
      "requirements" : "To convey to the provider when the authorized products and services must be supplied for the authorized adjudication to apply.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.preAuthPeriod",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Period"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.payeeType",
      "path" : "ClaimResponse.payeeType",
      "short" : "Сторона, которой необходимо выплатить все подлежащие оплате выгоды",
      "definition" : "Type of Сторона, которой должно быть выплачено возмещение: подписчик, поставщик, другая.",
      "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.payeeType",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PayeeType"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "A code for the party to be reimbursed.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
      }
    },
    {
      "id" : "ClaimResponse.item",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Item"
      }],
      "path" : "ClaimResponse.item",
      "short" : "Adjudication for claim line items",
      "definition" : "A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.",
      "requirements" : "The adjudication for items provided on the claim.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.item",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.id",
      "path" : "ClaimResponse.item.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.item.extension",
      "path" : "ClaimResponse.item.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.item.modifierExtension",
      "path" : "ClaimResponse.item.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.item.itemSequence",
      "path" : "ClaimResponse.item.itemSequence",
      "short" : "Claim item instance identifier",
      "definition" : "A number to uniquely reference the claim item entries.",
      "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim item.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.item.itemSequence",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.noteNumber",
      "path" : "ClaimResponse.item.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.item.noteNumber",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.adjudication",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Adjudication"
      }],
      "path" : "ClaimResponse.item.adjudication",
      "short" : "Детали вынесения решения",
      "definition" : "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.",
      "requirements" : "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.",
      "min" : 1,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.item.adjudication",
        "min" : 1,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.adjudication.id",
      "path" : "ClaimResponse.item.adjudication.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.item.adjudication.extension",
      "path" : "ClaimResponse.item.adjudication.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.item.adjudication.modifierExtension",
      "path" : "ClaimResponse.item.adjudication.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.item.adjudication.category",
      "path" : "ClaimResponse.item.adjudication.category",
      "short" : "Type of adjudication information",
      "definition" : "A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is resonsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
      "comment" : "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
      "requirements" : "Needed to enable understanding of the context of the other information in the adjudication.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.item.adjudication.category",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Adjudication"
        }],
        "strength" : "example",
        "description" : "Коды вынесенного решения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
      }
    },
    {
      "id" : "ClaimResponse.item.adjudication.reason",
      "path" : "ClaimResponse.item.adjudication.reason",
      "short" : "Explanation of adjudication outcome",
      "definition" : "A code supporting the understanding of the adjudication result and explaining variance from expected amount.",
      "comment" : "For example may indicate that the funds for this benefit type have been exhausted.",
      "requirements" : "To support understanding of variance from adjudication expectations.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.item.adjudication.reason",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "AdjudicationReason"
        }],
        "strength" : "example",
        "description" : "Коды обоснования вынесенного решения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-reason"
      }
    },
    {
      "id" : "ClaimResponse.item.adjudication.amount",
      "path" : "ClaimResponse.item.adjudication.amount",
      "short" : "Денежная сумма",
      "definition" : "Monetary amount associated with the category.",
      "comment" : "For example: amount submitted, eligible amount, co-payment, and benefit payable.",
      "requirements" : "Most adjuciation categories convey a monetary amount.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.item.adjudication.amount",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.adjudication.value",
      "path" : "ClaimResponse.item.adjudication.value",
      "short" : "Неденежное значение",
      "definition" : "A non-monetary value associated with the category. Mutually exclusive to the amount element above.",
      "comment" : "For example: eligible percentage or co-payment percentage.",
      "requirements" : "Some adjudication categories convey a percentage or a fixed value.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.item.adjudication.value",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "decimal"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.detail",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "ItemDetail"
      }],
      "path" : "ClaimResponse.item.detail",
      "short" : "Adjudication for claim details",
      "definition" : "A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
      "requirements" : "The adjudication for details provided on the claim.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.item.detail",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.detail.id",
      "path" : "ClaimResponse.item.detail.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.extension",
      "path" : "ClaimResponse.item.detail.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.modifierExtension",
      "path" : "ClaimResponse.item.detail.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.detailSequence",
      "path" : "ClaimResponse.item.detail.detailSequence",
      "short" : "Claim detail instance identifier",
      "definition" : "A number to uniquely reference the claim detail entry.",
      "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim detail.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.item.detail.detailSequence",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.detail.noteNumber",
      "path" : "ClaimResponse.item.detail.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.item.detail.noteNumber",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.detail.adjudication",
      "path" : "ClaimResponse.item.detail.adjudication",
      "short" : "Detail level adjudication details",
      "definition" : "The adjudication results.",
      "min" : 1,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.item.detail.adjudication",
        "min" : 1,
        "max" : "*"
      },
      "contentReference" : "#ClaimResponse.item.adjudication",
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "SubDetail"
      }],
      "path" : "ClaimResponse.item.detail.subDetail",
      "short" : "Adjudication for claim sub-details",
      "definition" : "A sub-detail adjudication of a simple product or service.",
      "requirements" : "The adjudication for sub-details provided on the claim.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.item.detail.subDetail",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail.id",
      "path" : "ClaimResponse.item.detail.subDetail.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail.extension",
      "path" : "ClaimResponse.item.detail.subDetail.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail.modifierExtension",
      "path" : "ClaimResponse.item.detail.subDetail.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
      "path" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
      "short" : "Claim sub-detail instance identifier",
      "definition" : "A number to uniquely reference the claim sub-detail entry.",
      "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim sub-detail.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail.noteNumber",
      "path" : "ClaimResponse.item.detail.subDetail.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.item.detail.subDetail.noteNumber",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail.adjudication",
      "path" : "ClaimResponse.item.detail.subDetail.adjudication",
      "short" : "Subdetail level adjudication details",
      "definition" : "The adjudication results.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.item.detail.subDetail.adjudication",
        "min" : 0,
        "max" : "*"
      },
      "contentReference" : "#ClaimResponse.item.adjudication",
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "AddedItem"
      }],
      "path" : "ClaimResponse.addItem",
      "short" : "Товарные позиции, добавленные страховой компанией",
      "definition" : "The first-tier service adjudications for payor added product or service lines.",
      "requirements" : "Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.id",
      "path" : "ClaimResponse.addItem.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.extension",
      "path" : "ClaimResponse.addItem.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.modifierExtension",
      "path" : "ClaimResponse.addItem.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.itemSequence",
      "path" : "ClaimResponse.addItem.itemSequence",
      "short" : "Порядковый номер пункта",
      "definition" : "Claim items which this service line is intended to replace.",
      "requirements" : "Provides references to the claim items.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.itemSequence",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detailSequence",
      "path" : "ClaimResponse.addItem.detailSequence",
      "short" : "Подробный порядковый номер",
      "definition" : "The sequence number of the details within the claim item which this line is intended to replace.",
      "requirements" : "Provides references to the claim details within the claim item.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.detailSequence",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.subdetailSequence",
      "path" : "ClaimResponse.addItem.subdetailSequence",
      "short" : "Сведения о порядковом номере",
      "definition" : "The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.",
      "requirements" : "Provides references to the claim sub-details within the claim detail.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.subdetailSequence",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.provider",
      "path" : "ClaimResponse.addItem.provider",
      "short" : "Authorized providers",
      "definition" : "The providers who are authorized for the services rendered to the patient.",
      "requirements" : "Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.provider",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.productOrService",
      "path" : "ClaimResponse.addItem.productOrService",
      "short" : "Billing, service, product, or drug code",
      "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
      "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Услуга или продукт supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
      "requirements" : "Necessary to state what was provided or done.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.productOrService",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ServiceProduct"
        }],
        "strength" : "example",
        "description" : "Коды допустимых услуг и продуктов.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
      }
    },
    {
      "id" : "ClaimResponse.addItem.modifier",
      "path" : "ClaimResponse.addItem.modifier",
      "short" : "Service/Product billing modifiers",
      "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
      "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
      "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.modifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Modifiers"
        }],
        "strength" : "example",
        "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.C, 24.D mods"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.programCode",
      "path" : "ClaimResponse.addItem.programCode",
      "short" : "Program the product or service is provided under",
      "definition" : "Identifies the program under which this may be recovered.",
      "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
      "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.programCode",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProgramCode"
        }],
        "strength" : "example",
        "description" : "Program specific reason codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.H"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.serviced[x]",
      "path" : "ClaimResponse.addItem.serviced[x]",
      "short" : "Date or dates of service or product delivery",
      "definition" : "The date or dates when the service or product was supplied, performed or completed.",
      "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.serviced[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      },
      {
        "code" : "Period"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      },
      {
        "identity" : "rim",
        "map" : "24.A"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.location[x]",
      "path" : "ClaimResponse.addItem.location[x]",
      "short" : "Place of service or where product was supplied",
      "definition" : "Where the product or service was provided.",
      "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.location[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Address"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ServicePlace"
        }],
        "strength" : "example",
        "description" : "Place of service: pharmacy, school, prison, etc.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.where[x]"
      },
      {
        "identity" : "rim",
        "map" : "24.B"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.quantity",
      "path" : "ClaimResponse.addItem.quantity",
      "short" : "Count of products or services",
      "definition" : "The number of repetitions of a service or product.",
      "requirements" : "Required when the product or service code does not convey the quantity provided.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.quantity",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.G"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.unitPrice",
      "path" : "ClaimResponse.addItem.unitPrice",
      "short" : "Fee, charge or cost per item",
      "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
      "requirements" : "The amount charged to the patient by the provider for a single unit.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.unitPrice",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.factor",
      "path" : "ClaimResponse.addItem.factor",
      "short" : "Price scaling factor",
      "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
      "comment" : "To show a 10% Senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
      "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.factor",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "decimal"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.net",
      "path" : "ClaimResponse.addItem.net",
      "short" : "Total item cost",
      "definition" : "The quantity times the unit price for an additional service or product or charge.",
      "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
      "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.net",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.F"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.bodySite",
      "path" : "ClaimResponse.addItem.bodySite",
      "short" : "Anatomical location",
      "definition" : "Physical service site on the patient (limb, tooth, etc.).",
      "comment" : "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
      "requirements" : "Allows insurer to validate specific procedures.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.bodySite",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "OralSites"
        }],
        "strength" : "example",
        "description" : "The code for the teeth, quadrant, sextant and arch.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
      }
    },
    {
      "id" : "ClaimResponse.addItem.subSite",
      "path" : "ClaimResponse.addItem.subSite",
      "short" : "Anatomical sub-location",
      "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
      "requirements" : "Allows insurer to validate specific procedures.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.subSite",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Surface"
        }],
        "strength" : "example",
        "description" : "The code for the tooth surface and surface combinations.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
      }
    },
    {
      "id" : "ClaimResponse.addItem.noteNumber",
      "path" : "ClaimResponse.addItem.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.noteNumber",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.adjudication",
      "path" : "ClaimResponse.addItem.adjudication",
      "short" : "Вынесенное решение по добавленным пунктам",
      "definition" : "The adjudication results.",
      "min" : 1,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.adjudication",
        "min" : 1,
        "max" : "*"
      },
      "contentReference" : "#ClaimResponse.item.adjudication",
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "AddedItemDetail"
      }],
      "path" : "ClaimResponse.addItem.detail",
      "short" : "Insurer added line details",
      "definition" : "The second-tier service adjudications for payor added services.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.detail",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail.id",
      "path" : "ClaimResponse.addItem.detail.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.extension",
      "path" : "ClaimResponse.addItem.detail.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.modifierExtension",
      "path" : "ClaimResponse.addItem.detail.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.productOrService",
      "path" : "ClaimResponse.addItem.detail.productOrService",
      "short" : "Billing, service, product, or drug code",
      "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
      "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Услуга или продукт supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
      "requirements" : "Necessary to state what was provided or done.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.productOrService",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ServiceProduct"
        }],
        "strength" : "example",
        "description" : "Коды допустимых услуг и продуктов.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
      }
    },
    {
      "id" : "ClaimResponse.addItem.detail.modifier",
      "path" : "ClaimResponse.addItem.detail.modifier",
      "short" : "Service/Product billing modifiers",
      "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
      "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
      "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.modifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Modifiers"
        }],
        "strength" : "example",
        "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.C, 24.D mods"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.quantity",
      "path" : "ClaimResponse.addItem.detail.quantity",
      "short" : "Count of products or services",
      "definition" : "The number of repetitions of a service or product.",
      "requirements" : "Required when the product or service code does not convey the quantity provided.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.quantity",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.G"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.unitPrice",
      "path" : "ClaimResponse.addItem.detail.unitPrice",
      "short" : "Fee, charge or cost per item",
      "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
      "requirements" : "The amount charged to the patient by the provider for a single unit.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.unitPrice",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail.factor",
      "path" : "ClaimResponse.addItem.detail.factor",
      "short" : "Price scaling factor",
      "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
      "comment" : "To show a 10% Senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
      "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.factor",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "decimal"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail.net",
      "path" : "ClaimResponse.addItem.detail.net",
      "short" : "Total item cost",
      "definition" : "The quantity times the unit price for an additional service or product or charge.",
      "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
      "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.net",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.F"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.noteNumber",
      "path" : "ClaimResponse.addItem.detail.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.noteNumber",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail.adjudication",
      "path" : "ClaimResponse.addItem.detail.adjudication",
      "short" : "Судебное решение по добавленным пунктам",
      "definition" : "The adjudication results.",
      "min" : 1,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.adjudication",
        "min" : 1,
        "max" : "*"
      },
      "contentReference" : "#ClaimResponse.item.adjudication",
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "AddedItemSubDetail"
      }],
      "path" : "ClaimResponse.addItem.detail.subDetail",
      "short" : "Товарные позиции, добавленные страховой компанией",
      "definition" : "The third-tier service adjudications for payor added services.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.subDetail",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.id",
      "path" : "ClaimResponse.addItem.detail.subDetail.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.extension",
      "path" : "ClaimResponse.addItem.detail.subDetail.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.modifierExtension",
      "path" : "ClaimResponse.addItem.detail.subDetail.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.productOrService",
      "path" : "ClaimResponse.addItem.detail.subDetail.productOrService",
      "short" : "Billing, service, product, or drug code",
      "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
      "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Услуга или продукт supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
      "requirements" : "Necessary to state what was provided or done.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.subDetail.productOrService",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ServiceProduct"
        }],
        "strength" : "example",
        "description" : "Коды допустимых услуг и продуктов.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
      }
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.modifier",
      "path" : "ClaimResponse.addItem.detail.subDetail.modifier",
      "short" : "Service/Product billing modifiers",
      "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
      "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
      "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.subDetail.modifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Modifiers"
        }],
        "strength" : "example",
        "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.C, 24.D mods"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.quantity",
      "path" : "ClaimResponse.addItem.detail.subDetail.quantity",
      "short" : "Count of products or services",
      "definition" : "The number of repetitions of a service or product.",
      "requirements" : "Required when the product or service code does not convey the quantity provided.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.subDetail.quantity",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.G"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
      "path" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
      "short" : "Fee, charge or cost per item",
      "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
      "requirements" : "The amount charged to the patient by the provider for a single unit.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.factor",
      "path" : "ClaimResponse.addItem.detail.subDetail.factor",
      "short" : "Price scaling factor",
      "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
      "comment" : "To show a 10% Senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
      "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.subDetail.factor",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "decimal"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.net",
      "path" : "ClaimResponse.addItem.detail.subDetail.net",
      "short" : "Total item cost",
      "definition" : "The quantity times the unit price for an additional service or product or charge.",
      "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
      "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.subDetail.net",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.F"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
      "path" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.adjudication",
      "path" : "ClaimResponse.addItem.detail.subDetail.adjudication",
      "short" : "Судебное решение по добавленным пунктам",
      "definition" : "The adjudication results.",
      "min" : 1,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.addItem.detail.subDetail.adjudication",
        "min" : 1,
        "max" : "*"
      },
      "contentReference" : "#ClaimResponse.item.adjudication",
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.adjudication",
      "path" : "ClaimResponse.adjudication",
      "short" : "Header-level adjudication",
      "definition" : "The adjudication results which are presented at the header level rather than at the line-item or add-item levels.",
      "requirements" : "Some insurers will receive line-items but provide the adjudication only at a summary or header-level.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.adjudication",
        "min" : 0,
        "max" : "*"
      },
      "contentReference" : "#ClaimResponse.item.adjudication",
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.total",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Total"
      }],
      "path" : "ClaimResponse.total",
      "short" : "Adjudication totals",
      "definition" : "Categorized monetary totals for the adjudication.",
      "comment" : "Totals for amounts submitted, co-pays, benefits payable etc.",
      "requirements" : "To provide the requestor with financial totals by category for the adjudication.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.total",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "ClaimResponse.total.id",
      "path" : "ClaimResponse.total.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.total.extension",
      "path" : "ClaimResponse.total.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.total.modifierExtension",
      "path" : "ClaimResponse.total.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.total.category",
      "path" : "ClaimResponse.total.category",
      "short" : "Type of adjudication information",
      "definition" : "A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is resonsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
      "comment" : "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
      "requirements" : "Needed to convey the type of total provided.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.total.category",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Adjudication"
        }],
        "strength" : "example",
        "description" : "Коды вынесенного решения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
      }
    },
    {
      "id" : "ClaimResponse.total.amount",
      "path" : "ClaimResponse.total.amount",
      "short" : "Financial total for the category",
      "definition" : "Monetary total amount associated with the category.",
      "requirements" : "Needed to convey the total monetary amount.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.total.amount",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "ClaimResponse.payment",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Payment"
      }],
      "path" : "ClaimResponse.payment",
      "short" : "Payment Details",
      "definition" : "Payment details for the adjudication of the claim.",
      "requirements" : "Needed to convey references to the financial instrument that has been used if payment has been made.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.payment",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.payment.id",
      "path" : "ClaimResponse.payment.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.payment.extension",
      "path" : "ClaimResponse.payment.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.payment.modifierExtension",
      "path" : "ClaimResponse.payment.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.payment.type",
      "path" : "ClaimResponse.payment.type",
      "short" : "Partial or complete payment",
      "definition" : "Whether this represents partial or complete payment of the benefits payable.",
      "requirements" : "To advise the requestor when the insurer believes all payments to have been completed.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.payment.type",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PaymentType"
        }],
        "strength" : "example",
        "description" : "The type (partial, complete) of the payment.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/ex-paymenttype"
      }
    },
    {
      "id" : "ClaimResponse.payment.adjustment",
      "path" : "ClaimResponse.payment.adjustment",
      "short" : "Согласование платежей по не связанным с иском вопросам",
      "definition" : "Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.",
      "comment" : "Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.",
      "requirements" : "To advise the requestor of adjustments applied to the payment.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.payment.adjustment",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.payment.adjustmentReason",
      "path" : "ClaimResponse.payment.adjustmentReason",
      "short" : "Explanation for the adjustment",
      "definition" : "Причина корректировки платежа.",
      "requirements" : "Needed to clarify the monetary adjustment.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.payment.adjustmentReason",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PaymentAdjustmentReason"
        }],
        "strength" : "example",
        "description" : "Коды обоснования вынесенного решения по платежам.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/payment-adjustment-reason"
      }
    },
    {
      "id" : "ClaimResponse.payment.date",
      "path" : "ClaimResponse.payment.date",
      "short" : "Expected date of payment",
      "definition" : "Estimated date the payment will be issued or the actual issue date of payment.",
      "requirements" : "To advise the payee when payment can be expected.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.payment.date",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.payment.amount",
      "path" : "ClaimResponse.payment.amount",
      "short" : "Payable amount after adjustment",
      "definition" : "Benefits Сумма, подлежащая оплате, меньшая, чем любая корректировка оплаты.",
      "requirements" : "Needed to provide the actual payment amount.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.payment.amount",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.payment.identifier",
      "path" : "ClaimResponse.payment.identifier",
      "short" : "Business identifier for the payment",
      "definition" : "Issuer's unique identifier for the payment instrument.",
      "comment" : "For example: EFT number or check number.",
      "requirements" : "Enable the receiver to reconcile when payment received.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.payment.identifier",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.fundsReserve",
      "path" : "ClaimResponse.fundsReserve",
      "short" : "Статус зарезервированных денежных средств",
      "definition" : "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.",
      "comment" : "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.",
      "requirements" : "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.fundsReserve",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "FundsReserve"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
      }
    },
    {
      "id" : "ClaimResponse.formCode",
      "path" : "ClaimResponse.formCode",
      "short" : "Идентификатор формы, которую необходимо использовать для печати",
      "definition" : "A code for Форма, которую необходимо использовать для печати данного содержимого.",
      "comment" : "May be needed to identify specific jurisdictional forms.",
      "requirements" : "Needed to specify the specific form used for producing output for this response.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.formCode",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Forms"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "The forms codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
      }
    },
    {
      "id" : "ClaimResponse.form",
      "path" : "ClaimResponse.form",
      "short" : "Printed reference or actual form",
      "definition" : "The actual form, by reference or inclusion, for printing the content or an EOB.",
      "comment" : "Needed to permit insurers to include the actual form.",
      "requirements" : "Needed to include the specific form used for producing output for this response.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.form",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Attachment"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.processNote",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Note"
      }],
      "path" : "ClaimResponse.processNote",
      "short" : "Note concerning adjudication",
      "definition" : "A note that describes or explains adjudication results in a human readable form.",
      "requirements" : "Provides the insurer specific textual explanations associated with the processing.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.processNote",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.processNote.id",
      "path" : "ClaimResponse.processNote.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.processNote.extension",
      "path" : "ClaimResponse.processNote.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.processNote.modifierExtension",
      "path" : "ClaimResponse.processNote.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.processNote.number",
      "path" : "ClaimResponse.processNote.number",
      "short" : "Note instance identifier",
      "definition" : "A number to uniquely identify a note entry.",
      "requirements" : "Necessary to provide a mechanism to link from adjudications.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.processNote.number",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.processNote.type",
      "path" : "ClaimResponse.processNote.type",
      "short" : "display | print | printoper",
      "definition" : "The business purpose of the Текст примечания.",
      "requirements" : "To convey the expectation for when the text is used.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.processNote.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "NoteType"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "required",
        "description" : "The presentation types of notes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/note-type"
      }
    },
    {
      "id" : "ClaimResponse.processNote.text",
      "path" : "ClaimResponse.processNote.text",
      "short" : "Пояснительный текст примечания",
      "definition" : "The explanation or description associated with the processing.",
      "requirements" : "Required to provide human readable explanation.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.processNote.text",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.processNote.language",
      "path" : "ClaimResponse.processNote.language",
      "short" : "Language of the text",
      "definition" : "A code to define the language used in the text of the note.",
      "comment" : "Only requred if the language is different from the resource language.",
      "requirements" : "Note text may vary from the resource defined language.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.processNote.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "ClaimResponse.communicationRequest",
      "path" : "ClaimResponse.communicationRequest",
      "short" : "Request for additional information",
      "definition" : "Request for additional supporting or authorizing information.",
      "comment" : "For example: professional reports, documents, images, clinical resources, or accident reports.",
      "requirements" : "Need to communicate insurer request for additional information required to support the adjudication.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.communicationRequest",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CommunicationRequest"]
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.insurance",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Insurance"
      }],
      "path" : "ClaimResponse.insurance",
      "short" : "Patient insurance information",
      "definition" : "Financial instruments for reimbursement for the health care products and services specified on the claim.",
      "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
      "requirements" : "At least one insurer is required for a claim to be a claim.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.insurance",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Coverage"
      }]
    },
    {
      "id" : "ClaimResponse.insurance.id",
      "path" : "ClaimResponse.insurance.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.insurance.extension",
      "path" : "ClaimResponse.insurance.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.insurance.modifierExtension",
      "path" : "ClaimResponse.insurance.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.insurance.sequence",
      "path" : "ClaimResponse.insurance.sequence",
      "short" : "Insurance instance identifier",
      "definition" : "A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.",
      "requirements" : "Для упорядочивания пунктов в страховых покрытиях.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.insurance.sequence",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.insurance.focal",
      "path" : "ClaimResponse.insurance.focal",
      "short" : "Coverage to be used for adjudication",
      "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
      "comment" : "A patient may (will) have multiple insurance policies which provide reimburement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims woul dbe created to request adjudication against the other listed policies.",
      "requirements" : "To identify which coverage in the list is being used to adjudicate this claim.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.insurance.focal",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.insurance.coverage",
      "path" : "ClaimResponse.insurance.coverage",
      "short" : "Информация по страховке",
      "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
      "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.insurance.coverage",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.insurance.businessArrangement",
      "path" : "ClaimResponse.insurance.businessArrangement",
      "short" : "Additional provider contract number",
      "definition" : "A Деловое соглашениеnumber established between the provider and the insurer for special business processing purposes.",
      "requirements" : "Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.insurance.businessArrangement",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.insurance.claimResponse",
      "path" : "ClaimResponse.insurance.claimResponse",
      "short" : "Результаты вынесения решения",
      "definition" : "The result of the adjudication of the line items for the Coverage specified in this insurance.",
      "comment" : "Must not be specified when 'focal=true' for this insurance.",
      "requirements" : "An insurer need the adjudication results from prior insurers to determine the outstanding balance remaining by item for the items in the curent claim.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.insurance.claimResponse",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.error",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Error"
      }],
      "path" : "ClaimResponse.error",
      "short" : "Ошибки обработки",
      "definition" : "Errors encountered during the processing of the adjudication.",
      "comment" : "If the request contains errors then an error element should be provided and no adjudication related sections (item, addItem, or payment) should be present.",
      "requirements" : "Need to communicate processing issues to the requestor.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "ClaimResponse.error",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.error.id",
      "path" : "ClaimResponse.error.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.error.extension",
      "path" : "ClaimResponse.error.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "ClaimResponse.error.modifierExtension",
      "path" : "ClaimResponse.error.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "ClaimResponse.error.itemSequence",
      "path" : "ClaimResponse.error.itemSequence",
      "short" : "Порядковый номер пункта",
      "definition" : "The sequence number of the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
      "requirements" : "Provides references to the claim items.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.error.itemSequence",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.error.detailSequence",
      "path" : "ClaimResponse.error.detailSequence",
      "short" : "Подробный порядковый номер",
      "definition" : "The sequence number of the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
      "requirements" : "Provides references to the claim details within the claim item.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.error.detailSequence",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.error.subDetailSequence",
      "path" : "ClaimResponse.error.subDetailSequence",
      "short" : "Сведения о порядковом номере",
      "definition" : "The sequence number of the sub-detail within the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
      "requirements" : "Provides references to the claim sub-details within the claim detail.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.error.subDetailSequence",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "ClaimResponse.error.code",
      "path" : "ClaimResponse.error.code",
      "short" : "Код ошибки, подробно описывающий проблемы обработки",
      "definition" : "An error code, from a specified code system, which details why the claim could not be adjudicated.",
      "requirements" : "Required to convey processing errors.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "ClaimResponse.error.code",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "AdjudicationError"
        }],
        "strength" : "example",
        "description" : "Коды ошибок в процессе вынесения решения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-error"
      }
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "ClaimResponse",
      "path" : "ClaimResponse",
      "short" : "Response to a claim predetermination or preauthorization",
      "definition" : "Этот ресурс предоставляет информацию о вынесенном решении по результату обработки ресурса Claim.",
      "alias" : ["Remittance Advice"],
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event"
      }]
    },
    {
      "id" : "ClaimResponse.identifier",
      "path" : "ClaimResponse.identifier",
      "short" : "Business Identifier for a claim response",
      "definition" : "A unique identifier assigned to this claim response.",
      "requirements" : "Allows claim responses to be distinguished and referenced.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      }]
    },
    {
      "id" : "ClaimResponse.status",
      "path" : "ClaimResponse.status",
      "short" : "active | cancelled | draft | entered-in-error",
      "definition" : "The status of the resource instance.",
      "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClaimResponseStatus"
        }],
        "strength" : "required",
        "description" : "A code specifying the state of the resource instance.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      }]
    },
    {
      "id" : "ClaimResponse.type",
      "path" : "ClaimResponse.type",
      "short" : "More granular claim type",
      "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
      "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
      "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClaimType"
        }],
        "strength" : "extensible",
        "description" : "The type or discipline-style of the claim.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-type"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "ClaimResponse.subType",
      "path" : "ClaimResponse.subType",
      "short" : "More granular claim type",
      "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
      "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
      "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClaimSubType"
        }],
        "strength" : "example",
        "description" : "A more granular claim typecode.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-subtype"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "ClaimResponse.use",
      "path" : "ClaimResponse.use",
      "short" : "claim | preauthorization | predetermination",
      "definition" : "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.",
      "requirements" : "This element is required to understand the nature of the request for adjudication.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Use"
        }],
        "strength" : "required",
        "description" : "Claim, preauthorization, predetermination.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-use"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "ClaimResponse.patient",
      "path" : "ClaimResponse.patient",
      "short" : "The recipient of the products and services",
      "definition" : "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimburement is sought.",
      "requirements" : "The patient must be supplied to the insurer so that confirmation of coverage and service hstory may be considered as part of the authorization and/or adjudiction.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "ClaimResponse.created",
      "path" : "ClaimResponse.created",
      "short" : "Response Дата создания",
      "definition" : "The date this resource was created.",
      "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      }]
    },
    {
      "id" : "ClaimResponse.insurer",
      "path" : "ClaimResponse.insurer",
      "short" : "Party responsible for reimbursement",
      "definition" : "The party responsible for authorization, adjudication and reimbursement.",
      "requirements" : "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer"
      }]
    },
    {
      "id" : "ClaimResponse.requestor",
      "path" : "ClaimResponse.requestor",
      "short" : "Party responsible for the claim",
      "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
      "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      }]
    },
    {
      "id" : "ClaimResponse.request",
      "path" : "ClaimResponse.request",
      "short" : "Идентификатор ресурса, инициировавшего решение по иску",
      "definition" : "Original request resource reference.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.basedOn"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      }]
    },
    {
      "id" : "ClaimResponse.outcome",
      "path" : "ClaimResponse.outcome",
      "short" : "queued | complete | error | partial",
      "definition" : "The outcome of the claim, predetermination, or preauthorization processing.",
      "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
      "requirements" : "To advise the requestor of an overall processing outcome.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "RemittanceOutcome"
        }],
        "strength" : "required",
        "description" : "The result of the claim processing.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome"
      }
    },
    {
      "id" : "ClaimResponse.disposition",
      "path" : "ClaimResponse.disposition",
      "short" : "Сообщение о возможности воспользоваться",
      "definition" : "A human readable description of the status of the adjudication.",
      "requirements" : "Provided for user display.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      }]
    },
    {
      "id" : "ClaimResponse.preAuthRef",
      "path" : "ClaimResponse.preAuthRef",
      "short" : "Preauthorization reference",
      "definition" : "Reference from the Insurer which is used in later communications which refers to this adjudication.",
      "comment" : "This value is only present on preauthorization adjudications.",
      "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "ClaimResponse.preAuthPeriod",
      "path" : "ClaimResponse.preAuthPeriod",
      "short" : "Preauthorization reference effective period",
      "definition" : "The time frame during which this authorization is effective.",
      "requirements" : "To convey to the provider when the authorized products and services must be supplied for the authorized adjudication to apply.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Period"
      }]
    },
    {
      "id" : "ClaimResponse.payeeType",
      "path" : "ClaimResponse.payeeType",
      "short" : "Сторона, которой необходимо выплатить все подлежащие оплате выгоды",
      "definition" : "Type of Сторона, которой должно быть выплачено возмещение: подписчик, поставщик, другая.",
      "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PayeeType"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "A code for the party to be reimbursed.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
      }
    },
    {
      "id" : "ClaimResponse.item",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Item"
      }],
      "path" : "ClaimResponse.item",
      "short" : "Adjudication for claim line items",
      "definition" : "A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.",
      "requirements" : "The adjudication for items provided on the claim.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.item.itemSequence",
      "path" : "ClaimResponse.item.itemSequence",
      "short" : "Claim item instance identifier",
      "definition" : "A number to uniquely reference the claim item entries.",
      "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim item.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.item.noteNumber",
      "path" : "ClaimResponse.item.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.item.adjudication",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Adjudication"
      }],
      "path" : "ClaimResponse.item.adjudication",
      "short" : "Детали вынесения решения",
      "definition" : "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.",
      "requirements" : "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.",
      "min" : 1,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.item.adjudication.category",
      "path" : "ClaimResponse.item.adjudication.category",
      "short" : "Type of adjudication information",
      "definition" : "A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is resonsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
      "comment" : "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
      "requirements" : "Needed to enable understanding of the context of the other information in the adjudication.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Adjudication"
        }],
        "strength" : "example",
        "description" : "Коды вынесенного решения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
      }
    },
    {
      "id" : "ClaimResponse.item.adjudication.reason",
      "path" : "ClaimResponse.item.adjudication.reason",
      "short" : "Explanation of adjudication outcome",
      "definition" : "A code supporting the understanding of the adjudication result and explaining variance from expected amount.",
      "comment" : "For example may indicate that the funds for this benefit type have been exhausted.",
      "requirements" : "To support understanding of variance from adjudication expectations.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "AdjudicationReason"
        }],
        "strength" : "example",
        "description" : "Коды обоснования вынесенного решения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-reason"
      }
    },
    {
      "id" : "ClaimResponse.item.adjudication.amount",
      "path" : "ClaimResponse.item.adjudication.amount",
      "short" : "Денежная сумма",
      "definition" : "Monetary amount associated with the category.",
      "comment" : "For example: amount submitted, eligible amount, co-payment, and benefit payable.",
      "requirements" : "Most adjuciation categories convey a monetary amount.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }]
    },
    {
      "id" : "ClaimResponse.item.adjudication.value",
      "path" : "ClaimResponse.item.adjudication.value",
      "short" : "Неденежное значение",
      "definition" : "A non-monetary value associated with the category. Mutually exclusive to the amount element above.",
      "comment" : "For example: eligible percentage or co-payment percentage.",
      "requirements" : "Some adjudication categories convey a percentage or a fixed value.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "ItemDetail"
      }],
      "path" : "ClaimResponse.item.detail",
      "short" : "Adjudication for claim details",
      "definition" : "A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
      "requirements" : "The adjudication for details provided on the claim.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.detailSequence",
      "path" : "ClaimResponse.item.detail.detailSequence",
      "short" : "Claim detail instance identifier",
      "definition" : "A number to uniquely reference the claim detail entry.",
      "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim detail.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.noteNumber",
      "path" : "ClaimResponse.item.detail.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.adjudication",
      "path" : "ClaimResponse.item.detail.adjudication",
      "short" : "Detail level adjudication details",
      "definition" : "The adjudication results.",
      "min" : 1,
      "max" : "*",
      "contentReference" : "#ClaimResponse.item.adjudication"
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "SubDetail"
      }],
      "path" : "ClaimResponse.item.detail.subDetail",
      "short" : "Adjudication for claim sub-details",
      "definition" : "A sub-detail adjudication of a simple product or service.",
      "requirements" : "The adjudication for sub-details provided on the claim.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
      "path" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
      "short" : "Claim sub-detail instance identifier",
      "definition" : "A number to uniquely reference the claim sub-detail entry.",
      "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim sub-detail.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail.noteNumber",
      "path" : "ClaimResponse.item.detail.subDetail.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.item.detail.subDetail.adjudication",
      "path" : "ClaimResponse.item.detail.subDetail.adjudication",
      "short" : "Subdetail level adjudication details",
      "definition" : "The adjudication results.",
      "min" : 0,
      "max" : "*",
      "contentReference" : "#ClaimResponse.item.adjudication"
    },
    {
      "id" : "ClaimResponse.addItem",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "AddedItem"
      }],
      "path" : "ClaimResponse.addItem",
      "short" : "Товарные позиции, добавленные страховой компанией",
      "definition" : "The first-tier service adjudications for payor added product or service lines.",
      "requirements" : "Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.itemSequence",
      "path" : "ClaimResponse.addItem.itemSequence",
      "short" : "Порядковый номер пункта",
      "definition" : "Claim items which this service line is intended to replace.",
      "requirements" : "Provides references to the claim items.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detailSequence",
      "path" : "ClaimResponse.addItem.detailSequence",
      "short" : "Подробный порядковый номер",
      "definition" : "The sequence number of the details within the claim item which this line is intended to replace.",
      "requirements" : "Provides references to the claim details within the claim item.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.subdetailSequence",
      "path" : "ClaimResponse.addItem.subdetailSequence",
      "short" : "Сведения о порядковом номере",
      "definition" : "The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.",
      "requirements" : "Provides references to the claim sub-details within the claim detail.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.provider",
      "path" : "ClaimResponse.addItem.provider",
      "short" : "Authorized providers",
      "definition" : "The providers who are authorized for the services rendered to the patient.",
      "requirements" : "Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.productOrService",
      "path" : "ClaimResponse.addItem.productOrService",
      "short" : "Billing, service, product, or drug code",
      "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
      "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Услуга или продукт supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
      "requirements" : "Necessary to state what was provided or done.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ServiceProduct"
        }],
        "strength" : "example",
        "description" : "Коды допустимых услуг и продуктов.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
      }
    },
    {
      "id" : "ClaimResponse.addItem.modifier",
      "path" : "ClaimResponse.addItem.modifier",
      "short" : "Service/Product billing modifiers",
      "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
      "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
      "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Modifiers"
        }],
        "strength" : "example",
        "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.C, 24.D mods"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.programCode",
      "path" : "ClaimResponse.addItem.programCode",
      "short" : "Program the product or service is provided under",
      "definition" : "Identifies the program under which this may be recovered.",
      "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
      "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProgramCode"
        }],
        "strength" : "example",
        "description" : "Program specific reason codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.H"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.serviced[x]",
      "path" : "ClaimResponse.addItem.serviced[x]",
      "short" : "Date or dates of service or product delivery",
      "definition" : "The date or dates when the service or product was supplied, performed or completed.",
      "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      },
      {
        "code" : "Period"
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      },
      {
        "identity" : "rim",
        "map" : "24.A"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.location[x]",
      "path" : "ClaimResponse.addItem.location[x]",
      "short" : "Place of service or where product was supplied",
      "definition" : "Where the product or service was provided.",
      "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Address"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ServicePlace"
        }],
        "strength" : "example",
        "description" : "Place of service: pharmacy, school, prison, etc.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.where[x]"
      },
      {
        "identity" : "rim",
        "map" : "24.B"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.quantity",
      "path" : "ClaimResponse.addItem.quantity",
      "short" : "Count of products or services",
      "definition" : "The number of repetitions of a service or product.",
      "requirements" : "Required when the product or service code does not convey the quantity provided.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.G"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.unitPrice",
      "path" : "ClaimResponse.addItem.unitPrice",
      "short" : "Fee, charge or cost per item",
      "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
      "requirements" : "The amount charged to the patient by the provider for a single unit.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.factor",
      "path" : "ClaimResponse.addItem.factor",
      "short" : "Price scaling factor",
      "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
      "comment" : "To show a 10% Senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
      "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.net",
      "path" : "ClaimResponse.addItem.net",
      "short" : "Total item cost",
      "definition" : "The quantity times the unit price for an additional service or product or charge.",
      "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
      "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.F"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.bodySite",
      "path" : "ClaimResponse.addItem.bodySite",
      "short" : "Anatomical location",
      "definition" : "Physical service site on the patient (limb, tooth, etc.).",
      "comment" : "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
      "requirements" : "Allows insurer to validate specific procedures.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "OralSites"
        }],
        "strength" : "example",
        "description" : "The code for the teeth, quadrant, sextant and arch.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
      }
    },
    {
      "id" : "ClaimResponse.addItem.subSite",
      "path" : "ClaimResponse.addItem.subSite",
      "short" : "Anatomical sub-location",
      "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
      "requirements" : "Allows insurer to validate specific procedures.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Surface"
        }],
        "strength" : "example",
        "description" : "The code for the tooth surface and surface combinations.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
      }
    },
    {
      "id" : "ClaimResponse.addItem.noteNumber",
      "path" : "ClaimResponse.addItem.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.adjudication",
      "path" : "ClaimResponse.addItem.adjudication",
      "short" : "Вынесенное решение по добавленным пунктам",
      "definition" : "The adjudication results.",
      "min" : 1,
      "max" : "*",
      "contentReference" : "#ClaimResponse.item.adjudication"
    },
    {
      "id" : "ClaimResponse.addItem.detail",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "AddedItemDetail"
      }],
      "path" : "ClaimResponse.addItem.detail",
      "short" : "Insurer added line details",
      "definition" : "The second-tier service adjudications for payor added services.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.productOrService",
      "path" : "ClaimResponse.addItem.detail.productOrService",
      "short" : "Billing, service, product, or drug code",
      "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
      "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Услуга или продукт supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
      "requirements" : "Necessary to state what was provided or done.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ServiceProduct"
        }],
        "strength" : "example",
        "description" : "Коды допустимых услуг и продуктов.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
      }
    },
    {
      "id" : "ClaimResponse.addItem.detail.modifier",
      "path" : "ClaimResponse.addItem.detail.modifier",
      "short" : "Service/Product billing modifiers",
      "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
      "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
      "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Modifiers"
        }],
        "strength" : "example",
        "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.C, 24.D mods"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.quantity",
      "path" : "ClaimResponse.addItem.detail.quantity",
      "short" : "Count of products or services",
      "definition" : "The number of repetitions of a service or product.",
      "requirements" : "Required when the product or service code does not convey the quantity provided.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.G"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.unitPrice",
      "path" : "ClaimResponse.addItem.detail.unitPrice",
      "short" : "Fee, charge or cost per item",
      "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
      "requirements" : "The amount charged to the patient by the provider for a single unit.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.factor",
      "path" : "ClaimResponse.addItem.detail.factor",
      "short" : "Price scaling factor",
      "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
      "comment" : "To show a 10% Senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
      "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.net",
      "path" : "ClaimResponse.addItem.detail.net",
      "short" : "Total item cost",
      "definition" : "The quantity times the unit price for an additional service or product or charge.",
      "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
      "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.F"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.noteNumber",
      "path" : "ClaimResponse.addItem.detail.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.adjudication",
      "path" : "ClaimResponse.addItem.detail.adjudication",
      "short" : "Судебное решение по добавленным пунктам",
      "definition" : "The adjudication results.",
      "min" : 1,
      "max" : "*",
      "contentReference" : "#ClaimResponse.item.adjudication"
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "AddedItemSubDetail"
      }],
      "path" : "ClaimResponse.addItem.detail.subDetail",
      "short" : "Товарные позиции, добавленные страховой компанией",
      "definition" : "The third-tier service adjudications for payor added services.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.productOrService",
      "path" : "ClaimResponse.addItem.detail.subDetail.productOrService",
      "short" : "Billing, service, product, or drug code",
      "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
      "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Услуга или продукт supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
      "requirements" : "Necessary to state what was provided or done.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ServiceProduct"
        }],
        "strength" : "example",
        "description" : "Коды допустимых услуг и продуктов.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
      }
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.modifier",
      "path" : "ClaimResponse.addItem.detail.subDetail.modifier",
      "short" : "Service/Product billing modifiers",
      "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
      "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
      "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Modifiers"
        }],
        "strength" : "example",
        "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.C, 24.D mods"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.quantity",
      "path" : "ClaimResponse.addItem.detail.subDetail.quantity",
      "short" : "Count of products or services",
      "definition" : "The number of repetitions of a service or product.",
      "requirements" : "Required when the product or service code does not convey the quantity provided.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.G"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
      "path" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
      "short" : "Fee, charge or cost per item",
      "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
      "requirements" : "The amount charged to the patient by the provider for a single unit.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.factor",
      "path" : "ClaimResponse.addItem.detail.subDetail.factor",
      "short" : "Price scaling factor",
      "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
      "comment" : "To show a 10% Senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
      "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.net",
      "path" : "ClaimResponse.addItem.detail.subDetail.net",
      "short" : "Total item cost",
      "definition" : "The quantity times the unit price for an additional service or product or charge.",
      "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
      "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "24.F"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
      "path" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
      "short" : "Applicable note numbers",
      "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
      "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.addItem.detail.subDetail.adjudication",
      "path" : "ClaimResponse.addItem.detail.subDetail.adjudication",
      "short" : "Судебное решение по добавленным пунктам",
      "definition" : "The adjudication results.",
      "min" : 1,
      "max" : "*",
      "contentReference" : "#ClaimResponse.item.adjudication"
    },
    {
      "id" : "ClaimResponse.adjudication",
      "path" : "ClaimResponse.adjudication",
      "short" : "Header-level adjudication",
      "definition" : "The adjudication results which are presented at the header level rather than at the line-item or add-item levels.",
      "requirements" : "Some insurers will receive line-items but provide the adjudication only at a summary or header-level.",
      "min" : 0,
      "max" : "*",
      "contentReference" : "#ClaimResponse.item.adjudication"
    },
    {
      "id" : "ClaimResponse.total",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Total"
      }],
      "path" : "ClaimResponse.total",
      "short" : "Adjudication totals",
      "definition" : "Categorized monetary totals for the adjudication.",
      "comment" : "Totals for amounts submitted, co-pays, benefits payable etc.",
      "requirements" : "To provide the requestor with financial totals by category for the adjudication.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "isSummary" : true
    },
    {
      "id" : "ClaimResponse.total.category",
      "path" : "ClaimResponse.total.category",
      "short" : "Type of adjudication information",
      "definition" : "A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is resonsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
      "comment" : "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
      "requirements" : "Needed to convey the type of total provided.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Adjudication"
        }],
        "strength" : "example",
        "description" : "Коды вынесенного решения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
      }
    },
    {
      "id" : "ClaimResponse.total.amount",
      "path" : "ClaimResponse.total.amount",
      "short" : "Financial total for the category",
      "definition" : "Monetary total amount associated with the category.",
      "requirements" : "Needed to convey the total monetary amount.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }],
      "isSummary" : true
    },
    {
      "id" : "ClaimResponse.payment",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Payment"
      }],
      "path" : "ClaimResponse.payment",
      "short" : "Payment Details",
      "definition" : "Payment details for the adjudication of the claim.",
      "requirements" : "Needed to convey references to the financial instrument that has been used if payment has been made.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.payment.type",
      "path" : "ClaimResponse.payment.type",
      "short" : "Partial or complete payment",
      "definition" : "Whether this represents partial or complete payment of the benefits payable.",
      "requirements" : "To advise the requestor when the insurer believes all payments to have been completed.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PaymentType"
        }],
        "strength" : "example",
        "description" : "The type (partial, complete) of the payment.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/ex-paymenttype"
      }
    },
    {
      "id" : "ClaimResponse.payment.adjustment",
      "path" : "ClaimResponse.payment.adjustment",
      "short" : "Согласование платежей по не связанным с иском вопросам",
      "definition" : "Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.",
      "comment" : "Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.",
      "requirements" : "To advise the requestor of adjustments applied to the payment.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }]
    },
    {
      "id" : "ClaimResponse.payment.adjustmentReason",
      "path" : "ClaimResponse.payment.adjustmentReason",
      "short" : "Explanation for the adjustment",
      "definition" : "Причина корректировки платежа.",
      "requirements" : "Needed to clarify the monetary adjustment.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PaymentAdjustmentReason"
        }],
        "strength" : "example",
        "description" : "Коды обоснования вынесенного решения по платежам.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/payment-adjustment-reason"
      }
    },
    {
      "id" : "ClaimResponse.payment.date",
      "path" : "ClaimResponse.payment.date",
      "short" : "Expected date of payment",
      "definition" : "Estimated date the payment will be issued or the actual issue date of payment.",
      "requirements" : "To advise the payee when payment can be expected.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }]
    },
    {
      "id" : "ClaimResponse.payment.amount",
      "path" : "ClaimResponse.payment.amount",
      "short" : "Payable amount after adjustment",
      "definition" : "Benefits Сумма, подлежащая оплате, меньшая, чем любая корректировка оплаты.",
      "requirements" : "Needed to provide the actual payment amount.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Money"
      }]
    },
    {
      "id" : "ClaimResponse.payment.identifier",
      "path" : "ClaimResponse.payment.identifier",
      "short" : "Business identifier for the payment",
      "definition" : "Issuer's unique identifier for the payment instrument.",
      "comment" : "For example: EFT number or check number.",
      "requirements" : "Enable the receiver to reconcile when payment received.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier"
      }]
    },
    {
      "id" : "ClaimResponse.fundsReserve",
      "path" : "ClaimResponse.fundsReserve",
      "short" : "Статус зарезервированных денежных средств",
      "definition" : "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.",
      "comment" : "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.",
      "requirements" : "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "FundsReserve"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
      }
    },
    {
      "id" : "ClaimResponse.formCode",
      "path" : "ClaimResponse.formCode",
      "short" : "Идентификатор формы, которую необходимо использовать для печати",
      "definition" : "A code for Форма, которую необходимо использовать для печати данного содержимого.",
      "comment" : "May be needed to identify specific jurisdictional forms.",
      "requirements" : "Needed to specify the specific form used for producing output for this response.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Forms"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "The forms codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
      }
    },
    {
      "id" : "ClaimResponse.form",
      "path" : "ClaimResponse.form",
      "short" : "Printed reference or actual form",
      "definition" : "The actual form, by reference or inclusion, for printing the content or an EOB.",
      "comment" : "Needed to permit insurers to include the actual form.",
      "requirements" : "Needed to include the specific form used for producing output for this response.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Attachment"
      }]
    },
    {
      "id" : "ClaimResponse.processNote",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Note"
      }],
      "path" : "ClaimResponse.processNote",
      "short" : "Note concerning adjudication",
      "definition" : "A note that describes or explains adjudication results in a human readable form.",
      "requirements" : "Provides the insurer specific textual explanations associated with the processing.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.processNote.number",
      "path" : "ClaimResponse.processNote.number",
      "short" : "Note instance identifier",
      "definition" : "A number to uniquely identify a note entry.",
      "requirements" : "Necessary to provide a mechanism to link from adjudications.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.processNote.type",
      "path" : "ClaimResponse.processNote.type",
      "short" : "display | print | printoper",
      "definition" : "The business purpose of the Текст примечания.",
      "requirements" : "To convey the expectation for when the text is used.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "NoteType"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "required",
        "description" : "The presentation types of notes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/note-type"
      }
    },
    {
      "id" : "ClaimResponse.processNote.text",
      "path" : "ClaimResponse.processNote.text",
      "short" : "Пояснительный текст примечания",
      "definition" : "The explanation or description associated with the processing.",
      "requirements" : "Required to provide human readable explanation.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "ClaimResponse.processNote.language",
      "path" : "ClaimResponse.processNote.language",
      "short" : "Language of the text",
      "definition" : "A code to define the language used in the text of the note.",
      "comment" : "Only requred if the language is different from the resource language.",
      "requirements" : "Note text may vary from the resource defined language.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "ClaimResponse.communicationRequest",
      "path" : "ClaimResponse.communicationRequest",
      "short" : "Request for additional information",
      "definition" : "Request for additional supporting or authorizing information.",
      "comment" : "For example: professional reports, documents, images, clinical resources, or accident reports.",
      "requirements" : "Need to communicate insurer request for additional information required to support the adjudication.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CommunicationRequest"]
      }]
    },
    {
      "id" : "ClaimResponse.insurance",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Insurance"
      }],
      "path" : "ClaimResponse.insurance",
      "short" : "Patient insurance information",
      "definition" : "Financial instruments for reimbursement for the health care products and services specified on the claim.",
      "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
      "requirements" : "At least one insurer is required for a claim to be a claim.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "Coverage"
      }]
    },
    {
      "id" : "ClaimResponse.insurance.sequence",
      "path" : "ClaimResponse.insurance.sequence",
      "short" : "Insurance instance identifier",
      "definition" : "A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.",
      "requirements" : "Для упорядочивания пунктов в страховых покрытиях.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.insurance.focal",
      "path" : "ClaimResponse.insurance.focal",
      "short" : "Coverage to be used for adjudication",
      "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
      "comment" : "A patient may (will) have multiple insurance policies which provide reimburement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims woul dbe created to request adjudication against the other listed policies.",
      "requirements" : "To identify which coverage in the list is being used to adjudicate this claim.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "ClaimResponse.insurance.coverage",
      "path" : "ClaimResponse.insurance.coverage",
      "short" : "Информация по страховке",
      "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
      "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
      }]
    },
    {
      "id" : "ClaimResponse.insurance.businessArrangement",
      "path" : "ClaimResponse.insurance.businessArrangement",
      "short" : "Additional provider contract number",
      "definition" : "A Деловое соглашениеnumber established between the provider and the insurer for special business processing purposes.",
      "requirements" : "Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "ClaimResponse.insurance.claimResponse",
      "path" : "ClaimResponse.insurance.claimResponse",
      "short" : "Результаты вынесения решения",
      "definition" : "The result of the adjudication of the line items for the Coverage specified in this insurance.",
      "comment" : "Must not be specified when 'focal=true' for this insurance.",
      "requirements" : "An insurer need the adjudication results from prior insurers to determine the outstanding balance remaining by item for the items in the curent claim.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
      }]
    },
    {
      "id" : "ClaimResponse.error",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Error"
      }],
      "path" : "ClaimResponse.error",
      "short" : "Ошибки обработки",
      "definition" : "Errors encountered during the processing of the adjudication.",
      "comment" : "If the request contains errors then an error element should be provided and no adjudication related sections (item, addItem, or payment) should be present.",
      "requirements" : "Need to communicate processing issues to the requestor.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ClaimResponse.error.itemSequence",
      "path" : "ClaimResponse.error.itemSequence",
      "short" : "Порядковый номер пункта",
      "definition" : "The sequence number of the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
      "requirements" : "Provides references to the claim items.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.error.detailSequence",
      "path" : "ClaimResponse.error.detailSequence",
      "short" : "Подробный порядковый номер",
      "definition" : "The sequence number of the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
      "requirements" : "Provides references to the claim details within the claim item.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.error.subDetailSequence",
      "path" : "ClaimResponse.error.subDetailSequence",
      "short" : "Сведения о порядковом номере",
      "definition" : "The sequence number of the sub-detail within the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
      "requirements" : "Provides references to the claim sub-details within the claim detail.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ClaimResponse.error.code",
      "path" : "ClaimResponse.error.code",
      "short" : "Код ошибки, подробно описывающий проблемы обработки",
      "definition" : "An error code, from a specified code system, which details why the claim could not be adjudicated.",
      "requirements" : "Required to convey processing errors.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "AdjudicationError"
        }],
        "strength" : "example",
        "description" : "Коды ошибок в процессе вынесения решения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-error"
      }
    }]
  }
}

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.