description: null
package_name: rs/hl7.fhir.us.davinci
derivation: constraint
name: PASClaimResponse
type: ClaimResponse
elements:
  requestor:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-organization-requestor', 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practrole-requestor']
    index: 7
  insurance:
    mustSupport: true
    index: 22
    elements:
      coverage:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage']
        index: 23
  request:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim']
    index: 8
  processNote:
    mustSupport: true
    index: 18
    elements:
      number: {mustSupport: true, index: 19}
      text: {mustSupport: true, index: 20}
  use:
    type: code
    pattern: {type: code, value: preauthorization}
    mustSupport: true
    index: 4
  item:
    mustSupport: true
    index: 11
    extensions:
      ItemReference: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemReference', min: 0, type: Extension, mustSupport: false, index: 12}
      ItemReviewAction: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction', min: 1, max: 1, type: Extension, mustSupport: true, index: 13}
      ItemReviewActionReason: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionReason', min: 0, type: Extension, mustSupport: true, index: 14}
      ItemPreAuthPeriod: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemPreAuthPeriod', min: 0, max: 1, type: Extension, mustSupport: true, index: 15}
      ItemPreAuthIssueDate: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemPreAuthIssueDate', min: 0, max: 1, type: Extension, mustSupport: true, index: 16}
    elements:
      extension:
        type: Extension
        mustSupport: false
        url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemReference
        index: 12
        slicing:
          slices:
            ItemReference:
              match: {}
              schema: {type: Extension, mustSupport: false, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemReference', index: 12}
              min: 0
            ItemReviewAction:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction', index: 13}
              min: 1
              max: 1
            ItemReviewActionReason:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionReason', index: 14}
              min: 0
            ItemPreAuthPeriod:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemPreAuthPeriod', index: 15}
              min: 0
              max: 1
            ItemPreAuthIssueDate:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemPreAuthIssueDate', index: 16}
              min: 0
              max: 1
      noteNumber: {mustSupport: true, index: 17}
  created: {mustSupport: true, index: 5}
  preAuthPeriod: {mustSupport: true, index: 10}
  outcome: {mustSupport: true, index: 9}
  communicationRequest:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-communicationrequest']
    index: 21
  extension:
    type: Extension
    mustSupport: true
    url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction
    index: 0
    slicing:
      slices:
        ReviewAction:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction', index: 0}
          min: 1
          max: 1
        ReviewActionReason:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionReason', index: 1}
          min: 0
        AuthorizedEventDate:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizedEventDate', index: 2}
          min: 0
          max: 1
  insurer:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-organization-umo']
    index: 6
  identifier: {mustSupport: true, index: 3}
  error:
    mustSupport: true
    index: 24
    elements:
      itemSequence: {mustSupport: true, index: 25}
      code: {mustSupport: true, index: 26}
package_version: pas-0.1.0
extensions:
  ReviewAction: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction', min: 1, max: 1, type: Extension, mustSupport: true, index: 0}
  ReviewActionReason: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionReason', min: 0, type: Extension, mustSupport: true, index: 1}
  AuthorizedEventDate: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizedEventDate', min: 0, max: 1, type: Extension, mustSupport: true, index: 2}
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claimresponse
base: http://hl7.org/fhir/StructureDefinition/ClaimResponse
version: 0.1.0
required: [use]