description: This resource provides the adjudication details from the processing of a Claim resource.
package_name: fhir.r4.spirecore
derivation: constraint
name: SpireCoreClaimResponse
type: ClaimResponse
elements:
  patient:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient']
    index: 1
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 2
  requestor:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
    index: 5
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 6
  insurance:
    elements:
      coverage:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Coverage', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Coverage']
        index: 19
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 20
      claimResponse:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/ClaimResponse', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClaimResponse']
        index: 21
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 22
  request:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Claim', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Claim']
    index: 7
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 8
  payment:
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 16
  communicationRequest:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CommunicationRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-CommunicationRequest']
    index: 17
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 18
  insurer:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
    index: 3
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 4
  identifier:
    elements:
      assigner:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 0
  addItem:
    elements:
      provider:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
        index: 9
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 10
      location:
        choices: [locationCodeableConcept, locationAddress, locationReference]
        index: 12
      locationCodeableConcept: {type: CodeableConcept, choiceOf: location, index: 13}
      locationAddress: {type: Address, choiceOf: location, index: 14}
      locationReference:
        type: Reference
        choiceOf: location
        refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location']
        index: 15
package_version: 0.1.0-alpha
class: profile
kind: resource
url: https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClaimResponse
base: http://hl7.org/fhir/StructureDefinition/ClaimResponse
version: null