description: This cross-version extension represents ClaimResponse.form from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 for use in FHIR R4B.
package_name: hl7.fhir.uv.xver
derivation: constraint
name: Ext_R5_ClaimResponse_form
type: Extension
elements:
  url:
    base: {max: '1', min: 1, path: Extension.url}
    pattern: {type: Uri, value: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.form'}
    index: 0
  value:
    base: {max: '1', min: 0, path: 'Extension.value[x]'}
    short: Printed reference or actual form
    choices: [valueAttachment]
    index: 2
  valueAttachment:
    base: {max: '1', min: 0, path: 'Extension.value[x]'}
    type: Attachment
    short: Printed reference or actual form
    choiceOf: value
    index: 3
package_version: r5.r4b-0.0.1-snapshot-2
class: extension
kind: complex-type
url: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.form
base: http://hl7.org/fhir/StructureDefinition/Extension|4.3.0
version: 0.0.1-snapshot-2
required: [url]