### ----------------------------------------------------
### -- FHIR
### -- Licenses: Artistic-2.0
### -- Authors: Hugh Simpson
### -- File: t/resources/structureDefinition/ClaimResponse.json
### ----------------------------------------------------
### -- Chunk 21 of 26
 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.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "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" : "Adjudication details",
      "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" : "Unique id for inter-element referencing",
      "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 and/or the understanding of the containing element's descendants. 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.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "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 responsible 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" : "The adjudication codes.",
        "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" : "The adjudication reason codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-reason"
      }
    },
    {
      "id" : "ClaimResponse.item.adjudication.amount",
      "path" : "ClaimResponse.item.adjudication.amount",
      "short" : "Monetary amount",
      "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" : "Non-monetary value",
      "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" : "Unique id for inter-element referencing",
      "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 and/or the understanding of the containing element's descendants. 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.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "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" : "Unique id for inter-element referencing",
      "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 and/or the understanding of the containing element's descendants. 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.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "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" : "Insurer added line items",
      "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" : "Unique id for inter-element referencing",
      "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 and/or the understanding of the containing element's descendants. 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.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "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" : "Item sequence number",
      "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" : "Detail sequence number",
      "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"