{"resourceType":"StructureDefinition","id":"ClaimResponse.item.adjudication.category","meta":{"lastUpdated":"2021-01-17T07:06:13.533+11:00"},"url":"http://hl7.org/fhir/StructureDefinition/ClaimResponse.item.adjudication.category","version":"4.0.1","name":"ClaimResponse.item.adjudication.category","title":"ClaimResponse.item.adjudication.category","status":"draft","experimental":true,"date":"2021-01-17T07:06:13+11:00","publisher":"HL7 FHIR Standard","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"Data Element for ClaimResponse.item.adjudication.category","purpose":"Data Elements are defined for each element to assist in questionnaire construction etc","fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"logical","abstract":false,"type":"ClaimResponse.item.adjudication.category","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Element","derivation":"specialization","snapshot":{"element":[{"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/build/StructureDefinition/definition","valueString":"The adjudication codes."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Adjudication"}],"strength":"example","description":"The adjudication codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication"}}]}}