Healthcare Financial Services IG Edition 1
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Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Adjudication Error - TTL Representation

Active as of 2025-06-23

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "adjudication-error"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2020-11-11T17:23:48.374+03:00"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem adjudication-error</b></p><a name=\"adjudication-error\"> </a><a name=\"hcadjudication-error\"> </a><a name=\"adjudication-error-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2020-11-11 17:23:48+0300</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/adjudication-error</code> provides <b>a fragment</b> that includes following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">1191<a name=\"adjudication-error-1191\"> </a></td><td>Missing element: [Patient] within the message</td></tr><tr><td style=\"white-space:nowrap\">1190<a name=\"adjudication-error-1190\"> </a></td><td>Missing element: [Communication.note.text] within the message</td></tr><tr><td style=\"white-space:nowrap\">1199<a name=\"adjudication-error-1199\"> </a></td><td>Missing element: [patient.birthDate] within the message</td></tr><tr><td style=\"white-space:nowrap\">1198<a name=\"adjudication-error-1198\"> </a></td><td>Missing element: [gender.extensionKsaGender] within the message</td></tr><tr><td style=\"white-space:nowrap\">1197<a name=\"adjudication-error-1197\"> </a></td><td>Missing element: [patient.gender ] within the message</td></tr><tr><td style=\"white-space:nowrap\">1196<a name=\"adjudication-error-1196\"> </a></td><td>Missing element: [patient.name] within the message</td></tr><tr><td style=\"white-space:nowrap\">1195<a name=\"adjudication-error-1195\"> </a></td><td>Missing element: [patient.active] within the message</td></tr><tr><td style=\"white-space:nowrap\">1194<a name=\"adjudication-error-1194\"> </a></td><td>Missing element: [patient.identifier] within the message</td></tr><tr><td style=\"white-space:nowrap\">1193<a name=\"adjudication-error-1193\"> </a></td><td>Missing element: [patient.id] within the message</td></tr><tr><td style=\"white-space:nowrap\">260<a name=\"adjudication-error-260\"> </a></td><td>Missing element: [Claim.careTeam.role] within the message</td></tr><tr><td style=\"white-space:nowrap\">1192<a name=\"adjudication-error-1192\"> </a></td><td>Missing element: [patient.resourceType] within the message</td></tr><tr><td style=\"white-space:nowrap\">760<a name=\"adjudication-error-760\"> </a></td><td>Missing element: [Claim.insurance.coverage] within the message</td></tr><tr><td style=\"white-space:nowrap\">761<a name=\"adjudication-error-761\"> </a></td><td>Missing element: [Claim.insurance.preAuthRef] within the message</td></tr><tr><td style=\"white-space:nowrap\">762<a name=\"adjudication-error-762\"> </a></td><td>Missing element: [Claim.insurance.claimResponse] within the message</td></tr><tr><td style=\"white-space:nowrap\">261<a name=\"adjudication-error-261\"> </a></td><td>Missing element: [Claim.supportingInfo] within the message</td></tr><tr><td style=\"white-space:nowrap\">763<a name=\"adjudication-error-763\"> </a></td><td>Missing element: [Claim.accident] within the message</td></tr><tr><td style=\"white-space:nowrap\">764<a name=\"adjudication-error-764\"> </a></td><td>Missing element: [Claim.accident.Date] within the message</td></tr><tr><td style=\"white-space:nowrap\">262<a name=\"adjudication-error-262\"> </a></td><td>Missing element: [Claim.supportingInfo.sequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">765<a name=\"adjudication-error-765\"> </a></td><td>Missing element: [Claim.accident.type] within the message</td></tr><tr><td style=\"white-space:nowrap\">1133<a name=\"adjudication-error-1133\"> </a></td><td>Missing element: [ClaimResponse.processNote] within the message</td></tr><tr><td style=\"white-space:nowrap\">263<a name=\"adjudication-error-263\"> </a></td><td>Missing element: [Claim.supportingInfo.category] within the message</td></tr><tr><td style=\"white-space:nowrap\">766<a name=\"adjudication-error-766\"> </a></td><td>Missing element: [Claim.accident.locationAdress] within the message</td></tr><tr><td style=\"white-space:nowrap\">264<a name=\"adjudication-error-264\"> </a></td><td>Missing element: [Claim.supportingInfo.code] within the message</td></tr><tr><td style=\"white-space:nowrap\">1625<a name=\"adjudication-error-1625\"> </a></td><td>ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item</td></tr><tr><td style=\"white-space:nowrap\">1132<a name=\"adjudication-error-1132\"> </a></td><td>Missing element: [ClaimResponse.fundsReserve] within the message</td></tr><tr><td style=\"white-space:nowrap\">767<a name=\"adjudication-error-767\"> </a></td><td>Missing element: [Claim.item] within the message</td></tr><tr><td style=\"white-space:nowrap\">34<a name=\"adjudication-error-34\"> </a></td><td>Missing element: [CoverageEligibilityResponse.patient] within the message</td></tr><tr><td style=\"white-space:nowrap\">265<a name=\"adjudication-error-265\"> </a></td><td>Missing element: [Claim.supportingInfo.timingDate] within the message</td></tr><tr><td style=\"white-space:nowrap\">1189<a name=\"adjudication-error-1189\"> </a></td><td>Missing element: [Communication.note.time] within the message</td></tr><tr><td style=\"white-space:nowrap\">1131<a name=\"adjudication-error-1131\"> </a></td><td>Missing element: [ClaimResponse.total.amount.currency] within the message</td></tr><tr><td style=\"white-space:nowrap\">768<a name=\"adjudication-error-768\"> </a></td><td>Missing element: [Claim.item.extension.tax] within the message</td></tr><tr><td style=\"white-space:nowrap\">1130<a name=\"adjudication-error-1130\"> </a></td><td>Missing element: [ClaimResponse.total.amount.value] within the message</td></tr><tr><td style=\"white-space:nowrap\">266<a name=\"adjudication-error-266\"> </a></td><td>Missing element: [Claim.supportingInfo.timingPeriod] within the message</td></tr><tr><td style=\"white-space:nowrap\">1624<a name=\"adjudication-error-1624\"> </a></td><td>ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item</td></tr><tr><td style=\"white-space:nowrap\">769<a name=\"adjudication-error-769\"> </a></td><td>Missing element: [Claim.item.sequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">35<a name=\"adjudication-error-35\"> </a></td><td>Missing element: [CoverageEligibilityResponse.servicedDate] within the message</td></tr><tr><td style=\"white-space:nowrap\">770<a name=\"adjudication-error-770\"> </a></td><td>Missing element: [Claim.item.careTeamSequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">267<a name=\"adjudication-error-267\"> </a></td><td>Missing element: [Claim.supportingInfo.valueBoolean] within the message</td></tr><tr><td style=\"white-space:nowrap\">1672<a name=\"adjudication-error-1672\"> </a></td><td>Services performed outside  the coverage effective period</td></tr><tr><td style=\"white-space:nowrap\">36<a name=\"adjudication-error-36\"> </a></td><td>Missing element: [CoverageEligibilityResponse.created] within the message</td></tr><tr><td style=\"white-space:nowrap\">268<a name=\"adjudication-error-268\"> </a></td><td>Missing element: [Claim.supportingInfo.valueString] within the message</td></tr><tr><td style=\"white-space:nowrap\">1177<a name=\"adjudication-error-1177\"> </a></td><td>Missing element: [Communication.subject] within the message</td></tr><tr><td style=\"white-space:nowrap\">37<a name=\"adjudication-error-37\"> </a></td><td>Missing element: [CoverageEligibilityResponse.request] within the message</td></tr><tr><td style=\"white-space:nowrap\">269<a name=\"adjudication-error-269\"> </a></td><td>Missing element: [Claim.supportingInfo.valueQuantity] within the message</td></tr><tr><td style=\"white-space:nowrap\">1176<a name=\"adjudication-error-1176\"> </a></td><td>Missing element: [Communication.medium] within the message</td></tr><tr><td style=\"white-space:nowrap\">12<a name=\"adjudication-error-12\"> </a></td><td>Missing element: [entry.CoverageEligibilityRequest] within the message</td></tr><tr><td style=\"white-space:nowrap\">1671<a name=\"adjudication-error-1671\"> </a></td><td>The requested medicine(s) is not registered</td></tr><tr><td style=\"white-space:nowrap\">38<a name=\"adjudication-error-38\"> </a></td><td>Missing element: [CoverageEligibilityResponse.outcome] within the message</td></tr><tr><td style=\"white-space:nowrap\">1175<a name=\"adjudication-error-1175\"> </a></td><td>Missing element: [Communication.priority] within the message</td></tr><tr><td style=\"white-space:nowrap\">270<a name=\"adjudication-error-270\"> </a></td><td>Missing element: [Claim.supportingInfo.valueAttachment] within the message</td></tr><tr><td style=\"white-space:nowrap\">340<a name=\"adjudication-error-340\"> </a></td><td>Missing element: [Claim.fundsReserve] within the message</td></tr><tr><td style=\"white-space:nowrap\">39<a name=\"adjudication-error-39\"> </a></td><td>Missing element: [CoverageEligibilityResponse.disposition] within the message</td></tr><tr><td style=\"white-space:nowrap\">1174<a name=\"adjudication-error-1174\"> </a></td><td>Missing element: [Communication.category] within the message</td></tr><tr><td style=\"white-space:nowrap\">1670<a name=\"adjudication-error-1670\"> </a></td><td>Service code is inconsistent with the patient's gender</td></tr><tr><td style=\"white-space:nowrap\">13<a name=\"adjudication-error-13\"> </a></td><td>Missing element: [CoverageEligibilityRequest.resourceType] within the message</td></tr><tr><td style=\"white-space:nowrap\">380<a name=\"adjudication-error-380\"> </a></td><td>Missing element: [Claim.item.extension.tax] within the message</td></tr><tr><td style=\"white-space:nowrap\">271<a name=\"adjudication-error-271\"> </a></td><td>Missing element: [Claim.supportingInfo.valueReference] within the message</td></tr><tr><td style=\"white-space:nowrap\">1669<a name=\"adjudication-error-1669\"> </a></td><td>Diagnosis is inconsistent with the patient's gender</td></tr><tr><td style=\"white-space:nowrap\">14<a name=\"adjudication-error-14\"> </a></td><td>Missing element: [CoverageEligibilityRequest.id] within the message</td></tr><tr><td style=\"white-space:nowrap\">381<a name=\"adjudication-error-381\"> </a></td><td>Missing element: [Claim.item.sequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">1668<a name=\"adjudication-error-1668\"> </a></td><td>Supporting information not related to the patient</td></tr><tr><td style=\"white-space:nowrap\">272<a name=\"adjudication-error-272\"> </a></td><td>Missing element: [Claim.supportingInfo.reason] within the message</td></tr><tr><td style=\"white-space:nowrap\">382<a name=\"adjudication-error-382\"> </a></td><td>Missing element: [Claim.item.careTeamSequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">1667<a name=\"adjudication-error-1667\"> </a></td><td>The service code is invalid given the patient history</td></tr><tr><td style=\"white-space:nowrap\">1666<a name=\"adjudication-error-1666\"> </a></td><td>Provider not licensed during the date of service</td></tr><tr><td style=\"white-space:nowrap\">273<a name=\"adjudication-error-273\"> </a></td><td>Missing element: [Claim.diagnosis] within the message</td></tr><tr><td style=\"white-space:nowrap\">1665<a name=\"adjudication-error-1665\"> </a></td><td>New born exceeds 30 days of age</td></tr><tr><td style=\"white-space:nowrap\">274<a name=\"adjudication-error-274\"> </a></td><td>Missing element: [Claim.diagnosis.sequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">1129<a name=\"adjudication-error-1129\"> </a></td><td>Missing element: [ClaimResponse.total.amount] within the message</td></tr><tr><td style=\"white-space:nowrap\">1664<a name=\"adjudication-error-1664\"> </a></td><td>Policy is cancelled/expired</td></tr><tr><td style=\"white-space:nowrap\">275<a name=\"adjudication-error-275\"> </a></td><td>Missing element: [Claim.diagnosis.diagnosisCodeableConcept] within the message</td></tr><tr><td style=\"white-space:nowrap\">1663<a name=\"adjudication-error-1663\"> </a></td><td>MEMBER DELETED</td></tr><tr><td style=\"white-space:nowrap\">1662<a name=\"adjudication-error-1662\"> </a></td><td>Tooth number is missing</td></tr><tr><td style=\"white-space:nowrap\">276<a name=\"adjudication-error-276\"> </a></td><td>Missing element: [Claim.diagnosis.type] within the message</td></tr><tr><td style=\"white-space:nowrap\">1682<a name=\"adjudication-error-1682\"> </a></td><td>The patient information does not match the insurance member details.</td></tr><tr><td style=\"white-space:nowrap\">1128<a name=\"adjudication-error-1128\"> </a></td><td>Missing element: [ClaimResponse.total.category] within the message</td></tr><tr><td style=\"white-space:nowrap\">320<a name=\"adjudication-error-320\"> </a></td><td>Missing element: [Claim.item.detail.subDetail.unitPrice] within the message</td></tr><tr><td style=\"white-space:nowrap\">277<a name=\"adjudication-error-277\"> </a></td><td>Missing element: [Claim.insurance] within the message</td></tr><tr><td style=\"white-space:nowrap\">1111<a name=\"adjudication-error-1111\"> </a></td><td>Missing element: [ClaimResponse.item.detail.noteNumber] within the message</td></tr><tr><td style=\"white-space:nowrap\">1127<a name=\"adjudication-error-1127\"> </a></td><td>Missing element: [ClaimResponse.total] within the message</td></tr><tr><td style=\"white-space:nowrap\">278<a name=\"adjudication-error-278\"> </a></td><td>Missing element: [Claim.insurance.sequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">1126<a name=\"adjudication-error-1126\"> </a></td><td>Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.currency] within the message</td></tr><tr><td style=\"white-space:nowrap\">279<a name=\"adjudication-error-279\"> </a></td><td>Missing element: [Claim.insurance.focal] within the message</td></tr><tr><td style=\"white-space:nowrap\">1125<a name=\"adjudication-error-1125\"> </a></td><td>Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.value] within the message</td></tr><tr><td style=\"white-space:nowrap\">1595<a name=\"adjudication-error-1595\"> </a></td><td>Claim serviced SHALL be on OR after the creation date if the claim use=Authorization</td></tr><tr><td style=\"white-space:nowrap\">56<a name=\"adjudication-error-56\"> </a></td><td>Missing element: [Claim.status] within the message</td></tr><tr><td style=\"white-space:nowrap\">700<a name=\"adjudication-error-700\"> </a></td><td>Missing element: [Claim.item.detail.subDetail.sequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">57<a name=\"adjudication-error-57\"> </a></td><td>Missing element: [Claim.type] within the message</td></tr><tr><td style=\"white-space:nowrap\">1124<a name=\"adjudication-error-1124\"> </a></td><td>Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount] within the message</td></tr><tr><td style=\"white-space:nowrap\">321<a name=\"adjudication-error-321\"> </a></td><td>Missing element: [Claim.item.detail.subDetail.net] within the message</td></tr><tr><td style=\"white-space:nowrap\">1110<a name=\"adjudication-error-1110\"> </a></td><td>Missing element: [ClaimResponse.item.detail.detailSequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">58<a name=\"adjudication-error-58\"> </a></td><td>Missing element: [Claim.subType] within the message</td></tr><tr><td style=\"white-space:nowrap\">701<a name=\"adjudication-error-701\"> </a></td><td>Missing element: [Claim.item.detail.subDetail.productOrService] within the message</td></tr><tr><td style=\"white-space:nowrap\">771<a name=\"adjudication-error-771\"> </a></td><td>Missing element: [Claim.item.diagnosisSequence] within the message</td></tr><tr><td style=\"white-space:nowrap\">59<a name=\"adjudication-error-59\"> </a></td><td>Missing element: [Claim.use] within the message</td></tr><tr><td style=\"white-space:nowrap\">1123<a name=\"adjudication-error-1123\"> </a></td><td>Missing element: [ClaimResponse.item.detail.subDetail.adjudication.reason] within the message</td></tr><tr><td style=\"white-space:nowrap\">1594<a name=\"adjudication-error-1594\"> </a></td><td>Claim.billablePeriod SHALL be within the encounter start and end date if encounter is provided</td></tr><tr><td style=\"white-space:nowrap\">322<a name=\"adjudication-error-322\"> </a></td><td>Missing element: [Claim.item.detail.subDetail.udi] within the message</td></tr><tr><td style=\"white-space:nowrap\">60<a name=\"adjudication-error-60\"> </a></td><td>Missing element: [Claim.patient] within the message</td></tr><tr><td style=\"white-space:nowrap\">1593<a name=\"adjudication-error-1593\"> </a></td><td>Claim.subType If Claim type is profesional  ,then the Claim sub-type SHALL not be IP</td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://nphies.sa/terminology/CodeSystem/adjudication-error"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.3.0"] ; # 
  fhir:name [ fhir:v "AdjudicationError"] ; # 
  fhir:title [ fhir:v "Adjudication Error"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2025-06-23T22:09:21+03:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 Saudi Arabia"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 Saudi Arabia" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://test-project.org/test-publisher" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This code set includes a set of adjudication error codes which may be issued during the validation of a message."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SA" ] ;
fhir:display [ fhir:v "Saudi Arabia" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "nphies 2020+ (https://nphies.sa)"] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:compositional [ fhir:v false] ; # 
  fhir:versionNeeded [ fhir:v false] ; # 
  fhir:content [ fhir:v "fragment"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "1191" ] ;
fhir:display [ fhir:v "Missing element: [Patient] within the message" ]
  ] [
fhir:code [ fhir:v "1190" ] ;
fhir:display [ fhir:v "Missing element: [Communication.note.text] within the message" ]
  ] [
fhir:code [ fhir:v "1199" ] ;
fhir:display [ fhir:v "Missing element: [patient.birthDate] within the message" ]
  ] [
fhir:code [ fhir:v "1198" ] ;
fhir:display [ fhir:v "Missing element: [gender.extensionKsaGender] within the message" ]
  ] [
fhir:code [ fhir:v "1197" ] ;
fhir:display [ fhir:v "Missing element: [patient.gender ] within the message" ]
  ] [
fhir:code [ fhir:v "1196" ] ;
fhir:display [ fhir:v "Missing element: [patient.name] within the message" ]
  ] [
fhir:code [ fhir:v "1195" ] ;
fhir:display [ fhir:v "Missing element: [patient.active] within the message" ]
  ] [
fhir:code [ fhir:v "1194" ] ;
fhir:display [ fhir:v "Missing element: [patient.identifier] within the message" ]
  ] [
fhir:code [ fhir:v "1193" ] ;
fhir:display [ fhir:v "Missing element: [patient.id] within the message" ]
  ] [
fhir:code [ fhir:v "260" ] ;
fhir:display [ fhir:v "Missing element: [Claim.careTeam.role] within the message" ]
  ] [
fhir:code [ fhir:v "1192" ] ;
fhir:display [ fhir:v "Missing element: [patient.resourceType] within the message" ]
  ] [
fhir:code [ fhir:v "760" ] ;
fhir:display [ fhir:v "Missing element: [Claim.insurance.coverage] within the message" ]
  ] [
fhir:code [ fhir:v "761" ] ;
fhir:display [ fhir:v "Missing element: [Claim.insurance.preAuthRef] within the message" ]
  ] [
fhir:code [ fhir:v "762" ] ;
fhir:display [ fhir:v "Missing element: [Claim.insurance.claimResponse] within the message" ]
  ] [
fhir:code [ fhir:v "261" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo] within the message" ]
  ] [
fhir:code [ fhir:v "763" ] ;
fhir:display [ fhir:v "Missing element: [Claim.accident] within the message" ]
  ] [
fhir:code [ fhir:v "764" ] ;
fhir:display [ fhir:v "Missing element: [Claim.accident.Date] within the message" ]
  ] [
fhir:code [ fhir:v "262" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.sequence] within the message" ]
  ] [
fhir:code [ fhir:v "765" ] ;
fhir:display [ fhir:v "Missing element: [Claim.accident.type] within the message" ]
  ] [
fhir:code [ fhir:v "1133" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.processNote] within the message" ]
  ] [
fhir:code [ fhir:v "263" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.category] within the message" ]
  ] [
fhir:code [ fhir:v "766" ] ;
fhir:display [ fhir:v "Missing element: [Claim.accident.locationAdress] within the message" ]
  ] [
fhir:code [ fhir:v "264" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.code] within the message" ]
  ] [
fhir:code [ fhir:v "1625" ] ;
fhir:display [ fhir:v "ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item" ]
  ] [
fhir:code [ fhir:v "1132" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.fundsReserve] within the message" ]
  ] [
fhir:code [ fhir:v "767" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item] within the message" ]
  ] [
fhir:code [ fhir:v "34" ] ;
fhir:display [ fhir:v "Missing element: [CoverageEligibilityResponse.patient] within the message" ]
  ] [
fhir:code [ fhir:v "265" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.timingDate] within the message" ]
  ] [
fhir:code [ fhir:v "1189" ] ;
fhir:display [ fhir:v "Missing element: [Communication.note.time] within the message" ]
  ] [
fhir:code [ fhir:v "1131" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.total.amount.currency] within the message" ]
  ] [
fhir:code [ fhir:v "768" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.extension.tax] within the message" ]
  ] [
fhir:code [ fhir:v "1130" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.total.amount.value] within the message" ]
  ] [
fhir:code [ fhir:v "266" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.timingPeriod] within the message" ]
  ] [
fhir:code [ fhir:v "1624" ] ;
fhir:display [ fhir:v "ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item" ]
  ] [
fhir:code [ fhir:v "769" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.sequence] within the message" ]
  ] [
fhir:code [ fhir:v "35" ] ;
fhir:display [ fhir:v "Missing element: [CoverageEligibilityResponse.servicedDate] within the message" ]
  ] [
fhir:code [ fhir:v "770" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.careTeamSequence] within the message" ]
  ] [
fhir:code [ fhir:v "267" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.valueBoolean] within the message" ]
  ] [
fhir:code [ fhir:v "1672" ] ;
fhir:display [ fhir:v "Services performed outside  the coverage effective period" ]
  ] [
fhir:code [ fhir:v "36" ] ;
fhir:display [ fhir:v "Missing element: [CoverageEligibilityResponse.created] within the message" ]
  ] [
fhir:code [ fhir:v "268" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.valueString] within the message" ]
  ] [
fhir:code [ fhir:v "1177" ] ;
fhir:display [ fhir:v "Missing element: [Communication.subject] within the message" ]
  ] [
fhir:code [ fhir:v "37" ] ;
fhir:display [ fhir:v "Missing element: [CoverageEligibilityResponse.request] within the message" ]
  ] [
fhir:code [ fhir:v "269" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.valueQuantity] within the message" ]
  ] [
fhir:code [ fhir:v "1176" ] ;
fhir:display [ fhir:v "Missing element: [Communication.medium] within the message" ]
  ] [
fhir:code [ fhir:v "12" ] ;
fhir:display [ fhir:v "Missing element: [entry.CoverageEligibilityRequest] within the message" ]
  ] [
fhir:code [ fhir:v "1671" ] ;
fhir:display [ fhir:v "The requested medicine(s) is not registered" ]
  ] [
fhir:code [ fhir:v "38" ] ;
fhir:display [ fhir:v "Missing element: [CoverageEligibilityResponse.outcome] within the message" ]
  ] [
fhir:code [ fhir:v "1175" ] ;
fhir:display [ fhir:v "Missing element: [Communication.priority] within the message" ]
  ] [
fhir:code [ fhir:v "270" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.valueAttachment] within the message" ]
  ] [
fhir:code [ fhir:v "340" ] ;
fhir:display [ fhir:v "Missing element: [Claim.fundsReserve] within the message" ]
  ] [
fhir:code [ fhir:v "39" ] ;
fhir:display [ fhir:v "Missing element: [CoverageEligibilityResponse.disposition] within the message" ]
  ] [
fhir:code [ fhir:v "1174" ] ;
fhir:display [ fhir:v "Missing element: [Communication.category] within the message" ]
  ] [
fhir:code [ fhir:v "1670" ] ;
fhir:display [ fhir:v "Service code is inconsistent with the patient's gender" ]
  ] [
fhir:code [ fhir:v "13" ] ;
fhir:display [ fhir:v "Missing element: [CoverageEligibilityRequest.resourceType] within the message" ]
  ] [
fhir:code [ fhir:v "380" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.extension.tax] within the message" ]
  ] [
fhir:code [ fhir:v "271" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.valueReference] within the message" ]
  ] [
fhir:code [ fhir:v "1669" ] ;
fhir:display [ fhir:v "Diagnosis is inconsistent with the patient's gender" ]
  ] [
fhir:code [ fhir:v "14" ] ;
fhir:display [ fhir:v "Missing element: [CoverageEligibilityRequest.id] within the message" ]
  ] [
fhir:code [ fhir:v "381" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.sequence] within the message" ]
  ] [
fhir:code [ fhir:v "1668" ] ;
fhir:display [ fhir:v "Supporting information not related to the patient" ]
  ] [
fhir:code [ fhir:v "272" ] ;
fhir:display [ fhir:v "Missing element: [Claim.supportingInfo.reason] within the message" ]
  ] [
fhir:code [ fhir:v "382" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.careTeamSequence] within the message" ]
  ] [
fhir:code [ fhir:v "1667" ] ;
fhir:display [ fhir:v "The service code is invalid given the patient history" ]
  ] [
fhir:code [ fhir:v "1666" ] ;
fhir:display [ fhir:v "Provider not licensed during the date of service" ]
  ] [
fhir:code [ fhir:v "273" ] ;
fhir:display [ fhir:v "Missing element: [Claim.diagnosis] within the message" ]
  ] [
fhir:code [ fhir:v "1665" ] ;
fhir:display [ fhir:v "New born exceeds 30 days of age" ]
  ] [
fhir:code [ fhir:v "274" ] ;
fhir:display [ fhir:v "Missing element: [Claim.diagnosis.sequence] within the message" ]
  ] [
fhir:code [ fhir:v "1129" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.total.amount] within the message" ]
  ] [
fhir:code [ fhir:v "1664" ] ;
fhir:display [ fhir:v "Policy is cancelled/expired" ]
  ] [
fhir:code [ fhir:v "275" ] ;
fhir:display [ fhir:v "Missing element: [Claim.diagnosis.diagnosisCodeableConcept] within the message" ]
  ] [
fhir:code [ fhir:v "1663" ] ;
fhir:display [ fhir:v "MEMBER DELETED" ]
  ] [
fhir:code [ fhir:v "1662" ] ;
fhir:display [ fhir:v "Tooth number is missing" ]
  ] [
fhir:code [ fhir:v "276" ] ;
fhir:display [ fhir:v "Missing element: [Claim.diagnosis.type] within the message" ]
  ] [
fhir:code [ fhir:v "1682" ] ;
fhir:display [ fhir:v "The patient information does not match the insurance member details." ]
  ] [
fhir:code [ fhir:v "1128" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.total.category] within the message" ]
  ] [
fhir:code [ fhir:v "320" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.detail.subDetail.unitPrice] within the message" ]
  ] [
fhir:code [ fhir:v "277" ] ;
fhir:display [ fhir:v "Missing element: [Claim.insurance] within the message" ]
  ] [
fhir:code [ fhir:v "1111" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.item.detail.noteNumber] within the message" ]
  ] [
fhir:code [ fhir:v "1127" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.total] within the message" ]
  ] [
fhir:code [ fhir:v "278" ] ;
fhir:display [ fhir:v "Missing element: [Claim.insurance.sequence] within the message" ]
  ] [
fhir:code [ fhir:v "1126" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.currency] within the message" ]
  ] [
fhir:code [ fhir:v "279" ] ;
fhir:display [ fhir:v "Missing element: [Claim.insurance.focal] within the message" ]
  ] [
fhir:code [ fhir:v "1125" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.value] within the message" ]
  ] [
fhir:code [ fhir:v "1595" ] ;
fhir:display [ fhir:v "Claim serviced SHALL be on OR after the creation date if the claim use=Authorization" ]
  ] [
fhir:code [ fhir:v "56" ] ;
fhir:display [ fhir:v "Missing element: [Claim.status] within the message" ]
  ] [
fhir:code [ fhir:v "700" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.detail.subDetail.sequence] within the message" ]
  ] [
fhir:code [ fhir:v "57" ] ;
fhir:display [ fhir:v "Missing element: [Claim.type] within the message" ]
  ] [
fhir:code [ fhir:v "1124" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount] within the message" ]
  ] [
fhir:code [ fhir:v "321" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.detail.subDetail.net] within the message" ]
  ] [
fhir:code [ fhir:v "1110" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.item.detail.detailSequence] within the message" ]
  ] [
fhir:code [ fhir:v "58" ] ;
fhir:display [ fhir:v "Missing element: [Claim.subType] within the message" ]
  ] [
fhir:code [ fhir:v "701" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.detail.subDetail.productOrService] within the message" ]
  ] [
fhir:code [ fhir:v "771" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.diagnosisSequence] within the message" ]
  ] [
fhir:code [ fhir:v "59" ] ;
fhir:display [ fhir:v "Missing element: [Claim.use] within the message" ]
  ] [
fhir:code [ fhir:v "1123" ] ;
fhir:display [ fhir:v "Missing element: [ClaimResponse.item.detail.subDetail.adjudication.reason] within the message" ]
  ] [
fhir:code [ fhir:v "1594" ] ;
fhir:display [ fhir:v "Claim.billablePeriod SHALL be within the encounter start and end date if encounter is provided" ]
  ] [
fhir:code [ fhir:v "322" ] ;
fhir:display [ fhir:v "Missing element: [Claim.item.detail.subDetail.udi] within the message" ]
  ] [
fhir:code [ fhir:v "60" ] ;
fhir:display [ fhir:v "Missing element: [Claim.patient] within the message" ]
  ] [
fhir:code [ fhir:v "1593" ] ;
fhir:display [ fhir:v "Claim.subType If Claim type is profesional  ,then the Claim sub-type SHALL not be IP" ]
  ] ) . #