<status value="active" /> <experimental value="false" /> <description value="Allows a claim response to indicate one or more duplicate receipts associated with a particular claim item" /> <fhirVersion value="5.0.0" /> <mapping> <identity value="BPCS" /> <name value="Internal BPCS API" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="ClaimResponse.item.reviewOutcome.reason" /> </context> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <short value="Duplicate receipts" /> <definition value="Allows an adjudicationResponse to indicate one or more duplicate receipts associated with a particular claim item" /> <max value="1" /> </element> <element id="Extension.extension"> <path value="Extension.extension" /> <min value="2" /> <mustSupport value="true" /> </element> <element id="Extension.extension:EOB"> <path value="Extension.extension" /> <sliceName value="EOB" /> <short value="Explanation of Benefit" /> <definition value="The EOB instance that summarizes the duplicate receipts" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Extension.extension:EOB.url"> <path value="Extension.extension.url" /> <fixedUri value="EOB" /> </element> <element id="Extension.extension:EOB.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="Reference" /> <profile value="https://bpcs.exchange/fhir/StructureDefinition/profile-Reference-rest" /> <targetProfile value="https://bpcs.exchange/fhir/StructureDefinition/profile-ExplanationOfBenefit-duplicate" /> <aggregation value="contained" /> </type> <mustSupport value="true" /> </element> <element id="Extension.extension:receipt"> <path value="Extension.extension" /> <sliceName value="receipt" /> <short value="Explanation of Benefit" /> <definition value="The receipt sequence number within the EOB of the duplicate receipt" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Extension.extension:receipt.url"> <path value="Extension.extension.url" /> <fixedUri value="receipt" /> </element> <element id="Extension.extension:receipt.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="positiveInt" /> </type> <mustSupport value="true" /> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="https://bpcs.exchange/fhir/StructureDefinition/ext-ClaimResponse-DuplicateReceipts" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <max value="0" /> </element> </differential> </StructureDefinition>