Claim.shex

ShEx statement for claim

PREFIX fhir: <http://hl7.org/fhir/> 
PREFIX fhirvs: <http://hl7.org/fhir/ValueSet/>
PREFIX xsd: <http://www.w3.org/2001/XMLSchema#> 
BASE <http://hl7.org/fhir/shape/>

start=<Claim> AND {fhir:nodeRole [fhir:treeRoot]}


# Claim, Pre-determination or Pre-authorization
<Claim> CLOSED {
    a [fhir:Claim];
    fhir:nodeRole [fhir:treeRoot]?;
    fhir:Resource.id @<id>?;                # Logical id of this artifact
    fhir:Resource.meta @<Meta>?;            # Metadata about the resource
    fhir:Resource.implicitRules @<uri>?;    # A set of rules under which this 
                                            # content was created 
    fhir:Resource.language @<code>?;        # Language of the resource content
    fhir:DomainResource.text @<Narrative>?;  # Text summary of the resource, for 
                                            # human interpretation 
    fhir:DomainResource.contained @<Resource>*;  # Contained, inline Resources
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.identifier @<Identifier>*;   # Claim number
    fhir:Claim.status @<code> AND
    	{fhir:value @fhirvs:claim-status};  # active | cancelled | draft | 
                                            # entered-in-error 
    fhir:Claim.type @<Coding> AND
    	{fhir:value @fhirvs:claim-type};  # Type or discipline
    fhir:Claim.subType @<Coding>*;          # Finer grained claim type 
                                            # information 
    fhir:Claim.ruleset @<Coding>?;          # Current specification followed
    fhir:Claim.originalRuleset @<Coding>?;  # Original specification followed
    fhir:Claim.created @<dateTime>?;        # Creation date
    fhir:Claim.billablePeriod @<Period>?;   # Period for charge submission
    (                                       # Target
        fhir:Claim.insurerIdentifier @<Identifier>  |
        fhir:Claim.insurerReference @<OrganizationReference> 
    )?;
    (                                       # Responsible provider
        fhir:Claim.providerIdentifier @<Identifier>  |
        fhir:Claim.providerReference @<PractitionerReference> 
    )?;
    (                                       # Responsible organization
        fhir:Claim.organizationIdentifier @<Identifier>  |
        fhir:Claim.organizationReference @<OrganizationReference> 
    )?;
    fhir:Claim.use @<code> AND
    	{fhir:value @fhirvs:claim-use}?;  # complete | proposed | exploratory 
                                            # | other 
    fhir:Claim.priority @<Coding>?;         # Desired processing priority
    fhir:Claim.fundsReserve @<Coding>?;     # Funds requested to be reserved
    (                                       # Author
        fhir:Claim.entererIdentifier @<Identifier>  |
        fhir:Claim.entererReference @<PractitionerReference> 
    )?;
    (                                       # Servicing Facility
        fhir:Claim.facilityIdentifier @<Identifier>  |
        fhir:Claim.facilityReference @<LocationReference> 
    )?;
    fhir:Claim.related @<Claim.related>*;   # Related Claims which may be 
                                            # revelant to processing this claimn 
    (                                       # Prescription
        fhir:Claim.prescriptionIdentifier @<Identifier>  |
        fhir:Claim.prescriptionReference @<MedicationOrderReference>  |
        fhir:Claim.prescriptionReference @<VisionPrescriptionReference> 
    )?;
    (                                       # Original Prescription
        fhir:Claim.originalPrescriptionIdentifier @<Identifier>  |
        fhir:Claim.originalPrescriptionReference @<MedicationOrderReference> 
    )?;
    fhir:Claim.payee @<Claim.payee>?;       # Party to be paid any benefits 
                                            # payable 
    (                                       # Treatment Referral
        fhir:Claim.referralIdentifier @<Identifier>  |
        fhir:Claim.referralReference @<ReferralRequestReference> 
    )?;
    fhir:Claim.information @<Claim.information>*; 
    fhir:Claim.diagnosis @<Claim.diagnosis>*;  # Diagnosis
    fhir:Claim.procedure @<Claim.procedure>*;  # Procedures performed
    (                                       # The subject of the Products and 
                                            # Services 
        fhir:Claim.patientIdentifier @<Identifier>  |
        fhir:Claim.patientReference @<PatientReference> 
    );
    fhir:Claim.coverage @<Claim.coverage>*;  # Insurance or medical plan
    fhir:Claim.accident @<Claim.accident>?; 
    fhir:Claim.employmentImpacted @<Period>?;  # Period unable to work
    fhir:Claim.hospitalization @<Period>?;  # Period in hospital
    fhir:Claim.item @<Claim.item>*;         # Goods and Services
    fhir:Claim.total @<Money>?;             # Total claim cost
    fhir:Claim.missingTeeth @<Claim.missingTeeth>*;  # Only if type = oral
    fhir:index xsd:integer?                 # Relative position in a list
}

# Party to be paid any benefits payable
<Claim.payee> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.payee.type @<Coding>;        # Type of party: Subscriber, 
                                            # Provider, other 
    fhir:Claim.payee.resourceType @<Coding>?;  # organization | patient | 
                                            # practitioner | relatedperson 
    (                                       # Party to receive the payable
        fhir:Claim.payee.partyIdentifier @<Identifier>  |
        fhir:Claim.payee.partyReference @<PractitionerReference>  |
        fhir:Claim.payee.partyReference @<OrganizationReference>  |
        fhir:Claim.payee.partyReference @<PatientReference>  |
        fhir:Claim.payee.partyReference @<RelatedPersonReference> 
    )?;
    fhir:index xsd:integer?                 # Relative position in a list
}

# Goods and Services
<Claim.item> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.item.sequence @<positiveInt>;  # Service instance
    fhir:Claim.item.careTeam @<Claim.item.careTeam>*; 
    fhir:Claim.item.diagnosisLinkId @<positiveInt>*;  # Applicable diagnoses
    fhir:Claim.item.revenue @<Coding>?;     # Revenue or cost center code
    fhir:Claim.item.category @<Coding>?;    # Type of service or product
    fhir:Claim.item.service @<Coding>?;     # Billing Code
    fhir:Claim.item.modifier @<Coding>*;    # Service/Product billing modifiers
    fhir:Claim.item.programCode @<Coding>*;  # Program specific reason for item 
                                            # inclusion 
    (                                       # Date or dates of Service
        fhir:Claim.item.servicedDate @<date>  |
        fhir:Claim.item.servicedPeriod @<Period> 
    )?;
    (                                       # Place of service
        fhir:Claim.item.locationCoding @<Coding>  |
        fhir:Claim.item.locationAddress @<Address>  |
        fhir:Claim.item.locationReference @<LocationReference> 
    )?;
    fhir:Claim.item.quantity @<SimpleQuantity>?;  # Count of Products or Services
    fhir:Claim.item.unitPrice @<Money>?;    # Fee, charge or cost per point
    fhir:Claim.item.factor @<decimal>?;     # Price scaling factor
    fhir:Claim.item.points @<decimal>?;     # Difficulty scaling factor
    fhir:Claim.item.net @<Money>?;          # Total item cost
    fhir:Claim.item.udi @<DeviceReference>*;  # Unique Device Identifier
    fhir:Claim.item.bodySite @<Coding>?;    # Service Location
    fhir:Claim.item.subSite @<Coding>*;     # Service Sub-location
    fhir:Claim.item.detail @<Claim.item.detail>*;  # Additional items
    fhir:Claim.item.prosthesis @<Claim.item.prosthesis>?;  # Prosthetic details
    fhir:index xsd:integer?                 # Relative position in a list
}

# Only if type = oral
<Claim.missingTeeth> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.missingTeeth.tooth @<Coding>;  # Tooth Code
    fhir:Claim.missingTeeth.reason @<Coding>?;  # Indicates whether it was extracted 
                                            # or other reason 
    fhir:Claim.missingTeeth.extractionDate @<date>?;  # Date tooth was extracted if known
    fhir:index xsd:integer?                 # Relative position in a list
}

# Insurance or medical plan
<Claim.coverage> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.coverage.sequence @<positiveInt>;  # Service instance identifier
    fhir:Claim.coverage.focal @<boolean>;   # Is the focal Coverage
    (                                       # Insurance information
        fhir:Claim.coverage.coverageIdentifier @<Identifier>  |
        fhir:Claim.coverage.coverageReference @<CoverageReference> 
    );
    fhir:Claim.coverage.businessArrangement @<string>?;  # Business agreement
    fhir:Claim.coverage.preAuthRef @<string>*;  # Pre-Authorization/Determination 
                                            # Reference 
    fhir:Claim.coverage.claimResponse @<ClaimResponseReference>?;  # Adjudication results
    fhir:Claim.coverage.originalRuleset @<Coding>?;  # Original version
    fhir:index xsd:integer?                 # Relative position in a list
}

 
<Claim.information> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.information.category @<Coding>;  # Category of information
    fhir:Claim.information.code @<Coding>?;  # Type of information
    (                                       # When it occurred
        fhir:Claim.information.timingDate @<date>  |
        fhir:Claim.information.timingPeriod @<Period> 
    )?;
    (                                       # Additional Data
        fhir:Claim.information.valueString @<string>  |
        fhir:Claim.information.valueQuantity @<Quantity> 
    )?;
    fhir:index xsd:integer?                 # Relative position in a list
}

# Related Claims which may be revelant to processing this claimn
<Claim.related> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    (                                       # Reference to the related claim
        fhir:Claim.related.claimIdentifier @<Identifier>  |
        fhir:Claim.related.claimReference @<ClaimReference> 
    )?;
    fhir:Claim.related.relationship @<Coding>?;  # How the reference claim is related
    fhir:Claim.related.reference @<Identifier>?;  # Related file or case reference
    fhir:index xsd:integer?                 # Relative position in a list
}

# Procedures performed
<Claim.procedure> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.procedure.sequence @<positiveInt>;  # Procedure sequence for reference
    fhir:Claim.procedure.date @<dateTime>?;  # When the procedure was performed
    (                                       # Patient's list of procedures 
                                            # performed 
        fhir:Claim.procedure.procedureCoding @<Coding>  |
        fhir:Claim.procedure.procedureReference @<ProcedureReference> 
    );
    fhir:index xsd:integer?                 # Relative position in a list
}

# Diagnosis
<Claim.diagnosis> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.diagnosis.sequence @<positiveInt>;  # Number to covey order of diagnosis
    fhir:Claim.diagnosis.diagnosis @<Coding>;  # Patient's diagnosis
    fhir:Claim.diagnosis.type @<Coding>*;   # Type of Diagnosis
    fhir:Claim.diagnosis.drg @<Coding>?;    # Diagnosis Related Group
    fhir:index xsd:integer?                 # Relative position in a list
}

 
<Claim.accident> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.accident.date @<date>;       # When the accident occurred
    see 
                                            # information codes
    see information 
                                            # codes 
    fhir:Claim.accident.type @<Coding> AND
    	{fhir:value @fhirvs:v3-ActIncidentCode}?;  # The nature of the accident
    (                                       # Accident Place
        fhir:Claim.accident.locationAddress @<Address>  |
        fhir:Claim.accident.locationReference @<LocationReference> 
    )?;
    fhir:index xsd:integer?                 # Relative position in a list
}

# Prosthetic details
<Claim.item.prosthesis> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.item.prosthesis.initial @<boolean>?;  # Is this the initial service
    fhir:Claim.item.prosthesis.priorDate @<date>?;  # Initial service Date
    fhir:Claim.item.prosthesis.priorMaterial @<Coding>?;  # Prosthetic Material
    fhir:index xsd:integer?                 # Relative position in a list
}

# Additional items
<Claim.item.detail> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.item.detail.sequence @<positiveInt>;  # Service instance
    fhir:Claim.item.detail.revenue @<Coding>?;  # Revenue or cost center code
    fhir:Claim.item.detail.category @<Coding>?;  # Type of service or product
    fhir:Claim.item.detail.service @<Coding>?;  # Billing Code
    fhir:Claim.item.detail.modifier @<Coding>*;  # Service/Product billing modifiers
    fhir:Claim.item.detail.programCode @<Coding>*;  # Program specific reason for item 
                                            # inclusion 
    fhir:Claim.item.detail.quantity @<SimpleQuantity>?;  # Count of Products or Services
    fhir:Claim.item.detail.unitPrice @<Money>?;  # Fee, charge or cost per point
    fhir:Claim.item.detail.factor @<decimal>?;  # Price scaling factor
    fhir:Claim.item.detail.points @<decimal>?;  # Difficulty scaling factor
    fhir:Claim.item.detail.net @<Money>?;   # Total additional item cost
    fhir:Claim.item.detail.udi @<DeviceReference>*;  # Unique Device Identifier
    fhir:Claim.item.detail.subDetail @<Claim.item.detail.subDetail>*;  # Additional items
    fhir:index xsd:integer?                 # Relative position in a list
}

 
<Claim.item.careTeam> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    (                                       # Provider individual or organization
        fhir:Claim.item.careTeam.providerIdentifier @<Identifier>  |
        fhir:Claim.item.careTeam.providerReference @<PractitionerReference>  |
        fhir:Claim.item.careTeam.providerReference @<OrganizationReference> 
    );
    fhir:Claim.item.careTeam.responsible @<boolean>?;  # Billing provider
    fhir:Claim.item.careTeam.role @<Coding>?;  # Role on the team
    fhir:Claim.item.careTeam.qualification @<Coding>?;  # Type, classification or 
                                            # Specialization 
    fhir:index xsd:integer?                 # Relative position in a list
}

# Additional items
<Claim.item.detail.subDetail> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Claim.item.detail.subDetail.sequence @<positiveInt>;  # Service instance
    fhir:Claim.item.detail.subDetail.revenue @<Coding>?;  # Revenue or cost center code
    fhir:Claim.item.detail.subDetail.category @<Coding>?;  # Type of service or product
    fhir:Claim.item.detail.subDetail.service @<Coding>?;  # Billing Code
    fhir:Claim.item.detail.subDetail.modifier @<Coding>*;  # Service/Product billing modifiers
    fhir:Claim.item.detail.subDetail.programCode @<Coding>*;  # Program specific reason for item 
                                            # inclusion 
    fhir:Claim.item.detail.subDetail.quantity @<SimpleQuantity>?;  # Count of Products or Services
    fhir:Claim.item.detail.subDetail.unitPrice @<Money>?;  # Fee, charge or cost per point
    fhir:Claim.item.detail.subDetail.factor @<decimal>?;  # Price scaling factor
    fhir:Claim.item.detail.subDetail.points @<decimal>?;  # Difficulty scaling factor
    fhir:Claim.item.detail.subDetail.net @<Money>?;  # Net additional item cost
    fhir:Claim.item.detail.subDetail.udi @<DeviceReference>*;  # Unique Device Identifier
    fhir:index xsd:integer?                 # Relative position in a list
}

#---------------------- Data Types -------------------

# Primitive Type dateTime
<dateTime> CLOSED {
    fhir:id @<id>?;                         # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:gYear OR xsd:gYearMonth OR xsd:date OR xsd:dateTime?;  # Primitive value for dateTime
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type date
<date> CLOSED {
    fhir:id @<id>?;                         # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:gYear OR xsd:gYearMonth OR xsd:date?;  # Primitive value for date
    fhir:index xsd:integer?                 # Relative position in a list
}

# Metadata about a resource
<Meta> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Meta.versionId @<id>?;             # Version specific identifier
    fhir:Meta.lastUpdated @<instant>?;      # When the resource version last 
                                            # changed 
    fhir:Meta.profile @<uri>*;              # Profiles this resource claims to 
                                            # conform to 
    fhir:Meta.security @<Coding>*;          # Security Labels applied to this 
                                            # resource 
    fhir:Meta.tag @<Coding>*;               # Tags applied to this resource
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type code
<code> CLOSED {
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:string?;                 # Primitive value for code
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type string
<string> CLOSED {
    fhir:id @<id>?;                         # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:string MAXLENGTH 1048576?;  # Primitive value for string
    fhir:index xsd:integer?                 # Relative position in a list
}

# An address expressed using postal conventions (as opposed to GPS or other location definition formats)
<Address> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Address.use @<code> AND
    	{fhir:value @fhirvs:address-use}?;  # home | work | temp | old - purpose 
                                            # of this address 
    fhir:Address.type @<code> AND
    	{fhir:value @fhirvs:address-type}?;  # postal | physical | both
    fhir:Address.text @<string>?;           # Text representation of the address
    fhir:Address.line @<string>*;           # Street name, number, direction & 
                                            # P.O. Box etc. 
    fhir:Address.city @<string>?;           # Name of city, town etc.
    fhir:Address.district @<string>?;       # District name (aka county)
    fhir:Address.state @<string>?;          # Sub-unit of country (abbreviations 
                                            # ok) 
    fhir:Address.postalCode @<string>?;     # Postal code for area
    fhir:Address.country @<string>?;        # Country (can be ISO 3166 3 letter 
                                            # code) 
    fhir:Address.period @<Period>?;         # Time period when address was/is in 
                                            # use 
    fhir:index xsd:integer?                 # Relative position in a list
}

# Base Resource
<Resource> {a .+;
    fhir:Resource.id @<id>?;                # Logical id of this artifact
    fhir:Resource.meta @<Meta>?;            # Metadata about the resource
    fhir:Resource.implicitRules @<uri>?;    # A set of rules under which this 
                                            # content was created 
    fhir:Resource.language @<code>?;        # Language of the resource content
    fhir:index xsd:integer?
}

# A fixed quantity (no comparator)
<SimpleQuantity> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Quantity.value @<decimal>?;        # Numerical value (with implicit 
                                            # precision) 
    fhir:Quantity.unit @<string>?;          # Unit representation
    fhir:Quantity.system @<uri>?;           # System that defines coded unit form
    fhir:Quantity.code @<code>?;            # Coded form of the unit
    fhir:index xsd:integer?                 # Relative position in a list
}

# Time range defined by start and end date/time
<Period> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Period.start @<dateTime>?;         # Starting time with inclusive 
                                            # boundary 
    fhir:Period.end @<dateTime>?;           # End time with inclusive boundary, 
                                            # if not ongoing 
    fhir:index xsd:integer?                 # Relative position in a list
}

# A measured or measurable amount
<Quantity> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Quantity.value @<decimal>?;        # Numerical value (with implicit 
                                            # precision) 
    fhir:Quantity.comparator @<code> AND
    	{fhir:value @fhirvs:quantity-comparator}?;  # < | <= | >= | > - how to 
                                            # understand the value 
    fhir:Quantity.unit @<string>?;          # Unit representation
    fhir:Quantity.system @<uri>?;           # System that defines coded unit form
    fhir:Quantity.code @<code>?;            # Coded form of the unit
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type uri
<uri> CLOSED {
    fhir:id @<id>?;                         # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:string?;                 # Primitive value for uri
    fhir:index xsd:integer?                 # Relative position in a list
}

<Extension> {fhir:extension @<Extension>*;
    fhir:index xsd:integer?
}

# An amount of economic utility in some recognised currency
<Money> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Quantity.value @<decimal>?;        # Numerical value (with implicit 
                                            # precision) 
    fhir:Quantity.comparator @<code> AND
    	{fhir:value @fhirvs:quantity-comparator}?;  # < | <= | >= | > - how to 
                                            # understand the value 
    fhir:Quantity.unit @<string>?;          # Unit representation
    fhir:Quantity.system @<uri>?;           # System that defines coded unit form
    fhir:Quantity.code @<code>?;            # Coded form of the unit
    fhir:index xsd:integer?                 # Relative position in a list
}

# An identifier intended for computation
<Identifier> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Identifier.use @<code> AND
    	{fhir:value @fhirvs:identifier-use}?;  # usual | official | temp | 
                                            # secondary (If known) 
    fhir:Identifier.type @<CodeableConcept>?;  # Description of identifier
    fhir:Identifier.system @<uri>?;         # The namespace for the identifier
    fhir:Identifier.value @<string>?;       # The value that is unique
    fhir:Identifier.period @<Period>?;      # Time period when id is/was valid 
                                            # for use 
    fhir:Identifier.assigner @<OrganizationReference>?;  # Organization that issued id (may 
                                            # be just text) 
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type boolean
<boolean> CLOSED {
    fhir:id @<id>?;                         # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:boolean?;                # Primitive value for boolean
    fhir:index xsd:integer?                 # Relative position in a list
}

# A human-readable formatted text, including images
<Narrative> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Narrative.status @<code> AND
    	{fhir:value @fhirvs:narrative-status};  # generated | extensions | 
                                            # additional | empty 
    fhir:Narrative.div xsd:string;          # Limited xhtml content
    fhir:index xsd:integer?                 # Relative position in a list
}

# A reference to a code defined by a terminology system
<Coding> CLOSED {
    fhir:concept IRI?;
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Coding.system @<uri>?;             # Identity of the terminology system
    fhir:Coding.version @<string>?;         # Version of the system - if relevant
    fhir:Coding.code @<code>?;              # Symbol in syntax defined by the 
                                            # system 
    fhir:Coding.display @<string>?;         # Representation defined by the 
                                            # system 
    fhir:Coding.userSelected @<boolean>?;   # If this coding was chosen directly 
                                            # by the user 
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type id
<id> CLOSED {
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:string?;                 # Primitive value for id
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type positiveInt
<positiveInt> CLOSED {
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:positiveInteger?;        # Primitive value for positiveInt
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type decimal
<decimal> CLOSED {
    fhir:id @<id>?;                         # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:decimal?;                # Primitive value for decimal
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type instant
<instant> CLOSED {
    fhir:id @<id>?;                         # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:dateTime?;               # Primitive value for instant
    fhir:index xsd:integer?                 # Relative position in a list
}

# Concept - reference to a terminology or just  text
<CodeableConcept> CLOSED {
    fhir:concept IRI*;
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:CodeableConcept.coding @<Coding>*;  # Code defined by a terminology 
                                            # system 
    fhir:CodeableConcept.text @<string>?;   # Plain text representation of the 
                                            # concept 
    fhir:index xsd:integer?                 # Relative position in a list
}

#---------------------- Reference Types -------------------

<ReferralRequestReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<ReferralRequest> OR CLOSED {a fhir:ReferralRequest}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<OrganizationReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Organization> OR CLOSED {a fhir:Organization}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<ClaimResponseReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<ClaimResponse> OR CLOSED {a fhir:ClaimResponse}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<DeviceReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Device> OR CLOSED {a fhir:Device}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<VisionPrescriptionReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<VisionPrescription> OR CLOSED {a fhir:VisionPrescription}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<PatientReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Patient> OR CLOSED {a fhir:Patient}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<CoverageReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Coverage> OR CLOSED {a fhir:Coverage}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<RelatedPersonReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<RelatedPerson> OR CLOSED {a fhir:RelatedPerson}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<PractitionerReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Practitioner> OR CLOSED {a fhir:Practitioner}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<ProcedureReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Procedure> OR CLOSED {a fhir:Procedure}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<MedicationOrderReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<MedicationOrder> OR CLOSED {a fhir:MedicationOrder}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<ClaimReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Claim> OR CLOSED {a fhir:Claim}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<LocationReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Location> OR CLOSED {a fhir:Location}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

#---------------------- Value Sets ------------------------

# This value set includes sample Claim Type codes.
@fhirvs:claim-type = ["institutional" "oral" "pharmacy" "professional" "vision"]

# Complete, proposed, exploratory, other
@fhirvs:claim-use = ["complete" "proposed" "exploratory" "other"]

# A code specifying the state of the resource instance.
@fhirvs:claim-status = ["active" "cancelled" "draft" "entered-in-error"]

# How the Quantity should be understood and represented.
@fhirvs:quantity-comparator = ["<" "<=" ">=" ">"]

# The status of a resource narrative
@fhirvs:narrative-status = ["generated" "extensions" "additional" "empty"]

#  Set of codes indicating the type of incident or accident.
@fhirvs:v3-ActIncidentCode = ["MVA" "SCHOOL" "SPT" "WPA"]

# The type of an address (physical / postal)
@fhirvs:address-type = ["postal" "physical" "both"]

# The use of an address
@fhirvs:address-use = ["home" "work" "temp" "old"]

# Identifies the purpose for this identifier, if known .
@fhirvs:identifier-use = ["usual" "official" "temp" "secondary"]