STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Claim.profile.xml

Raw XML (canonical form)

StructureDefinition for claim

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Claim"/>
  <meta>
    <lastUpdated value="2016-03-31T08:01:25.570+11:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/>
              </a>
            </span>
          </th>
        </tr>
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/> 
            <span title="Claim : A provider issued list of services and products provided, or to be provided, to
             a patient which is provided to an insurer for payment recovery.">Claim</span>
            <a name="Claim"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Claim, Pre-determination or Pre-authorization</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Claim.type : The category of claim.">type</span>
            <a name="Claim.type"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">institutional | oral | pharmacy | professional | vision
            <br/>
            <a href="valueset-claim-type-link.html" title="The type or discipline-style of the claim">ClaimType</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Claim.subType : A finer grained suite of claim subtype codes which may convey Inpatient
             vs Outpatient and/or a specialty service. In the US the BillType.">subType</span>
            <a name="Claim.subType"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Finer grained claim type information
            <br/>
            <a href="valueset-claim-subtype.html" title="A more granulat claim typecode">Example Claim SubType Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Claim.identifier : The business identifier for the instance: claim number, pre-determination
             or pre-authorization number.">identifier</span>
            <a name="Claim.identifier"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Claim number</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.ruleset : The version of the specification on which this instance relies.">ruleset</span>
            <a name="Claim.ruleset"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Current specification followed
            <br/>
            <a href="valueset-ruleset.html" title="The static and dynamic model to which contents conform, which may be business version
             or standard/version.">Ruleset Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <span title="Claim.originalRuleset : The version of the specification from which the original instance
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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            <span title="Claim.created : The date when the enclosed suite of services were performed or completed.">created</span>
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            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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            <span title="Claim.billablePeriod : The billable period for which charges are being submitted.">billablePeriod</span>
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            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="organization.html">Organization</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Claim.use : Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).">use</span>
            <a name="Claim.use"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">complete | proposed | exploratory | other
            <br/>
            <a href="valueset-claim-use-link.html" title="Complete, proposed, exploratory, other">Use</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.priority : Immediate (STAT), best effort (NORMAL), deferred (DEFER).">priority</span>
            <a name="Claim.priority"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Desired processing priority
            <br/>
            <a href="valueset-process-priority.html" title="The timeliness with which processing is required: STAT, normal, Deferred">Priority Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.fundsReserve : In the case of a Pre-Determination/Pre-Authorization the provider
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             'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly
             indicates no funds reserving is requested.">fundsReserve</span>
            <a name="Claim.fundsReserve"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Funds requested to be reserved
            <br/>
            <a href="valueset-fundsreserve.html" title="For whom funds are to be reserved: (Patient, Provider, None).">Funds Reservation Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.enterer[x] : Person who created the invoice/claim/pre-determination or pre-authorization.">enterer[x]</span>
            <a name="Claim.enterer_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Author</td>
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            <span title="A technical identifier - identifies some entity uniquely and unambiguously.">entererIdentifier</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="claim.html">Claim</a>)
          </td>
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            <span title="Claim.related.relationship : For example prior or umbrella.">relationship</span>
            <a name="Claim.related.relationship"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">How the reference claim is related
            <br/>
            <a href="valueset-related-claim-relationship.html" title="Relationship of this claim to a related Claim">Example Related Claim Relationship Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <span title="Claim.related.reference : An alternate organizational reference to the case or file to
             which this particular claim pertains - eg Property/Casualy insurer claim # or Workers
             Compensation case # .">reference</span>
            <a name="Claim.related.reference"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Related file or case reference</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.prescription[x] : Prescription to support the dispensing of Pharmacy or Vision products.">prescription[x]</span>
            <a name="Claim.prescription_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Prescription</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <a href="references.html">Reference</a>(
            <a href="medicationorder.html">MedicationOrder</a> | 
            <a href="visionprescription.html">VisionPrescription</a>)
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            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Original Prescription</td>
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            <a href="references.html">Reference</a>(
            <a href="medicationorder.html">MedicationOrder</a>)
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            <span title="Claim.payee : The party to be reimbursed for the services.">payee</span>
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            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Party to be paid any benefits payable</td>
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            <span title="Claim.payee.type : Type of Party to be reimbursed: Subscriber, provider, other.">type</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Type of party: Subscriber, Provider, other
            <br/>
            <a href="valueset-payeetype.html" title="A code for the party to be reimbursed.">Payee Type Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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            <span title="Claim.payee.party[x] : Party to be reimbursed: Subscriber, provider, other.">party[x]</span>
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          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Party to receive the payable</td>
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            <span title="A technical identifier - identifies some entity uniquely and unambiguously.">partyIdentifier</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="practitioner.html">Practitioner</a> | 
            <a href="organization.html">Organization</a> | 
            <a href="patient.html">Patient</a> | 
            <a href="relatedperson.html">RelatedPerson</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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            <span title="Claim.referral[x] : The referral resource which lists the date, practitioner, reason and
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            <a name="Claim.referral_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Treatment Referral</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="A technical identifier - identifies some entity uniquely and unambiguously.">referralIdentifier</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
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            <a href="datatypes.html#Coding">Coding</a>
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            <br/>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
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            <a href="datatypes.html#Coding">Coding</a>
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            <span title="Claim.valueCode : **Insert definition of Value codes.">valueCode</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Value Codes
            <br/>
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            <span title="Claim.diagnosis : Ordered list of patient diagnosis for which care is sought.">diagnosis</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Diagnosis</td>
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            <span title="Claim.diagnosis.sequence : Sequence of diagnosis which serves to order and provide a link.">sequence</span>
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            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Number to covey order of diagnosis</td>
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            <span title="Claim.diagnosis.diagnosis : The diagnosis.">diagnosis</span>
            <a name="Claim.diagnosis.diagnosis"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Patient's list of diagnosis
            <br/>
            <a href="valueset-icd-10.html" title="ICD10 Diagnostic codes">ICD-10 Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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            <span title="Claim.procedure : Ordered list of patient procedures performed to support the adjudication.">procedure</span>
            <a name="Claim.procedure"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Procedures performed</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.procedure.sequence : Sequence of procedures which serves to order and provide a
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Procedure sequence for reference</td>
        </tr>

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            <span title="Claim.procedure.date : Date and optionally time the procedure was performed .">date</span>
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            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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            <span title="Claim.procedure.procedure[x] : The procedure code.">procedure[x]</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
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            <br/>
            <a href="valueset-icd-10-procedures.html" title="ICD10 Procedure codes">ICD-10 Procedure Codes</a> (
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            <span title="A reference to a code defined by a terminology system.">procedureCoding</span>
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            <a href="datatypes.html#Coding">Coding</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <a href="references.html">Reference</a>(
            <a href="procedure.html">Procedure</a>)
          </td>
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            <span title="Claim.specialCondition : List of special conditions relating to the setting, treatment
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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            <br/>
            <a href="valueset-fm-conditions.html" title="Patient conditions and symptoms">Conditions Codes</a> (
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            <span title="Claim.patient[x] : Patient Resource.">patient[x]</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">The subject of the Products and Services</td>
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            <span title="A technical identifier - identifies some entity uniquely and unambiguously.">patientIdentifier</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="patient.html">Patient</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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            <span title="Claim.coverage : Financial instrument by which payment information for health care.">coverage</span>
            <a name="Claim.coverage"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Insurance or medical plan</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Claim.coverage.sequence : A service line item.">sequence</span>
            <a name="Claim.coverage.sequence"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Service instance identifier</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.coverage.focal : The instance number of the Coverage which is the focus for adjudication.
             The Coverage against which the claim is to be adjudicated.">focal</span>
            <a name="Claim.coverage.focal"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Is the focal Coverage</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.coverage.coverage[x] : Reference to the program or plan identification, underwriter
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            <a name="Claim.coverage.coverage_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Insurance information</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Business agreement</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Pre-Authorization/Determination Reference</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Original version
            <br/>
            <a href="valueset-ruleset.html" title="The static and dynamic model to which contents conform, which may be business version
             or standard/version.">Ruleset Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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            <span title="Claim.accidentDate : Date of an accident which these services are addressing.">accidentDate</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a>
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            <span title="Claim.accidentType : Type of accident: work, auto, etc.">accidentType</span>
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          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">The nature of the accident
            <br/>
            <a href="v3/ActIncidentCode/vs.html" title="Type of accident: work place, auto, etc.">ActIncidentCode</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
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            <span title="Claim.accidentLocation[x] : Accident Place.">accidentLocation[x]</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Accident Place</td>
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            <span title="Claim.interventionException : A list of intervention and exception codes which may influence
             the adjudication of the claim.">interventionException</span>
            <a name="Claim.interventionException"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Intervention and exception code (Pharma)
            <br/>
            <a href="valueset-intervention.html" title="Intervention and exception codes (Pharm)">Intervention Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
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            <span title="Claim.onset : Period, start and last dates of aspects of the Condition or related services.">onset</span>
            <a name="Claim.onset"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Condition related Onset related dates and codes</td>
        </tr>

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            <span title="Claim.onset.time[x] : The start or start and end dates for the treatable condition.">time[x]</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Illness, injury or treatable condition date</td>
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            <span title="A date or partial date (e.g. just year or year + month). There is no time zone. The format
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
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            <a href="backboneelement.html">BackboneElement</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
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            <a href="datatypes.html#Coding">Coding</a>
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            <a href="valueset-fm-itemtype.html" title="Group, Service, Product.">Exception Codes</a> (
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Responsible practitioner</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="practitioner.html">Practitioner</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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            <span title="Claim.item.supervisor[x] : The practitioner who is supervising the work of the servicing
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Supervising Practitioner</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Type, classification or Specialization
            <br/>
            <a href="valueset-provider-qualification.html" title="Provider professional qualifications">Example Provider Qualification Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
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            <a href="datatypes.html#positiveInt">positiveInt</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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            <br/>
            <a href="valueset-service-uscls.html" title="Allowable service and product codes">USCLS Codes</a> (
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
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            <span title="Claim.item.modifier : Item typification or modifiers codes, eg for Oral whether the treatment
             is cosmetic or associated with TMJ, or an appliance was lost or stolen.">modifier</span>
            <a name="Claim.item.modifier"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Service/Product billing modifiers
            <br/>
            <a href="valueset-claim-modifiers.html" title="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
             with TMJ, or an appliance was lost or stolen.">Modifier type Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.item.programCode : For programs which require reson codes for the inclusion, covering,
             of this billed item under the program or sub-program.">programCode</span>
            <a name="Claim.item.programCode"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Program specific reason for item inclusion
            <br/>
            <a href="valueset-ex-program-code.html" title="Program specific reason codes">Example Program Reason Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="Claim.item.serviced[x] : The date or dates when the enclosed suite of services were performed
             or completed.">serviced[x]</span>
            <a name="Claim.item.serviced_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Date or dates of Service</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            <span title="A date or partial date (e.g. just year or year + month). There is no time zone. The format
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          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <span title="A time period defined by a start and end date and optionally time.">servicedPeriod</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <span title="Claim.item.place : Where the service was provided.">place</span>
            <a name="Claim.item.place"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Place of service
            <br/>
            <a href="valueset-service-place.html">Example Service Place Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <span title="Claim.item.quantity : The number of repetitions of a service or product.">quantity</span>
            <a name="Claim.item.quantity"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Count of Products or Services</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Claim.item.unitPrice : If the item is a node then this is the fee for the product or service,
             otherwise this is the total of the fees for the children of the group.">unitPrice</span>
            <a name="Claim.item.unitPrice"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Fee, charge or cost per point</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
            XMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i
            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/> 
            <span title="Claim.item.factor : A real number that represents a multiplier used in determining the
             overall value of services delivered and/or goods received. The concept of a Factor allows
             for a discount or surcharge multiplier to be applied to a monetary amount.">factor</span>
            <a name="Claim.item.factor"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#decimal">decimal</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Price scaling factor</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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          uQmCC)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            <span title="Claim.item.points : An amount that expresses the weighting (based on difficulty, cost
             and/or resource intensiveness) associated with the good or service delivered. The concept
             of Points allows for assignment of point values for services and/or goods, such that a
             monetary amount can be assigned to each point.">points</span>
            <a name="Claim.item.points"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#decimal">decimal</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Difficulty scaling factor</td>
        </tr>

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
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            <span title="Claim.item.udi : List of Unique Device Identifiers associated with this line item.">udi</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="device.html">Device</a>)
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Unique Device Identifier</td>
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            <span title="Claim.item.bodySite : Physical service site on the patient (limb, tooth, etc).">bodySite</span>
            <a name="Claim.item.bodySite"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Service Location
            <br/>
            <a href="valueset-tooth.html" title="The code for the teeth, quadrant, sextant and arch">Oral Site Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <span title="Claim.item.subSite : A region or surface of the site, eg. limb region or tooth surface(s).">subSite</span>
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          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Service Sub-location
            <br/>
            <a href="valueset-surface.html" title="The code for the tooth surface and surface combinations">Surface Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="Claim.item.detail : Second tier of goods and services.">detail</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
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            <a href="backboneelement.html">BackboneElement</a>
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            <span title="Claim.item.detail.sequence : A service line number.">sequence</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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            <br/>
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            <span title="Claim.item.detail.service : If a grouping item then 'GROUP' otherwise it is a node therefore
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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            <span title="Claim.item.detail.programCode : For programs which require reson codes for the inclusion,
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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            <br/>
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            <span title="Claim.item.detail.quantity : The number of repetitions of a service or product.">quantity</span>
            <a name="Claim.item.detail.quantity"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Count of Products or Services</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Claim.item.detail.unitPrice : If the item is a node then this is the fee for the product
             or service, otherwise this is the total of the fees for the children of the group.">unitPrice</span>
            <a name="Claim.item.detail.unitPrice"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Fee, charge or cost per point</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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          CYII=)">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/> 
            <span title="Claim.item.detail.factor : A real number that represents a multiplier used in determining
             the overall value of services delivered and/or goods received. The concept of a Factor
             allows for a discount or surcharge multiplier to be applied to a monetary amount.">factor</span>
            <a name="Claim.item.detail.factor"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#decimal">decimal</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Price scaling factor</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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          CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            <span title="Claim.item.detail.points : An amount that expresses the weighting (based on difficulty,
             cost and/or resource intensiveness) associated with the good or service delivered. The
             concept of Points allows for assignment of point values for services and/or goods, such
             that a monetary amount can be assigned to each point.">points</span>
            <a name="Claim.item.detail.points"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#decimal">decimal</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Difficulty scaling factor</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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          CYII=)">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
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            <a href="references.html">Reference</a>(
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Unique Device Identifier</td>
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            <span title="Claim.item.detail.subDetail : Third tier of goods and services.">subDetail</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Additional items</td>
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            <span title="Claim.item.detail.subDetail.sequence : A service line number.">sequence</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Service instance</td>
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            <span title="Claim.item.detail.subDetail.type : The type of product or service.">type</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Additional item codes
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            <a href="valueset-service-uscls.html" title="Allowable service and product codes">USCLS Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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            <br/>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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            <span title="Claim.item.detail.subDetail.unitPrice : The fee for an addittional service or product
             or charge.">unitPrice</span>
            <a name="Claim.item.detail.subDetail.unitPrice"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Fee, charge or cost per point</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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          FTkSuQmCC)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwA
            v+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwA
            v+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
            XMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i
            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/> 
            <span title="Claim.item.detail.subDetail.factor : A real number that represents a multiplier used in
             determining the overall value of services delivered and/or goods received. The concept
             of a Factor allows for a discount or surcharge multiplier to be applied to a monetary
             amount.">factor</span>
            <a name="Claim.item.detail.subDetail.factor"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#decimal">decimal</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Price scaling factor</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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          FTkSuQmCC)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwA
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
            XMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i
            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/> 
            <span title="Claim.item.detail.subDetail.points : An amount that expresses the weighting (based on
             difficulty, cost and/or resource intensiveness) associated with the good or service delivered.
             The concept of Points allows for assignment of point values for services and/or goods,
             such that a monetary amount can be assigned to each point.">points</span>
            <a name="Claim.item.detail.subDetail.points"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#decimal">decimal</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Difficulty scaling factor</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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          FTkSuQmCC)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            WKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETI
            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Claim.item.detail.subDetail.net : The quantity times the unit price for an addittional
             service or product or charge. For example, the formula: unit Quantity * unit Price (Cost
             per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed
             to be 1 if not supplied.">net</span>
            <a name="Claim.item.detail.subDetail.net"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Net additional item cost</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            <span title="Claim.item.detail.subDetail.udi : List of Unique Device Identifiers associated with this
             line item.">udi</span>
            <a name="Claim.item.detail.subDetail.udi"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="device.html">Device</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Unique Device Identifier</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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            <span title="Claim.item.prosthesis : The materials and placement date of prior fixed prosthesis.">prosthesis</span>
            <a name="Claim.item.prosthesis"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Prosthetic details</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Claim.item.prosthesis.initial : Indicates whether this is the initial placement of a fixed
             prosthesis.">initial</span>
            <a name="Claim.item.prosthesis.initial"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Is this the initial service</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Claim.item.prosthesis.priorDate : Date of the initial placement.">priorDate</span>
            <a name="Claim.item.prosthesis.priorDate"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Initial service Date</td>
        </tr>

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            <span title="Claim.item.prosthesis.priorMaterial : Material of the prior denture or bridge prosthesis.
             (Oral).">priorMaterial</span>
            <a name="Claim.item.prosthesis.priorMaterial"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Prosthetic Material
            <br/>
            <a href="valueset-oral-prosthodontic-material.html" title="Material of the prior denture or bridge prosthesis. (Oral)">Oral Prostho Material type Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <span title="Claim.total : The total value of the claim.">total</span>
            <a name="Claim.total"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Total claim cost</td>
        </tr>

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            <span title="Claim.additionalMaterial : Code to indicate that Xrays, images, emails, documents, models
             or attachments are being sent in support of this submission.">additionalMaterial</span>
            <a name="Claim.additionalMaterial"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Additional supporting materials and documents
            <br/>
            <a href="valueset-additionalmaterials.html" title="Code to indicate that Xrays, images, emails, documents, models or attachments are being
             sent in support of this submission.">Additional Material Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Claim.missingTeeth : A list of teeth which would be expected but are not found due to
             having been previously  extracted or for other reasons.">missingTeeth</span>
            <a name="Claim.missingTeeth"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Only if type = oral</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Claim.missingTeeth.tooth : The code identifying which tooth is missing.">tooth</span>
            <a name="Claim.missingTeeth.tooth"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Tooth Code
            <br/>
            <a href="valueset-teeth.html" title="The codes for the teeth, subset of OralSites">Teeth Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Claim.missingTeeth.reason : Missing reason may be: E-extraction, O-other.">reason</span>
            <a name="Claim.missingTeeth.reason"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Indicates whether it was extracted or other reason
            <br/>
            <a href="valueset-missing-tooth-reason.html" title="Reason codes for the missing teeth">Missing Tooth Reason Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
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            <span title="Claim.missingTeeth.extractionDate : The date of the extraction either known from records
             or patient reported estimate.">extractionDate</span>
            <a name="Claim.missingTeeth.extractionDate"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Date tooth was extracted if known</td>
        </tr>

        <tr>
          <td class="hierarchy" colspan="5">
            <br/>
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format
            </a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/Claim"/>
  <name value="Claim"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Financial Management)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/fm/index.cfm"/>
    </telecom>
  </contact>
  <date value="2016-03-31T08:01:25+11:00"/>
  <description value="Base StructureDefinition for Claim Resource"/>
  <fhirVersion value="1.4.0"/>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <baseType value="DomainResource"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <derivation value="specialization"/>
  <snapshot>
    <element>
      <path value="Claim"/>
      <short value="Claim, Pre-determination or Pre-authorization"/>
      <definition value="A provider issued list of services and products provided, or to be provided, to a patient
       which is provided to an insurer for payment recovery."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="financial.billing"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation. Bundles always have an id, though it is usually a generated
       UUID."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/>
      <comments value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="Claim.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/>
      <comments value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.type"/>
      <short value="institutional | oral | pharmacy | professional | vision"/>
      <definition value="The category of claim."/>
      <comments value="Affects which fields and value sets are used."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The type or discipline-style of the claim"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-type-link"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.subType"/>
      <short value="Finer grained claim type information"/>
      <definition value="A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient
       and/or a specialty service. In the US the BillType."/>
      <comments value="This may contain the local bill type codes such as the US UB-04 bill type code."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A more granulat claim typecode"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-subtype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.identifier"/>
      <short value="Claim number"/>
      <definition value="The business identifier for the instance: claim number, pre-determination or pre-authorization
       number."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.ruleset"/>
      <short value="Current specification followed"/>
      <definition value="The version of the specification on which this instance relies."/>
      <alias value="BusinessVersion"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.originalRuleset"/>
      <short value="Original specification followed"/>
      <definition value="The version of the specification from which the original instance was created."/>
      <alias value="OriginalBusinessVersion"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.created"/>
      <short value="Creation date"/>
      <definition value="The date when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.billablePeriod"/>
      <short value="Period for charge submission"/>
      <definition value="The billable period for which charges are being submitted."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.target[x]"/>
      <short value="Insurer"/>
      <definition value="Insurer Identifier, typical BIN number (6 digit)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.provider[x]"/>
      <short value="Responsible provider"/>
      <definition value="The provider which is responsible for the bill, claim pre-determination, pre-authorization."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.organization[x]"/>
      <short value="Responsible organization"/>
      <definition value="The organization which is responsible for the bill, claim pre-determination, pre-authorization."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.use"/>
      <short value="complete | proposed | exploratory | other"/>
      <definition value="Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Complete, proposed, exploratory, other"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-use-link"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.priority"/>
      <short value="Desired processing priority"/>
      <definition value="Immediate (STAT), best effort (NORMAL), deferred (DEFER)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The timeliness with which processing is required: STAT, normal, Deferred"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/process-priority"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.fundsReserve"/>
      <short value="Funds requested to be reserved"/>
      <definition value="In the case of a Pre-Determination/Pre-Authorization the provider may request that funds
       in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for
       the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds
       reserving is requested."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="For whom funds are to be reserved: (Patient, Provider, None)."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fundsreserve"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.enterer[x]"/>
      <short value="Author"/>
      <definition value="Person who created the invoice/claim/pre-determination or pre-authorization."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.facility[x]"/>
      <short value="Servicing Facility"/>
      <definition value="Facility where the services were provided."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="RelatedClaims"/>
      </extension>
      <path value="Claim.related"/>
      <short value="Related Claims which may be revelant to processing this claimn"/>
      <definition value="Other claims which are related to this claim such as prior claim versions or for related
       services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.related.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.related.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.related.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.related.claim[x]"/>
      <short value="Reference to the related claim"/>
      <definition value="Other claims which are related to this claim such as prior claim versions or for related
       services."/>
      <comments value="Do we need a relationship code?"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Claim"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.related.relationship"/>
      <short value="How the reference claim is related"/>
      <definition value="For example prior or umbrella."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Relationship of this claim to a related Claim"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/related-claim-relationship"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.related.reference"/>
      <short value="Related file or case reference"/>
      <definition value="An alternate organizational reference to the case or file to which this particular claim
       pertains - eg Property/Casualy insurer claim # or Workers Compensation case # ."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.prescription[x]"/>
      <short value="Prescription"/>
      <definition value="Prescription to support the dispensing of Pharmacy or Vision products."/>
      <comments value="Should we create a group to hold multiple prescriptions and add a sequence number and
       on the line items a link to the sequence."/>
      <requirements value="For type=Pharmacy and Vision only."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/MedicationOrder"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.originalPrescription[x]"/>
      <short value="Original Prescription"/>
      <definition value="Original prescription which has been superceded by this prescription to support the dispensing
       of pharmacy services, medications or products."/>
      <comments value="as above."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/MedicationOrder"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Payee"/>
      </extension>
      <path value="Claim.payee"/>
      <short value="Party to be paid any benefits payable"/>
      <definition value="The party to be reimbursed for the services."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.payee.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.payee.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.payee.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.payee.type"/>
      <short value="Type of party: Subscriber, Provider, other"/>
      <definition value="Type of Party to be reimbursed: Subscriber, provider, other."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A code for the party to be reimbursed."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/payeetype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.payee.party[x]"/>
      <short value="Party to receive the payable"/>
      <definition value="Party to be reimbursed: Subscriber, provider, other."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.referral[x]"/>
      <short value="Treatment Referral"/>
      <definition value="The referral resource which lists the date, practitioner, reason and other supporting
       information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.occurrenceCode"/>
      <short value="Occurrence Codes"/>
      <definition value="**Insert definition of Occurrence codes."/>
      <comments value="This may contain the local bill type codes such as the US UB-04 bill type code."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Occurrence codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/occurrence-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.occurenceSpanCode"/>
      <short value="Occurrence Span Codes"/>
      <definition value="**Insert definition of Occurrence Span codes."/>
      <comments value="This may contain the local bill type codes such as the US UB-04 bill type code."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Occurrence Span codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/occurrence-span-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.valueCode"/>
      <short value="Value Codes"/>
      <definition value="**Insert definition of Value codes."/>
      <comments value="This may contain the local bill type codes such as the US UB-04 bill type code."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Value code"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/value-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Diagnosis"/>
      </extension>
      <path value="Claim.diagnosis"/>
      <short value="Diagnosis"/>
      <definition value="Ordered list of patient diagnosis for which care is sought."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.diagnosis.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.diagnosis.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.diagnosis.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.diagnosis.sequence"/>
      <short value="Number to covey order of diagnosis"/>
      <definition value="Sequence of diagnosis which serves to order and provide a link."/>
      <requirements value="Required to maintain order of the diagnoses."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.diagnosis.diagnosis"/>
      <short value="Patient's list of diagnosis"/>
      <definition value="The diagnosis."/>
      <requirements value="Required to adjudicate services rendered to condition presented."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="ICD10 Diagnostic codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/icd-10"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Procedure"/>
      </extension>
      <path value="Claim.procedure"/>
      <short value="Procedures performed"/>
      <definition value="Ordered list of patient procedures performed to support the adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.procedure.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.procedure.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.procedure.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.procedure.sequence"/>
      <short value="Procedure sequence for reference"/>
      <definition value="Sequence of procedures which serves to order and provide a link."/>
      <requirements value="Required to maintain order of the procudures."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.procedure.date"/>
      <short value="When the procedure was performed"/>
      <definition value="Date and optionally time the procedure was performed ."/>
      <comments value="SB DateTime??"/>
      <requirements value="Required to adjudicate services rendered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.procedure.procedure[x]"/>
      <short value="Patient's list of procedures performed"/>
      <definition value="The procedure code."/>
      <requirements value="Required to adjudicate services rendered."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="ICD10 Procedure codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/icd-10-procedures"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.specialCondition"/>
      <short value="List of special Conditions"/>
      <definition value="List of special conditions relating to the setting, treatment or patient  for which care
       is sought which may influence the adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Patient conditions and symptoms"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-conditions"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.patient[x]"/>
      <short value="The subject of the Products and Services"/>
      <definition value="Patient Resource."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Coverage"/>
      </extension>
      <path value="Claim.coverage"/>
      <short value="Insurance or medical plan"/>
      <definition value="Financial instrument by which payment information for health care."/>
      <requirements value="Health care programs and insurers are significant payors of health service costs."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="Coverage"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.coverage.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.coverage.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.coverage.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.coverage.sequence"/>
      <short value="Service instance identifier"/>
      <definition value="A service line item."/>
      <requirements value="To maintain order of the coverages."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.focal"/>
      <short value="Is the focal Coverage"/>
      <definition value="The instance number of the Coverage which is the focus for adjudication. The Coverage
       against which the claim is to be adjudicated."/>
      <requirements value="To identify which coverage is being adjudicated."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.coverage[x]"/>
      <short value="Insurance information"/>
      <definition value="Reference to the program or plan identification, underwriter or payor."/>
      <requirements value="Need to identify the issuer to target for processing and for coordination of benefit processing."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.businessArrangement"/>
      <short value="Business agreement"/>
      <definition value="The contract number of a business agreement which describes the terms and conditions."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.preAuthRef"/>
      <short value="Pre-Authorization/Determination Reference"/>
      <definition value="A list of references from the Insurer to which these services pertain."/>
      <requirements value="To provide any pre=determination or prior authorization reference."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.claimResponse"/>
      <short value="Adjudication results"/>
      <definition value="The Coverages adjudication details."/>
      <requirements value="Used by downstream payers to determine what balance remains and the net payable."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.originalRuleset"/>
      <short value="Original version"/>
      <definition value="The style (standard) and version of the original material which was converted into this
       resource."/>
      <requirements value="Knowledge of the original version can inform the processing of this instance so that information
       which is processable by the originating system may be generated."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.accidentDate"/>
      <short value="When the accident occurred"/>
      <definition value="Date of an accident which these services are addressing."/>
      <requirements value="Coverage may be dependant on accidents."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.accidentType"/>
      <short value="The nature of the accident"/>
      <definition value="Type of accident: work, auto, etc."/>
      <requirements value="Coverage may be dependant on the type of accident."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Type of accident: work place, auto, etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActIncidentCode"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.accidentLocation[x]"/>
      <short value="Accident Place"/>
      <definition value="Accident Place."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Address"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.interventionException"/>
      <short value="Intervention and exception code (Pharma)"/>
      <definition value="A list of intervention and exception codes which may influence the adjudication of the
       claim."/>
      <requirements value="Coverage may be modified based on exception information provided."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Intervention and exception codes (Pharm)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/intervention"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Onset"/>
      </extension>
      <path value="Claim.onset"/>
      <short value="Condition related Onset related dates and codes"/>
      <definition value="Period, start and last dates of aspects of the Condition or related services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.onset.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.onset.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.onset.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.onset.time[x]"/>
      <short value="Illness, injury or treatable condition date"/>
      <definition value="The start or start and end dates for the treatable condition."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.onset.type"/>
      <short value="Onset of what"/>
      <definition value="Onset typifications eg. Start of pregnancy, start of illnes, etc."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Condition related start, end  and period codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-onsettype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.employmentImpacted"/>
      <short value="Period unable to work"/>
      <definition value="The start and optional end dates of when the patient was precluded from working due to
       the treatable condition(s)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.hospitalization"/>
      <short value="Period in hospital"/>
      <definition value="The start and optional end dates of when the patient was confined to a treatment center."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Items"/>
      </extension>
      <path value="Claim.item"/>
      <short value="Goods and Services"/>
      <definition value="First tier of goods and services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.sequence"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.type"/>
      <short value="Group or type of product or service"/>
      <definition value="The type of product or service."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Group, Service, Product."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-itemtype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.provider[x]"/>
      <short value="Responsible practitioner"/>
      <definition value="The practitioner who is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.supervisor[x]"/>
      <short value="Supervising Practitioner"/>
      <definition value="The practitioner who is supervising the work of the servicing provider(s)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.providerQualification"/>
      <short value="Type, classification or Specialization"/>
      <definition value="The qualification which is applicable for this service."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Provider professional qualifications"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/provider-qualification"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.diagnosisLinkId"/>
      <short value="Applicable diagnoses"/>
      <definition value="Diagnosis applicable for this service or product line."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.service"/>
      <short value="Item Code"/>
      <definition value="If a grouping item then 'GROUP' otherwise it is a node therefore a code to indicate the
       Professional Service or Product supplied."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Allowable service and product codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.serviceModifier"/>
      <short value="Service/Product modifiers"/>
      <definition value="Unusual circumstances which may influence adjudication."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Factors which may influce adjudication of services"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-modifiers"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.modifier"/>
      <short value="Service/Product billing modifiers"/>
      <definition value="Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or
       associated with TMJ, or an appliance was lost or stolen."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
         with TMJ, or an appliance was lost or stolen."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.programCode"/>
      <short value="Program specific reason for item inclusion"/>
      <definition value="For programs which require reson codes for the inclusion, covering, of this billed item
       under the program or sub-program."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Program specific reason codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-program-code"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.serviced[x]"/>
      <short value="Date or dates of Service"/>
      <definition value="The date or dates when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.place"/>
      <short value="Place of service"/>
      <definition value="Where the service was provided."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-place"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.quantity"/>
      <short value="Count of Products or Services"/>
      <definition value="The number of repetitions of a service or product."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.unitPrice"/>
      <short value="Fee, charge or cost per point"/>
      <definition value="If the item is a node then this is the fee for the product or service, otherwise this
       is the total of the fees for the children of the group."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.factor"/>
      <short value="Price scaling factor"/>
      <definition value="A real number that represents a multiplier used in determining the overall value of services
       delivered and/or goods received. The concept of a Factor allows for a discount or surcharge
       multiplier to be applied to a monetary amount."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.points"/>
      <short value="Difficulty scaling factor"/>
      <definition value="An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness)
       associated with the good or service delivered. The concept of Points allows for assignment
       of point values for services and/or goods, such that a monetary amount can be assigned
       to each point."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.net"/>
      <short value="Total item cost"/>
      <definition value="The quantity times the unit price for an addittional service or product or charge. For
       example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points
       = net Amount. Quantity, factor and points are assumed to be 1 if not supplied."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.udi"/>
      <short value="Unique Device Identifier"/>
      <definition value="List of Unique Device Identifiers associated with this line item."/>
      <requirements value="The UDI code and issuer if applicable for the supplied product."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.bodySite"/>
      <short value="Service Location"/>
      <definition value="Physical service site on the patient (limb, tooth, etc)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The code for the teeth, quadrant, sextant and arch"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/tooth"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.subSite"/>
      <short value="Service Sub-location"/>
      <definition value="A region or surface of the site, eg. limb region or tooth surface(s)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The code for the tooth surface and surface combinations"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/surface"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Detail"/>
      </extension>
      <path value="Claim.item.detail"/>
      <short value="Additional items"/>
      <definition value="Second tier of goods and services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.detail.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.detail.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.detail.sequence"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.type"/>
      <short value="Group or type of product or service"/>
      <definition value="The type of product or service."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Group, Service, Product."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-itemtype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.service"/>
      <short value="Additional item codes"/>
      <definition value="If a grouping item then 'GROUP' otherwise it is a node therefore a code to indicate the
       Professional Service or Product supplied."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Allowable service and product codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.programCode"/>
      <short value="Program specific reason for item inclusion"/>
      <definition value="For programs which require reson codes for the inclusion, covering, of this billed item
       under the program or sub-program."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Program specific reason codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-program-code"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.quantity"/>
      <short value="Count of Products or Services"/>
      <definition value="The number of repetitions of a service or product."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.unitPrice"/>
      <short value="Fee, charge or cost per point"/>
      <definition value="If the item is a node then this is the fee for the product or service, otherwise this
       is the total of the fees for the children of the group."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.factor"/>
      <short value="Price scaling factor"/>
      <definition value="A real number that represents a multiplier used in determining the overall value of services
       delivered and/or goods received. The concept of a Factor allows for a discount or surcharge
       multiplier to be applied to a monetary amount."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.points"/>
      <short value="Difficulty scaling factor"/>
      <definition value="An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness)
       associated with the good or service delivered. The concept of Points allows for assignment
       of point values for services and/or goods, such that a monetary amount can be assigned
       to each point."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.net"/>
      <short value="Total additional item cost"/>
      <definition value="The quantity times the unit price for an addittional service or product or charge. For
       example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points
       = net Amount. Quantity, factor and points are assumed to be 1 if not supplied."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.udi"/>
      <short value="Unique Device Identifier"/>
      <definition value="List of Unique Device Identifiers associated with this line item."/>
      <requirements value="The UDI code and issuer if applicable for the supplied product."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="SubDetail"/>
      </extension>
      <path value="Claim.item.detail.subDetail"/>
      <short value="Additional items"/>
      <definition value="Third tier of goods and services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.sequence"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.type"/>
      <short value="Type of product or service"/>
      <definition value="The type of product or service."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Group, Service, Product."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-itemtype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.service"/>
      <short value="Additional item codes"/>
      <definition value="The fee for an addittional service or product or charge."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Allowable service and product codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.programCode"/>
      <short value="Program specific reason for item inclusion"/>
      <definition value="For programs which require reson codes for the inclusion, covering, of this billed item
       under the program or sub-program."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Program specific reason codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-program-code"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.quantity"/>
      <short value="Count of Products or Services"/>
      <definition value="The number of repetitions of a service or product."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.unitPrice"/>
      <short value="Fee, charge or cost per point"/>
      <definition value="The fee for an addittional service or product or charge."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.factor"/>
      <short value="Price scaling factor"/>
      <definition value="A real number that represents a multiplier used in determining the overall value of services
       delivered and/or goods received. The concept of a Factor allows for a discount or surcharge
       multiplier to be applied to a monetary amount."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.points"/>
      <short value="Difficulty scaling factor"/>
      <definition value="An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness)
       associated with the good or service delivered. The concept of Points allows for assignment
       of point values for services and/or goods, such that a monetary amount can be assigned
       to each point."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.net"/>
      <short value="Net additional item cost"/>
      <definition value="The quantity times the unit price for an addittional service or product or charge. For
       example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points
       = net Amount. Quantity, factor and points are assumed to be 1 if not supplied."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.udi"/>
      <short value="Unique Device Identifier"/>
      <definition value="List of Unique Device Identifiers associated with this line item."/>
      <requirements value="The UDI code and issuer if applicable for the supplied product."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Prosthesis"/>
      </extension>
      <path value="Claim.item.prosthesis"/>
      <short value="Prosthetic details"/>
      <definition value="The materials and placement date of prior fixed prosthesis."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.prosthesis.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.prosthesis.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.prosthesis.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.item.prosthesis.initial"/>
      <short value="Is this the initial service"/>
      <definition value="Indicates whether this is the initial placement of a fixed prosthesis."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.prosthesis.priorDate"/>
      <short value="Initial service Date"/>
      <definition value="Date of the initial placement."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.prosthesis.priorMaterial"/>
      <short value="Prosthetic Material"/>
      <definition value="Material of the prior denture or bridge prosthesis. (Oral)."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Material of the prior denture or bridge prosthesis. (Oral)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/oral-prosthodontic-material"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.total"/>
      <short value="Total claim cost"/>
      <definition value="The total value of the claim."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.additionalMaterial"/>
      <short value="Additional supporting materials and documents"/>
      <definition value="Code to indicate that Xrays, images, emails, documents, models or attachments are being
       sent in support of this submission."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Code to indicate that Xrays, images, emails, documents, models or attachments are being
         sent in support of this submission."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/additionalmaterials"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="MissingTeeth"/>
      </extension>
      <path value="Claim.missingTeeth"/>
      <short value="Only if type = oral"/>
      <definition value="A list of teeth which would be expected but are not found due to having been previously
        extracted or for other reasons."/>
      <requirements value="The list of missing teeth may influence the adjudication of services for example with
       Bridges."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.missingTeeth.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.missingTeeth.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.missingTeeth.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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 is allowed to 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."/>
      <comments value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.missingTeeth.tooth"/>
      <short value="Tooth Code"/>
      <definition value="The code identifying which tooth is missing."/>
      <requirements value="Provides the tooth number of the missing tooth."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The codes for the teeth, subset of OralSites"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/teeth"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.missingTeeth.reason"/>
      <short value="Indicates whether it was extracted or other reason"/>
      <definition value="Missing reason may be: E-extraction, O-other."/>
      <requirements value="Provides the reason for the missing tooth."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Reason codes for the missing teeth"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/missing-tooth-reason"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.missingTeeth.extractionDate"/>
      <short value="Date tooth was extracted if known"/>
      <definition value="The date of the extraction either known from records or patient reported estimate."/>
      <requirements value="Some services and adjudications require this information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Claim"/>
      <short value="Claim, Pre-determination or Pre-authorization"/>
      <definition value="A provider issued list of services and products provided, or to be provided, to a patient
       which is provided to an insurer for payment recovery."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="financial.billing"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.type"/>
      <short value="institutional | oral | pharmacy | professional | vision"/>
      <definition value="The category of claim."/>
      <comments value="Affects which fields and value sets are used."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The type or discipline-style of the claim"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-type-link"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.subType"/>
      <short value="Finer grained claim type information"/>
      <definition value="A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient
       and/or a specialty service. In the US the BillType."/>
      <comments value="This may contain the local bill type codes such as the US UB-04 bill type code."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A more granulat claim typecode"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-subtype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.identifier"/>
      <short value="Claim number"/>
      <definition value="The business identifier for the instance: claim number, pre-determination or pre-authorization
       number."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.ruleset"/>
      <short value="Current specification followed"/>
      <definition value="The version of the specification on which this instance relies."/>
      <alias value="BusinessVersion"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.originalRuleset"/>
      <short value="Original specification followed"/>
      <definition value="The version of the specification from which the original instance was created."/>
      <alias value="OriginalBusinessVersion"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.created"/>
      <short value="Creation date"/>
      <definition value="The date when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.billablePeriod"/>
      <short value="Period for charge submission"/>
      <definition value="The billable period for which charges are being submitted."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.target[x]"/>
      <short value="Insurer"/>
      <definition value="Insurer Identifier, typical BIN number (6 digit)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.provider[x]"/>
      <short value="Responsible provider"/>
      <definition value="The provider which is responsible for the bill, claim pre-determination, pre-authorization."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.organization[x]"/>
      <short value="Responsible organization"/>
      <definition value="The organization which is responsible for the bill, claim pre-determination, pre-authorization."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.use"/>
      <short value="complete | proposed | exploratory | other"/>
      <definition value="Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Complete, proposed, exploratory, other"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-use-link"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.priority"/>
      <short value="Desired processing priority"/>
      <definition value="Immediate (STAT), best effort (NORMAL), deferred (DEFER)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The timeliness with which processing is required: STAT, normal, Deferred"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/process-priority"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.fundsReserve"/>
      <short value="Funds requested to be reserved"/>
      <definition value="In the case of a Pre-Determination/Pre-Authorization the provider may request that funds
       in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for
       the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds
       reserving is requested."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="For whom funds are to be reserved: (Patient, Provider, None)."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fundsreserve"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.enterer[x]"/>
      <short value="Author"/>
      <definition value="Person who created the invoice/claim/pre-determination or pre-authorization."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.facility[x]"/>
      <short value="Servicing Facility"/>
      <definition value="Facility where the services were provided."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="RelatedClaims"/>
      </extension>
      <path value="Claim.related"/>
      <short value="Related Claims which may be revelant to processing this claimn"/>
      <definition value="Other claims which are related to this claim such as prior claim versions or for related
       services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.related.claim[x]"/>
      <short value="Reference to the related claim"/>
      <definition value="Other claims which are related to this claim such as prior claim versions or for related
       services."/>
      <comments value="Do we need a relationship code?"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Claim"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.related.relationship"/>
      <short value="How the reference claim is related"/>
      <definition value="For example prior or umbrella."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Relationship of this claim to a related Claim"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/related-claim-relationship"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.related.reference"/>
      <short value="Related file or case reference"/>
      <definition value="An alternate organizational reference to the case or file to which this particular claim
       pertains - eg Property/Casualy insurer claim # or Workers Compensation case # ."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.prescription[x]"/>
      <short value="Prescription"/>
      <definition value="Prescription to support the dispensing of Pharmacy or Vision products."/>
      <comments value="Should we create a group to hold multiple prescriptions and add a sequence number and
       on the line items a link to the sequence."/>
      <requirements value="For type=Pharmacy and Vision only."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/MedicationOrder"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.originalPrescription[x]"/>
      <short value="Original Prescription"/>
      <definition value="Original prescription which has been superceded by this prescription to support the dispensing
       of pharmacy services, medications or products."/>
      <comments value="as above."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/MedicationOrder"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Payee"/>
      </extension>
      <path value="Claim.payee"/>
      <short value="Party to be paid any benefits payable"/>
      <definition value="The party to be reimbursed for the services."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.payee.type"/>
      <short value="Type of party: Subscriber, Provider, other"/>
      <definition value="Type of Party to be reimbursed: Subscriber, provider, other."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="A code for the party to be reimbursed."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/payeetype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.payee.party[x]"/>
      <short value="Party to receive the payable"/>
      <definition value="Party to be reimbursed: Subscriber, provider, other."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.referral[x]"/>
      <short value="Treatment Referral"/>
      <definition value="The referral resource which lists the date, practitioner, reason and other supporting
       information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.occurrenceCode"/>
      <short value="Occurrence Codes"/>
      <definition value="**Insert definition of Occurrence codes."/>
      <comments value="This may contain the local bill type codes such as the US UB-04 bill type code."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Occurrence codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/occurrence-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.occurenceSpanCode"/>
      <short value="Occurrence Span Codes"/>
      <definition value="**Insert definition of Occurrence Span codes."/>
      <comments value="This may contain the local bill type codes such as the US UB-04 bill type code."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Occurrence Span codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/occurrence-span-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.valueCode"/>
      <short value="Value Codes"/>
      <definition value="**Insert definition of Value codes."/>
      <comments value="This may contain the local bill type codes such as the US UB-04 bill type code."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Value code"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/value-codes"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Diagnosis"/>
      </extension>
      <path value="Claim.diagnosis"/>
      <short value="Diagnosis"/>
      <definition value="Ordered list of patient diagnosis for which care is sought."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.diagnosis.sequence"/>
      <short value="Number to covey order of diagnosis"/>
      <definition value="Sequence of diagnosis which serves to order and provide a link."/>
      <requirements value="Required to maintain order of the diagnoses."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.diagnosis.diagnosis"/>
      <short value="Patient's list of diagnosis"/>
      <definition value="The diagnosis."/>
      <requirements value="Required to adjudicate services rendered to condition presented."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="ICD10 Diagnostic codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/icd-10"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Procedure"/>
      </extension>
      <path value="Claim.procedure"/>
      <short value="Procedures performed"/>
      <definition value="Ordered list of patient procedures performed to support the adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.procedure.sequence"/>
      <short value="Procedure sequence for reference"/>
      <definition value="Sequence of procedures which serves to order and provide a link."/>
      <requirements value="Required to maintain order of the procudures."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.procedure.date"/>
      <short value="When the procedure was performed"/>
      <definition value="Date and optionally time the procedure was performed ."/>
      <comments value="SB DateTime??"/>
      <requirements value="Required to adjudicate services rendered."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.procedure.procedure[x]"/>
      <short value="Patient's list of procedures performed"/>
      <definition value="The procedure code."/>
      <requirements value="Required to adjudicate services rendered."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="ICD10 Procedure codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/icd-10-procedures"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.specialCondition"/>
      <short value="List of special Conditions"/>
      <definition value="List of special conditions relating to the setting, treatment or patient  for which care
       is sought which may influence the adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Patient conditions and symptoms"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-conditions"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.patient[x]"/>
      <short value="The subject of the Products and Services"/>
      <definition value="Patient Resource."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Coverage"/>
      </extension>
      <path value="Claim.coverage"/>
      <short value="Insurance or medical plan"/>
      <definition value="Financial instrument by which payment information for health care."/>
      <requirements value="Health care programs and insurers are significant payors of health service costs."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="Coverage"/>
      </mapping>
    </element>
    <element>
      <path value="Claim.coverage.sequence"/>
      <short value="Service instance identifier"/>
      <definition value="A service line item."/>
      <requirements value="To maintain order of the coverages."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.focal"/>
      <short value="Is the focal Coverage"/>
      <definition value="The instance number of the Coverage which is the focus for adjudication. The Coverage
       against which the claim is to be adjudicated."/>
      <requirements value="To identify which coverage is being adjudicated."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.coverage[x]"/>
      <short value="Insurance information"/>
      <definition value="Reference to the program or plan identification, underwriter or payor."/>
      <requirements value="Need to identify the issuer to target for processing and for coordination of benefit processing."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.businessArrangement"/>
      <short value="Business agreement"/>
      <definition value="The contract number of a business agreement which describes the terms and conditions."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.preAuthRef"/>
      <short value="Pre-Authorization/Determination Reference"/>
      <definition value="A list of references from the Insurer to which these services pertain."/>
      <requirements value="To provide any pre=determination or prior authorization reference."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.claimResponse"/>
      <short value="Adjudication results"/>
      <definition value="The Coverages adjudication details."/>
      <requirements value="Used by downstream payers to determine what balance remains and the net payable."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.coverage.originalRuleset"/>
      <short value="Original version"/>
      <definition value="The style (standard) and version of the original material which was converted into this
       resource."/>
      <requirements value="Knowledge of the original version can inform the processing of this instance so that information
       which is processable by the originating system may be generated."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.accidentDate"/>
      <short value="When the accident occurred"/>
      <definition value="Date of an accident which these services are addressing."/>
      <requirements value="Coverage may be dependant on accidents."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.accidentType"/>
      <short value="The nature of the accident"/>
      <definition value="Type of accident: work, auto, etc."/>
      <requirements value="Coverage may be dependant on the type of accident."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Type of accident: work place, auto, etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActIncidentCode"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.accidentLocation[x]"/>
      <short value="Accident Place"/>
      <definition value="Accident Place."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Address"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.interventionException"/>
      <short value="Intervention and exception code (Pharma)"/>
      <definition value="A list of intervention and exception codes which may influence the adjudication of the
       claim."/>
      <requirements value="Coverage may be modified based on exception information provided."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Intervention and exception codes (Pharm)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/intervention"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Onset"/>
      </extension>
      <path value="Claim.onset"/>
      <short value="Condition related Onset related dates and codes"/>
      <definition value="Period, start and last dates of aspects of the Condition or related services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.onset.time[x]"/>
      <short value="Illness, injury or treatable condition date"/>
      <definition value="The start or start and end dates for the treatable condition."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.onset.type"/>
      <short value="Onset of what"/>
      <definition value="Onset typifications eg. Start of pregnancy, start of illnes, etc."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Condition related start, end  and period codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-onsettype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.employmentImpacted"/>
      <short value="Period unable to work"/>
      <definition value="The start and optional end dates of when the patient was precluded from working due to
       the treatable condition(s)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.hospitalization"/>
      <short value="Period in hospital"/>
      <definition value="The start and optional end dates of when the patient was confined to a treatment center."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Items"/>
      </extension>
      <path value="Claim.item"/>
      <short value="Goods and Services"/>
      <definition value="First tier of goods and services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.sequence"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.type"/>
      <short value="Group or type of product or service"/>
      <definition value="The type of product or service."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Group, Service, Product."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-itemtype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.provider[x]"/>
      <short value="Responsible practitioner"/>
      <definition value="The practitioner who is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.supervisor[x]"/>
      <short value="Supervising Practitioner"/>
      <definition value="The practitioner who is supervising the work of the servicing provider(s)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.providerQualification"/>
      <short value="Type, classification or Specialization"/>
      <definition value="The qualification which is applicable for this service."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Provider professional qualifications"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/provider-qualification"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.diagnosisLinkId"/>
      <short value="Applicable diagnoses"/>
      <definition value="Diagnosis applicable for this service or product line."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.service"/>
      <short value="Item Code"/>
      <definition value="If a grouping item then 'GROUP' otherwise it is a node therefore a code to indicate the
       Professional Service or Product supplied."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Allowable service and product codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.serviceModifier"/>
      <short value="Service/Product modifiers"/>
      <definition value="Unusual circumstances which may influence adjudication."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Factors which may influce adjudication of services"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-modifiers"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.modifier"/>
      <short value="Service/Product billing modifiers"/>
      <definition value="Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or
       associated with TMJ, or an appliance was lost or stolen."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
         with TMJ, or an appliance was lost or stolen."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.programCode"/>
      <short value="Program specific reason for item inclusion"/>
      <definition value="For programs which require reson codes for the inclusion, covering, of this billed item
       under the program or sub-program."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Program specific reason codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-program-code"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.serviced[x]"/>
      <short value="Date or dates of Service"/>
      <definition value="The date or dates when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.place"/>
      <short value="Place of service"/>
      <definition value="Where the service was provided."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-place"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.quantity"/>
      <short value="Count of Products or Services"/>
      <definition value="The number of repetitions of a service or product."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.unitPrice"/>
      <short value="Fee, charge or cost per point"/>
      <definition value="If the item is a node then this is the fee for the product or service, otherwise this
       is the total of the fees for the children of the group."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.factor"/>
      <short value="Price scaling factor"/>
      <definition value="A real number that represents a multiplier used in determining the overall value of services
       delivered and/or goods received. The concept of a Factor allows for a discount or surcharge
       multiplier to be applied to a monetary amount."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.points"/>
      <short value="Difficulty scaling factor"/>
      <definition value="An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness)
       associated with the good or service delivered. The concept of Points allows for assignment
       of point values for services and/or goods, such that a monetary amount can be assigned
       to each point."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.net"/>
      <short value="Total item cost"/>
      <definition value="The quantity times the unit price for an addittional service or product or charge. For
       example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points
       = net Amount. Quantity, factor and points are assumed to be 1 if not supplied."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.udi"/>
      <short value="Unique Device Identifier"/>
      <definition value="List of Unique Device Identifiers associated with this line item."/>
      <requirements value="The UDI code and issuer if applicable for the supplied product."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.bodySite"/>
      <short value="Service Location"/>
      <definition value="Physical service site on the patient (limb, tooth, etc)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The code for the teeth, quadrant, sextant and arch"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/tooth"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.subSite"/>
      <short value="Service Sub-location"/>
      <definition value="A region or surface of the site, eg. limb region or tooth surface(s)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The code for the tooth surface and surface combinations"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/surface"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Detail"/>
      </extension>
      <path value="Claim.item.detail"/>
      <short value="Additional items"/>
      <definition value="Second tier of goods and services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.sequence"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.type"/>
      <short value="Group or type of product or service"/>
      <definition value="The type of product or service."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Group, Service, Product."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-itemtype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.service"/>
      <short value="Additional item codes"/>
      <definition value="If a grouping item then 'GROUP' otherwise it is a node therefore a code to indicate the
       Professional Service or Product supplied."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Allowable service and product codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.programCode"/>
      <short value="Program specific reason for item inclusion"/>
      <definition value="For programs which require reson codes for the inclusion, covering, of this billed item
       under the program or sub-program."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Program specific reason codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-program-code"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.quantity"/>
      <short value="Count of Products or Services"/>
      <definition value="The number of repetitions of a service or product."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.unitPrice"/>
      <short value="Fee, charge or cost per point"/>
      <definition value="If the item is a node then this is the fee for the product or service, otherwise this
       is the total of the fees for the children of the group."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.factor"/>
      <short value="Price scaling factor"/>
      <definition value="A real number that represents a multiplier used in determining the overall value of services
       delivered and/or goods received. The concept of a Factor allows for a discount or surcharge
       multiplier to be applied to a monetary amount."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.points"/>
      <short value="Difficulty scaling factor"/>
      <definition value="An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness)
       associated with the good or service delivered. The concept of Points allows for assignment
       of point values for services and/or goods, such that a monetary amount can be assigned
       to each point."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.net"/>
      <short value="Total additional item cost"/>
      <definition value="The quantity times the unit price for an addittional service or product or charge. For
       example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points
       = net Amount. Quantity, factor and points are assumed to be 1 if not supplied."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.udi"/>
      <short value="Unique Device Identifier"/>
      <definition value="List of Unique Device Identifiers associated with this line item."/>
      <requirements value="The UDI code and issuer if applicable for the supplied product."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="SubDetail"/>
      </extension>
      <path value="Claim.item.detail.subDetail"/>
      <short value="Additional items"/>
      <definition value="Third tier of goods and services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.sequence"/>
      <short value="Service instance"/>
      <definition value="A service line number."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.type"/>
      <short value="Type of product or service"/>
      <definition value="The type of product or service."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Group, Service, Product."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-itemtype"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.service"/>
      <short value="Additional item codes"/>
      <definition value="The fee for an addittional service or product or charge."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Allowable service and product codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/service-uscls"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.programCode"/>
      <short value="Program specific reason for item inclusion"/>
      <definition value="For programs which require reson codes for the inclusion, covering, of this billed item
       under the program or sub-program."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Program specific reason codes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ex-program-code"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.quantity"/>
      <short value="Count of Products or Services"/>
      <definition value="The number of repetitions of a service or product."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.unitPrice"/>
      <short value="Fee, charge or cost per point"/>
      <definition value="The fee for an addittional service or product or charge."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.factor"/>
      <short value="Price scaling factor"/>
      <definition value="A real number that represents a multiplier used in determining the overall value of services
       delivered and/or goods received. The concept of a Factor allows for a discount or surcharge
       multiplier to be applied to a monetary amount."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.points"/>
      <short value="Difficulty scaling factor"/>
      <definition value="An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness)
       associated with the good or service delivered. The concept of Points allows for assignment
       of point values for services and/or goods, such that a monetary amount can be assigned
       to each point."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.net"/>
      <short value="Net additional item cost"/>
      <definition value="The quantity times the unit price for an addittional service or product or charge. For
       example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points
       = net Amount. Quantity, factor and points are assumed to be 1 if not supplied."/>
      <requirements value="If a fee is present the associated product/service code must be present."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.detail.subDetail.udi"/>
      <short value="Unique Device Identifier"/>
      <definition value="List of Unique Device Identifiers associated with this line item."/>
      <requirements value="The UDI code and issuer if applicable for the supplied product."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Prosthesis"/>
      </extension>
      <path value="Claim.item.prosthesis"/>
      <short value="Prosthetic details"/>
      <definition value="The materials and placement date of prior fixed prosthesis."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.prosthesis.initial"/>
      <short value="Is this the initial service"/>
      <definition value="Indicates whether this is the initial placement of a fixed prosthesis."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.prosthesis.priorDate"/>
      <short value="Initial service Date"/>
      <definition value="Date of the initial placement."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.item.prosthesis.priorMaterial"/>
      <short value="Prosthetic Material"/>
      <definition value="Material of the prior denture or bridge prosthesis. (Oral)."/>
      <requirements value="May impact on adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Material of the prior denture or bridge prosthesis. (Oral)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/oral-prosthodontic-material"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.total"/>
      <short value="Total claim cost"/>
      <definition value="The total value of the claim."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Money"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.additionalMaterial"/>
      <short value="Additional supporting materials and documents"/>
      <definition value="Code to indicate that Xrays, images, emails, documents, models or attachments are being
       sent in support of this submission."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Code to indicate that Xrays, images, emails, documents, models or attachments are being
         sent in support of this submission."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/additionalmaterials"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="MissingTeeth"/>
      </extension>
      <path value="Claim.missingTeeth"/>
      <short value="Only if type = oral"/>
      <definition value="A list of teeth which would be expected but are not found due to having been previously
        extracted or for other reasons."/>
      <requirements value="The list of missing teeth may influence the adjudication of services for example with
       Bridges."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Claim.missingTeeth.tooth"/>
      <short value="Tooth Code"/>
      <definition value="The code identifying which tooth is missing."/>
      <requirements value="Provides the tooth number of the missing tooth."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The codes for the teeth, subset of OralSites"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/teeth"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.missingTeeth.reason"/>
      <short value="Indicates whether it was extracted or other reason"/>
      <definition value="Missing reason may be: E-extraction, O-other."/>
      <requirements value="Provides the reason for the missing tooth."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Reason codes for the missing teeth"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/missing-tooth-reason"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.missingTeeth.extractionDate"/>
      <short value="Date tooth was extracted if known"/>
      <definition value="The date of the extraction either known from records or patient reported estimate."/>
      <requirements value="Some services and adjudications require this information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
    </element>
  </differential>
</StructureDefinition>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.