This page is part of the Quality Improvement Core Framework (v2.0.0: STU 2) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:StructureDefinition; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "qicore-claim"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; 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 style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/STU3/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim\" title=\"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</a><a name=\"Claim\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.patient\" title=\"Patient Resource.\">patient</a><a name=\"Claim.patient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-patient.html\">QICore-Patient</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.created\" title=\"The date when the enclosed suite of services were performed or completed.\">created</a><a name=\"Claim.created\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.provider\" title=\"The provider which is responsible for the bill, claim pre-determination, pre-authorization.\">provider</a><a name=\"Claim.provider\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-practitioner.html\">QICore-Practitioner</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.prescription\" title=\"Prescription to support the dispensing of Pharmacy or Vision products.\">prescription</a><a name=\"Claim.prescription\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-medicationrequest.html\">QICore-MedicationRequest</a>), <a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/STU3/visionprescription.html\">VisionPrescription</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.payee\" title=\"The party to be reimbursed for the services.\">payee</a><a name=\"Claim.payee\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.payee.party\" title=\"Party to be reimbursed: Subscriber, provider, other.\">party</a><a name=\"Claim.payee.party\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-practitioner.html\">QICore-Practitioner</a>), <a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-organization.html\">QICore-Organization</a>), <a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-patient.html\">QICore-Patient</a>), <a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-relatedperson.html\">QICore-RelatedPerson</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.referral\" title=\"The referral resource which lists the date, practitioner, reason and other supporting information.\">referral</a><a name=\"Claim.referral\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-referralrequest.html\">QICore-ReferralRequest</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.careTeam\" title=\"The members of the team who provided the overall service as well as their role and whether responsible and qualifications.\">careTeam</a><a name=\"Claim.careTeam\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.careTeam.provider\" title=\"Member of the team who provided the overall service.\">provider</a><a name=\"Claim.careTeam.provider\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-practitioner.html\">QICore-Practitioner</a>), <a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-organization.html\">QICore-Organization</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.information\" title=\"Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required.\">information</a><a name=\"Claim.information\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.information.category\" title=\"The general class of the information supplied: information; exception; accident, employment; onset, etc.\">category</a><a name=\"Claim.information.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/valueset-claim-informationcategory.html\">Claim Information Category Codes</a> (<a href=\"http://hl7.org/fhir/STU3/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>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.information.code\" title=\"System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought which may influence the adjudication.\">code</a><a name=\"Claim.information.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/valueset-claim-exception.html\">Exception Codes</a> (<a href=\"http://hl7.org/fhir/STU3/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>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.diagnosis\" title=\"List of patient diagnosis for which care is sought.\">diagnosis</a><a name=\"Claim.diagnosis\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.diagnosis.type\" title=\"The type of the Diagnosis, for example: admitting, primary, secondary, discharge.\">type</a><a name=\"Claim.diagnosis.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/valueset-ex-diagnosistype.html\">Example Diagnosis Type Codes</a> (<a href=\"http://hl7.org/fhir/STU3/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>)<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.procedure\" title=\"Procedures performed.\">procedure</a><a name=\"Claim.procedure\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.procedure.sequence\" title=\"Procedure sequence for reference.\">sequence</a><a name=\"Claim.procedure.sequence\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#positiveInt\">positiveInt</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.procedure.date\" title=\"When the procedure was performed.\">date</a><a name=\"Claim.procedure.date\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.procedure.procedure[x]\" title=\"When the procedure was performed.\">procedure[x]</a><a name=\"Claim.procedure.procedure_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a><span style=\"opacity: 0.4\">, </span><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/procedure.html\">Procedure</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.hospitalization\" title=\"Period in hospital.\">hospitalization</a><a name=\"Claim.hospitalization\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item\" title=\"First tier of goods and services.\">item</a><a name=\"Claim.item\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item.service\" title=\"If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RXNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. "glasses" or "compound".\">service</a><a name=\"Claim.item.service\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/valueset-service-uscls.html\">USCLS Codes</a> (<a href=\"http://hl7.org/fhir/STU3/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>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item.serviced[x]\" title=\"The date or dates when the enclosed suite of services were performed or completed.\">serviced[x]</a><a name=\"Claim.item.serviced_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#date\">date</a><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item.locationReference\" title=\"Where the service was provided.\">locationReference</a><a name=\"Claim.item.locationReference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-location.html\">QICore-Location</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item.udi\" title=\"List of Unique Device Identifiers associated with this line item.\">udi</a><a name=\"Claim.item.udi\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-device.html\">QICore-Device</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item.encounter\" title=\"Encounters related to this billed item.\">encounter</a><a name=\"Claim.item.encounter\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-encounter.html\">QICore-Encounter</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item.detail\" title=\"Second tier of goods and services.\">detail</a><a name=\"Claim.item.detail\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item.detail.udi\" title=\"List of Unique Device Identifiers associated with this line item.\">udi</a><a name=\"Claim.item.detail.udi\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-device.html\">QICore-Device</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item.detail.subDetail\" title=\"Third tier of goods and services.\">subDetail</a><a name=\"Claim.item.detail.subDetail\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"qicore-claim-definitions.html#Claim.item.detail.subDetail.udi\" title=\"List of Unique Device Identifiers associated with this line item.\">udi</a><a name=\"Claim.item.detail.subDetail.udi\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span>..<span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(<a href=\"qicore-device.html\">QICore-Device</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/STU3/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>" ]; fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim"]; fhir:StructureDefinition.version [ fhir:value "0.1"]; fhir:StructureDefinition.name [ fhir:value "QICore-Claim"]; fhir:StructureDefinition.status [ fhir:value "draft"]; fhir:StructureDefinition.date [ fhir:value "2017-08-21T00:00:00+10:00"^^xsd:dateTime]; fhir:StructureDefinition.publisher [ fhir:value "Health Level Seven International (Clinical Quality Information - QICore)"]; fhir:StructureDefinition.contact [ fhir:index 0; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://hl7.org/special/committees/CQI" ] ] ]; fhir:StructureDefinition.fhirVersion [ fhir:value "3.0.1"]; fhir:StructureDefinition.mapping [ fhir:index 0; fhir:StructureDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/workflow" ]; fhir:StructureDefinition.mapping.name [ fhir:value "Workflow Mapping" ] ], [ fhir:index 1; fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ]; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/w5" ]; fhir:StructureDefinition.mapping.name [ fhir:value "W5 Mapping" ] ], [ fhir:index 2; fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ]; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ]; fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ] ]; fhir:StructureDefinition.kind [ fhir:value "resource"]; fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean]; fhir:StructureDefinition.type [ fhir:value "Claim"]; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Claim"]; fhir:StructureDefinition.derivation [ fhir:value "constraint"]; fhir:StructureDefinition.snapshot [ fhir:StructureDefinition.snapshot.element [ fhir:index 0; fhir:Element.id [ fhir:value "Claim" ]; fhir:ElementDefinition.path [ fhir:value "Claim" ]; fhir:ElementDefinition.short [ fhir:value "Claim, Pre-determination or Pre-authorization" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ]; fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ] ], [ fhir:index 1; fhir:ElementDefinition.constraint.key [ fhir:value "dom-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain any narrative" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.text.empty()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:text)" ]; fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ] ], [ fhir:index 2; fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ]; fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ] ], [ fhir:index 3; fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where(('#'+id in %resource.descendants().reference).not()).empty()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" ]; fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "financial.billing" ] ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "Claim.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.id" ]; fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ]; fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "id" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "Claim.meta" ]; fhir:ElementDefinition.path [ fhir:value "Claim.meta" ]; fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Meta" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "Claim.implicitRules" ]; fhir:ElementDefinition.path [ fhir:value "Claim.implicitRules" ]; fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "Claim.language" ]; fhir:ElementDefinition.path [ fhir:value "Claim.language" ]; fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ]; fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ]; fhir:ElementDefinition.comment [ fhir: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)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ]; fhir:Extension.valueReference [ fhir:link <http://hl7.org/fhir/ValueSet/all-languages>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ] ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "Language" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.description [ fhir:value "A human language." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/languages>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ] ] ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "Claim.text" ]; fhir:ElementDefinition.path [ fhir:value "Claim.text" ]; fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ]; fhir:ElementDefinition.definition [ fhir: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 \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ]; fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later." ]; fhir:ElementDefinition.alias [ fhir:value "narrative"; fhir:index 0 ], [ fhir:value "html"; fhir:index 1 ], [ fhir:value "xhtml"; fhir:index 2 ], [ fhir:value "display"; fhir:index 3 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Narrative" ] ]; fhir:ElementDefinition.condition [ fhir:value "dom-1"; fhir:index 0 ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ] ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "Claim.contained" ]; fhir:ElementDefinition.path [ fhir:value "Claim.contained" ]; fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "inline resources"; fhir:index 0 ], [ fhir:value "anonymous resources"; fhir:index 1 ], [ fhir:value "contained resources"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Resource" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "Claim.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 8; fhir:Element.id [ fhir:value "Claim.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "Claim.identifier" ]; fhir:ElementDefinition.path [ fhir:value "Claim.identifier" ]; fhir:ElementDefinition.short [ fhir:value "Claim number" ]; fhir:ElementDefinition.definition [ fhir:value "The business identifier for the instance: claim number, pre-determination or pre-authorization number." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.identifier" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.identifier" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "id" ] ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "Claim.status" ]; fhir:ElementDefinition.path [ fhir:value "Claim.status" ]; fhir:ElementDefinition.short [ fhir:value "active | cancelled | draft | entered-in-error" ]; fhir:ElementDefinition.definition [ fhir:value "The status of the resource instance." ]; fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because the status contains the code entered-in-error that marks the claim as not currently valid." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.status" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ClaimStatus" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.description [ fhir:value "A code specifying the state of the resource instance." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/fm-status>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/fm-status" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.status" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "status" ] ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "Claim.type" ]; fhir:ElementDefinition.path [ fhir:value "Claim.type" ]; fhir:ElementDefinition.short [ fhir:value "Type or discipline" ]; fhir:ElementDefinition.definition [ fhir:value "The category of claim, eg, oral, pharmacy, vision, insitutional, professional." ]; fhir:ElementDefinition.comment [ fhir:value "Affects which fields and value sets are used." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.type" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ClaimType" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.description [ fhir:value "The type or discipline-style of the claim" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-type>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-type" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "class" ] ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "Claim.subType" ]; fhir:ElementDefinition.path [ fhir:value "Claim.subType" ]; fhir:ElementDefinition.short [ fhir:value "Finer grained claim type information" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.subType" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ClaimSubType" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "A more granular claim typecode" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-subtype>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-subtype" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "class" ] ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "Claim.use" ]; fhir:ElementDefinition.path [ fhir:value "Claim.use" ]; fhir:ElementDefinition.short [ fhir:value "complete | proposed | exploratory | other" ]; fhir:ElementDefinition.definition [ fhir:value "Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.use" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "Use" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.description [ fhir:value "Complete, proposed, exploratory, other" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-use>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-use" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "class" ] ] ], [ fhir:index 14; fhir:Element.id [ fhir:value "Claim.patient" ]; fhir:ElementDefinition.path [ fhir:value "Claim.patient" ]; fhir:ElementDefinition.short [ fhir:value "The subject of the Products and Services" ]; fhir:ElementDefinition.definition [ fhir:value "Patient Resource." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.patient" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.subject" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "who.focus" ] ] ], [ fhir:index 15; fhir:Element.id [ fhir:value "Claim.billablePeriod" ]; fhir:ElementDefinition.path [ fhir:value "Claim.billablePeriod" ]; fhir:ElementDefinition.short [ fhir:value "Period for charge submission" ]; fhir:ElementDefinition.definition [ fhir:value "The billable period for which charges are being submitted." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.billablePeriod" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "when.done" ] ] ], [ fhir:index 16; fhir:Element.id [ fhir:value "Claim.created" ]; fhir:ElementDefinition.path [ fhir:value "Claim.created" ]; fhir:ElementDefinition.short [ fhir:value "Creation date" ]; fhir:ElementDefinition.definition [ fhir:value "The date when the enclosed suite of services were performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.created" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.authoredOn" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "when.recorded" ] ] ], [ fhir:index 17; fhir:Element.id [ fhir:value "Claim.enterer" ]; fhir:ElementDefinition.path [ fhir:value "Claim.enterer" ]; fhir:ElementDefinition.short [ fhir:value "Author" ]; fhir:ElementDefinition.definition [ fhir:value "Person who created the invoice/claim/pre-determination or pre-authorization." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.enterer" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "who.author" ] ] ], [ fhir:index 18; fhir:Element.id [ fhir:value "Claim.insurer" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurer" ]; fhir:ElementDefinition.short [ fhir:value "Target" ]; fhir:ElementDefinition.definition [ fhir:value "The Insurer who is target of the request." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.insurer" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.performer" ] ] ], [ fhir:index 19; fhir:Element.id [ fhir:value "Claim.provider" ]; fhir:ElementDefinition.path [ fhir:value "Claim.provider" ]; fhir:ElementDefinition.short [ fhir:value "Responsible provider" ]; fhir:ElementDefinition.definition [ fhir:value "The provider which is responsible for the bill, claim pre-determination, pre-authorization." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.provider" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.requester.agent" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "who.source" ] ] ], [ fhir:index 20; fhir:Element.id [ fhir:value "Claim.organization" ]; fhir:ElementDefinition.path [ fhir:value "Claim.organization" ]; fhir:ElementDefinition.short [ fhir:value "Responsible organization" ]; fhir:ElementDefinition.definition [ fhir:value "The organization which is responsible for the bill, claim pre-determination, pre-authorization." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.organization" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.requester.onBehalfOf" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "who.source" ] ] ], [ fhir:index 21; fhir:Element.id [ fhir:value "Claim.priority" ]; fhir:ElementDefinition.path [ fhir:value "Claim.priority" ]; fhir:ElementDefinition.short [ fhir:value "Desired processing priority" ]; fhir:ElementDefinition.definition [ fhir:value "Immediate (STAT), best effort (NORMAL), deferred (DEFER)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.priority" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ProcessPriority" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "The timeliness with which processing is required: STAT, normal, Deferred" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/process-priority>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/process-priority" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.priority" ] ] ], [ fhir:index 22; fhir:Element.id [ fhir:value "Claim.fundsReserve" ]; fhir:ElementDefinition.path [ fhir:value "Claim.fundsReserve" ]; fhir:ElementDefinition.short [ fhir:value "Funds requested to be reserved" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.fundsReserve" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "FundsReserve" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "For whom funds are to be reserved: (Patient, Provider, None)." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/fundsreserve>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/fundsreserve" ] ] ] ], [ fhir:index 23; fhir:Element.id [ fhir:value "Claim.related" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "RelatedClaim" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.related" ]; fhir:ElementDefinition.short [ fhir:value "Related Claims which may be revelant to processing this claimn" ]; fhir:ElementDefinition.definition [ fhir:value "Other claims which are related to this claim such as prior claim versions or for related services." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.related" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ] ], [ fhir:index 24; fhir:Element.id [ fhir:value "Claim.related.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.related.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 25; fhir:Element.id [ fhir:value "Claim.related.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.related.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 26; fhir:Element.id [ fhir:value "Claim.related.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.related.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 27; fhir:Element.id [ fhir:value "Claim.related.claim" ]; fhir:ElementDefinition.path [ fhir:value "Claim.related.claim" ]; fhir:ElementDefinition.short [ fhir:value "Reference to the related claim" ]; fhir:ElementDefinition.definition [ fhir:value "Other claims which are related to this claim such as prior claim versions or for related services." ]; fhir:ElementDefinition.comment [ fhir:value "Do we need a relationship code?" ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.related.claim" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Claim" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.replaces" ] ] ], [ fhir:index 28; fhir:Element.id [ fhir:value "Claim.related.relationship" ]; fhir:ElementDefinition.path [ fhir:value "Claim.related.relationship" ]; fhir:ElementDefinition.short [ fhir:value "How the reference claim is related" ]; fhir:ElementDefinition.definition [ fhir:value "For example prior or umbrella." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.related.relationship" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "RelatedClaimRelationship" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Relationship of this claim to a related Claim" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/related-claim-relationship>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/related-claim-relationship" ] ] ] ], [ fhir:index 29; fhir:Element.id [ fhir:value "Claim.related.reference" ]; fhir:ElementDefinition.path [ fhir:value "Claim.related.reference" ]; fhir:ElementDefinition.short [ fhir:value "Related file or case reference" ]; fhir:ElementDefinition.definition [ fhir: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 # ." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.related.reference" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ] ], [ fhir:index 30; fhir:Element.id [ fhir:value "Claim.prescription" ]; fhir:ElementDefinition.path [ fhir:value "Claim.prescription" ]; fhir:ElementDefinition.short [ fhir:value "Prescription authorizing services or products" ]; fhir:ElementDefinition.definition [ fhir:value "Prescription to support the dispensing of Pharmacy or Vision products." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.requirements [ fhir:value "For type=Pharmacy and Vision only." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.prescription" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/VisionPrescription" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 31; fhir:Element.id [ fhir:value "Claim.originalPrescription" ]; fhir:ElementDefinition.path [ fhir:value "Claim.originalPrescription" ]; fhir:ElementDefinition.short [ fhir:value "Original prescription if superceded by fulfiller" ]; fhir:ElementDefinition.definition [ fhir:value "Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'." ]; fhir:ElementDefinition.comment [ fhir:value "as above." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.originalPrescription" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ] ] ], [ fhir:index 32; fhir:Element.id [ fhir:value "Claim.payee" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "Payee" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.payee" ]; fhir:ElementDefinition.short [ fhir:value "Party to be paid any benefits payable" ]; fhir:ElementDefinition.definition [ fhir:value "The party to be reimbursed for the services." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.payee" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 33; fhir:Element.id [ fhir:value "Claim.payee.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.payee.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 34; fhir:Element.id [ fhir:value "Claim.payee.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.payee.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 35; fhir:Element.id [ fhir:value "Claim.payee.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.payee.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 36; fhir:Element.id [ fhir:value "Claim.payee.type" ]; fhir:ElementDefinition.path [ fhir:value "Claim.payee.type" ]; fhir:ElementDefinition.short [ fhir:value "Type of party: Subscriber, Provider, other" ]; fhir:ElementDefinition.definition [ fhir:value "Type of Party to be reimbursed: Subscriber, provider, other." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.payee.type" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "PayeeType" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "A code for the party to be reimbursed." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/payeetype>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/payeetype" ] ] ] ], [ fhir:index 37; fhir:Element.id [ fhir:value "Claim.payee.resourceType" ]; fhir:ElementDefinition.path [ fhir:value "Claim.payee.resourceType" ]; fhir:ElementDefinition.short [ fhir:value "organization | patient | practitioner | relatedperson" ]; fhir:ElementDefinition.definition [ fhir:value "organization | patient | practitioner | relatedperson." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.payee.resourceType" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ClaimPayeeResourceType" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "The type of Claim payee Resource" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-payee-resource-type>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-payee-resource-type" ] ] ] ], [ fhir:index 38; fhir:Element.id [ fhir:value "Claim.payee.party" ]; fhir:ElementDefinition.path [ fhir:value "Claim.payee.party" ]; fhir:ElementDefinition.short [ fhir:value "Party to receive the payable" ]; fhir:ElementDefinition.definition [ fhir:value "Party to be reimbursed: Subscriber, provider, other." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.payee.party" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 39; fhir:Element.id [ fhir:value "Claim.referral" ]; fhir:ElementDefinition.path [ fhir:value "Claim.referral" ]; fhir:ElementDefinition.short [ fhir:value "Treatment Referral" ]; fhir:ElementDefinition.definition [ fhir:value "The referral resource which lists the date, practitioner, reason and other supporting information." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.referral" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-referralrequest" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "who.cause" ] ] ], [ fhir:index 40; fhir:Element.id [ fhir:value "Claim.facility" ]; fhir:ElementDefinition.path [ fhir:value "Claim.facility" ]; fhir:ElementDefinition.short [ fhir:value "Servicing Facility" ]; fhir:ElementDefinition.definition [ fhir:value "Facility where the services were provided." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.facility" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "where" ] ] ], [ fhir:index 41; fhir:Element.id [ fhir:value "Claim.careTeam" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "CareTeam" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam" ]; fhir:ElementDefinition.short [ fhir:value "Members of the care team" ]; fhir:ElementDefinition.definition [ fhir:value "The members of the team who provided the overall service as well as their role and whether responsible and qualifications." ]; fhir:ElementDefinition.requirements [ fhir:value "Role and Responsible may not be required when there is only a single provider listed." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.careTeam" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 42; fhir:Element.id [ fhir:value "Claim.careTeam.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 43; fhir:Element.id [ fhir:value "Claim.careTeam.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 44; fhir:Element.id [ fhir:value "Claim.careTeam.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 45; fhir:Element.id [ fhir:value "Claim.careTeam.sequence" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Number to covey order of careTeam" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of the careTeam which serves to order and provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to maintain order of the careTeam." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.careTeam.sequence" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 46; fhir:Element.id [ fhir:value "Claim.careTeam.provider" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam.provider" ]; fhir:ElementDefinition.short [ fhir:value "Provider individual or organization" ]; fhir:ElementDefinition.definition [ fhir:value "Member of the team who provided the overall service." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.careTeam.provider" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "who.actor" ] ] ], [ fhir:index 47; fhir:Element.id [ fhir:value "Claim.careTeam.responsible" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam.responsible" ]; fhir:ElementDefinition.short [ fhir:value "Billing provider" ]; fhir:ElementDefinition.definition [ fhir:value "The party who is billing and responsible for the claimed good or service rendered to the patient." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.careTeam.responsible" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ] ], [ fhir:index 48; fhir:Element.id [ fhir:value "Claim.careTeam.role" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam.role" ]; fhir:ElementDefinition.short [ fhir:value "Role on the team" ]; fhir:ElementDefinition.definition [ fhir:value "The lead, assisting or supervising practitioner and their discipline if a multidisiplinary team." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.careTeam.role" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "CareTeamRole" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "The role codes for the care team members." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-careteamrole>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-careteamrole" ] ] ] ], [ fhir:index 49; fhir:Element.id [ fhir:value "Claim.careTeam.qualification" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam.qualification" ]; fhir:ElementDefinition.short [ fhir:value "Type, classification or Specialization" ]; fhir:ElementDefinition.definition [ fhir:value "The qualification which is applicable for this service." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.careTeam.qualification" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ProviderQualification" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Provider professional qualifications" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/provider-qualification>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/provider-qualification" ] ] ] ], [ fhir:index 50; fhir:Element.id [ fhir:value "Claim.information" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "SpecialCondition" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.information" ]; fhir:ElementDefinition.short [ fhir:value "Exceptions, special considerations, the condition, situation, prior or concurrent issues" ]; fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required." ]; fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.information" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.supportingInfo" ] ] ], [ fhir:index 51; fhir:Element.id [ fhir:value "Claim.information.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 52; fhir:Element.id [ fhir:value "Claim.information.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 53; fhir:Element.id [ fhir:value "Claim.information.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 54; fhir:Element.id [ fhir:value "Claim.information.sequence" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of the information element which serves to provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "To provide a reference link." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.information.sequence" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 55; fhir:Element.id [ fhir:value "Claim.information.category" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.category" ]; fhir:ElementDefinition.short [ fhir:value "General class of information" ]; fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ]; fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.information.category" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "This value set includes sample Information Category codes." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-informationcategory>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-informationcategory" ] ] ] ], [ fhir:index 56; fhir:Element.id [ fhir:value "Claim.information.code" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.code" ]; fhir:ElementDefinition.short [ fhir:value "Type of information" ]; fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought which may influence the adjudication." ]; fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.information.code" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "This value set includes sample Exception codes." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-exception>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-exception" ] ] ] ], [ fhir:index 57; fhir:Element.id [ fhir:value "Claim.information.timing[x]" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.timing[x]" ]; fhir:ElementDefinition.short [ fhir:value "When it occurred" ]; fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.information.timing[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ] ], [ fhir:index 58; fhir:Element.id [ fhir:value "Claim.information.value[x]" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.value[x]" ]; fhir:ElementDefinition.short [ fhir:value "Additional Data or supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.information.value[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource" ] ] ], [ fhir:index 59; fhir:Element.id [ fhir:value "Claim.information.reason" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.reason" ]; fhir:ElementDefinition.short [ fhir:value "Reason associated with the information" ]; fhir:ElementDefinition.definition [ fhir:value "For example, provides the reason for: the additional stay, or missing tooth or any other situation where a reason code is required in addition to the content." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.information.reason" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "MissingReason" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason" ] ] ] ], [ fhir:index 60; fhir:Element.id [ fhir:value "Claim.diagnosis" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "Diagnosis" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis" ]; fhir:ElementDefinition.short [ fhir:value "List of Diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "List of patient diagnosis for which care is sought." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.diagnosis" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.reasonReference" ] ] ], [ fhir:index 61; fhir:Element.id [ fhir:value "Claim.diagnosis.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 62; fhir:Element.id [ fhir:value "Claim.diagnosis.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 63; fhir:Element.id [ fhir:value "Claim.diagnosis.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 64; fhir:Element.id [ fhir:value "Claim.diagnosis.sequence" ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Number to covey order of diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of diagnosis which serves to provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to allow line items to reference the diagnoses." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.diagnosis.sequence" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 65; fhir:Element.id [ fhir:value "Claim.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.short [ fhir:value "Patient's diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "The diagnosis." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered to condition presented." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ICD10" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "ICD10 Diagnostic codes" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/icd-10>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/icd-10" ] ] ] ], [ fhir:index 66; fhir:Element.id [ fhir:value "Claim.diagnosis.type" ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis.type" ]; fhir:ElementDefinition.short [ fhir:value "Timing or nature of the diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "The type of the Diagnosis, for example: admitting, primary, secondary, discharge." ]; fhir:ElementDefinition.comment [ fhir:value "Diagnosis are presented in list order to their expected importance: primary, secondary, etc." ]; fhir:ElementDefinition.requirements [ fhir:value "May be required to adjudicate services rendered." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.diagnosis.type" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "This value set includes example Diagnosis Type codes." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-diagnosistype>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosistype" ] ] ] ], [ fhir:index 67; fhir:Element.id [ fhir:value "Claim.diagnosis.packageCode" ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis.packageCode" ]; fhir:ElementDefinition.short [ fhir:value "Package billing code" ]; fhir:ElementDefinition.definition [ fhir:value "The package billing code, for example DRG, based on the assigned grouping code system." ]; fhir:ElementDefinition.requirements [ fhir:value "May be required to adjudicate services rendered to the mandated grouping system." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.diagnosis.packageCode" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "DiagnosisRelatedGroup" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "The DRG codes associated with the diagnosis" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup" ] ] ] ], [ fhir:index 68; fhir:Element.id [ fhir:value "Claim.procedure" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "Procedure" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure" ]; fhir:ElementDefinition.short [ fhir:value "Procedures performed" ]; fhir:ElementDefinition.definition [ fhir:value "Procedures performed." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.procedure" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 69; fhir:Element.id [ fhir:value "Claim.procedure.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 70; fhir:Element.id [ fhir:value "Claim.procedure.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 71; fhir:Element.id [ fhir:value "Claim.procedure.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 72; fhir:Element.id [ fhir:value "Claim.procedure.sequence" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Procedure sequence for reference" ]; fhir:ElementDefinition.definition [ fhir:value "Procedure sequence for reference." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to maintain order of the procudures." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.procedure.sequence" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 73; fhir:Element.id [ fhir:value "Claim.procedure.date" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure.date" ]; fhir:ElementDefinition.short [ fhir:value "When the procedure was performed" ]; fhir:ElementDefinition.definition [ fhir:value "When the procedure was performed." ]; fhir:ElementDefinition.comment [ fhir:value "SB DateTime??" ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.procedure.date" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 74; fhir:Element.id [ fhir:value "Claim.procedure.procedure[x]" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure.procedure[x]" ]; fhir:ElementDefinition.short [ fhir:value "Patient's list of procedures performed" ]; fhir:ElementDefinition.definition [ fhir:value "When the procedure was performed." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.procedure.procedure[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ICD10_Procedures" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "ICD10 Procedure codes" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/icd-10-procedures>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/icd-10-procedures" ] ] ] ], [ fhir:index 75; fhir:Element.id [ fhir:value "Claim.insurance" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "Insurance" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance" ]; fhir:ElementDefinition.short [ fhir:value "Insurance or medical plan" ]; fhir:ElementDefinition.definition [ fhir:value "Financial instrument by which payment information for health care." ]; fhir:ElementDefinition.requirements [ fhir:value "Health care programs and insurers are significant payors of health service costs." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.insurance" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Coverage" ] ] ], [ fhir:index 76; fhir:Element.id [ fhir:value "Claim.insurance.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 77; fhir:Element.id [ fhir:value "Claim.insurance.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 78; fhir:Element.id [ fhir:value "Claim.insurance.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 79; fhir:Element.id [ fhir:value "Claim.insurance.sequence" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance identifier" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of coverage which serves to provide a link and convey coordination of benefit order." ]; fhir:ElementDefinition.requirements [ fhir:value "To maintain order of the coverages." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.insurance.sequence" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 80; fhir:Element.id [ fhir:value "Claim.insurance.focal" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance.focal" ]; fhir:ElementDefinition.short [ fhir:value "Is the focal Coverage" ]; fhir:ElementDefinition.definition [ fhir:value "A flag to indicate that this Coverage is the focus for adjudication. The Coverage against which the claim is to be adjudicated." ]; fhir:ElementDefinition.requirements [ fhir:value "To identify which coverage is being adjudicated." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.insurance.focal" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ] ], [ fhir:index 81; fhir:Element.id [ fhir:value "Claim.insurance.coverage" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance.coverage" ]; fhir:ElementDefinition.short [ fhir:value "Insurance information" ]; fhir:ElementDefinition.definition [ fhir:value "Reference to the program or plan identification, underwriter or payor." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to identify the issuer to target for processing and for coordination of benefit processing." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.insurance.coverage" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage" ] ] ], [ fhir:index 82; fhir:Element.id [ fhir:value "Claim.insurance.businessArrangement" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance.businessArrangement" ]; fhir:ElementDefinition.short [ fhir:value "Business agreement" ]; fhir:ElementDefinition.definition [ fhir:value "The contract number of a business agreement which describes the terms and conditions." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.insurance.businessArrangement" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ] ], [ fhir:index 83; fhir:Element.id [ fhir:value "Claim.insurance.preAuthRef" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance.preAuthRef" ]; fhir:ElementDefinition.short [ fhir:value "Pre-Authorization/Determination Reference" ]; fhir:ElementDefinition.definition [ fhir:value "A list of references from the Insurer to which these services pertain." ]; fhir:ElementDefinition.requirements [ fhir:value "To provide any pre=determination or prior authorization reference." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.insurance.preAuthRef" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ] ], [ fhir:index 84; fhir:Element.id [ fhir:value "Claim.insurance.claimResponse" ]; fhir:ElementDefinition.path [ fhir:value "Claim.insurance.claimResponse" ]; fhir:ElementDefinition.short [ fhir:value "Adjudication results" ]; fhir:ElementDefinition.definition [ fhir:value "The Coverages adjudication details." ]; fhir:ElementDefinition.requirements [ fhir:value "Used by downstream payers to determine what balance remains and the net payable." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.insurance.claimResponse" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ClaimResponse" ] ] ], [ fhir:index 85; fhir:Element.id [ fhir:value "Claim.accident" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "Accident" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.accident" ]; fhir:ElementDefinition.short [ fhir:value "Details about an accident" ]; fhir:ElementDefinition.definition [ fhir:value "An accident which resulted in the need for healthcare services." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.accident" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ] ], [ fhir:index 86; fhir:Element.id [ fhir:value "Claim.accident.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.accident.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 87; fhir:Element.id [ fhir:value "Claim.accident.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.accident.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 88; fhir:Element.id [ fhir:value "Claim.accident.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.accident.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 89; fhir:Element.id [ fhir:value "Claim.accident.date" ]; fhir:ElementDefinition.path [ fhir:value "Claim.accident.date" ]; fhir:ElementDefinition.short [ fhir:value "When the accident occurred\nsee information codes\nsee information codes" ]; fhir:ElementDefinition.definition [ fhir:value "Date of an accident which these services are addressing." ]; fhir:ElementDefinition.requirements [ fhir:value "Coverage may be dependant on accidents." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.accident.date" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "date" ] ] ], [ fhir:index 90; fhir:Element.id [ fhir:value "Claim.accident.type" ]; fhir:ElementDefinition.path [ fhir:value "Claim.accident.type" ]; fhir:ElementDefinition.short [ fhir:value "The nature of the accident" ]; fhir:ElementDefinition.definition [ fhir:value "Type of accident: work, auto, etc." ]; fhir:ElementDefinition.requirements [ fhir:value "Coverage may be dependant on the type of accident." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.accident.type" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "AccidentType" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.description [ fhir:value "Type of accident: work place, auto, etc." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/v3-ActIncidentCode>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/v3-ActIncidentCode" ] ] ] ], [ fhir:index 91; fhir:Element.id [ fhir:value "Claim.accident.location[x]" ]; fhir:ElementDefinition.path [ fhir:value "Claim.accident.location[x]" ]; fhir:ElementDefinition.short [ fhir:value "Accident Place" ]; fhir:ElementDefinition.definition [ fhir:value "Accident Place." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.accident.location[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Address" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location" ] ] ], [ fhir:index 92; fhir:Element.id [ fhir:value "Claim.employmentImpacted" ]; fhir:ElementDefinition.path [ fhir:value "Claim.employmentImpacted" ]; fhir:ElementDefinition.short [ fhir:value "Period unable to work" ]; fhir:ElementDefinition.definition [ fhir:value "The start and optional end dates of when the patient was precluded from working due to the treatable condition(s)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.employmentImpacted" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ] ], [ fhir:index 93; fhir:Element.id [ fhir:value "Claim.hospitalization" ]; fhir:ElementDefinition.path [ fhir:value "Claim.hospitalization" ]; fhir:ElementDefinition.short [ fhir:value "Period in hospital" ]; fhir:ElementDefinition.definition [ fhir:value "Period in hospital." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.hospitalization" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 94; fhir:Element.id [ fhir:value "Claim.item" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "Item" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.item" ]; fhir:ElementDefinition.short [ fhir:value "Goods and Services" ]; fhir:ElementDefinition.definition [ fhir:value "First tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 95; fhir:Element.id [ fhir:value "Claim.item.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 96; fhir:Element.id [ fhir:value "Claim.item.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 97; fhir:Element.id [ fhir:value "Claim.item.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 98; fhir:Element.id [ fhir:value "Claim.item.sequence" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance" ]; fhir:ElementDefinition.definition [ fhir:value "A service line number." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.sequence" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 99; fhir:Element.id [ fhir:value "Claim.item.careTeamLinkId" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.careTeamLinkId" ]; fhir:ElementDefinition.short [ fhir:value "Applicable careTeam members" ]; fhir:ElementDefinition.definition [ fhir:value "CareTeam applicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.careTeamLinkId" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 100; fhir:Element.id [ fhir:value "Claim.item.diagnosisLinkId" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.diagnosisLinkId" ]; fhir:ElementDefinition.short [ fhir:value "Applicable diagnoses" ]; fhir:ElementDefinition.definition [ fhir:value "Diagnosis applicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.diagnosisLinkId" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 101; fhir:Element.id [ fhir:value "Claim.item.procedureLinkId" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.procedureLinkId" ]; fhir:ElementDefinition.short [ fhir:value "Applicable procedures" ]; fhir:ElementDefinition.definition [ fhir:value "Procedures applicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.procedureLinkId" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 102; fhir:Element.id [ fhir:value "Claim.item.informationLinkId" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.informationLinkId" ]; fhir:ElementDefinition.short [ fhir:value "Applicable exception and supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Exceptions, special conditions and supporting information pplicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.informationLinkId" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 103; fhir:Element.id [ fhir:value "Claim.item.revenue" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.revenue" ]; fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ]; fhir:ElementDefinition.definition [ fhir:value "The type of reveneu or cost center providing the product and/or service." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.revenue" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "RevenueCenter" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-revenue-center>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center" ] ] ] ], [ fhir:index 104; fhir:Element.id [ fhir:value "Claim.item.category" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service or product" ]; fhir:ElementDefinition.definition [ fhir:value "Health Care Service Type Codes to identify the classification of service or benefits." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.category" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "BenefitSubCategory" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Benefit subcategories such as: oral-basic, major, glasses" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/benefit-subcategory>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-subcategory" ] ] ] ], [ fhir:index 105; fhir:Element.id [ fhir:value "Claim.item.service" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.service" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RXNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. \"glasses\" or \"compound\"." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.service" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "This value set includes a smattering of USCLS codes." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/service-uscls>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ] ], [ fhir:index 106; fhir:Element.id [ fhir:value "Claim.item.modifier" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.modifier" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir: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." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ] ], [ fhir:index 107; fhir:Element.id [ fhir:value "Claim.item.programCode" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reason codes for the inclusion or covering of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.programCode" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ] ], [ fhir:index 108; fhir:Element.id [ fhir:value "Claim.item.serviced[x]" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.serviced[x]" ]; fhir:ElementDefinition.short [ fhir:value "Date or dates of Service" ]; fhir:ElementDefinition.definition [ fhir:value "The date or dates when the enclosed suite of services were performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.serviced[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "when.done" ] ] ], [ fhir:index 109; fhir:Element.id [ fhir:value "Claim.item.locationReference" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.locationReference" ]; fhir:ElementDefinition.short [ fhir:value "Place of service" ]; fhir:ElementDefinition.definition [ fhir:value "Where the service was provided." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.location[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "where" ] ] ], [ fhir:index 110; fhir:Element.id [ fhir:value "Claim.item.quantity" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.quantity" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] ] ], [ fhir:index 111; fhir:Element.id [ fhir:value "Claim.item.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.unitPrice" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Money" ] ] ], [ fhir:index 112; fhir:Element.id [ fhir:value "Claim.item.factor" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.factor" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ] ], [ fhir:index 113; fhir:Element.id [ fhir:value "Claim.item.net" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.net" ]; fhir:ElementDefinition.short [ fhir:value "Total item cost" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.net" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Money" ] ] ], [ fhir:index 114; fhir:Element.id [ fhir:value "Claim.item.udi" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.udi" ]; fhir:ElementDefinition.short [ fhir:value "Unique Device Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.requirements [ fhir:value "The UDI code and issuer if applicable for the supplied product." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.udi" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 115; fhir:Element.id [ fhir:value "Claim.item.bodySite" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.bodySite" ]; fhir:ElementDefinition.short [ fhir:value "Service Location" ]; fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.bodySite" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "OralSites" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "The code for the teeth, quadrant, sextant and arch" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/tooth>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/tooth" ] ] ] ], [ fhir:index 116; fhir:Element.id [ fhir:value "Claim.item.subSite" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.subSite" ]; fhir:ElementDefinition.short [ fhir:value "Service Sub-location" ]; fhir:ElementDefinition.definition [ fhir:value "A region or surface of the site, eg. limb region or tooth surface(s)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.subSite" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "Surface" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "The code for the tooth surface and surface combinations" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/surface>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/surface" ] ] ] ], [ fhir:index 117; fhir:Element.id [ fhir:value "Claim.item.encounter" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.encounter" ]; fhir:ElementDefinition.short [ fhir:value "Encounters related to this billed item" ]; fhir:ElementDefinition.definition [ fhir:value "Encounters related to this billed item." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.encounter" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Request.context" ] ] ], [ fhir:index 118; fhir:Element.id [ fhir:value "Claim.item.detail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "Detail" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail" ]; fhir:ElementDefinition.short [ fhir:value "Additional items" ]; fhir:ElementDefinition.definition [ fhir:value "Second tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 119; fhir:Element.id [ fhir:value "Claim.item.detail.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 120; fhir:Element.id [ fhir:value "Claim.item.detail.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 121; fhir:Element.id [ fhir:value "Claim.item.detail.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 122; fhir:Element.id [ fhir:value "Claim.item.detail.sequence" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance" ]; fhir:ElementDefinition.definition [ fhir:value "A service line number." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.sequence" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 123; fhir:Element.id [ fhir:value "Claim.item.detail.revenue" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.revenue" ]; fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ]; fhir:ElementDefinition.definition [ fhir:value "The type of reveneu or cost center providing the product and/or service." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.revenue" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "RevenueCenter" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-revenue-center>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center" ] ] ] ], [ fhir:index 124; fhir:Element.id [ fhir:value "Claim.item.detail.category" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service or product" ]; fhir:ElementDefinition.definition [ fhir:value "Health Care Service Type Codes to identify the classification of service or benefits." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.category" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "BenefitSubCategory" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Benefit subcategories such as: oral-basic, major, glasses" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/benefit-subcategory>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-subcategory" ] ] ] ], [ fhir:index 125; fhir:Element.id [ fhir:value "Claim.item.detail.service" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.service" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.service" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/service-uscls>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ] ], [ fhir:index 126; fhir:Element.id [ fhir:value "Claim.item.detail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.modifier" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir: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." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ] ], [ fhir:index 127; fhir:Element.id [ fhir:value "Claim.item.detail.programCode" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.programCode" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ] ], [ fhir:index 128; fhir:Element.id [ fhir:value "Claim.item.detail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.quantity" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] ] ], [ fhir:index 129; fhir:Element.id [ fhir:value "Claim.item.detail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.unitPrice" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Money" ] ] ], [ fhir:index 130; fhir:Element.id [ fhir:value "Claim.item.detail.factor" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.factor" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ] ], [ fhir:index 131; fhir:Element.id [ fhir:value "Claim.item.detail.net" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.net" ]; fhir:ElementDefinition.short [ fhir:value "Total additional item cost" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.net" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Money" ] ] ], [ fhir:index 132; fhir:Element.id [ fhir:value "Claim.item.detail.udi" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.udi" ]; fhir:ElementDefinition.short [ fhir:value "Unique Device Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.requirements [ fhir:value "The UDI code and issuer if applicable for the supplied product." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.udi" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 133; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.valueString [ fhir:value "SubDetail" ] ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail" ]; fhir:ElementDefinition.short [ fhir:value "Additional items" ]; fhir:ElementDefinition.definition [ fhir:value "Third tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 134; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.id" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 135; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.extension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 136; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.comment [ fhir: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." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 137; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.sequence" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance" ]; fhir:ElementDefinition.definition [ fhir:value "A service line number." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.sequence" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 138; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.revenue" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.revenue" ]; fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ]; fhir:ElementDefinition.definition [ fhir:value "The type of reveneu or cost center providing the product and/or service." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.revenue" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "RevenueCenter" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-revenue-center>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center" ] ] ] ], [ fhir:index 139; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.category" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service or product" ]; fhir:ElementDefinition.definition [ fhir:value "Health Care Service Type Codes to identify the classification of service or benefits." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.category" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "BenefitSubCategory" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Benefit subcategories such as: oral-basic, major, glasses" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/benefit-subcategory>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-subcategory" ] ] ] ], [ fhir:index 140; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.service" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.service" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.service" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/service-uscls>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ] ], [ fhir:index 141; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.modifier" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir: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." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ] ], [ fhir:index 142; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.programCode" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.programCode" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.valueString [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ] ], [ fhir:index 143; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.quantity" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] ] ], [ fhir:index 144; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "The fee for an addittional service or product or charge." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Money" ] ] ], [ fhir:index 145; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.factor" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.factor" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ] ], [ fhir:index 146; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.net" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.net" ]; fhir:ElementDefinition.short [ fhir:value "Net additional item cost" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.net" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Money" ] ] ], [ fhir:index 147; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.udi" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.udi" ]; fhir:ElementDefinition.short [ fhir:value "Unique Device Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.requirements [ fhir:value "The UDI code and issuer if applicable for the supplied product." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.item.detail.subDetail.udi" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 148; fhir:Element.id [ fhir:value "Claim.total" ]; fhir:ElementDefinition.path [ fhir:value "Claim.total" ]; fhir:ElementDefinition.short [ fhir:value "Total claim cost" ]; fhir:ElementDefinition.definition [ fhir:value "The total value of the claim." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Claim.total" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Money" ] ] ] ]; fhir:StructureDefinition.differential [ fhir:StructureDefinition.differential.element [ fhir:index 0; fhir:Element.id [ fhir:value "Claim" ]; fhir:ElementDefinition.path [ fhir:value "Claim" ]; fhir:ElementDefinition.definition [ fhir: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." ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "Claim.patient" ]; fhir:ElementDefinition.path [ fhir:value "Claim.patient" ]; fhir:ElementDefinition.definition [ fhir:value "Patient Resource." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "Claim.created" ]; fhir:ElementDefinition.path [ fhir:value "Claim.created" ]; fhir:ElementDefinition.definition [ fhir:value "The date when the enclosed suite of services were performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "Claim.provider" ]; fhir:ElementDefinition.path [ fhir:value "Claim.provider" ]; fhir:ElementDefinition.definition [ fhir:value "The provider which is responsible for the bill, claim pre-determination, pre-authorization." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "Claim.prescription" ]; fhir:ElementDefinition.path [ fhir:value "Claim.prescription" ]; fhir:ElementDefinition.definition [ fhir:value "Prescription to support the dispensing of Pharmacy or Vision products." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/VisionPrescription" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "Claim.payee" ]; fhir:ElementDefinition.path [ fhir:value "Claim.payee" ]; fhir:ElementDefinition.definition [ fhir:value "The party to be reimbursed for the services." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "Claim.payee.party" ]; fhir:ElementDefinition.path [ fhir:value "Claim.payee.party" ]; fhir:ElementDefinition.definition [ fhir:value "Party to be reimbursed: Subscriber, provider, other." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "Claim.referral" ]; fhir:ElementDefinition.path [ fhir:value "Claim.referral" ]; fhir:ElementDefinition.definition [ fhir:value "The referral resource which lists the date, practitioner, reason and other supporting information." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-referralrequest" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 8; fhir:Element.id [ fhir:value "Claim.careTeam" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam" ]; fhir:ElementDefinition.definition [ fhir:value "The members of the team who provided the overall service as well as their role and whether responsible and qualifications." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "Claim.careTeam.provider" ]; fhir:ElementDefinition.path [ fhir:value "Claim.careTeam.provider" ]; fhir:ElementDefinition.definition [ fhir:value "Member of the team who provided the overall service." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "Claim.information" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information" ]; fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "Claim.information.category" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.category" ]; fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "This value set includes sample Information Category codes." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-informationcategory>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-informationcategory" ] ] ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "Claim.information.code" ]; fhir:ElementDefinition.path [ fhir:value "Claim.information.code" ]; fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought which may influence the adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "This value set includes sample Exception codes." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/claim-exception>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/claim-exception" ] ] ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "Claim.diagnosis" ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "List of patient diagnosis for which care is sought." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 14; fhir:Element.id [ fhir:value "Claim.diagnosis.type" ]; fhir:ElementDefinition.path [ fhir:value "Claim.diagnosis.type" ]; fhir:ElementDefinition.definition [ fhir:value "The type of the Diagnosis, for example: admitting, primary, secondary, discharge." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "This value set includes example Diagnosis Type codes." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/ex-diagnosistype>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosistype" ] ] ] ], [ fhir:index 15; fhir:Element.id [ fhir:value "Claim.procedure" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure" ]; fhir:ElementDefinition.definition [ fhir:value "Procedures performed." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 16; fhir:Element.id [ fhir:value "Claim.procedure.sequence" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure.sequence" ]; fhir:ElementDefinition.definition [ fhir:value "Procedure sequence for reference." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 17; fhir:Element.id [ fhir:value "Claim.procedure.date" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure.date" ]; fhir:ElementDefinition.definition [ fhir:value "When the procedure was performed." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 18; fhir:Element.id [ fhir:value "Claim.procedure.procedure[x]" ]; fhir:ElementDefinition.path [ fhir:value "Claim.procedure.procedure[x]" ]; fhir:ElementDefinition.definition [ fhir:value "When the procedure was performed." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 19; fhir:Element.id [ fhir:value "Claim.hospitalization" ]; fhir:ElementDefinition.path [ fhir:value "Claim.hospitalization" ]; fhir:ElementDefinition.definition [ fhir:value "Period in hospital." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 20; fhir:Element.id [ fhir:value "Claim.item" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item" ]; fhir:ElementDefinition.definition [ fhir:value "First tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 21; fhir:Element.id [ fhir:value "Claim.item.service" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.service" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RXNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. \"glasses\" or \"compound\"." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "This value set includes a smattering of USCLS codes." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/service-uscls>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ] ], [ fhir:index 22; fhir:Element.id [ fhir:value "Claim.item.serviced[x]" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.serviced[x]" ]; fhir:ElementDefinition.definition [ fhir:value "The date or dates when the enclosed suite of services were performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 23; fhir:Element.id [ fhir:value "Claim.item.locationReference" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.locationReference" ]; fhir:ElementDefinition.definition [ fhir:value "Where the service was provided." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 24; fhir:Element.id [ fhir:value "Claim.item.udi" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.udi" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 25; fhir:Element.id [ fhir:value "Claim.item.encounter" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.encounter" ]; fhir:ElementDefinition.definition [ fhir:value "Encounters related to this billed item." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 26; fhir:Element.id [ fhir:value "Claim.item.detail" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail" ]; fhir:ElementDefinition.definition [ fhir:value "Second tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 27; fhir:Element.id [ fhir:value "Claim.item.detail.udi" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.udi" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 28; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail" ]; fhir:ElementDefinition.definition [ fhir:value "Third tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 29; fhir:Element.id [ fhir:value "Claim.item.detail.subDetail.udi" ]; fhir:ElementDefinition.path [ fhir:value "Claim.item.detail.subDetail.udi" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ] ]. <http://hl7.org/fhir/ValueSet/all-languages> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/languages> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/fm-status> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/claim-type> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/claim-subtype> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/claim-use> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/process-priority> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/fundsreserve> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/related-claim-relationship> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/payeetype> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/ex-payee-resource-type> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/claim-careteamrole> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/provider-qualification> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/claim-informationcategory> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/claim-exception> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/missing-tooth-reason> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/icd-10> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/ex-diagnosistype> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/icd-10-procedures> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/v3-ActIncidentCode> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/ex-revenue-center> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/benefit-subcategory> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/service-uscls> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/claim-modifiers> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/ex-program-code> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/tooth> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/surface> a fhir:ValueSet. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.
© HL7.org 2011+. QICore STU 2 (v2.0.0) (based on FHIR v3.0.1) generated on Tue, Nov 21, 2017 21:03+1100. QA Page
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