Profile Comparison between http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim vs http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim

Left:QICoreClaim (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim)
Right:QICoreClaim (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim)

Messages

ErrorStructureDefinition.versionValues for version differ: '4.1.0' vs '4.1.1'
ErrorClaim.patientType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient]])
ErrorClaim.providerType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization]])
ErrorClaim.prescriptionType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/VisionPrescription]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/VisionPrescription]])
ErrorClaim.payee.partyType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson]])
ErrorClaim.referralType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest]])
ErrorClaim.facilityType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location]])
ErrorClaim.careTeam.providerType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization]])

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Claim
      .copyright
        .date2018-08-22
          .descriptionProfile of Claim for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
            .experimentalfalse
              .fhirVersion4.0.1
                .jurisdiction
                  ..jurisdiction[0]urn:iso:std:iso:3166#US
                    .kindresource
                      .nameQICoreClaim
                        .publisherhttp://www.hl7.org/Special/committees/cqi/index.cfm
                          .purpose
                            .statusdraft
                              .title
                                .typeClaim
                                  .urlhttp://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim
                                    .version4.1.04.1.1
                                    • Values Differ

                                    Structure

                                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                                    .. Claim 0..*ClaimClaim, Pre-determination or Pre-authorization
                                    0..*ClaimClaim, Pre-determination or Pre-authorization
                                      ... id Σ0..1stringLogical id of this artifactΣ0..1stringLogical id of this artifact
                                        ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                          ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                            ... language 0..1codeLanguage of the resource content
                                            Binding: CommonLanguages (preferred)
                                            Max Binding: AllLanguages: A human language.

                                            0..1codeLanguage of the resource content
                                            Binding: CommonLanguages (preferred)
                                            Max Binding: AllLanguages: A human language.

                                              ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                                ... contained 0..*ResourceContained, inline Resources
                                                0..*ResourceContained, inline Resources
                                                  ... extension 0..*ExtensionAdditional content defined by implementations
                                                  0..*ExtensionAdditional content defined by implementations
                                                    ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                    ?!0..*ExtensionExtensions that cannot be ignored
                                                      ... identifier 0..*IdentifierBusiness Identifier for claim
                                                      0..*IdentifierBusiness Identifier for claim
                                                        ... status ?!Σ1..1codeactive | cancelled | draft | entered-in-error
                                                        Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

                                                        ?!Σ1..1codeactive | cancelled | draft | entered-in-error
                                                        Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

                                                          ... type Σ1..1CodeableConceptCategory or discipline
                                                          Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.

                                                          Σ1..1CodeableConceptCategory or discipline
                                                          Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.

                                                            ... subType 0..1CodeableConceptMore granular claim type
                                                            Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.

                                                            0..1CodeableConceptMore granular claim type
                                                            Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.

                                                              ... use Σ1..1codeclaim | preauthorization | predetermination
                                                              Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.

                                                              Σ1..1codeclaim | preauthorization | predetermination
                                                              Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.

                                                                ... patient SΣ1..1Reference(QICorePatient)The recipient of the products and servicesSΣ1..1Reference(QICorePatient)The recipient of the products and services
                                                                • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient]])
                                                                ... billablePeriod SΣ0..1PeriodRelevant time frame for the claimSΣ0..1PeriodRelevant time frame for the claim
                                                                  ... created SΣ1..1dateTimeResource creation dateSΣ1..1dateTimeResource creation date
                                                                    ... enterer 0..1Reference(Practitioner | PractitionerRole)Author of the claim0..1Reference(Practitioner | PractitionerRole)Author of the claim
                                                                      ... insurer Σ0..1Reference(Organization)TargetΣ0..1Reference(Organization)Target
                                                                        ... provider SΣ1..1Reference(QICorePractitioner | QICorePractitionerRole | QICoreOrganization)Party responsible for the claimSΣ1..1Reference(QICorePractitioner | QICorePractitionerRole | QICoreOrganization)Party responsible for the claim
                                                                        • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization]])
                                                                        ... priority Σ1..1CodeableConceptDesired processing ugency
                                                                        Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.

                                                                        Σ1..1CodeableConceptDesired processing ugency
                                                                        Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.

                                                                          ... fundsReserve 0..1CodeableConceptFor whom to reserve funds
                                                                          Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).

                                                                          0..1CodeableConceptFor whom to reserve funds
                                                                          Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).

                                                                            ... related 0..*BackboneElementPrior or corollary claims
                                                                            0..*BackboneElementPrior or corollary claims
                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                    .... claim 0..1Reference(Claim)Reference to the related claim0..1Reference(Claim)Reference to the related claim
                                                                                      .... relationship 0..1CodeableConceptHow the reference claim is related
                                                                                      Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.

                                                                                      0..1CodeableConceptHow the reference claim is related
                                                                                      Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.

                                                                                        .... reference 0..1IdentifierFile or case reference0..1IdentifierFile or case reference
                                                                                          ... prescription S0..1Reference(QICoreDeviceRequest | QICoreMedicationRequest | VisionPrescription)Prescription authorizing services and productsS0..1Reference(QICoreDeviceRequest | QICoreMedicationRequest | VisionPrescription)Prescription authorizing services and products
                                                                                          • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/VisionPrescription]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/VisionPrescription]])
                                                                                          ... originalPrescription 0..1Reference(DeviceRequest | MedicationRequest | VisionPrescription)Original prescription if superseded by fulfiller0..1Reference(DeviceRequest | MedicationRequest | VisionPrescription)Original prescription if superseded by fulfiller
                                                                                            ... payee 0..1BackboneElementRecipient of benefits payable0..1BackboneElementRecipient of benefits payable
                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                    .... type 1..1CodeableConceptCategory of recipient
                                                                                                    Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.

                                                                                                    1..1CodeableConceptCategory of recipient
                                                                                                    Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.

                                                                                                      .... party 0..1Reference(QICorePractitioner | QICorePractitionerRole | QICoreOrganization | QICorePatient | QICoreRelatedPerson)Recipient reference0..1Reference(QICorePractitioner | QICorePractitionerRole | QICoreOrganization | QICorePatient | QICoreRelatedPerson)Recipient reference
                                                                                                      • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson]])
                                                                                                      ... referral 0..1Reference(QICoreServiceRequest)Treatment referral0..1Reference(QICoreServiceRequest)Treatment referral
                                                                                                      • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest]])
                                                                                                      ... facility 0..1Reference(QICoreLocation)Servicing facility0..1Reference(QICoreLocation)Servicing facility
                                                                                                      • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location]])
                                                                                                      ... careTeam 0..*BackboneElementMembers of the care team
                                                                                                      0..*BackboneElementMembers of the care team
                                                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                              .... sequence 1..1positiveIntOrder of care team1..1positiveIntOrder of care team
                                                                                                                .... provider 1..1Reference(QICorePractitioner | QICorePractitionerRole | QICoreOrganization)Practitioner or organization1..1Reference(QICorePractitioner | QICorePractitionerRole | QICoreOrganization)Practitioner or organization
                                                                                                                • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization]])
                                                                                                                .... responsible 0..1booleanIndicator of the lead practitioner0..1booleanIndicator of the lead practitioner
                                                                                                                  .... role 0..1CodeableConceptFunction within the team
                                                                                                                  Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.

                                                                                                                  0..1CodeableConceptFunction within the team
                                                                                                                  Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.

                                                                                                                    .... qualification 0..1CodeableConceptPractitioner credential or specialization
                                                                                                                    Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.

                                                                                                                    0..1CodeableConceptPractitioner credential or specialization
                                                                                                                    Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.

                                                                                                                      ... supportingInfo 0..*BackboneElementSupporting information
                                                                                                                      0..*BackboneElementSupporting information
                                                                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                              .... sequence 1..1positiveIntInformation instance identifier1..1positiveIntInformation instance identifier
                                                                                                                                .... category 1..1CodeableConceptClassification of the supplied information
                                                                                                                                Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.

                                                                                                                                1..1CodeableConceptClassification of the supplied information
                                                                                                                                Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.

                                                                                                                                  .... code 0..1CodeableConceptType of information
                                                                                                                                  Binding: ExceptionCodes (example): The valuset used for additional information codes.

                                                                                                                                  0..1CodeableConceptType of information
                                                                                                                                  Binding: ExceptionCodes (example): The valuset used for additional information codes.

                                                                                                                                    .... timing[x] 0..1date, PeriodWhen it occurred0..1date, PeriodWhen it occurred
                                                                                                                                      .... value[x] 0..1boolean, string, Quantity, Attachment, Reference(Resource)Data to be provided0..1boolean, string, Quantity, Attachment, Reference(Resource)Data to be provided
                                                                                                                                        .... reason 0..1CodeableConceptExplanation for the information
                                                                                                                                        Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.

                                                                                                                                        0..1CodeableConceptExplanation for the information
                                                                                                                                        Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.

                                                                                                                                          ... diagnosis 0..*BackboneElementPertinent diagnosis information
                                                                                                                                          0..*BackboneElementPertinent diagnosis information
                                                                                                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                  .... sequence 1..1positiveIntDiagnosis instance identifier1..1positiveIntDiagnosis instance identifier
                                                                                                                                                    .... diagnosis[x] 1..1CodeableConcept, Reference(Condition)Nature of illness or problem
                                                                                                                                                    Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.

                                                                                                                                                    1..1CodeableConcept, Reference(Condition)Nature of illness or problem
                                                                                                                                                    Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.

                                                                                                                                                      .... type 0..*CodeableConceptTiming or nature of the diagnosis
                                                                                                                                                      Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.


                                                                                                                                                      0..*CodeableConceptTiming or nature of the diagnosis
                                                                                                                                                      Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.


                                                                                                                                                        .... onAdmission 0..1CodeableConceptPresent on admission
                                                                                                                                                        Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.

                                                                                                                                                        0..1CodeableConceptPresent on admission
                                                                                                                                                        Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.

                                                                                                                                                          .... packageCode 0..1CodeableConceptPackage billing code
                                                                                                                                                          Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.

                                                                                                                                                          0..1CodeableConceptPackage billing code
                                                                                                                                                          Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.

                                                                                                                                                            ... procedure 0..*BackboneElementClinical procedures performed
                                                                                                                                                            0..*BackboneElementClinical procedures performed
                                                                                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                    .... sequence 1..1positiveIntProcedure instance identifier1..1positiveIntProcedure instance identifier
                                                                                                                                                                      .... type 0..*CodeableConceptCategory of Procedure
                                                                                                                                                                      Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.


                                                                                                                                                                      0..*CodeableConceptCategory of Procedure
                                                                                                                                                                      Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.


                                                                                                                                                                        .... date 0..1dateTimeWhen the procedure was performed0..1dateTimeWhen the procedure was performed
                                                                                                                                                                          .... procedure[x] 1..1CodeableConcept, Reference(Procedure)Specific clinical procedure
                                                                                                                                                                          Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.

                                                                                                                                                                          1..1CodeableConcept, Reference(Procedure)Specific clinical procedure
                                                                                                                                                                          Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.

                                                                                                                                                                            .... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                            0..*Reference(Device)Unique device identifier
                                                                                                                                                                              ... insurance Σ1..*BackboneElementPatient insurance information
                                                                                                                                                                              Σ1..*BackboneElementPatient insurance information
                                                                                                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                      .... sequence Σ1..1positiveIntInsurance instance identifierΣ1..1positiveIntInsurance instance identifier
                                                                                                                                                                                        .... focal Σ1..1booleanCoverage to be used for adjudicationΣ1..1booleanCoverage to be used for adjudication
                                                                                                                                                                                          .... identifier 0..1IdentifierPre-assigned Claim number0..1IdentifierPre-assigned Claim number
                                                                                                                                                                                            .... coverage Σ1..1Reference(Coverage)Insurance informationΣ1..1Reference(Coverage)Insurance information
                                                                                                                                                                                              .... businessArrangement 0..1stringAdditional provider contract number0..1stringAdditional provider contract number
                                                                                                                                                                                                .... preAuthRef 0..*stringPrior authorization reference number
                                                                                                                                                                                                0..*stringPrior authorization reference number
                                                                                                                                                                                                  .... claimResponse 0..1Reference(ClaimResponse)Adjudication results0..1Reference(ClaimResponse)Adjudication results
                                                                                                                                                                                                    ... accident 0..1BackboneElementDetails of the event0..1BackboneElementDetails of the event
                                                                                                                                                                                                      .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                        .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                        0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                          .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                          ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                            .... date 1..1dateWhen the incident occurred1..1dateWhen the incident occurred
                                                                                                                                                                                                              .... type 0..1CodeableConceptThe nature of the accident
                                                                                                                                                                                                              Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.

                                                                                                                                                                                                              0..1CodeableConceptThe nature of the accident
                                                                                                                                                                                                              Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.

                                                                                                                                                                                                                .... location[x] 0..1Address, Reference(Location)Where the event occurred0..1Address, Reference(Location)Where the event occurred
                                                                                                                                                                                                                  ... item 0..*BackboneElementProduct or service provided
                                                                                                                                                                                                                  0..*BackboneElementProduct or service provided
                                                                                                                                                                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                      .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                        .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                          .... sequence 1..1positiveIntItem instance identifier1..1positiveIntItem instance identifier
                                                                                                                                                                                                                            .... careTeamSequence 0..*positiveIntApplicable careTeam members
                                                                                                                                                                                                                            0..*positiveIntApplicable careTeam members
                                                                                                                                                                                                                              .... diagnosisSequence 0..*positiveIntApplicable diagnoses
                                                                                                                                                                                                                              0..*positiveIntApplicable diagnoses
                                                                                                                                                                                                                                .... procedureSequence 0..*positiveIntApplicable procedures
                                                                                                                                                                                                                                0..*positiveIntApplicable procedures
                                                                                                                                                                                                                                  .... informationSequence 0..*positiveIntApplicable exception and supporting information
                                                                                                                                                                                                                                  0..*positiveIntApplicable exception and supporting information
                                                                                                                                                                                                                                    .... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                    Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                    0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                    Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                      .... category 0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                      Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.

                                                                                                                                                                                                                                      0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                      Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.

                                                                                                                                                                                                                                        .... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                        Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                        1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                        Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                          .... modifier 0..*CodeableConceptProduct or service billing modifiers
                                                                                                                                                                                                                                          Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                          0..*CodeableConceptProduct or service billing modifiers
                                                                                                                                                                                                                                          Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                            .... programCode 0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                            Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                            0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                            Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                              .... serviced[x] 0..1date, PeriodDate or dates of service or product delivery0..1date, PeriodDate or dates of service or product delivery
                                                                                                                                                                                                                                                .... location[x] 0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                                Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.

                                                                                                                                                                                                                                                0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                                Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.

                                                                                                                                                                                                                                                  .... quantity 0..1SimpleQuantityCount of products or services0..1SimpleQuantityCount of products or services
                                                                                                                                                                                                                                                    .... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                      .... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                        .... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                          .... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                          0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                            .... bodySite 0..1CodeableConceptAnatomical location
                                                                                                                                                                                                                                                            Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.

                                                                                                                                                                                                                                                            0..1CodeableConceptAnatomical location
                                                                                                                                                                                                                                                            Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.

                                                                                                                                                                                                                                                              .... subSite 0..*CodeableConceptAnatomical sub-location
                                                                                                                                                                                                                                                              Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.


                                                                                                                                                                                                                                                              0..*CodeableConceptAnatomical sub-location
                                                                                                                                                                                                                                                              Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.


                                                                                                                                                                                                                                                                .... encounter 0..*Reference(Encounter)Encounters related to this billed item
                                                                                                                                                                                                                                                                0..*Reference(Encounter)Encounters related to this billed item
                                                                                                                                                                                                                                                                  .... detail 0..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                  0..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                    ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                      ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                        ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                          ..... sequence 1..1positiveIntItem instance identifier1..1positiveIntItem instance identifier
                                                                                                                                                                                                                                                                            ..... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                            Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                            0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                            Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                              ..... category 0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                              Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.

                                                                                                                                                                                                                                                                              0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                              Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.

                                                                                                                                                                                                                                                                                ..... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                  ..... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                  Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                  0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                  Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                    ..... programCode 0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                    Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                    0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                    Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                      ..... quantity 0..1SimpleQuantityCount of products or services0..1SimpleQuantityCount of products or services
                                                                                                                                                                                                                                                                                        ..... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                          ..... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                            ..... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                              ..... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                              0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                ..... subDetail 0..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                                                0..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                                                  ...... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                    ...... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                      ...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                        ...... sequence 1..1positiveIntItem instance identifier1..1positiveIntItem instance identifier
                                                                                                                                                                                                                                                                                                          ...... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                          Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                                                          0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                          Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                                                            ...... category 0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                            Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.

                                                                                                                                                                                                                                                                                                            0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                            Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.

                                                                                                                                                                                                                                                                                                              ...... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                              Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                              1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                              Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                ...... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                  ...... programCode 0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                  Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                                  0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                  Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                                    ...... quantity 0..1SimpleQuantityCount of products or services0..1SimpleQuantityCount of products or services
                                                                                                                                                                                                                                                                                                                      ...... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                                        ...... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                                          ...... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                                            ...... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                                            0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                                              ... total 0..1MoneyTotal claim cost0..1MoneyTotal claim cost

                                                                                                                                                                                                                                                                                                                                doco Documentation for this format