Release 4 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
See the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Claim.profile.xml

Example StructureDefinition/Claim (XML)

Maturity Level : N/A
Responsible Owner: Financial Management Work Group Standards Status : Informative Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for claim

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
  
  
    
    
      
        
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            AABJRU5ErkJggg== 
            Claim : A provider issued list of professional services and products which have been provided,
             or are to be provided, to a patient which is sent to an insurer for reimbursement.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxClaim, Pre-determination or Pre-authorization
            Elements defined in Ancestors: 
            The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes., 

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Claim"/> 
  <meta> 
    <lastUpdated value="2025-11-08T17:14:57.306+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <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 class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px; width: 100px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a>             <span style="float: right">              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">                <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>               </a>             </span>           </th>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Resource"/>              <span title="Claim : A provider issued list of professional services and products which have

             been provided, or are to be provided, to a patient which is sent to an insurer
             for reimbursement.">Claim</span> 
            <a name="Claim"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #fff5e6; padding-left: 3px; padding-right: 3px;
             border: 1px grey solid; font-weight: bold; color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Claim, Pre-determination or Pre-authorization
            <br/>              <br/>  Elements defined in Ancestors:             <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,

             this value never changes.">id</a> , 

            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the resource., 
            A reference to a set of rules that were followed when the resource was constructed, and
             which must be understood when processing the content. Often, this is a reference to an
             implementation guide that defines the special rules along with other profiles etc., 
            , 
            A human-readable narrative that contains a summary of the resource and can be used to
             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety., 
            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., 

             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,

             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc. For DomainResources, if more than one implicitRules policy applies, additional
             policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
            ir-extensions/StructureDefinition-additionalImplicitRules.html) extension.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> ,             <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used

             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that

             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. 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
             can define an extension, there is a set of requirements that SHALL be met as part of the
             definition of the extension., 

             of the resource. To make the use of extensions safe and managable, there is a strict
             set of governance applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part
             of the definition of the extension.">extension</a> , 

            <a href="domainresource.html#DomainResource" title="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 and/or
             the understanding of the containing element's descendants. Usually modifier elements provide
             negation or qualification. 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
             (including cannot change the meaning of modifierExtension itself).
          
        

        
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           solid; padding:0px 4px 0px 4pxBusiness Identifier for claim
            
          
        

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxactive | cancelled | draft | entered-in-error
            
             (
            )
          
        

        
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxCategory or discipline
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
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            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 

             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
             and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
          </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.identifier : A unique identifier assigned to this claim.">identifier</span>             <a name="Claim.identifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Business Identifier for claim
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.traceNumber : Trace number for tracking purposes. May be defined at the jurisdiction

             level or between trading partners.">traceNumber</span> 
            <a name="Claim.traceNumber"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Number for tracking
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.status : The status of the resource instance.">status</span>             <a name="Claim.status"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">active | cancelled | draft | entered-in-error
            <br/>  Binding:             <a href="valueset-fm-status.html">Financial Resource Status Codes</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.statusReason : Used to indicate why the status has changed.">statusReason</span>             <a name="Claim.statusReason"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Reason for status change
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.type : The category of claim, e.g. oral, pharmacy, vision, institutional,

             professional.">type</span> 
            <a name="Claim.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Category or discipline
            <br/>  Binding:             <a href="valueset-claim-type.html">Claim Type Codes</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Claim.subType : A finer grained suite of claim type codes which may convey additional
             information such as Inpatient vs Outpatient and/or a specialty service.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxMore granular claim type
            
             (
            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.)
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
          BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6
          EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
            TRgwAAAABJRU5ErkJggg== 
            Claim.use : A code to indicate whether the nature of the request is: to request adjudication
             of products and services previously rendered; or requesting authorization and adjudication
             for provision in the future; or requesting the non-binding adjudication of the listed
             products and services which could be provided in the future.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxclaim | preauthorization | predetermination
            
             (
            )
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
            wv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjE
            EOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQ
            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            Claim.patient : The party to whom the professional services and/or products have been
             supplied or are being considered and for whom actual or forecast reimbursement is sought.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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            (
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            Claim.provider : The provider which is responsible for the claim, predetermination or
             preauthorization.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            (
             | 
             | 
            )
          
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           solid; padding:0px 4px 0px 4px
        

        
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            Claim.priority : The provider-required urgency of processing the request. Typical values
             include: stat, routine deferred.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxDesired processing ugency
            
             (
            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.)
          
        

        
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             information such as Inpatient vs Outpatient and/or a specialty service.">subType</span> 
            <a name="Claim.subType"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">More granular claim type
            <br/>  Binding:             <a href="valueset-claim-subtype.html">Example Claim SubType Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.use : A code to indicate whether the nature of the request is: Claim - A

             request to an Insurer to adjudicate the supplied charges for health care goods
             and services under the identified policy and to pay the determined Benefit amount,
             if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed
             future charges for health care goods and services under the identified policy and
             to approve the services and provide the expected benefit amounts and potentially
             to reserve funds to pay the benefits when Claims for the indicated services are
             later submitted; or, Pre-determination - A request to an Insurer to adjudicate
             the supplied 'what if' charges for health care goods and services under the identified
             policy and report back what the Benefit payable would be had the services actually
             been provided.">use</span> 
            <a name="Claim.use"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">claim | preauthorization | predetermination
            <br/>  Binding:             <a href="valueset-claim-use.html">Use</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.subject : The party/group to whom the professional services and/or products

             have been supplied or are being considered and for whom actual or forecast reimbursement
             is sought.">subject</span> 
            <a name="Claim.subject"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="patient.html">Patient</a>  |             <a href="group.html">Group</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The recipient(s) of the products and services
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.billablePeriod : The period for which charges are being submitted.">billablePeriod</span>             <a name="Claim.billablePeriod"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Relevant time frame for the claim
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.created : The date this resource was created.">created</span>             <a name="Claim.created"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Resource creation date
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.enterer : Individual who created the claim, predetermination or preauthorization.">enterer</span>             <a name="Claim.enterer"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="patient.html">Patient</a>  |             <a href="relatedperson.html">RelatedPerson</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Author of the claim
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.insurer : The Insurer who is target of the request.">insurer</span>             <a name="Claim.insurer"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="organization.html">Organization</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Target
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.provider : The provider which is responsible for the claim, predetermination

             or preauthorization.">provider</span> 
            <a name="Claim.provider"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="organization.html">Organization</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Party responsible for the claim
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.priority : The provider-required urgency of processing the request. Typical

             values include: stat, normal, deferred.">priority</span> 
            <a name="Claim.priority"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Desired processing urgency
            <br/>  Binding:             <a href="valueset-process-priority.html">Process Priority Codes</a>  (            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability

             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="Claim.fundsReserve : A code to indicate whether and for whom funds are to be reserved
             for future claims.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxFor whom to reserve funds
            
             (
            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.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data: image/png;base64,R0lGODlhEAAQAPQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw
            /npofbjquvNefHVduuyN+uuMu3Oafbgjfnqvf/3zv/3xevPi+vRjP/20/bmsP///wD/ACH5BAEKAB8ALAAAAAAQABAAAAVl4CeOZG
            me5qCqqDg8jyVJaz1876DsmAQAgqDgltspMEhMJoMZ4iy6I1AooFCIv+wKybziALVAoAEjYLwDgGIpJhMslgxaLR4/3rMAWoBp32V
            5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw== 

             for future claims.">fundsReserve</span> 
            <a name="Claim.fundsReserve"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">For whom to reserve funds
            <br/>  Binding:             <a href="valueset-fundsreserve.html">Funds Reservation Codes</a>  (            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability

             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

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            <span title="Claim.related : Other claims which are related to this claim such as prior submissions
             or claims for related services or for the same event.
            
          
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            (
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxHow the reference claim is related
            
             (
            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.)
          
        

        
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            Claim.related.reference : An alternate organizational reference to the case or file to
             which this particular claim pertains.
            
          
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            Claim.prescription : Prescription to support the dispensing of pharmacy, device or vision
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            (
             | 
             | 
            )
          
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            Claim.originalPrescription : Original prescription which has been superseded by this prescription
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            (
             | 
             | 
            )
          
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            Claim.payee : The party to be reimbursed for cost of the products and services according
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxCategory of recipient
            
             (
            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.)
          
        

        
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            Claim.payee.party : Reference to the individual or organization to whom any payment will
             be made.
            
          
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           padding:0px 4px 0px 4px
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            (
             | 
             | 
             | 
             | 
            )
          
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            (
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           solid; padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
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           padding:0px 4px 0px 4px
        

        
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            (
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            Claim.careTeam.responsible : The party who is billing and/or responsible for the claimed
             products or services.
            
          
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            Claim.careTeam.role : The lead, assisting or supervising practitioner and their discipline
             if a multidisciplinary team.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxFunction within the team
            
             (
            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.)
          
        

        
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            Claim.careTeam.qualification : The qualification of the practitioner which is applicable
             for this service.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxPractitioner credential or specialization
            
             (
            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.)
          
        

        
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            Claim.supportingInfo : Additional information codes regarding exceptions, special considerations,
             the condition, situation, prior or concurrent issues.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxSupporting information
            
          
        

        
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            Claim.supportingInfo.category : The general class of the information supplied: information;
             exception; accident, employment; onset, etc.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxClassification of the supplied information
            
             (
            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.)
          
        

        
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            Claim.supportingInfo.code : System and code pertaining to the specific information regarding
             special conditions relating to the setting, treatment or patient  for which care is sought.
            
          
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           padding:0px 4px 0px 4pxType of information
            
             (
            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.)
          
        

        
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            A date or partial date (e.g. just year or year + month). There is no time zone. The format
             is a union of the schema types gYear, gYearMonth and date.  Dates SHALL be valid dates.
          
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             images etc. including references to the data or the actual inclusion of the data.
            
          
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            A measured amount (or an amount that can potentially be measured). Note that measured
             amounts include amounts that are not precisely quantified, including amounts involving
             arbitrary units and floating currencies.
          
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           padding:0px 4px 0px 4px
        

        
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC valueReference
          
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           solid; padding:0px 4px 0px 4px
            (
            )
          
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           solid; padding:0px 4px 0px 4px
        

        
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            Claim.supportingInfo.reason : Provides the reason in the situation where a reason code
             is required in addition to the content.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxExplanation for the information
            
             (
            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.)
          
        

        
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            (
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            Claim.diagnosis.onAdmission : Indication of whether the diagnosis was present on admission
             to a facility.
            
          
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxPresent on admission
            
             (
            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.)
          
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            Claim.diagnosis.packageCode : A package billing code or bundle code used to group products
             and services to a particular health condition (such as heart attack) which is based on
             a predetermined grouping code system.
            
          
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxPackage billing code
            
             (
            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.)
          
        

        
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            5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw== 
            Claim.procedure : Procedures performed on the patient relevant to the billing items with
             the claim.
            
          
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           solid; padding:0px 4px 0px 4px
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           solid; padding:0px 4px 0px 4px
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxClinical procedures performed
            
          
        

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxCategory of Procedure
            
             (
            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.)
            
          
        

        
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            Claim.procedure.procedure[x] : The code or reference to a Procedure resource which identifies
             the clinical intervention performed.
            
          
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxSpecific clinical procedure
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
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            (
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            (
            )
          
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           padding:0px 4px 0px 4pxUnique device identifier
            
          
        

        
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             or claims for related services or for the same event.">related</span> 
            <a name="Claim.related"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Prior or corollary claims
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

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           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="claim.html">Claim</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Reference to the related claim
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

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           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">How the reference claim is related
            <br/>  Binding:             <a href="valueset-related-claim-relationship.html">Example Related Claim Relationship Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

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          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

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             file to which this particular claim pertains.">reference</span> 
            <a name="Claim.related.reference"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">File or case reference
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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             author for them to provide products and services for which consideration (reimbursement)
             is sought. Could be a RX for medications, an 'order' for oxygen or wheelchair or
             physiotherapy treatments.">prescription</span> 
            <a name="Claim.prescription"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="devicerequest.html">DeviceRequest</a>  |             <a href="medicationrequest.html">MedicationRequest</a>  |             <a href="servicerequest.html">ServiceRequest</a>  |             <a href="visionprescription.html">VisionPrescription</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Prescription authorizing services and products
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.originalPrescription : Original prescription which has been superseded by

             this prescription to support the dispensing of pharmacy services, medications or
             products.">originalPrescription</span> 
            <a name="Claim.originalPrescription"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="devicerequest.html">DeviceRequest</a>  |             <a href="medicationrequest.html">MedicationRequest</a>  |             <a href="servicerequest.html">ServiceRequest</a>  |             <a href="visionprescription.html">VisionPrescription</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Original prescription if superseded by fulfiller
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Claim.payee : The party to be reimbursed for cost of the products and services

             according to the terms of the policy.">payee</span> 
            <a name="Claim.payee"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Recipient of benefits payable
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.payee.type : Type of Party to be reimbursed: subscriber, provider, other.">type</span>             <a name="Claim.payee.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Category of recipient
            <br/>  Binding:             <a href="valueset-payeetype.html">Claim Payee Type Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.payee.party : Reference to the individual or organization to whom any payment

             will be made.">party</span> 
            <a name="Claim.payee.party"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="organization.html">Organization</a>  |             <a href="patient.html">Patient</a>  |             <a href="relatedperson.html">RelatedPerson</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Recipient reference
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.referral : The referral information received by the claim author, it is not

             to be used when the author generates a referral for a patient. A copy of that referral
             may be provided as supporting information. Some insurers require proof of referral
             to pay for services or to pay specialist rates for services.">referral</span> 
            <a name="Claim.referral"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="servicerequest.html">ServiceRequest</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Treatment referral
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.encounter : Healthcare encounters related to this claim.">encounter</span>             <a name="Claim.encounter"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="encounter.html">Encounter</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Encounters associated with the listed treatments
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.facility : Facility where the services were provided.">facility</span>             <a name="Claim.facility"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="location.html">Location</a>  |             <a href="organization.html">Organization</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Servicing facility
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.diagnosisRelatedGroup : A package billing code or bundle code used to group

             products and services to a particular health condition (such as heart attack) which
             is based on a predetermined grouping code system.">diagnosisRelatedGroup</span> 
            <a name="Claim.diagnosisRelatedGroup"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Package billing code
            <br/>  Binding:             <a href="valueset-ex-diagnosisrelatedgroup.html">Example Diagnosis Related Group Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="Claim.event : Information code for an event with a corresponding date or period.">event</span>             <a name="Claim.event"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Event information
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.event.type : A coded event such as when a service is expected or a card printed.">type</span>             <a name="Claim.event.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Specific event
            <br/>  Binding:             <a href="valueset-datestype.html">Dates Type Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types"/>              <span title="Claim.event.when[x] : A date or period in the past or future indicating when the

             event occurred or is expectd to occur.">when[x]</span> 
            <a name="Claim.event.when_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Occurance date or period
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and

             minutes are specified, a UTC offset SHALL be populated. The format is a union of
             the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided
             due to schema type constraints but may be zero-filled and may be ignored.     
                        Dates SHALL be valid dates.">whenDateTime</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="A time period defined by a start and end date and optionally time.">whenPeriod</span>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Claim.careTeam : The members of the team who provided the products and services.">careTeam</span>             <a name="Claim.careTeam"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Members of the care team
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.careTeam.sequence : A number to uniquely identify care team entries.">sequence</span>             <a name="Claim.careTeam.sequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Order of care team
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.careTeam.provider : Member of the team who provided the product or service.">provider</span>             <a name="Claim.careTeam.provider"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="organization.html">Organization</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Practitioner or organization
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.careTeam.role : The lead, assisting or supervising practitioner and their

             discipline if a multidisciplinary team.">role</span> 
            <a name="Claim.careTeam.role"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Function within the team
            <br/>  Binding:             <a href="valueset-claim-careteamrole.html">Claim Care Team Role Codes</a>  (            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability

             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.careTeam.specialty : The specialization of the practitioner or provider which

             is applicable for this service.">specialty</span> 
            <a name="Claim.careTeam.specialty"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Practitioner or provider specialization
            <br/>  Binding:             <a href="valueset-provider-qualification.html">Example Provider Qualification Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="Claim.supportingInfo : Additional information codes regarding exceptions, special

             considerations, the condition, situation, prior or concurrent issues.">supportingInfo</span> 
            <a name="Claim.supportingInfo"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Supporting information
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.supportingInfo.sequence : A number to uniquely identify supporting information

             entries.">sequence</span> 
            <a name="Claim.supportingInfo.sequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Information instance identifier
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.supportingInfo.category : The general class of the information supplied:

             information; exception; accident, employment; onset, etc.">category</span> 
            <a name="Claim.supportingInfo.category"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Classification of the supplied information
            <br/>  Binding:             <a href="valueset-claim-informationcategory.html">Claim Information Category Codes</a>  (            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability

             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.supportingInfo.subCategory : A finer classification within the more general

             category.">subCategory</span> 
            <a name="Claim.supportingInfo.subCategory"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Finer-grained classification of the supplied information
            <br/>  Binding: InformationSubCategory (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.supportingInfo.code : System and code pertaining to the specific information

             regarding special conditions relating to the setting, treatment or patient  for
             which care is sought.">code</span> 
            <a name="Claim.supportingInfo.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Type of information
            <br/>  Binding:             <a href="valueset-claim-exception.html">Exception Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Choice of Types"/>              <span title="Claim.supportingInfo.timing[x] : The date when or period to which this information

             refers.">timing[x]</span> 
            <a name="Claim.supportingInfo.timing_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When it occurred
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and

             minutes are specified, a UTC offset SHALL be populated. The format is a union of
             the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided
             due to schema type constraints but may be zero-filled and may be ignored.     
                        Dates SHALL be valid dates.">timingDateTime</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="A time period defined by a start and end date and optionally time.">timingPeriod</span>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Specifies an event that may occur multiple times. Timing schedules are used to

             record when things are planned, expected or requested to occur. The most common
             usage is in dosage instructions for medications. They are also used when planning
             care of various kinds, and may be used for reporting the schedule to which past
             regular activities were carried out.">timingTiming</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Timing">Timing</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.supportingInfo.value[x] : Additional data or information such as resources,

             documents, images etc. including references to the data or the actual inclusion
             of the data.">value[x]</span> 
            <a name="Claim.supportingInfo.value_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#open">*</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Data to be provided
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.supportingInfo.reason : Provides the reason in the situation where a reason

             code is required in addition to the content.">reason</span> 
            <a name="Claim.supportingInfo.reason"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Explanation for the information
            <br/>  Binding:             <a href="valueset-missing-tooth-reason.html">Missing Tooth Reason Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Claim.diagnosis : Information about diagnoses relevant to the claim items.">diagnosis</span>             <a name="Claim.diagnosis"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Pertinent diagnosis information
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.diagnosis.sequence : A number to uniquely identify diagnosis entries.">sequence</span>             <a name="Claim.diagnosis.sequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Diagnosis instance identifier
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Choice of Types"/>              <span title="Claim.diagnosis.diagnosis[x] : The nature of illness or problem in a coded form

             or as a reference to an external defined Condition.">diagnosis[x]</span> 
            <a name="Claim.diagnosis.diagnosis_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Nature of illness or problem
            <br/>  Binding:             <a href="valueset-icd-10.html">ICD-10 Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="A concept that may be defined by a formal reference to a terminology or ontology

             or may be provided by text.">diagnosisCodeableConcept</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  diagnosisReference          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="condition.html">Condition</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.diagnosis.type : When the condition was observed or the relative ranking.">type</span>             <a name="Claim.diagnosis.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Timing or nature of the diagnosis
            <br/>  Binding:             <a href="valueset-ex-diagnosistype.html">Example Diagnosis Type Codes</a>  (            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability

             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.diagnosis.onAdmission : Indication of whether the diagnosis was present on

             admission to a facility.">onAdmission</span> 
            <a name="Claim.diagnosis.onAdmission"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Present on admission
            <br/>  Binding:             <a href="valueset-ex-diagnosis-on-admission.html">Example Diagnosis on Admission Codes</a>  (            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability

             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="Claim.procedure : Procedures performed on the patient relevant to the billing items

             with the claim.">procedure</span> 
            <a name="Claim.procedure"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Clinical procedures performed
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.procedure.sequence : A number to uniquely identify procedure entries.">sequence</span>             <a name="Claim.procedure.sequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Procedure instance identifier
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.procedure.type : When the condition was observed or the relative ranking.">type</span>             <a name="Claim.procedure.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Category of Procedure
            <br/>  Binding:             <a href="valueset-ex-procedure-type.html">Example Procedure Type Codes</a>  (            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability

             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.procedure.date : Date and optionally time the procedure was performed.">date</span>             <a name="Claim.procedure.date"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When the procedure was performed
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types"/>              <span title="Claim.procedure.procedure[x] : The code or reference to a Procedure resource which

             identifies the clinical intervention performed.">procedure[x]</span> 
            <a name="Claim.procedure.procedure_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Specific clinical procedure
            <br/>  Binding:             <a href="valueset-icd-10-procedures.html">ICD-10 Procedure Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="A concept that may be defined by a formal reference to a terminology or ontology

             or may be provided by text.">procedureCodeableConcept</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
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           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  procedureReference          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

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            <a href="references.html#Reference">Reference</a> (            <a href="procedure.html">Procedure</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.procedure.udi : Unique Device Identifiers associated with this line item.">udi</span>             <a name="Claim.procedure.udi"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

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          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="device.html">Device</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Unique device identifier
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

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          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

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            <span title="Claim.insurance : Financial instruments for reimbursement for the health care products
             and services specified on the claim.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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            Claim.insurance.sequence : A number to uniquely identify insurance entries and provide
             a sequence of coverages to convey coordination of benefit order.
            
          
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           padding:0px 4px 0px 4px
            
          
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            Claim.insurance.focal : A flag to indicate that this Coverage is to be used for adjudication
             of this claim when set to true.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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            Claim.insurance.identifier : The business identifier to be used when the claim is sent
             for adjudication against this insurance policy.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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             and services specified on the claim.">insurance</span> 
            <a name="Claim.insurance"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Patient insurance information
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.insurance.sequence : A number to uniquely identify insurance entries and

             provide a sequence of coverages to convey coordination of benefit order.">sequence</span> 
            <a name="Claim.insurance.sequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Insurance instance identifier
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.insurance.focal : A flag to indicate that this Coverage is to be used for

             adjudication of this claim when set to true.">focal</span> 
            <a name="Claim.insurance.focal"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Coverage to be used for adjudication
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.insurance.identifier : The business identifier to be used when the claim

             is sent for adjudication against this insurance policy.">identifier</span> 
            <a name="Claim.insurance.identifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Pre-assigned Claim number
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Claim.insurance.coverage : Reference to the insurance card level information contained
             in the Coverage resource. The coverage issuing insurer will use these details to locate
             the patient's actual coverage within the insurer's information system.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAO
          CZBkurQFbnaRSlAAAAAElFTkSuQmCC)
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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             in the Coverage resource. The coverage issuing insurer will use these details to
             locate the patient's actual coverage within the insurer's information system.">coverage</span> 
            <a name="Claim.insurance.coverage"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="coverage.html">Coverage</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Insurance information
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Claim.insurance.businessArrangement : A business agreement number established between
             the provider and the insurer for special business processing purposes.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
          BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD
          +5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)
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            Claim.insurance.preAuthRef : Reference numbers previously provided by the insurer to the
             provider to be quoted on subsequent claims containing services or products related to
             the prior authorization.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxPrior authorization reference number
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            Claim.insurance.claimResponse : The result of the adjudication of the line items for the
             Coverage specified in this insurance.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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            5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw== 
            Claim.accident : Details of an accident which resulted in injuries which required the
             products and services listed in the claim.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAO
          CZBkurQFbnaRSlAAAAAElFTkSuQmCC)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
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            TRgwAAAABJRU5ErkJggg== 

             the provider and the insurer for special business processing purposes.">businessArrangement</span> 
            <a name="Claim.insurance.businessArrangement"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Additional provider contract number
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.insurance.preAuthRef : Reference numbers previously provided by the insurer

             to the provider to be quoted on subsequent claims containing services or products
             related to the prior authorization.">preAuthRef</span> 
            <a name="Claim.insurance.preAuthRef"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Prior authorization reference number
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.insurance.claimResponse : The result of the adjudication of the line items

             for the Coverage specified in this insurance.">claimResponse</span> 
            <a name="Claim.insurance.claimResponse"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="claimresponse.html">ClaimResponse</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Adjudication results
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="Claim.accident : Details of an accident which resulted in injuries which required

             the products and services listed in the claim.">accident</span> 
            <a name="Claim.accident"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Details of the event
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Claim.accident.date : Date of an accident event  related to the products and services
             contained in the claim.
            
          
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            Claim.accident.type : The type or context of the accident event for the purposes of selection
             of potential insurance coverages and determination of coordination between insurers.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxThe nature of the accident
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
          
        

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            An address expressed using postal conventions (as opposed to GPS or other location definition
             formats).  This data type may be used to convey addresses for use in delivering mail as
             well as for visiting locations which might not be valid for mail delivery.  There are
             a variety of postal address formats defined around the world.
          
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            (
            )
          
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            Claim.item : A claim line. Either a simple  product or service or a 'group' of details
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            Claim.item.informationSequence : Exceptions, special conditions and supporting information
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxRevenue or cost center code
            
             (
            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.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            Claim.item.category : Code to identify the general type of benefits under which products
             and services are provided.
            
          
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxBenefit classification
            
             (
            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.)
          
        

        
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            Claim.item.productOrService : When the value is a group code then this item collects a
             set of related claim details, otherwise this contains the product, service, drug or other
             billing code for the item.
            
          
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxBilling, service, product, or drug code
            
             (
            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.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            Claim.item.modifier : Item typification or modifiers codes to convey additional context
             for the product or service.
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxProduct or service billing modifiers
            
            Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
             with TMJ, or an appliance was lost or stolen. (
            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.)
            
          
        

        
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            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 
            
            
          
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxProgram the product or service is provided under
            
             (
            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.)
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          CZBkurQFbnaRSlAAAAAElFTkSuQmCC)
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            Claim.item.serviced[x] : The date or dates when the service or product was supplied, performed
             or completed.
            
          
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            A date or partial date (e.g. just year or year + month). There is no time zone. The format
             is a union of the schema types gYear, gYearMonth and date.  Dates SHALL be valid dates.
          
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           padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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           solid; padding:0px 4px 0px 4pxPlace of service or where product was supplied
            
             (
            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.)
          
        

        
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            A concept that may be defined by a formal reference to a terminology or ontology or may
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            An address expressed using postal conventions (as opposed to GPS or other location definition
             formats).  This data type may be used to convey addresses for use in delivering mail as
             well as for visiting locations which might not be valid for mail delivery.  There are
             a variety of postal address formats defined around the world.
          
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           solid; padding:0px 4px 0px 4px
        

        
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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            Claim.item.unitPrice : If the item is not a group then this is the fee for the product
             or service, otherwise this is the total of the fees for the details of the group.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            Claim.item.factor : A real number that represents a multiplier used in determining the
             overall value of services delivered and/or goods received. The concept of a Factor allows
             for a discount or surcharge multiplier to be applied to a monetary amount.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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            Claim.item.net : The quantity times the unit price for an additional service or product
             or charge.
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            (
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           padding:0px 4px 0px 4pxAnatomical location
            
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             (
            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.)
            
          
        

        
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            Claim.item.encounter : The Encounters during which this Claim was created or to which
             the creation of this record is tightly associated.
            
          
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            (
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            Claim.item.detail : A claim detail line. Either a simple (a product or service) or a 'group'
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            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
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            Claim.item.detail.revenue : The type of revenue or cost center providing the product and/or
             service.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxRevenue or cost center code
            
             (
            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.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
            z58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPv
            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
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            Claim.item.detail.category : Code to identify the general type of benefits under which
             products and services are provided.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxBenefit classification
            
             (
            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.)
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
          BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAANElEQVR42u3WwQkAIAwDwO6a/WdQVygW/VzhniGQVytJdZxb3cyk3/0
          AAMDFP28EAADglQ1WK0BWTK0BuwAAAABJRU5ErkJggg==)
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            v+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
            ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
            z58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPv
            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 
            Claim.item.detail.productOrService : When the value is a group code then this item collects
             a set of related claim details, otherwise this contains the product, service, drug or
             other billing code for the item.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxBilling, service, product, or drug code
            
             (
            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.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          8EAADglQ1WK0BWTK0BuwAAAABJRU5ErkJggg==)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            z58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPv
            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
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            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 

             contained in the claim.">date</span> 
            <a name="Claim.accident.date"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When the incident occurred
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.accident.type : The type or context of the accident event for the purposes

             of selection of potential insurance coverages and determination of coordination
             between insurers.">type</span> 
            <a name="Claim.accident.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The nature of the accident
            <br/>  Binding:             <a href="http://terminology.hl7.org/6.5.0/ValueSet-v3-ActIncidentCode.html">ActIncidentCode</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Choice of Types"/>              <span title="Claim.accident.location[x] : The physical location of the accident event.">location[x]</span>             <a name="Claim.accident.location_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Where the event occurred
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="An address expressed using postal conventions (as opposed to GPS or other location

             definition formats).  This data type may be used to convey addresses for use in
             delivering mail as well as for visiting locations which might not be valid for
             mail delivery.  There are a variety of postal address formats defined around the
             world.
The ISO21090-codedString may be used to provide a coded representation of the contents
             of strings in an Address.">locationAddress</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Address">Address</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  locationReference          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="location.html">Location</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.patientPaid : The amount paid by the patient, in total at the claim claim

             level or specifically for the item and detail level, to the provider for goods
             and services.">patientPaid</span> 
            <a name="Claim.patientPaid"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Paid by the patient
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Claim.item : A claim line. Either a simple  product or service or a 'group' of

             details which can each be a simple items or groups of sub-details.">item</span> 
            <a name="Claim.item"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Product or service provided
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.item.sequence : A number to uniquely identify item entries.">sequence</span>             <a name="Claim.item.sequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Item instance identifier
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.traceNumber : Trace number for tracking purposes. May be defined at

             the jurisdiction level or between trading partners.">traceNumber</span> 
            <a name="Claim.item.traceNumber"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Number for tracking
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.item.subject : The party to whom the professional services and/or products

             have been supplied or are being considered and for whom actual for facast reimbursement
             is sought.">subject</span> 
            <a name="Claim.item.subject"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="patient.html">Patient</a>  |             <a href="group.html">Group</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The recipient of the products and services
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.item.careTeamSequence : CareTeam members related to this service or product.">careTeamSequence</span>             <a name="Claim.item.careTeamSequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Applicable careTeam members
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.item.diagnosisSequence : Diagnosis applicable for this service or product.">diagnosisSequence</span>             <a name="Claim.item.diagnosisSequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Applicable diagnoses
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.item.procedureSequence : Procedures applicable for this service or product.">procedureSequence</span>             <a name="Claim.item.procedureSequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Applicable procedures
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.item.informationSequence : Exceptions, special conditions and supporting

             information applicable for this service or product.">informationSequence</span> 
            <a name="Claim.item.informationSequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Applicable exception and supporting information
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.revenue : The type of revenue or cost center providing the product and/or

             service.">revenue</span> 
            <a name="Claim.item.revenue"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Revenue or cost center code
            <br/>  Binding:             <a href="valueset-ex-revenue-center.html">Example Revenue Center Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.category : Code to identify the general type of benefits under which

             products and services are provided.">category</span> 
            <a name="Claim.item.category"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Benefit classification
            <br/>  Binding:             <a href="valueset-ex-benefitcategory.html">Benefit Category Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.productOrService : When the value is a group code then this item collects

             a set of related item details, otherwise this contains the product, service, drug
             or other billing code for the item. This element may be the start of a range of
             .productOrService codes used in conjunction with .productOrServiceEnd or it may
             be a solo element where .productOrServiceEnd is not used.">productOrService</span> 
            <a name="Claim.item.productOrService"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Billing, service, product, or drug code
            <br/>  Binding:             <a href="valueset-service-uscls.html">USCLS Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.productOrServiceEnd : This contains the end of a range of product, service,

             drug or other billing codes for the item. This element is not used when the .productOrService
             is a group code. This value may only be present when a .productOfService code has
             been provided to convey the start of the range. Typically this value may be used
             only with preauthorizations and not with claims.">productOrServiceEnd</span> 
            <a name="Claim.item.productOrServiceEnd"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">End of a range of codes
            <br/>  Binding:             <a href="valueset-service-uscls.html">USCLS Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.item.request : Request or Referral for Goods or Service to be rendered.">request</span>             <a name="Claim.item.request"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="devicerequest.html">DeviceRequest</a>  |             <a href="medicationrequest.html">MedicationRequest</a>  |             <a href="nutritionorder.html">NutritionOrder</a>  |             <a href="servicerequest.html">ServiceRequest</a>  |             <a href="visionprescription.html">VisionPrescription</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Request or Referral for Service
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.modifier : Item typification or modifiers codes to convey additional

             context for the product or service.">modifier</span> 
            <a name="Claim.item.modifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Product or service billing modifiers
            <br/>  Binding:             <a href="valueset-claim-modifiers.html">Modifier type Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.programCode : Identifies the program under which this may be recovered.">programCode</span>             <a name="Claim.item.programCode"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Program the product or service is provided under
            <br/>  Binding:             <a href="valueset-ex-program-code.html">Example Program Reason Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types"/>              <span title="Claim.item.serviced[x] : The date or dates when the service or product was supplied,

             performed or completed.">serviced[x]</span> 
            <a name="Claim.item.serviced_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Date or dates of service or product delivery
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="A date or partial date (e.g. just year or year + month). There is no UTC offset.

             The format is a union of the schema types gYear, gYearMonth and date.  Dates SHALL
             be valid dates.">servicedDate</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="A time period defined by a start and end date and optionally time.">servicedPeriod</span>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Choice of Types"/>              <span title="Claim.item.location[x] : Where the product or service was provided.">location[x]</span>             <a name="Claim.item.location_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Place of service or where product was supplied
            <br/>  Binding:             <a href="valueset-service-place.html">Example Service Place Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="A concept that may be defined by a formal reference to a terminology or ontology

             or may be provided by text.">locationCodeableConcept</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="An address expressed using postal conventions (as opposed to GPS or other location

             definition formats).  This data type may be used to convey addresses for use in
             delivering mail as well as for visiting locations which might not be valid for
             mail delivery.  There are a variety of postal address formats defined around the
             world.
The ISO21090-codedString may be used to provide a coded representation of the contents
             of strings in an Address.">locationAddress</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Address">Address</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  locationReference          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="location.html">Location</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.patientPaid : The amount paid by the patient, in total at the claim

             claim level or specifically for the item and detail level, to the provider for
             goods and services.">patientPaid</span> 
            <a name="Claim.item.patientPaid"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Paid by the patient
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.quantity : The number of repetitions of a service or product.">quantity</span>             <a name="Claim.item.quantity"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Count of products or services
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.unitPrice : If the item is not a group then this is the fee for the

             product or service, otherwise this is the total of the fees for the details of
             the group.">unitPrice</span> 
            <a name="Claim.item.unitPrice"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Fee, charge or cost per item
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.item.factor : A real number that represents a multiplier used in determining

             the overall value of services delivered and/or goods received. The concept of a
             Factor allows for a discount or surcharge multiplier to be applied to a monetary
             amount.">factor</span> 
            <a name="Claim.item.factor"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#decimal">decimal</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Price scaling factor
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.tax : The total of taxes applicable for this product or service.">tax</span>             <a name="Claim.item.tax"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Total tax
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.net : The total amount claimed for the group (if a grouper) or the line

             item. Net = unit price * quantity * factor.">net</span> 
            <a name="Claim.item.net"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Total item cost
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.item.udi : Unique Device Identifiers associated with this line item.">udi</span>             <a name="Claim.item.udi"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="device.html">Device</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Unique device identifier
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="Claim.item.bodySite : Physical location where the service is performed or applies.">bodySite</span>             <a name="Claim.item.bodySite"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Anatomical location
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.item.bodySite.site : Physical service site on the patient (limb, tooth, etc.).">site</span>             <a name="Claim.item.bodySite.site"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="bodystructure.html">BodyStructure</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Location
            <br/>  Binding:             <a href="valueset-tooth.html">Oral Site Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.bodySite.subSite : A region or surface of the bodySite, e.g. limb region

             or tooth surface(s).">subSite</span> 
            <a name="Claim.item.bodySite.subSite"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Sub-location
            <br/>  Binding:             <a href="valueset-surface.html">Surface Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.item.encounter : Healthcare encounters related to this claim.">encounter</span>             <a name="Claim.item.encounter"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="encounter.html">Encounter</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Encounters associated with the listed treatments
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="Claim.item.detail : A claim detail line. Either a simple (a product or service)

             or a 'group' of sub-details which are simple items.">detail</span> 
            <a name="Claim.item.detail"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Product or service provided
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.item.detail.sequence : A number to uniquely identify item entries.">sequence</span>             <a name="Claim.item.detail.sequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Item instance identifier
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.traceNumber : Trace number for tracking purposes. May be defined

             at the jurisdiction level or between trading partners.">traceNumber</span> 
            <a name="Claim.item.detail.traceNumber"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Number for tracking
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.revenue : The type of revenue or cost center providing the product

             and/or service.">revenue</span> 
            <a name="Claim.item.detail.revenue"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Revenue or cost center code
            <br/>  Binding:             <a href="valueset-ex-revenue-center.html">Example Revenue Center Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.category : Code to identify the general type of benefits under

             which products and services are provided.">category</span> 
            <a name="Claim.item.detail.category"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Benefit classification
            <br/>  Binding:             <a href="valueset-ex-benefitcategory.html">Benefit Category Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.productOrService : When the value is a group code then this item

             collects a set of related item details, otherwise this contains the product, service,
             drug or other billing code for the item. This element may be the start of a range
             of .productOrService codes used in conjunction with .productOrServiceEnd or it
             may be a solo element where .productOrServiceEnd is not used.">productOrService</span> 
            <a name="Claim.item.detail.productOrService"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Billing, service, product, or drug code
            <br/>  Binding:             <a href="valueset-service-uscls.html">USCLS Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.productOrServiceEnd : This contains the end of a range of product,

             service, drug or other billing codes for the item. This element is not used when
             the .productOrService is a group code. This value may only be present when a .productOfServic
            e code has been provided to convey the start of the range. Typically this value
             may be used only with preauthorizations and not with claims.">productOrServiceEnd</span> 
            <a name="Claim.item.detail.productOrServiceEnd"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">End of a range of codes
            <br/>  Binding:             <a href="valueset-service-uscls.html">USCLS Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Claim.item.detail.modifier : Item typification or modifiers codes to convey additional
             context for the product or service.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxService/Product billing modifiers
            
            Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
             with TMJ, or an appliance was lost or stolen. (
            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.)
            
          
        

        
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            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxProgram the product or service is provided under
            
             (
            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.)
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            Claim.item.detail.unitPrice : If the item is not a group then this is the fee for the
             product or service, otherwise this is the total of the fees for the details of the group.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            v+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC
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            TRgwAAAABJRU5ErkJggg== 

             context for the product or service.">modifier</span> 
            <a name="Claim.item.detail.modifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Service/Product billing modifiers
            <br/>  Binding:             <a href="valueset-claim-modifiers.html">Modifier type Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.programCode : Identifies the program under which this may be

             recovered.">programCode</span> 
            <a name="Claim.item.detail.programCode"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Program the product or service is provided under
            <br/>  Binding:             <a href="valueset-ex-program-code.html">Example Program Reason Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.patientPaid : The amount paid by the patient, in total at the

             claim claim level or specifically for the item and detail level, to the provider
             for goods and services.">patientPaid</span> 
            <a name="Claim.item.detail.patientPaid"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Paid by the patient
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.quantity : The number of repetitions of a service or product.">quantity</span>             <a name="Claim.item.detail.quantity"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Count of products or services
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.unitPrice : If the item is not a group then this is the fee for

             the product or service, otherwise this is the total of the fees for the details
             of the group.">unitPrice</span> 
            <a name="Claim.item.detail.unitPrice"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Fee, charge or cost per item
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Claim.item.detail.factor : A real number that represents a multiplier used in determining
             the overall value of services delivered and/or goods received. The concept of a Factor
             allows for a discount or surcharge multiplier to be applied to a monetary amount.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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          AAMDFP28EAADglQ1WK0BWTK0BuwAAAABJRU5ErkJggg==)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 
            Claim.item.detail.net : The quantity times the unit price for an additional service or
             product or charge.
            
          
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          8EAADglQ1WK0BWTK0BuwAAAABJRU5ErkJggg==)
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxUnique device identifier
            
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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            Claim.item.detail.subDetail : A claim detail line. Either a simple (a product or service)
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            Claim.item.detail.subDetail.revenue : The type of revenue or cost center providing the
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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             (
            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.)
          
        

        
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            Claim.item.detail.subDetail.category : Code to identify the general type of benefits under
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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             (
            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.)
          
        

        
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            Claim.item.detail.subDetail.productOrService : When the value is a group code then this
             item collects a set of related claim details, otherwise this contains the product, service,
             drug or other billing code for the item.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxBilling, service, product, or drug code
            
             (
            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.)
          
        

        
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            Claim.item.detail.subDetail.modifier : Item typification or modifiers codes to convey
             additional context for the product or service.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxService/Product billing modifiers
            
            Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
             with TMJ, or an appliance was lost or stolen. (
            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.)
            
          
        

        
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            Claim.item.detail.subDetail.programCode : Identifies the program under which this may
             be recovered.
            
          
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxProgram the product or service is provided under
            
             (
            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.)
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            Claim.item.detail.subDetail.unitPrice : If the item is not a group then this is the fee
             for the product or service, otherwise this is the total of the fees for the details of
             the group.
            
          
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            TRgwAAAABJRU5ErkJggg== 
            Claim.item.detail.subDetail.factor : A real number that represents a multiplier used in
             determining the overall value of services delivered and/or goods received. The concept
             of a Factor allows for a discount or surcharge multiplier to be applied to a monetary
             amount.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
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            Claim.item.detail.subDetail.net : The quantity times the unit price for an additional
             service or product or charge.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
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            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            Claim.item.detail.subDetail.udi : Unique Device Identifiers associated with this line
             item.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxUnique device identifier
            
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
          BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkR
          jgNAAAAAASUVORK5CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          
            
            
               Documentation for this format
            
          
        
      
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
  
  
  
  
  
  
    
      
      
    
  
  
    
      
      
    
  

             the overall value of services delivered and/or goods received. The concept of a
             Factor allows for a discount or surcharge multiplier to be applied to a monetary
             amount.">factor</span> 
            <a name="Claim.item.detail.factor"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#decimal">decimal</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Price scaling factor
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.tax : The total of taxes applicable for this product or service.">tax</span>             <a name="Claim.item.detail.tax"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Total tax
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.net : The total amount claimed for the group (if a grouper) or

             the line item.detail. Net = unit price * quantity * factor.">net</span> 
            <a name="Claim.item.detail.net"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Total item cost
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.item.detail.udi : Unique Device Identifiers associated with this line item.">udi</span>             <a name="Claim.item.detail.udi"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="device.html">Device</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Unique device identifier
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="Claim.item.detail.subDetail : A claim detail line. Either a simple (a product or

             service) or a 'group' of sub-details which are simple items.">subDetail</span> 
            <a name="Claim.item.detail.subDetail"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Product or service provided
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.item.detail.subDetail.sequence : A number to uniquely identify item entries.">sequence</span>             <a name="Claim.item.detail.subDetail.sequence"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Item instance identifier
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.traceNumber : Trace number for tracking purposes. May

             be defined at the jurisdiction level or between trading partners.">traceNumber</span> 
            <a name="Claim.item.detail.subDetail.traceNumber"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Number for tracking
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.revenue : The type of revenue or cost center providing

             the product and/or service.">revenue</span> 
            <a name="Claim.item.detail.subDetail.revenue"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Revenue or cost center code
            <br/>  Binding:             <a href="valueset-ex-revenue-center.html">Example Revenue Center Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.category : Code to identify the general type of benefits

             under which products and services are provided.">category</span> 
            <a name="Claim.item.detail.subDetail.category"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Benefit classification
            <br/>  Binding:             <a href="valueset-ex-benefitcategory.html">Benefit Category Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.productOrService : When the value is a group code then

             this item collects a set of related item details, otherwise this contains the product,
             service, drug or other billing code for the item. This element may be the start
             of a range of .productOrService codes used in conjunction with .productOrServiceEnd
             or it may be a solo element where .productOrServiceEnd is not used.">productOrService</span> 
            <a name="Claim.item.detail.subDetail.productOrService"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Billing, service, product, or drug code
            <br/>  Binding:             <a href="valueset-service-uscls.html">USCLS Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.productOrServiceEnd : This contains the end of a range

             of product, service, drug or other billing codes for the item. This element is
             not used when the .productOrService is a group code. This value may only be present
             when a .productOfService code has been provided to convey the start of the range.
             Typically this value may be used only with preauthorizations and not with claims.">productOrServiceEnd</span> 
            <a name="Claim.item.detail.subDetail.productOrServiceEnd"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">End of a range of codes
            <br/>  Binding:             <a href="valueset-service-uscls.html">USCLS Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.modifier : Item typification or modifiers codes to

             convey additional context for the product or service.">modifier</span> 
            <a name="Claim.item.detail.subDetail.modifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Service/Product billing modifiers
            <br/>  Binding:             <a href="valueset-claim-modifiers.html">Modifier type Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.programCode : Identifies the program under which this

             may be recovered.">programCode</span> 
            <a name="Claim.item.detail.subDetail.programCode"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Program the product or service is provided under
            <br/>  Binding:             <a href="valueset-ex-program-code.html">Example Program Reason Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.patientPaid : The amount paid by the patient, in total

             at the claim claim level or specifically for the item and detail level, to the
             provider for goods and services.">patientPaid</span> 
            <a name="Claim.item.detail.subDetail.patientPaid"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Paid by the patient
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.quantity : The number of repetitions of a service or

             product.">quantity</span> 
            <a name="Claim.item.detail.subDetail.quantity"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Count of products or services
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.unitPrice : If the item is not a group then this is

             the fee for the product or service, otherwise this is the total of the fees for
             the details of the group.">unitPrice</span> 
            <a name="Claim.item.detail.subDetail.unitPrice"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Fee, charge or cost per item
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Claim.item.detail.subDetail.factor : A real number that represents a multiplier

             used in determining the overall value of services delivered and/or goods received.
             The concept of a Factor allows for a discount or surcharge multiplier to be applied
             to a monetary amount.">factor</span> 
            <a name="Claim.item.detail.subDetail.factor"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#decimal">decimal</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Price scaling factor
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.tax : The total of taxes applicable for this product

             or service.">tax</span> 
            <a name="Claim.item.detail.subDetail.tax"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Total tax
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.item.detail.subDetail.net : The total amount claimed for line item.detail.subDetail.

             Net = unit price * quantity * factor.">net</span> 
            <a name="Claim.item.detail.subDetail.net"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Total item cost
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="Claim.item.detail.subDetail.udi : Unique Device Identifiers associated with this

             line item.">udi</span> 
            <a name="Claim.item.detail.subDetail.udi"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="device.html">Device</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Unique device identifier
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Claim.total : The total value of the all the items in the claim.">total</span>             <a name="Claim.total"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Total claim cost
            <br/>            </td>         </tr>         <tr>           <td class="hierarchy" colspan="5">            <br/>              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">              <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>  Documentation for this format            </a>           </td>         </tr>       </table>     </div>   </text>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">    <valueCode value="trial-use"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">    <valueCode value="fm"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">    <valueInteger value="2"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">    <valueCode value="patient"/>   </extension>   <url value="http://hl7.org/fhir/StructureDefinition/Claim"/>   <version value="6.0.0-ballot3"/>   <name value="Claim"/>   <status value="draft"/>   <experimental value="false"/>   <date value="2025-11-08T17:14:57+00:00"/>   <publisher value="HL7 International / Financial Management"/>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/fiwg"/>     </telecom>   </contact>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/fm"/>     </telecom>   </contact> 
  <description value="A provider issued list of professional services and products which have been provided,
   or are to be provided, to a patient which is sent to an insurer for reimbursement.
  The Claim resource is used by providers to exchange services and products rendered to
   patients or planned to be rendered with insurers for reimbuserment. It is also used by
   insurers to exchange claims information with statutory reporting and data analytics firms.
  
  
    
    
    
  
  
    
    
    
  
  
    
    
    
  
  
  
  
  
  
  
    
      
      

   or are to be provided, to a patient which is sent to an insurer for reimbursement."/> 
  <jurisdiction>     <coding>       <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>       <code value="001"/>       <display value="World"/>     </coding>   </jurisdiction>   <purpose value="The Claim resource is used by providers to exchange services and products rendered

   to patients or planned to be rendered with insurers for reimbuserment. It is also
   used by insurers to exchange claims information with statutory reporting and data
   analytics firms."/> 
  <fhirVersion value="6.0.0-ballot3"/>   <mapping>     <identity value="workflow"/>     <uri value="http://hl7.org/fhir/workflow"/>     <name value="Workflow Pattern"/>   </mapping>   <mapping>     <identity value="w5"/>     <uri value="http://hl7.org/fhir/fivews"/>     <name value="FiveWs Pattern Mapping"/>   </mapping>   <mapping>     <identity value="rim"/>     <uri value="http://hl7.org/v3"/>     <name value="RIM Mapping"/>   </mapping>   <kind value="resource"/>   <abstract value="false"/>   <type value="Claim"/>   <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>   <derivation value="specialization"/>   <snapshot>     <element id="Claim">      <path value="Claim"/>       <short value="Claim, Pre-determination or Pre-authorization"/> 
      <definition value="A provider issued list of professional services and products which have been provided,
       or are to be provided, to a patient which is sent to an insurer for reimbursement.

       or are to be provided, to a patient which is sent to an insurer for reimbursement."/> 

      <comment value="The Claim resource fulfills three information request requirements: Claim - a request
       for adjudication for reimbursement for products and/or services provided; Preauthorization
       - a request to authorize the future provision of products and/or services including an
       anticipated adjudication; and, Predetermination - a request for a non-bind adjudication
       of possible future products and/or services.
      
      
      
      
      
      
        
        
        
      
      
        
        
        
        
        
        
      
      
        
        
        If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource or SHALL refer to the containing resource
        contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
        l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
        ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
        anonical) = '#').exists()).not()).trace('unmatched', id).empty()
        not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:refere
        nce/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
        
      
      
        
        
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated
        
        
        
      
      
        
        
        
        
        
        
      
      
        
          
        
        
          When a resource has no narrative, only systems that fully understand the data can display
           the resource to a human safely. Including a human readable representation in the resource
           makes for a much more robust eco-system and cheaper handling of resources by intermediary
           systems. Some ecosystems restrict distribution of resources to only those systems that
           do fully understand the resources, and as a consequence implementers may believe that
           the narrative is superfluous. However experience shows that such eco-systems often open
           up to new participants over time.
        
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
    
    
      
      

       - a request to authorize the future provision of products and/or services including
       an anticipated adjudication; and, Predetermination - a request for a non-bind adjudication
       of possible future products and/or services."/> 
      <alias value="Adjudication Request"/>       <alias value="Preauthorization Request"/>       <alias value="Predetermination Request"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim"/>         <min value="0"/>         <max value="*"/>       </base>       <constraint>         <key value="dom-2"/>         <severity value="error"/>         <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>         <expression value="contained.contained.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-3"/>         <severity value="error"/>         <human value="If the resource is contained in another resource, it SHALL be referred to from

         elsewhere in the resource or SHALL refer to the containing resource"/> 
        <expression value="contained.where((('#'+id.trace('id') in %resource.descendants().select(reference

         | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmat
        ched', id).empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-4"/>         <severity value="error"/>         <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId

         or a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-5"/>         <severity value="error"/>         <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/>         <expression value="contained.meta.security.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">          <valueBoolean value="true"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can

           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience
           shows that such eco-systems often open up to new participants over time."/> 
        </extension>         <key value="dom-6"/>         <severity value="warning"/>         <human value="A resource should have narrative for robust management"/>         <expression value="text.`div`.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Entity, Role, or Act"/>       </mapping>       <mapping>         <identity value="workflow"/>         <map value="Request"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="financial.billing"/>       </mapping>     </element>     <element id="Claim.id">      <path value="Claim.id"/>       <short value="Logical id of this artifact"/>       <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,

       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except

       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.meta">      <path value="Claim.meta"/>       <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the resource.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content. Often, this is a reference to an
       implementation guide that defines the special rules along with other profiles etc.
      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. Often, when used, the URL
       is a reference to an implementation guide that defines these special rules as part of
       it's narrative along with other profiles, value sets, etc.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      

       Changes to the content might not always be associated with version changes to the
       resource."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.meta"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Meta"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.implicitRules">      <path value="Claim.implicitRules"/>       <short value="A set of rules under which this content was created"/>       <definition value="A reference to a set of rules that were followed when the resource was constructed,

       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc. For DomainResources, if more than one implicitRules policy applies, additional
       policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
      ir-extensions/StructureDefinition-additionalImplicitRules.html) extension."/> 
      <comment 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. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of its narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.implicitRules"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation
      
    
    
      
      
      
      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).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
          
        
        
        
        
      
    
    
      
      
      A human-readable narrative that contains a summary of the resource and can be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later.
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      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.
      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. Contained
       resources may have profiles and tags In their meta elements, but SHALL NOT have security
       labels.
      
      
      
      
      
      
        
        
        
      
      
        
      
      
      
      
        
        
      
    
    
      
      

       knowledge about the resource that modifies its meaning or interpretation"/> 
      <isSummary value="true"/>     </element>     <element id="Claim.language">      <path value="Claim.language"/>       <short value="Language of the resource content"/>       <definition value="The base language in which the resource is written."/>       <comment value="Language is provided to support indexing and accessibility (typically, services

       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.language"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Language"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="IETF language tag for a human language"/>         <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3"/>         <additional>           <purpose value="starter"/>           <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>         </additional>       </binding>     </element>     <element id="Claim.text">      <path value="Claim.text"/>       <short value="Text summary of the resource, for human interpretation"/>       <definition value="A human-readable narrative that contains a summary of the resource and can be used

       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a 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 &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/>       <alias value="html"/>       <alias value="xhtml"/>       <alias value="display"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="DomainResource.text"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Narrative"/>       </type>       <condition value="dom-6"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Act.text?"/>       </mapping>     </element>     <element id="Claim.contained">      <path value="Claim.contained"/>       <short value="Contained, inline Resources"/>       <definition value="These resources do not have an independent existence apart from the resource that

       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment 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. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels. Contained resources may be a resource type
       defined in the FHIR specification, or an [additional resource](resource.html#additional)."/> 
      <alias value="inline resources"/>       <alias value="anonymous resources"/>       <alias value="contained resources"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.contained"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Resource"/>       </type>       <condition value="dom-2"/>       <condition value="dom-4"/>       <condition value="dom-3"/>       <condition value="dom-5"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.extension">      <path value="Claim.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the resource. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.modifierExtension">      <path value="Claim.modifierExtension"/>       <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains it and/or
       the understanding of the containing element's descendants. Usually modifier elements provide
       negation or qualification. 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them
      
      
        
        
      
    
    
      
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      This element is labeled as a modifier because the status contains codes that mark the
       resource as not currently valid.
      Need to track the status of the resource as 'draft' resources may undergo further edits
       while 'active' resources are immutable and may only have their status changed to 'cancelled'.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      This element is labeled as a modifier because it is a status element that contains status
       entered-in-error which means that the resource should not be treated as valid
      
      
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional,
       or variants on those terms, as the general styles of claims. The valueset is extensible
       to accommodate other jurisdictional requirements.
      Claim type determine the general sets of business rules applied for information requirements
       and adjudication.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A finer grained suite of claim type codes which may convey additional information such
       as Inpatient vs Outpatient and/or a specialty service.
      This may contain the local bill type codes, for example the US UB-04 bill type code or
       the CMS bill type.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A code to indicate whether the nature of the request is: to request adjudication of products
       and services previously rendered; or requesting authorization and adjudication for provision
       in the future; or requesting the non-binding adjudication of the listed products and services
       which could be provided in the future.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      The party to whom the professional services and/or products have been supplied or are
       being considered and for whom actual or forecast reimbursement is sought.
      The patient must be supplied to the insurer so that confirmation of coverage and service
       history may be considered as part of the authorization and/or adjudiction.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      Typically this would be today or in the past for a claim, and today or in the future for
       preauthorizations and predeterminations. Typically line item dates of service should fall
       within the billing period if one is specified.
      A number jurisdictions required the submission of the billing period when submitting claims
       for example for hospital stays or long-term care.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      This field is independent of the date of creation of the resource as it may reflect the
       creation date of a source document prior to digitization. Typically for claims all services
       must be completed as of this date.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      Typically this field would be 1..1 where this party is responsible for the claim but not
       necessarily professionally responsible for the provision of the individual products and
       services listed below.
      
      
      
        
        
        
      
      
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The provider-required urgency of processing the request. Typical values include: stat,
       routine deferred.
      If a claim processor is unable to complete the processing as per the priority then they
       should generate and error and not process the request.

       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       resource that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.identifier">      <path value="Claim.identifier"/>       <short value="Business Identifier for claim"/>       <definition value="A unique identifier assigned to this claim."/>       <requirements value="Allows claims to be distinguished and referenced."/>       <alias value="Claim Number"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.identifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>     </element>     <element id="Claim.traceNumber">      <path value="Claim.traceNumber"/>       <short value="Number for tracking"/>       <definition value="Trace number for tracking purposes. May be defined at the jurisdiction level or

       between trading partners."/> 
      <requirements value="Allows partners to uniquely identify components for tracking."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.traceNumber"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.status">      <path value="Claim.status"/>       <short value="active | cancelled | draft | entered-in-error"/>       <definition value="The status of the resource instance."/>       <comment value="This element is labeled as a modifier because the status contains codes that mark

       the resource as not currently valid."/> 
      <requirements value="Need to track the status of the resource as 'draft' resources may undergo further

       edits while 'active' resources are immutable and may only have their status changed
       to 'cancelled'."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.status"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because it is a status element that contains

       status entered-in-error which means that the resource should not be treated as
       valid"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ClaimStatus"/>         </extension>         <strength value="required"/>         <description value="A code specifying the state of the resource instance."/>         <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Request.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>     </element>     <element id="Claim.statusReason">      <path value="Claim.statusReason"/>       <short value="Reason for status change"/>       <definition value="Used to indicate why the status has changed."/>       <comment value="Implementation guides may consider adding invariants such that if status = cancelled,

       statusReason SHALL be supplied."/> 
      <requirements value="This is used to implement conformance on other elements."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.statusReason"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.type">      <path value="Claim.type"/>       <short value="Category or discipline"/>       <definition value="The category of claim, e.g. oral, pharmacy, vision, institutional, professional."/>       <comment value="The code system provides oral, pharmacy, vision, professional and institutional

       claim types. Those supported depends on the requirements of the jurisdiction. The
       valueset is extensible to accommodate other types of claims as required by the
       jurisdiction."/> 
      <requirements value="Claim type determine the general sets of business rules applied for information

       requirements and adjudication."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.type"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ClaimType"/>         </extension>         <strength value="extensible"/>         <description value="The type or discipline-style of the claim."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-type"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="Claim.subType">      <path value="Claim.subType"/>       <short value="More granular claim type"/>       <definition value="A finer grained suite of claim type codes which may convey additional information

       such as Inpatient vs Outpatient and/or a specialty service."/> 
      <comment value="This may contain the local bill type codes, for example the US UB-04 bill type

       code or the CMS bill type."/> 
      <requirements value="Some jurisdictions need a finer grained claim type for routing and adjudication."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.subType"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ClaimSubType"/>         </extension>         <strength value="example"/>         <description value="A more granular claim typecode."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-subtype"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="Claim.use">      <path value="Claim.use"/>       <short value="claim | preauthorization | predetermination"/>       <definition value="A code to indicate whether the nature of the request is: Claim - A request to an

       Insurer to adjudicate the supplied charges for health care goods and services under
       the identified policy and to pay the determined Benefit amount, if any; Preauthorization
       - A request to an Insurer to adjudicate the supplied proposed future charges for
       health care goods and services under the identified policy and to approve the services
       and provide the expected benefit amounts and potentially to reserve funds to pay
       the benefits when Claims for the indicated services are later submitted; or, Pre-determinatio
      n - A request to an Insurer to adjudicate the supplied 'what if' charges for health
       care goods and services under the identified policy and report back what the Benefit
       payable would be had the services actually been provided."/> 
      <requirements value="This element is required to understand the nature of the request for adjudication."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.use"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Use"/>         </extension>         <strength value="required"/>         <description value="The purpose of the Claim: predetermination, preauthorization, claim."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="Claim.subject">      <path value="Claim.subject"/>       <short value="The recipient(s) of the products and services"/>       <definition value="The party/group to whom the professional services and/or products have been supplied

       or are being considered and for whom actual or forecast reimbursement is sought."/> 
      <requirements value="The patient must be supplied to the insurer so that confirmation of coverage and

       service history may be considered as part of the authorization and/or adjudiction."/> 
      <alias value="patient"/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.subject"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Request.subject"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject"/>       </mapping>     </element>     <element id="Claim.billablePeriod">      <path value="Claim.billablePeriod"/>       <short value="Relevant time frame for the claim"/>       <definition value="The period for which charges are being submitted."/>       <comment value="Typically this would be today or in the past for a claim, and today or in the future

       for preauthorizations and predeterminations. Typically line item dates of service
       should fall within the billing period if one is specified."/> 
      <requirements value="A number jurisdictions required the submission of the billing period when submitting

       claims for example for hospital stays or long-term care."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.billablePeriod"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Period"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.done[x]"/>       </mapping>     </element>     <element id="Claim.created">      <path value="Claim.created"/>       <short value="Resource creation date"/>       <definition value="The date this resource was created."/>       <comment value="This field is independent of the date of creation of the resource as it may reflect

       the creation date of a source document prior to digitization. Typically for claims
       all services must be completed as of this date."/> 
      <requirements value="Need to record a timestamp for use by both the recipient and the issuer."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.created"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Request.authoredOn"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>     </element>     <element id="Claim.enterer">      <path value="Claim.enterer"/>       <short value="Author of the claim"/>       <definition value="Individual who created the claim, predetermination or preauthorization."/>       <requirements value="Some jurisdictions require the contact information for personnel completing claims."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.enterer"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.author"/>       </mapping>     </element>     <element id="Claim.insurer">      <path value="Claim.insurer"/>       <short value="Target"/>       <definition value="The Insurer who is target of the request."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.insurer"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Request.performer"/>       </mapping>     </element>     <element id="Claim.provider">      <path value="Claim.provider"/>       <short value="Party responsible for the claim"/>       <definition value="The provider which is responsible for the claim, predetermination or preauthorization."/>       <comment value="Typically this field would be 1..1 where this party is accountable for the data

       content within the claim but is not necessarily the facility, provider group or
       practitioner who provided the products and services listed within this claim resource.
       This field is the Billing Provider, for example, a facility, provider group, lab
       or practitioner."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.provider"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Request.requester"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.source"/>       </mapping>     </element>     <element id="Claim.priority">      <path value="Claim.priority"/>       <short value="Desired processing urgency"/>       <definition value="The provider-required urgency of processing the request. Typical values include:

       stat, normal, deferred."/> 
      <comment value="If a claim processor is unable to complete the processing as per the priority then

       they should generate an error and not process the request."/> 

      <requirements value="The provider may need to indicate their processing requirements so that the processor
       can indicate if they are unable to comply.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      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.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
        
        
      
    
    
      
        
      
      
      
      Other claims which are related to this claim such as prior submissions or claims for related
       services or for the same event.
      
      For workplace or other accidents it is common to relate separate claims arising from the
       same event.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       can indicate if they are unable to comply."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.priority"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProcessPriority"/>         </extension>         <strength value="preferred"/>         <description value="The timeliness with which processing is required: stat, normal, deferred."/>         <valueSet value="http://hl7.org/fhir/ValueSet/process-priority"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Request.priority"/>       </mapping>     </element>     <element id="Claim.fundsReserve">      <path value="Claim.fundsReserve"/>       <short value="For whom to reserve funds"/>       <definition value="A code to indicate whether and for whom funds are to be reserved for future claims."/>       <comment value="This field is only used for preauthorizations."/>       <requirements 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."/> 
      <alias value="Fund pre-allocation"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.fundsReserve"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="FundsReserve"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="preferred"/>         <description value="For whom funds are to be reserved: (Patient, Provider, None)."/>         <valueSet value="http://hl7.org/fhir/ValueSet/fundsreserve"/>       </binding>     </element>     <element id="Claim.related">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="RelatedClaim"/>       </extension>       <path value="Claim.related"/>       <short value="Prior or corollary claims"/>       <definition value="Other claims which are related to this claim such as prior submissions or claims

       for related services or for the same event."/> 
      <comment value="For example,  for the original treatment and follow-up exams."/>       <requirements value="For workplace or other accidents it is common to relate separate claims arising

       from the same event."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.related"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.related.id">      <path value="Claim.related.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.related.extension">      <path value="Claim.related.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.related.modifierExtension">      <path value="Claim.related.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      For workplace or other accidents it is common to relate separate claims arising from the
       same event.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      An alternate organizational reference to the case or file to which this particular claim
       pertains.
      
      In cases where an event-triggered claim is being submitted to an insurer which requires
       a reference number to be specified on all exchanges.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Original prescription which has been superseded 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 therefore issues a new prescription
       for an alternate medication which has the same therapeutic intent. The prescription from
       the pharmacy becomes the 'prescription' and that from the physician becomes the 'original
       prescription'.
      Often required when a fulfiller varies what is fulfilled from that authorized on the original
       prescription.
      
      
      
        
        
        
      
      
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
        
      
      
      
      The party to be reimbursed for cost of the products and services according to the terms
       of the policy.
      Often providers agree to receive the benefits payable to reduce the near-term costs to
       the patient. The insurer may decline to pay the provider and choose to pay the subscriber
       instead.
      The provider needs to specify who they wish to be reimbursed and the claims processor
       needs express who they will reimburse.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.related.claim">      <path value="Claim.related.claim"/>       <short value="Reference to the related claim"/>       <definition value="Reference to a related claim."/>       <requirements value="For workplace or other accidents it is common to relate separate claims arising

       from the same event."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.related.claim"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy">          <valueBoolean value="false"/>         </extension>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Claim"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.replaces"/>       </mapping>     </element>     <element id="Claim.related.relationship">      <path value="Claim.related.relationship"/>       <short value="How the reference claim is related"/>       <definition value="A code to convey how the claims are related."/>       <comment value="For example, prior claim or umbrella."/>       <requirements value="Some insurers need a declaration of the type of relationship."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.related.relationship"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="RelatedClaimRelationship"/>         </extension>         <strength value="example"/>         <description value="Relationship of this claim to a related Claim."/>         <valueSet value="http://hl7.org/fhir/ValueSet/related-claim-relationship"/>       </binding>     </element>     <element id="Claim.related.reference">      <path value="Claim.related.reference"/>       <short value="File or case reference"/>       <definition value="An alternate organizational reference to the case or file to which this particular

       claim pertains."/> 
      <comment value="For example, Property/Casualty insurer claim # or Workers Compensation case # ."/>       <requirements value="In cases where an event-triggered claim is being submitted to an insurer which

       requires a reference number to be specified on all exchanges."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.related.reference"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.prescription">      <path value="Claim.prescription"/>       <short value="Prescription authorizing services and products"/>       <definition value="Prescription is the document/authorization given to the claim author for them to

       provide products and services for which consideration (reimbursement) is sought.
       Could be a RX for medications, an 'order' for oxygen or wheelchair or physiotherapy
       treatments."/> 
      <requirements value="Required to authorize the dispensing of controlled substances and devices."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.prescription"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.originalPrescription">      <path value="Claim.originalPrescription"/>       <short value="Original prescription if superseded by fulfiller"/>       <definition value="Original prescription which has been superseded by this prescription to support

       the dispensing of pharmacy services, medications or products."/> 
      <comment value="For example, a physician may prescribe a medication which the pharmacy determines

       is contraindicated, or for which the patient has an intolerance, and therefore
       issues a new prescription for an alternate medication which has the same therapeutic
       intent. The prescription from the pharmacy becomes the 'prescription' and that
       from the physician becomes the 'original prescription'."/> 
      <requirements value="Often required when a fulfiller varies what is fulfilled from that authorized on

       the original prescription."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.originalPrescription"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.payee">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Payee"/>       </extension>       <path value="Claim.payee"/>       <short value="Recipient of benefits payable"/>       <definition value="The party to be reimbursed for cost of the products and services according to the

       terms of the policy."/> 
      <comment value="Often billing providers agree to receive the benefits payable to reduce the near-term

       costs to the patient. The insurer may decline to pay the provider and choose to
       pay the subscriber instead."/> 
      <requirements value="The billing provider needs to specify who they wish to be reimbursed and the claims

       processor needs express who they will reimburse."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.payee"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.payee.id">      <path value="Claim.payee.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.payee.extension">      <path value="Claim.payee.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.payee.modifierExtension">      <path value="Claim.payee.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      Need to know who should receive payment with the most common situations being the Provider
       (assignment of benefits) or the Subscriber.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
      
        
        
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.payee.type">      <path value="Claim.payee.type"/>       <short value="Category of recipient"/>       <definition value="Type of Party to be reimbursed: subscriber, provider, other."/>       <requirements value="Need to know who should receive payment with the most common situations being the

       billing Provider (assignment of benefits) or the Subscriber."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.payee.type"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="PayeeType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="example"/>         <description value="A code for the party to be reimbursed."/>         <valueSet value="http://hl7.org/fhir/ValueSet/payeetype"/>       </binding>     </element>     <element id="Claim.payee.party">      <path value="Claim.payee.party"/>       <short value="Recipient reference"/>       <definition value="Reference to the individual or organization to whom any payment will be made."/>       <comment value="Not required if the payee is 'subscriber' or 'provider'."/>       <requirements value="Need to provide demographics if the payee is not 'subscriber' nor 'provider'."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.payee.party"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.referral">      <path value="Claim.referral"/>       <short value="Treatment referral"/>       <definition value="The referral information received by the claim author, it is not to be used when

       the author generates a referral for a patient. A copy of that referral may be provided
       as supporting information. Some insurers require proof of referral to pay for services
       or to pay specialist rates for services."/> 

      <comment value="The referral resource which lists the date, practitioner, reason and other supporting
       information.
      Some insurers require proof of referral to pay for services or to pay specialist rates
       for services.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
        
      
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       information."/> 
      <requirements value="Some insurers require proof of referral to pay for services or to pay specialist

       rates for services."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.referral"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.cause"/>       </mapping>     </element>     <element id="Claim.encounter">      <path value="Claim.encounter"/>       <short value="Encounters associated with the listed treatments"/>       <definition value="Healthcare encounters related to this claim."/>       <comment value="This will typically be the encounter the event occurred within, but some activities

       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter."/> 
      <requirements value="Used in some jurisdictions to link clinical events to claim items."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.encounter"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.facility">      <path value="Claim.facility"/>       <short value="Servicing facility"/>       <definition value="Facility where the services were provided."/>       <requirements value="Insurance adjudication can be dependant on where services were delivered."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.facility"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.where[x]"/>       </mapping>     </element>     <element id="Claim.diagnosisRelatedGroup">      <path value="Claim.diagnosisRelatedGroup"/>       <short value="Package billing code"/>       <definition value="A package billing code or bundle code used to group products and services to a

       particular health condition (such as heart attack) which is based on a predetermined
       grouping code system."/> 
      <comment value="For example DRG (Diagnosis Related Group) or a bundled billing code. A patient

       may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would
       be assigned. The Claim item (and possible subsequent claims) would refer to the
       DRG for those line items that were for services related to the heart attack event."/> 
      <requirements value="Required to relate the current diagnosis to a package billing code that is then

       referenced on the individual claim items which are specific to the health condition
       covered by the package code."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.diagnosisRelatedGroup"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DiagnosisRelatedGroup"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"/>       </binding>     </element>     <element id="Claim.event">      <path value="Claim.event"/>       <short value="Event information"/>       <definition value="Information code for an event with a corresponding date or period."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.event"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.event.id">      <path value="Claim.event.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.event.extension">      <path value="Claim.event.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.event.modifierExtension">      <path value="Claim.event.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      Necessary to maintain the order of the care team and provide a mechanism to link individuals
       to claim details.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      When multiple parties are present it is required to distinguish the lead or responsible
       individual.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.event.type">      <path value="Claim.event.type"/>       <short value="Specific event"/>       <definition value="A coded event such as when a service is expected or a card printed."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.event.type"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DatesType"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/datestype"/>       </binding>     </element>     <element id="Claim.event.when[x]">      <path value="Claim.event.when[x]"/>       <short value="Occurance date or period"/>       <definition value="A date or period in the past or future indicating when the event occurred or is

       expectd to occur."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.event.when[x]"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="Period"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.careTeam">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="CareTeam"/>       </extension>       <path value="Claim.careTeam"/>       <short value="Members of the care team"/>       <definition value="The members of the team who provided the products and services."/>       <requirements value="Common to identify the responsible and supporting practitioners."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.careTeam"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.careTeam.id">      <path value="Claim.careTeam.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.careTeam.extension">      <path value="Claim.careTeam.extension"/>       <short value="Additional content defined by implementations"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.careTeam.modifierExtension">      <path value="Claim.careTeam.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.careTeam.sequence">      <path value="Claim.careTeam.sequence"/>       <short value="Order of care team"/>       <definition value="A number to uniquely identify care team entries."/>       <requirements value="Necessary to maintain the order of the care team and provide a mechanism to link

       individuals to claim details."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.careTeam.sequence"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.careTeam.provider">      <path value="Claim.careTeam.provider"/>       <short value="Practitioner or organization"/>       <definition value="Member of the team who provided the product or service."/>       <requirements value="Often a regulatory requirement to specify the responsible provider."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.careTeam.provider"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.actor"/>       </mapping>     </element>     <element id="Claim.careTeam.role">      <path value="Claim.careTeam.role"/>       <short value="Function within the team"/> 
      <definition value="The lead, assisting or supervising practitioner and their discipline if a multidisciplinary
       team.
      
      When multiple parties are present it is required to distinguish the roles performed by
       each member.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
        
      
      
      
      Additional information codes regarding exceptions, special considerations, the condition,
       situation, prior or concurrent issues.
      
      Typically these information codes are required to support the services rendered or the
       adjudication of the services rendered.
      Attachments
Exception Codes
Occurrence Codes
Value codes
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       team."/> 
      <comment value="Role might not be required when there is only a single provider listed."/>       <requirements value="When multiple parties are present it is required to distinguish the roles performed

       by each member."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.careTeam.role"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="CareTeamRole"/>         </extension>         <strength value="preferred"/>         <description value="The role codes for the care team members."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-careteamrole"/>       </binding>     </element>     <element id="Claim.careTeam.specialty">      <path value="Claim.careTeam.specialty"/>       <short value="Practitioner or provider specialization"/>       <definition value="The specialization of the practitioner or provider which is applicable for this

       service."/> 
      <requirements value="Need to specify which specialization a practitioner or provider acting under when

       delivering the product or service."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.careTeam.specialty"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProviderQualification"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/provider-qualification"/>       </binding>     </element>     <element id="Claim.supportingInfo">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="SupportingInformation"/>       </extension>       <path value="Claim.supportingInfo"/>       <short value="Supporting information"/>       <definition value="Additional information codes regarding exceptions, special considerations, the

       condition, situation, prior or concurrent issues."/> 
      <comment value="Often there are multiple jurisdiction specific valuesets which are required."/>       <requirements value="Typically these information codes are required to support the services rendered

       or the adjudication of the services rendered."/> 
      <alias value="Attachments
Exception Codes
Occurrence Codes
Value codes"/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.supportingInfo"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.supportingInfo"/>       </mapping>     </element>     <element id="Claim.supportingInfo.id">      <path value="Claim.supportingInfo.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.supportingInfo.extension">      <path value="Claim.supportingInfo.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.supportingInfo.modifierExtension">      <path value="Claim.supportingInfo.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      Necessary to maintain the order of the supporting information items and provide a mechanism
       to link to claim details.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      The general class of the information supplied: information; exception; accident, employment;
       onset, etc.
      
      Required to group or associate information items with common characteristics. For example:
       admission information or prior treatments.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      System and code pertaining to the specific information regarding special conditions relating
       to the setting, treatment or patient  for which care is sought.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Additional data or information such as resources, documents, images etc. including references
       to the data or the actual inclusion of the data.
      Could be used to provide references to other resources, document. For example could contain
       a PDF in an Attachment of the Police Report for an Accident.
      To convey the data content to be provided when the information is more than a simple code
       or period.
      
      
      
        
        
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Provides the reason in the situation where a reason code is required in addition to the
       content.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
        
      
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.supportingInfo.sequence">      <path value="Claim.supportingInfo.sequence"/>       <short value="Information instance identifier"/>       <definition value="A number to uniquely identify supporting information entries."/>       <requirements value="Necessary to maintain the order of the supporting information items and provide

       a mechanism to link to claim details."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.supportingInfo.sequence"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.supportingInfo.category">      <path value="Claim.supportingInfo.category"/>       <short value="Classification of the supplied information"/>       <definition value="The general class of the information supplied: information; exception; accident,

       employment; onset, etc."/> 
      <comment value="This may contain a category for the local bill type codes."/>       <requirements value="Required to group or associate information items with common characteristics. For

       example: admission information or prior treatments."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.supportingInfo.category"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="InformationCategory"/>         </extension>         <strength value="preferred"/>         <description value="The valuset used for additional information category codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-informationcategory"/>       </binding>     </element>     <element id="Claim.supportingInfo.subCategory">      <path value="Claim.supportingInfo.subCategory"/>       <short value="Finer-grained classification of the supplied information"/>       <definition value="A finer classification within the more general category."/>       <requirements value="Required to provide more detailed categorization, for example lab-test grouping:

       blood, tissue etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.supportingInfo.subCategory"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="InformationSubCategory"/>         </extension>         <strength value="example"/>         <description value="The valuset used for additional information subcategory codes."/>       </binding>     </element>     <element id="Claim.supportingInfo.code">      <path value="Claim.supportingInfo.code"/>       <short value="Type of information"/>       <definition value="System and code pertaining to the specific information regarding special conditions

       relating to the setting, treatment or patient  for which care is sought."/> 
      <requirements value="Required to identify the kind of additional information."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.supportingInfo.code"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="InformationCode"/>         </extension>         <strength value="example"/>         <description value="The valuset used for additional information codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-exception"/>       </binding>     </element>     <element id="Claim.supportingInfo.timing[x]">      <path value="Claim.supportingInfo.timing[x]"/>       <short value="When it occurred"/>       <definition value="The date when or period to which this information refers."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.supportingInfo.timing[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="Period"/>       </type>       <type>         <code value="Timing"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.supportingInfo.value[x]">      <path value="Claim.supportingInfo.value[x]"/>       <short value="Data to be provided"/>       <definition value="Additional data or information such as resources, documents, images etc. including

       references to the data or the actual inclusion of the data."/> 
      <comment value="Could be used to provide references to other resources, document. For example could

       contain a PDF in an Attachment of the Police Report for an Accident."/> 
      <requirements value="To convey the data content to be provided when the information is more than a simple

       code or period."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.supportingInfo.value[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="base64Binary"/>       </type>       <type>         <code value="boolean"/>       </type>       <type>         <code value="canonical"/>       </type>       <type>         <code value="code"/>       </type>       <type>         <code value="date"/>       </type>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="decimal"/>       </type>       <type>         <code value="id"/>       </type>       <type>         <code value="instant"/>       </type>       <type>         <code value="integer"/>       </type>       <type>         <code value="integer64"/>       </type>       <type>         <code value="markdown"/>       </type>       <type>         <code value="oid"/>       </type>       <type>         <code value="positiveInt"/>       </type>       <type>         <code value="string"/>       </type>       <type>         <code value="time"/>       </type>       <type>         <code value="unsignedInt"/>       </type>       <type>         <code value="uri"/>       </type>       <type>         <code value="url"/>       </type>       <type>         <code value="uuid"/>       </type>       <type>         <code value="Address"/>       </type>       <type>         <code value="Age"/>       </type>       <type>         <code value="Annotation"/>       </type>       <type>         <code value="Attachment"/>       </type>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="CodeableReference"/>       </type>       <type>         <code value="Coding"/>       </type>       <type>         <code value="ContactPoint"/>       </type>       <type>         <code value="Count"/>       </type>       <type>         <code value="Distance"/>       </type>       <type>         <code value="Duration"/>       </type>       <type>         <code value="HumanName"/>       </type>       <type>         <code value="Identifier"/>       </type>       <type>         <code value="Money"/>       </type>       <type>         <code value="Period"/>       </type>       <type>         <code value="Quantity"/>       </type>       <type>         <code value="Range"/>       </type>       <type>         <code value="Ratio"/>       </type>       <type>         <code value="RatioRange"/>       </type>       <type>         <code value="Reference"/>       </type>       <type>         <code value="SampledData"/>       </type>       <type>         <code value="Signature"/>       </type>       <type>         <code value="Timing"/>       </type>       <type>         <code value="ContactDetail"/>       </type>       <type>         <code value="DataRequirement"/>       </type>       <type>         <code value="Expression"/>       </type>       <type>         <code value="ParameterDefinition"/>       </type>       <type>         <code value="RelatedArtifact"/>       </type>       <type>         <code value="TriggerDefinition"/>       </type>       <type>         <code value="UsageContext"/>       </type>       <type>         <code value="Availability"/>       </type>       <type>         <code value="ExtendedContactDetail"/>       </type>       <type>         <code value="VirtualServiceDetail"/>       </type>       <type>         <code value="Dosage"/>       </type>       <type>         <code value="Meta"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.supportingInfo.reason">      <path value="Claim.supportingInfo.reason"/>       <short value="Explanation for the information"/>       <definition value="Provides the reason in the situation where a reason code is required in addition

       to the content."/> 
      <comment value="For example: the reason for the additional stay, or why a tooth is  missing."/>       <requirements value="Needed when the supporting information has both a date and amount/value and requires

       explanation."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.supportingInfo.reason"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MissingReason"/>         </extension>         <strength value="example"/>         <description value="Reason codes for the missing teeth."/>         <valueSet value="http://hl7.org/fhir/ValueSet/missing-tooth-reason"/>       </binding>     </element>     <element id="Claim.diagnosis">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Diagnosis"/>       </extension>       <path value="Claim.diagnosis"/>       <short value="Pertinent diagnosis information"/>       <definition value="Information about diagnoses relevant to the claim items."/>       <requirements value="Required for the adjudication by provided context for the services and product

       listed."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.diagnosis"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.reasonReference"/>       </mapping>     </element>     <element id="Claim.diagnosis.id">      <path value="Claim.diagnosis.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.diagnosis.extension">      <path value="Claim.diagnosis.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.diagnosis.modifierExtension">      <path value="Claim.diagnosis.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.diagnosis.sequence">      <path value="Claim.diagnosis.sequence"/>       <short value="Diagnosis instance identifier"/>       <definition value="A number to uniquely identify diagnosis entries."/> 
      <comment value="Diagnosis are presented in list order to their expected importance: primary, secondary,
       etc.
      Necessary to maintain the order of the diagnosis items and provide a mechanism to link
       to claim details.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      The nature of illness or problem in a coded form or as a reference to an external defined
       Condition.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      Many systems need to understand for adjudication if the diagnosis was present a time of
       admission.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      A package billing code or bundle code used to group products and services to a particular
       health condition (such as heart attack) which is based on a predetermined grouping code
       system.
      For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have
       a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The
       Claim item (and possible subsequent claims) would refer to the DRG for those line items
       that were for services related to the heart attack event.
      Required to relate the current  diagnosis to a package billing code that is then referenced
       on the individual claim items which are specific to the health condition covered by the
       package code.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
        
      
      
      
      
      The specific clinical invention are sometimes required to be provided to justify billing
       a greater than customary amount for a service.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       etc."/> 
      <requirements value="Necessary to maintain the order of the diagnosis items and provide a mechanism

       to link to claim details."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.diagnosis.sequence"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.diagnosis.diagnosis[x]">      <path value="Claim.diagnosis.diagnosis[x]"/>       <short value="Nature of illness or problem"/>       <definition value="The nature of illness or problem in a coded form or as a reference to an external

       defined Condition."/> 
      <requirements value="Provides health context for the evaluation of the products and/or services."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.diagnosis.diagnosis[x]"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ICD10"/>         </extension>         <strength value="example"/>         <description value="Example ICD10 Diagnostic codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/icd-10"/>       </binding>     </element>     <element id="Claim.diagnosis.type">      <path value="Claim.diagnosis.type"/>       <short value="Timing or nature of the diagnosis"/>       <definition value="When the condition was observed or the relative ranking."/>       <comment value="For example: admitting, primary, secondary, discharge."/>       <requirements value="Often required to capture a particular diagnosis, for example: primary or discharge."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.diagnosis.type"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DiagnosisType"/>         </extension>         <strength value="preferred"/>         <description value="The type of the diagnosis: admitting, principal, discharge."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosistype"/>       </binding>     </element>     <element id="Claim.diagnosis.onAdmission">      <path value="Claim.diagnosis.onAdmission"/>       <short value="Present on admission"/>       <definition value="Indication of whether the diagnosis was present on admission to a facility."/>       <requirements value="Many systems need to understand for adjudication if the diagnosis was present a

       time of admission."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.diagnosis.onAdmission"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DiagnosisOnAdmission"/>         </extension>         <strength value="preferred"/>         <description value="Present on admission."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"/>       </binding>     </element>     <element id="Claim.procedure">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Procedure"/>       </extension>       <path value="Claim.procedure"/>       <short value="Clinical procedures performed"/>       <definition value="Procedures performed on the patient relevant to the billing items with the claim."/>       <requirements value="The specific clinical invention are sometimes required to be provided to justify

       billing a greater than customary amount for a service."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.procedure"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.procedure.id">      <path value="Claim.procedure.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.procedure.extension">      <path value="Claim.procedure.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.procedure.modifierExtension">      <path value="Claim.procedure.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.procedure.sequence">      <path value="Claim.procedure.sequence"/>       <short value="Procedure instance identifier"/>       <definition value="A number to uniquely identify procedure entries."/>       <requirements value="Necessary to provide a mechanism to link to claim details."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.procedure.sequence"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.procedure.type">      <path value="Claim.procedure.type"/>       <short value="Category of Procedure"/>       <definition value="When the condition was observed or the relative ranking."/>       <comment value="For example: primary, secondary."/>       <requirements value="Often required to capture a particular diagnosis, for example: primary or discharge."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.procedure.type"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProcedureType"/>         </extension>         <strength value="preferred"/>         <description value="Example procedure type codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-procedure-type"/>       </binding>     </element>     <element id="Claim.procedure.date">      <path value="Claim.procedure.date"/>       <short value="When the procedure was performed"/>       <definition value="Date and optionally time the procedure was performed."/>       <requirements value="Required for auditing purposes."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.procedure.date"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.procedure.procedure[x]">      <path value="Claim.procedure.procedure[x]"/>       <short value="Specific clinical procedure"/> 
      <definition value="The code or reference to a Procedure resource which identifies the clinical intervention
       performed.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
        
      
      
      
      Financial instruments for reimbursement for the health care products and services specified
       on the claim.
      All insurance coverages for the patient which may be applicable for reimbursement, of
       the products and services listed in the claim, are typically provided in the claim to
       allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination
       of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the
       adjudication of this claim. Coverages appearing before the focal Coverage in the list,
       and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse
       containing the adjudication results of the prior claim.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       performed."/> 
      <requirements value="This identifies the actual clinical procedure."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.procedure.procedure[x]"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ICD10_Procedures"/>         </extension>         <strength value="example"/>         <description value="Example ICD10 Procedure codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/icd-10-procedures"/>       </binding>     </element>     <element id="Claim.procedure.udi">      <path value="Claim.procedure.udi"/>       <short value="Unique device identifier"/>       <definition value="Unique Device Identifiers associated with this line item."/>       <requirements value="The UDI code allows the insurer to obtain device level information on the product

       supplied."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.procedure.udi"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.insurance">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Insurance"/>       </extension>       <path value="Claim.insurance"/>       <short value="Patient insurance information"/>       <definition value="Financial instruments for reimbursement for the health care products and services

       specified on the claim."/> 
      <comment value="All insurance coverages for the patient which may be applicable for reimbursement,

       of the products and services listed in the claim, are typically provided in the
       claim to allow insurers to confirm the ordering of the insurance coverages relative
       to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true'
       is to be used in the adjudication of this claim. Coverages appearing before the
       focal Coverage in the list, and where 'Coverage.subrogation=false', should provide
       a reference to the ClaimResponse containing the adjudication results of the prior
       claim."/> 
      <requirements value="At least one insurer is required for a claim to be a claim."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.insurance"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="Coverage"/>       </mapping>     </element>     <element id="Claim.insurance.id">      <path value="Claim.insurance.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.insurance.extension">      <path value="Claim.insurance.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.insurance.modifierExtension">      <path value="Claim.insurance.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      A number to uniquely identify insurance entries and provide a sequence of coverages to
       convey coordination of benefit order.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      A flag to indicate that this Coverage is to be used for adjudication of this claim when
       set to true.
      A patient may (will) have multiple insurance policies which provide reimbursement for
       healthcare services and products. For example a person may also be covered by their spouse's
       policy and both appear in the list (and may be from the same insurer). This flag will
       be set to true for only one of the listed policies and that policy will be used for adjudicating
       this claim. Other claims would be created to request adjudication against the other listed
       policies.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      The business identifier to be used when the claim is sent for adjudication against this
       insurance policy.

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.insurance.sequence">      <path value="Claim.insurance.sequence"/>       <short value="Insurance instance identifier"/>       <definition value="A number to uniquely identify insurance entries and provide a sequence of coverages

       to convey coordination of benefit order."/> 
      <requirements value="To maintain order of the coverages."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.insurance.sequence"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.insurance.focal">      <path value="Claim.insurance.focal"/>       <short value="Coverage to be used for adjudication"/>       <definition value="A flag to indicate that this Coverage is to be used for adjudication of this claim

       when set to true."/> 
      <comment value="A patient may (will) have multiple insurance policies which provide reimbursement

       for healthcare services and products. For example a person may also be covered
       by their spouse's policy and both appear in the list (and may be from the same
       insurer). This flag will be set to true for only one of the listed policies and
       that policy will be used for adjudicating this claim. Other claims would be created
       to request adjudication against the other listed policies."/> 
      <requirements value="To identify which coverage in the list is being used to adjudicate this claim."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.insurance.focal"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="boolean"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.insurance.identifier">      <path value="Claim.insurance.identifier"/>       <short value="Pre-assigned Claim number"/>       <definition value="The business identifier to be used when the claim is sent for adjudication against

       this insurance policy."/> 

      <comment value="Only required in jurisdictions where insurers, rather than the provider, are required
       to send claims to  insurers that appear after them in the list. This element is not required
       when 'subrogation=true'.
      This will be the claim number should it be necessary to create this claim in the future.
       This is provided so that payors may forward claims to other payors in the Coordination
       of Benefit for adjudication rather than the provider being required to initiate each adjudication.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      

       to send claims to  insurers that appear after them in the list. This element is
       not required when 'subrogation=true'."/> 
      <requirements value="This will be the claim number should it be necessary to create this claim in the

       future. This is provided so that payers may forward claims to other payers in the
       Coordination of Benefit for adjudication rather than the provider being required
       to initiate each adjudication."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.insurance.identifier"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>     </element>     <element id="Claim.insurance.coverage">      <path value="Claim.insurance.coverage"/>       <short value="Insurance information"/> 
      <definition value="Reference to the insurance card level information contained in the Coverage resource.
       The coverage issuing insurer will use these details to locate the patient's actual coverage
       within the insurer's information system.
      Required to allow the adjudicator to locate the correct policy and history within their
       information system.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      A business agreement number established between the provider and the insurer for special
       business processing purposes.
      Providers may have multiple business arrangements with a given insurer and must supply
       the specific contract number for adjudication.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Reference numbers previously provided by the insurer to the provider to be quoted on subsequent
       claims containing services or products related to the prior authorization.
      This value is an alphanumeric string that may be provided over the phone, via text, via
       paper, or within a ClaimResponse resource and is not a FHIR Identifier.
      Providers must quote previously issued authorization reference numbers in order to obtain
       adjudication as previously advised on the Preauthorization.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      

       The coverage issuing insurer will use these details to locate the patient's actual
       coverage within the insurer's information system."/> 
      <requirements value="Required to allow the adjudicator to locate the correct policy and history within

       their information system."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.insurance.coverage"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.insurance.businessArrangement">      <path value="Claim.insurance.businessArrangement"/>       <short value="Additional provider contract number"/>       <definition value="A business agreement number established between the provider and the insurer for

       special business processing purposes."/> 
      <requirements value="Providers may have multiple business arrangements with a given insurer and must

       supply the specific contract number for adjudication."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.insurance.businessArrangement"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.insurance.preAuthRef">      <path value="Claim.insurance.preAuthRef"/>       <short value="Prior authorization reference number"/>       <definition value="Reference numbers previously provided by the insurer to the provider to be quoted

       on subsequent claims containing services or products related to the prior authorization."/> 
      <comment value="This value is an alphanumeric string that may be provided over the phone, via text,

       via paper, or within a ClaimResponse resource and is not a FHIR Identifier."/> 
      <requirements value="Providers must quote previously issued authorization reference numbers in order

       to obtain adjudication as previously advised on the Preauthorization."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.insurance.preAuthRef"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.insurance.claimResponse">      <path value="Claim.insurance.claimResponse"/>       <short value="Adjudication results"/>       <definition value="The result of the adjudication of the line items for the Coverage specified in

       this insurance."/> 
      <comment value="Must not be specified when 'focal=true' for this insurance."/> 
      <requirements value="An insurer need the adjudication results from prior insurers to determine the outstanding
       balance remaining by item for the items in the curent claim.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
        
      
      
      
      Details of an accident which resulted in injuries which required the products and services
       listed in the claim.
      When healthcare products and services are accident related, benefits may be payable under
       accident provisions of policies, such as automotive, etc before they are payable under
       normal health insurance.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       balance remaining by item for the items in the curent claim."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.insurance.claimResponse"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.accident">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Accident"/>       </extension>       <path value="Claim.accident"/>       <short value="Details of the event"/>       <definition value="Details of an accident which resulted in injuries which required the products and

       services listed in the claim."/> 
      <requirements value="When healthcare products and services are accident related, benefits may be payable

       under accident provisions of policies, such as automotive, etc before they are
       payable under normal health insurance."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.accident"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.accident.id">      <path value="Claim.accident.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.accident.extension">      <path value="Claim.accident.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.accident.modifierExtension">      <path value="Claim.accident.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      The date of the accident has to precede the dates of the products and services but within
       a reasonable timeframe.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      The type or context of the accident event for the purposes of selection of potential insurance
       coverages and determination of coordination between insurers.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
        
      
      
      
      A claim line. Either a simple  product or service or a 'group' of details which can each
       be a simple items or groups of sub-details.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.accident.date">      <path value="Claim.accident.date"/>       <short value="When the incident occurred"/>       <definition value="Date of an accident event  related to the products and services contained in the

       claim."/> 
      <comment value="The date of the accident has to precede the dates of the products and services

       but within a reasonable timeframe."/> 
      <requirements value="Required for audit purposes and adjudication."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.accident.date"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="date"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.accident.type">      <path value="Claim.accident.type"/>       <short value="The nature of the accident"/>       <definition value="The type or context of the accident event for the purposes of selection of potential

       insurance coverages and determination of coordination between insurers."/> 
      <requirements value="Coverage may be dependant on the type of accident."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.accident.type"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AccidentType"/>         </extension>         <strength value="extensible"/>         <description value="Type of accident: work place, auto, etc."/>         <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"/>       </binding>     </element>     <element id="Claim.accident.location[x]">      <path value="Claim.accident.location[x]"/>       <short value="Where the event occurred"/>       <definition value="The physical location of the accident event."/>       <requirements value="Required for audit purposes and determination of applicable insurance liability."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.accident.location[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Address"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.patientPaid">      <path value="Claim.patientPaid"/>       <short value="Paid by the patient"/>       <definition value="The amount paid by the patient, in total at the claim claim level or specifically

       for the item and detail level, to the provider for goods and services."/> 
      <requirements value="Necessary to demonstrate that copayments, co-insurance and similar patient payments

       have been made or accounted for."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.patientPaid"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Item"/>       </extension>       <path value="Claim.item"/>       <short value="Product or service provided"/>       <definition value="A claim line. Either a simple  product or service or a 'group' of details which

       can each be a simple items or groups of sub-details."/> 
      <requirements value="The items to be processed for adjudication."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.id">      <path value="Claim.item.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.item.extension">      <path value="Claim.item.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.item.modifierExtension">      <path value="Claim.item.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      Necessary to provide a mechanism to link to items from within the claim and within the
       adjudication details of the ClaimResponse.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Need to provide any listed specific procedures to support the product or service being
       claimed.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.item.sequence">      <path value="Claim.item.sequence"/>       <short value="Item instance identifier"/>       <definition value="A number to uniquely identify item entries."/>       <requirements value="Necessary to provide a mechanism to link to items from within the claim and within

       the adjudication details of the ClaimResponse."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.item.sequence"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.traceNumber">      <path value="Claim.item.traceNumber"/>       <short value="Number for tracking"/>       <definition value="Trace number for tracking purposes. May be defined at the jurisdiction level or

       between trading partners."/> 
      <requirements value="Allows partners to uniquely identify components for tracking."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.traceNumber"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.subject">      <path value="Claim.item.subject"/>       <short value="The recipient of the products and services"/>       <definition value="The party to whom the professional services and/or products have been supplied

       or are being considered and for whom actual for facast reimbursement is sought."/> 
      <comment value="Profilers should consider making this element required when the backbone .subject

       is a group."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.subject"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.careTeamSequence">      <path value="Claim.item.careTeamSequence"/>       <short value="Applicable careTeam members"/>       <definition value="CareTeam members related to this service or product."/>       <requirements value="Need to identify the individuals and their roles in the provision of the product

       or service."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.careTeamSequence"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.diagnosisSequence">      <path value="Claim.item.diagnosisSequence"/>       <short value="Applicable diagnoses"/>       <definition value="Diagnosis applicable for this service or product."/>       <requirements value="Need to related the product or service to the associated diagnoses."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.diagnosisSequence"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.procedureSequence">      <path value="Claim.item.procedureSequence"/>       <short value="Applicable procedures"/>       <definition value="Procedures applicable for this service or product."/>       <requirements value="Need to provide any listed specific procedures to support the product or service

       being claimed."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.procedureSequence"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.informationSequence">      <path value="Claim.item.informationSequence"/>       <short value="Applicable exception and supporting information"/> 
      <definition value="Exceptions, special conditions and supporting information applicable for this service
       or product.
      Need to reference the supporting information items that relate directly to this product
       or service.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      Needed in the processing of institutional claims as this allows the insurer to determine
       whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      When the value is a group code then this item collects a set of related claim details,
       otherwise this contains the product, service, drug or other billing code for the item.
      If this is an actual service or product line, i.e. not a Group, then use code to indicate
       the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'.
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical
       whether the treatment was outside the clinic or outside of office hours.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
         with TMJ, or an appliance was lost or stolen.
        
      
    
    
      
      
      
      
      Commonly used in in the identification of publicly provided program focused on population
       segments or disease classifications.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      Needed to determine whether the  service or product was provided during the term of the
       insurance coverage.
      
      
      
        
        
        
      
      
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      The location can alter whether the item was acceptable for insurance purposes or impact
       the determination of the benefit amount.
      
      
      
        
        
        
      
      
        
      
      
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      

       or product."/> 
      <requirements value="Need to reference the supporting information items that relate directly to this

       product or service."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.informationSequence"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.revenue">      <path value="Claim.item.revenue"/>       <short value="Revenue or cost center code"/>       <definition value="The type of revenue or cost center providing the product and/or service."/>       <requirements value="Needed in the processing of institutional claims."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.revenue"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="RevenueCenter"/>         </extension>         <strength value="example"/>         <description value="Codes for the revenue or cost centers supplying the service and/or products."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>       </binding>     </element>     <element id="Claim.item.category">      <path value="Claim.item.category"/>       <short value="Benefit classification"/>       <definition value="Code to identify the general type of benefits under which products and services

       are provided."/> 
      <comment value="Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>       <requirements value="Needed in the processing of institutional claims as this allows the insurer to

       determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.category"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BenefitCategory"/>         </extension>         <strength value="example"/>         <description value="Benefit categories such as: oral-basic, major, glasses."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-benefitcategory"/>       </binding>     </element>     <element id="Claim.item.productOrService">      <path value="Claim.item.productOrService"/>       <short value="Billing, service, product, or drug code"/>       <definition value="When the value is a group code then this item collects a set of related item details,

       otherwise this contains the product, service, drug or other billing code for the
       item. This element may be the start of a range of .productOrService codes used
       in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceE
      nd is not used."/> 
      <comment value="If this is an actual service or product line, i.e. not a Group, then use code to

       indicate the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'."/> 
      <requirements value="Necessary to state what was provided or done."/>       <alias value="Drug Code"/>       <alias value="Bill Code"/>       <alias value="Service Code"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.productOrService"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <description value="Allowable service and product codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.productOrServiceEnd">      <path value="Claim.item.productOrServiceEnd"/>       <short value="End of a range of codes"/>       <definition value="This contains the end of a range of product, service, drug or other billing codes

       for the item. This element is not used when the .productOrService is a group code.
       This value may only be present when a .productOfService code has been provided
       to convey the start of the range. Typically this value may be used only with preauthorization
      s and not with claims."/> 
      <alias value="End of a range of Drug Code; Bill Code; Service Code"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.productOrServiceEnd"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.request">      <path value="Claim.item.request"/>       <short value="Request or Referral for Service"/>       <definition value="Request or Referral for Goods or Service to be rendered."/>       <requirements value="May identify the service to be provided or provider authorization for the service."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.request"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.modifier">      <path value="Claim.item.modifier"/>       <short value="Product or service billing modifiers"/>       <definition value="Item typification or modifiers codes to convey additional context for the product

       or service."/> 
      <comment value="For example in Oral whether the treatment is cosmetic or associated with TMJ, or

       for Medical whether the treatment was outside the clinic or outside of office hours."/> 
      <requirements value="To support inclusion of the item for adjudication or to charge an elevated fee."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.modifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Modifiers"/>         </extension>         <strength value="example"/>         <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or

         associated with TMJ, or an appliance was lost or stolen."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>       </binding>     </element>     <element id="Claim.item.programCode">      <path value="Claim.item.programCode"/>       <short value="Program the product or service is provided under"/>       <definition value="Identifies the program under which this may be recovered."/>       <comment value="For example: Neonatal program, child dental program or drug users recovery program."/>       <requirements value="Commonly used in in the identification of publicly provided program focused on

       population segments or disease classifications."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.programCode"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProgramCode"/>         </extension>         <strength value="example"/>         <description value="Program specific reason codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-program-code"/>       </binding>     </element>     <element id="Claim.item.serviced[x]">      <path value="Claim.item.serviced[x]"/>       <short value="Date or dates of service or product delivery"/>       <definition value="The date or dates when the service or product was supplied, performed or completed."/>       <requirements value="Needed to determine whether the  service or product was provided during the term

       of the insurance coverage."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.serviced[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="date"/>       </type>       <type>         <code value="Period"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.done[x]"/>       </mapping>     </element>     <element id="Claim.item.location[x]">      <path value="Claim.item.location[x]"/>       <short value="Place of service or where product was supplied"/>       <definition value="Where the product or service was provided."/>       <requirements value="The location can alter whether the item was acceptable for insurance purposes or

       impact the determination of the benefit amount."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.location[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Address"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServicePlace"/>         </extension>         <strength value="example"/>         <description value="Place of service: pharmacy, school, prison, etc."/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-place"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.where[x]"/>       </mapping>     </element>     <element id="Claim.item.patientPaid">      <path value="Claim.item.patientPaid"/>       <short value="Paid by the patient"/>       <definition value="The amount paid by the patient, in total at the claim claim level or specifically

       for the item and detail level, to the provider for goods and services."/> 
      <requirements value="Necessary to demonstrate that copayments, co-insurance and similar patient payments

       have been made or accounted for."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.patientPaid"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.quantity">      <path value="Claim.item.quantity"/>       <short value="Count of products or services"/>       <definition value="The number of repetitions of a service or product."/>       <requirements value="Required when the product or service code does not convey the quantity provided."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.quantity"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Quantity"/>         <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.unitPrice">      <path value="Claim.item.unitPrice"/>       <short value="Fee, charge or cost per item"/> 
      <definition value="If the item is not a group then this is the fee for the product or service, otherwise
       this is the total of the fees for the details of the group.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      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.
      
      When discounts are provided to a patient (example: Senior's discount) then this must be
       documented for adjudication.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are
       assumed to be 1 if not supplied.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      

       this is the total of the fees for the details of the group."/> 
      <requirements value="The amount charged to the patient by the provider for a single unit."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.unitPrice"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.factor">      <path value="Claim.item.factor"/>       <short value="Price scaling factor"/>       <definition value="A real number that represents a multiplier used in determining the overall value

       of services delivered and/or goods received. The concept of a Factor allows for
       a discount or surcharge multiplier to be applied to a monetary amount."/> 
      <comment value="To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>       <requirements value="When discounts are provided to a patient (example: Senior's discount) then this

       must be documented for adjudication."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.factor"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="decimal"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.tax">      <path value="Claim.item.tax"/>       <short value="Total tax"/>       <definition value="The total of taxes applicable for this product or service."/>       <requirements value="Required when taxes are not embedded in the unit price or provided as a separate

       service."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.tax"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.net">      <path value="Claim.item.net"/>       <short value="Total item cost"/>       <definition value="The total amount claimed for the group (if a grouper) or the line item. Net = unit

       price * quantity * factor."/> 
      <comment value="For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor

       are assumed to be 1 if not supplied."/> 
      <requirements value="Provides the total amount claimed  for the group (if a grouper) or the line item."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.net"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.udi">      <path value="Claim.item.udi"/>       <short value="Unique device identifier"/>       <definition value="Unique Device Identifiers associated with this line item."/>       <requirements value="The UDI code allows the insurer to obtain device level information on the product

       supplied."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.udi"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.bodySite">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="BodySite"/>       </extension>       <path value="Claim.item.bodySite"/>       <short value="Anatomical location"/>       <definition value="Physical location where the service is performed or applies."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.bodySite"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.bodySite.id">      <path value="Claim.item.bodySite.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.item.bodySite.extension">      <path value="Claim.item.bodySite.extension"/>       <short value="Additional content defined by implementations"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.item.bodySite.modifierExtension">      <path value="Claim.item.bodySite.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.item.bodySite.site">      <path value="Claim.item.bodySite.site"/>       <short value="Location"/>       <definition value="Physical service site on the patient (limb, tooth, etc.)."/> 
      <comment value="For example: Providing a tooth code, allows an insurer to identify a provider performing
       a filling on a tooth that was previously removed.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      The Encounters during which this Claim was created or to which the creation of this record
       is tightly associated.
      This will typically be the encounter the event occurred within, but some activities may
       be initiated prior to or after the official completion of an encounter but still be tied
       to the context of the encounter.
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
        
      
      
      

       a filling on a tooth that was previously removed."/> 
      <requirements value="Allows insurer to validate specific procedures."/>       <min value="1"/>       <max value="*"/>       <base>         <path value="Claim.item.bodySite.site"/>         <min value="1"/>         <max value="*"/>       </base>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="OralSites"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/tooth"/>       </binding>     </element>     <element id="Claim.item.bodySite.subSite">      <path value="Claim.item.bodySite.subSite"/>       <short value="Sub-location"/>       <definition value="A region or surface of the bodySite, e.g. limb region or tooth surface(s)."/>       <requirements value="Allows insurer to validate specific procedures."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.bodySite.subSite"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Surface"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/surface"/>       </binding>     </element>     <element id="Claim.item.encounter">      <path value="Claim.item.encounter"/>       <short value="Encounters associated with the listed treatments"/>       <definition value="Healthcare encounters related to this claim."/>       <comment value="This will typically be the encounter the event occurred within, but some activities

       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter."/> 
      <requirements value="Used in some jurisdictions to link clinical events to claim items."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.encounter"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.context"/>       </mapping>     </element>     <element id="Claim.item.detail">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Detail"/>       </extension>       <path value="Claim.item.detail"/>       <short value="Product or service provided"/> 
      <definition value="A claim detail line. Either a simple (a product or service) or a 'group' of sub-details
       which are simple items.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       which are simple items."/> 
      <requirements value="The items to be processed for adjudication."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.id">      <path value="Claim.item.detail.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.item.detail.extension">      <path value="Claim.item.detail.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.item.detail.modifierExtension">      <path value="Claim.item.detail.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      Necessary to provide a mechanism to link to items from within the claim and within the
       adjudication details of the ClaimResponse.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      Needed in the processing of institutional claims as this allows the insurer to determine
       whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      When the value is a group code then this item collects a set of related claim details,
       otherwise this contains the product, service, drug or other billing code for the item.
      If this is an actual service or product line, i.e. not a Group, then use code to indicate
       the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'.
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      For example in 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.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
         with TMJ, or an appliance was lost or stolen.
        
      
    
    
      
      
      
      
      Commonly used in in the identification of publicly provided program focused on population
       segments or disease classifications.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.item.detail.sequence">      <path value="Claim.item.detail.sequence"/>       <short value="Item instance identifier"/>       <definition value="A number to uniquely identify item entries."/>       <requirements value="Necessary to provide a mechanism to link to items from within the claim and within

       the adjudication details of the ClaimResponse."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.sequence"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.traceNumber">      <path value="Claim.item.detail.traceNumber"/>       <short value="Number for tracking"/>       <definition value="Trace number for tracking purposes. May be defined at the jurisdiction level or

       between trading partners."/> 
      <requirements value="Allows partners to uniquely identify components for tracking."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail.traceNumber"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.revenue">      <path value="Claim.item.detail.revenue"/>       <short value="Revenue or cost center code"/>       <definition value="The type of revenue or cost center providing the product and/or service."/>       <requirements value="Needed in the processing of institutional claims."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.revenue"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="RevenueCenter"/>         </extension>         <strength value="example"/>         <description value="Codes for the revenue or cost centers supplying the service and/or products."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>       </binding>     </element>     <element id="Claim.item.detail.category">      <path value="Claim.item.detail.category"/>       <short value="Benefit classification"/>       <definition value="Code to identify the general type of benefits under which products and services

       are provided."/> 
      <comment value="Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>       <requirements value="Needed in the processing of institutional claims as this allows the insurer to

       determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.category"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BenefitCategory"/>         </extension>         <strength value="example"/>         <description value="Benefit categories such as: oral-basic, major, glasses."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-benefitcategory"/>       </binding>     </element>     <element id="Claim.item.detail.productOrService">      <path value="Claim.item.detail.productOrService"/>       <short value="Billing, service, product, or drug code"/>       <definition value="When the value is a group code then this item collects a set of related item details,

       otherwise this contains the product, service, drug or other billing code for the
       item. This element may be the start of a range of .productOrService codes used
       in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceE
      nd is not used."/> 
      <comment value="If this is an actual service or product line, i.e. not a Group, then use code to

       indicate the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'."/> 
      <requirements value="Necessary to state what was provided or done."/>       <alias value="Drug Code"/>       <alias value="Bill Code"/>       <alias value="Service Code"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.productOrService"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <description value="Allowable service and product codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.detail.productOrServiceEnd">      <path value="Claim.item.detail.productOrServiceEnd"/>       <short value="End of a range of codes"/>       <definition value="This contains the end of a range of product, service, drug or other billing codes

       for the item. This element is not used when the .productOrService is a group code.
       This value may only be present when a .productOfService code has been provided
       to convey the start of the range. Typically this value may be used only with preauthorization
      s and not with claims."/> 
      <alias value="End of a range of Drug Code; Bill Code; Service Code"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.productOrServiceEnd"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.detail.modifier">      <path value="Claim.item.detail.modifier"/>       <short value="Service/Product billing modifiers"/>       <definition value="Item typification or modifiers codes to convey additional context for the product

       or service."/> 
      <comment value="For example in 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."/> 
      <requirements value="To support inclusion of the item for adjudication or to charge an elevated fee."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail.modifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Modifiers"/>         </extension>         <strength value="example"/>         <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or

         associated with TMJ, or an appliance was lost or stolen."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>       </binding>     </element>     <element id="Claim.item.detail.programCode">      <path value="Claim.item.detail.programCode"/>       <short value="Program the product or service is provided under"/>       <definition value="Identifies the program under which this may be recovered."/>       <comment value="For example: Neonatal program, child dental program or drug users recovery program."/>       <requirements value="Commonly used in in the identification of publicly provided program focused on

       population segments or disease classifications."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail.programCode"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProgramCode"/>         </extension>         <strength value="example"/>         <description value="Program specific reason codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-program-code"/>       </binding>     </element>     <element id="Claim.item.detail.patientPaid">      <path value="Claim.item.detail.patientPaid"/>       <short value="Paid by the patient"/>       <definition value="The amount paid by the patient, in total at the claim claim level or specifically

       for the item and detail level, to the provider for goods and services."/> 
      <requirements value="Necessary to demonstrate that copayments, co-insurance and similar patient payments

       have been made or accounted for."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.patientPaid"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.quantity">      <path value="Claim.item.detail.quantity"/>       <short value="Count of products or services"/>       <definition value="The number of repetitions of a service or product."/>       <requirements value="Required when the product or service code does not convey the quantity provided."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.quantity"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Quantity"/>         <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.unitPrice">      <path value="Claim.item.detail.unitPrice"/>       <short value="Fee, charge or cost per item"/> 
      <definition value="If the item is not a group then this is the fee for the product or service, otherwise
       this is the total of the fees for the details of the group.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      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.
      
      When discounts are provided to a patient (example: Senior's discount) then this must be
       documented for adjudication.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are
       assumed to be 1 if not supplied.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
        
      
      
      

       this is the total of the fees for the details of the group."/> 
      <requirements value="The amount charged to the patient by the provider for a single unit."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.unitPrice"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.factor">      <path value="Claim.item.detail.factor"/>       <short value="Price scaling factor"/>       <definition value="A real number that represents a multiplier used in determining the overall value

       of services delivered and/or goods received. The concept of a Factor allows for
       a discount or surcharge multiplier to be applied to a monetary amount."/> 
      <comment value="To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>       <requirements value="When discounts are provided to a patient (example: Senior's discount) then this

       must be documented for adjudication."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.factor"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="decimal"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.tax">      <path value="Claim.item.detail.tax"/>       <short value="Total tax"/>       <definition value="The total of taxes applicable for this product or service."/>       <requirements value="Required when taxes are not embedded in the unit price or provided as a separate

       service."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.tax"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.net">      <path value="Claim.item.detail.net"/>       <short value="Total item cost"/>       <definition value="The total amount claimed for the group (if a grouper) or the line item.detail.

       Net = unit price * quantity * factor."/> 
      <comment value="For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor

       are assumed to be 1 if not supplied."/> 
      <requirements value="Provides the total amount claimed  for the group (if a grouper) or the line item."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.net"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.udi">      <path value="Claim.item.detail.udi"/>       <short value="Unique device identifier"/>       <definition value="Unique Device Identifiers associated with this line item."/>       <requirements value="The UDI code allows the insurer to obtain device level information on the product

       supplied."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail.udi"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="SubDetail"/>       </extension>       <path value="Claim.item.detail.subDetail"/>       <short value="Product or service provided"/> 
      <definition value="A claim detail line. Either a simple (a product or service) or a 'group' of sub-details
       which are simple items.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       which are simple items."/> 
      <requirements value="The items to be processed for adjudication."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail.subDetail"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.id">      <path value="Claim.item.detail.subDetail.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.item.detail.subDetail.extension">      <path value="Claim.item.detail.subDetail.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Claim.item.detail.subDetail.modifierExtension">      <path value="Claim.item.detail.subDetail.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      Necessary to provide a mechanism to link to items from within the claim and within the
       adjudication details of the ClaimResponse.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      Needed in the processing of institutional claims as this allows the insurer to determine
       whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      When the value is a group code then this item collects a set of related claim details,
       otherwise this contains the product, service, drug or other billing code for the item.
      If this is an actual service or product line, i.e. not a Group, then use code to indicate
       the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      For example in 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.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
         with TMJ, or an appliance was lost or stolen.
        
      
    
    
      
      
      
      
      Commonly used in in the identification of publicly provided program focused on population
       segments or disease classifications.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment 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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Claim.item.detail.subDetail.sequence">      <path value="Claim.item.detail.subDetail.sequence"/>       <short value="Item instance identifier"/>       <definition value="A number to uniquely identify item entries."/>       <requirements value="Necessary to provide a mechanism to link to items from within the claim and within

       the adjudication details of the ClaimResponse."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.sequence"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.traceNumber">      <path value="Claim.item.detail.subDetail.traceNumber"/>       <short value="Number for tracking"/>       <definition value="Trace number for tracking purposes. May be defined at the jurisdiction level or

       between trading partners."/> 
      <requirements value="Allows partners to uniquely identify components for tracking."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail.subDetail.traceNumber"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.revenue">      <path value="Claim.item.detail.subDetail.revenue"/>       <short value="Revenue or cost center code"/>       <definition value="The type of revenue or cost center providing the product and/or service."/>       <requirements value="Needed in the processing of institutional claims."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.revenue"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="RevenueCenter"/>         </extension>         <strength value="example"/>         <description value="Codes for the revenue or cost centers supplying the service and/or products."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.category">      <path value="Claim.item.detail.subDetail.category"/>       <short value="Benefit classification"/>       <definition value="Code to identify the general type of benefits under which products and services

       are provided."/> 
      <comment value="Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>       <requirements value="Needed in the processing of institutional claims as this allows the insurer to

       determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.category"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BenefitCategory"/>         </extension>         <strength value="example"/>         <description value="Benefit categories such as: oral-basic, major, glasses."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-benefitcategory"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.productOrService">      <path value="Claim.item.detail.subDetail.productOrService"/>       <short value="Billing, service, product, or drug code"/>       <definition value="When the value is a group code then this item collects a set of related item details,

       otherwise this contains the product, service, drug or other billing code for the
       item. This element may be the start of a range of .productOrService codes used
       in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceE
      nd is not used."/> 
      <comment value="If this is an actual service or product line, i.e. not a Group, then use code to

       indicate the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'."/> 
      <requirements value="Necessary to state what was provided or done."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.productOrService"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <description value="Allowable service and product codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.productOrServiceEnd">      <path value="Claim.item.detail.subDetail.productOrServiceEnd"/>       <short value="End of a range of codes"/>       <definition value="This contains the end of a range of product, service, drug or other billing codes

       for the item. This element is not used when the .productOrService is a group code.
       This value may only be present when a .productOfService code has been provided
       to convey the start of the range. Typically this value may be used only with preauthorization
      s and not with claims."/> 
      <alias value="End of a range of Drug Code; Bill Code; Service Code"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.productOrServiceEnd"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.modifier">      <path value="Claim.item.detail.subDetail.modifier"/>       <short value="Service/Product billing modifiers"/>       <definition value="Item typification or modifiers codes to convey additional context for the product

       or service."/> 
      <comment value="For example in 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."/> 
      <requirements value="To support inclusion of the item for adjudication or to charge an elevated fee."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail.subDetail.modifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Modifiers"/>         </extension>         <strength value="example"/>         <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or

         associated with TMJ, or an appliance was lost or stolen."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.programCode">      <path value="Claim.item.detail.subDetail.programCode"/>       <short value="Program the product or service is provided under"/>       <definition value="Identifies the program under which this may be recovered."/>       <comment value="For example: Neonatal program, child dental program or drug users recovery program."/>       <requirements value="Commonly used in in the identification of publicly provided program focused on

       population segments or disease classifications."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail.subDetail.programCode"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProgramCode"/>         </extension>         <strength value="example"/>         <description value="Program specific reason codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-program-code"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.patientPaid">      <path value="Claim.item.detail.subDetail.patientPaid"/>       <short value="Paid by the patient"/>       <definition value="The amount paid by the patient, in total at the claim claim level or specifically

       for the item and detail level, to the provider for goods and services."/> 
      <requirements value="Necessary to demonstrate that copayments, co-insurance and similar patient payments

       have been made or accounted for."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.patientPaid"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.quantity">      <path value="Claim.item.detail.subDetail.quantity"/>       <short value="Count of products or services"/>       <definition value="The number of repetitions of a service or product."/>       <requirements value="Required when the product or service code does not convey the quantity provided."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.quantity"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Quantity"/>         <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.unitPrice">      <path value="Claim.item.detail.subDetail.unitPrice"/>       <short value="Fee, charge or cost per item"/> 
      <definition value="If the item is not a group then this is the fee for the product or service, otherwise
       this is the total of the fees for the details of the group.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      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.
      
      When discounts are provided to a patient (example: Senior's discount) then this must be
       documented for adjudication.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are
       assumed to be 1 if not supplied.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
  
  
    
      
      

       this is the total of the fees for the details of the group."/> 
      <requirements value="The amount charged to the patient by the provider for a single unit."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.unitPrice"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.factor">      <path value="Claim.item.detail.subDetail.factor"/>       <short value="Price scaling factor"/>       <definition value="A real number that represents a multiplier used in determining the overall value

       of services delivered and/or goods received. The concept of a Factor allows for
       a discount or surcharge multiplier to be applied to a monetary amount."/> 
      <comment value="To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>       <requirements value="When discounts are provided to a patient (example: Senior's discount) then this

       must be documented for adjudication."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.factor"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="decimal"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.tax">      <path value="Claim.item.detail.subDetail.tax"/>       <short value="Total tax"/>       <definition value="The total of taxes applicable for this product or service."/>       <requirements value="Required when taxes are not embedded in the unit price or provided as a separate

       service."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.tax"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.net">      <path value="Claim.item.detail.subDetail.net"/>       <short value="Total item cost"/>       <definition value="The total amount claimed for line item.detail.subDetail. Net = unit price * quantity

       * factor."/> 
      <comment value="For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor

       are assumed to be 1 if not supplied."/> 
      <requirements value="Provides the total amount claimed  for the group (if a grouper) or the line item."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.item.detail.subDetail.net"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.udi">      <path value="Claim.item.detail.subDetail.udi"/>       <short value="Unique device identifier"/>       <definition value="Unique Device Identifiers associated with this line item."/>       <requirements value="The UDI code allows the insurer to obtain device level information on the product

       supplied."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Claim.item.detail.subDetail.udi"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.total">      <path value="Claim.total"/>       <short value="Total claim cost"/>       <definition value="The total value of the all the items in the claim."/>       <requirements value="Used for  control total purposes."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Claim.total"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Money"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>   </snapshot>   <differential>     <element id="Claim">      <path value="Claim"/>       <short value="Claim, Pre-determination or Pre-authorization"/> 
      <definition value="A provider issued list of professional services and products which have been provided,
       or are to be provided, to a patient which is sent to an insurer for reimbursement.

       or are to be provided, to a patient which is sent to an insurer for reimbursement."/> 

      <comment value="The Claim resource fulfills three information request requirements: Claim - a request
       for adjudication for reimbursement for products and/or services provided; Preauthorization
       - a request to authorize the future provision of products and/or services including an
       anticipated adjudication; and, Predetermination - a request for a non-bind adjudication
       of possible future products and/or services.
      
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      This element is labeled as a modifier because the status contains codes that mark the
       resource as not currently valid.
      Need to track the status of the resource as 'draft' resources may undergo further edits
       while 'active' resources are immutable and may only have their status changed to 'cancelled'.
      
      
      
        
      
      
      This element is labeled as a modifier because it is a status element that contains status
       entered-in-error which means that the resource should not be treated as valid
      
      
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional,
       or variants on those terms, as the general styles of claims. The valueset is extensible
       to accommodate other jurisdictional requirements.
      Claim type determine the general sets of business rules applied for information requirements
       and adjudication.
      
      
      
        
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A finer grained suite of claim type codes which may convey additional information such
       as Inpatient vs Outpatient and/or a specialty service.
      This may contain the local bill type codes, for example the US UB-04 bill type code or
       the CMS bill type.
      
      
      
      
        
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A code to indicate whether the nature of the request is: to request adjudication of products
       and services previously rendered; or requesting authorization and adjudication for provision
       in the future; or requesting the non-binding adjudication of the listed products and services
       which could be provided in the future.
      
      
      
      
        
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      The party to whom the professional services and/or products have been supplied or are
       being considered and for whom actual or forecast reimbursement is sought.
      The patient must be supplied to the insurer so that confirmation of coverage and service
       history may be considered as part of the authorization and/or adjudiction.
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      Typically this would be today or in the past for a claim, and today or in the future for
       preauthorizations and predeterminations. Typically line item dates of service should fall
       within the billing period if one is specified.
      A number jurisdictions required the submission of the billing period when submitting claims
       for example for hospital stays or long-term care.
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      This field is independent of the date of creation of the resource as it may reflect the
       creation date of a source document prior to digitization. Typically for claims all services
       must be completed as of this date.
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      
      Typically this field would be 1..1 where this party is responsible for the claim but not
       necessarily professionally responsible for the provision of the individual products and
       services listed below.
      
      
      
        
        
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The provider-required urgency of processing the request. Typical values include: stat,
       routine deferred.
      If a claim processor is unable to complete the processing as per the priority then they
       should generate and error and not process the request.

       - a request to authorize the future provision of products and/or services including
       an anticipated adjudication; and, Predetermination - a request for a non-bind adjudication
       of possible future products and/or services."/> 
      <alias value="Adjudication Request"/>       <alias value="Preauthorization Request"/>       <alias value="Predetermination Request"/>       <min value="0"/>       <max value="*"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="financial.billing"/>       </mapping>     </element>     <element id="Claim.identifier">      <path value="Claim.identifier"/>       <short value="Business Identifier for claim"/>       <definition value="A unique identifier assigned to this claim."/>       <requirements value="Allows claims to be distinguished and referenced."/>       <alias value="Claim Number"/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>     </element>     <element id="Claim.traceNumber">      <path value="Claim.traceNumber"/>       <short value="Number for tracking"/>       <definition value="Trace number for tracking purposes. May be defined at the jurisdiction level or

       between trading partners."/> 
      <requirements value="Allows partners to uniquely identify components for tracking."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.status">      <path value="Claim.status"/>       <short value="active | cancelled | draft | entered-in-error"/>       <definition value="The status of the resource instance."/>       <comment value="This element is labeled as a modifier because the status contains codes that mark

       the resource as not currently valid."/> 
      <requirements value="Need to track the status of the resource as 'draft' resources may undergo further

       edits while 'active' resources are immutable and may only have their status changed
       to 'cancelled'."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because it is a status element that contains

       status entered-in-error which means that the resource should not be treated as
       valid"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ClaimStatus"/>         </extension>         <strength value="required"/>         <description value="A code specifying the state of the resource instance."/>         <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Request.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>     </element>     <element id="Claim.statusReason">      <path value="Claim.statusReason"/>       <short value="Reason for status change"/>       <definition value="Used to indicate why the status has changed."/>       <comment value="Implementation guides may consider adding invariants such that if status = cancelled,

       statusReason SHALL be supplied."/> 
      <requirements value="This is used to implement conformance on other elements."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.type">      <path value="Claim.type"/>       <short value="Category or discipline"/>       <definition value="The category of claim, e.g. oral, pharmacy, vision, institutional, professional."/>       <comment value="The code system provides oral, pharmacy, vision, professional and institutional

       claim types. Those supported depends on the requirements of the jurisdiction. The
       valueset is extensible to accommodate other types of claims as required by the
       jurisdiction."/> 
      <requirements value="Claim type determine the general sets of business rules applied for information

       requirements and adjudication."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ClaimType"/>         </extension>         <strength value="extensible"/>         <description value="The type or discipline-style of the claim."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-type"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="Claim.subType">      <path value="Claim.subType"/>       <short value="More granular claim type"/>       <definition value="A finer grained suite of claim type codes which may convey additional information

       such as Inpatient vs Outpatient and/or a specialty service."/> 
      <comment value="This may contain the local bill type codes, for example the US UB-04 bill type

       code or the CMS bill type."/> 
      <requirements value="Some jurisdictions need a finer grained claim type for routing and adjudication."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ClaimSubType"/>         </extension>         <strength value="example"/>         <description value="A more granular claim typecode."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-subtype"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="Claim.use">      <path value="Claim.use"/>       <short value="claim | preauthorization | predetermination"/>       <definition value="A code to indicate whether the nature of the request is: Claim - A request to an

       Insurer to adjudicate the supplied charges for health care goods and services under
       the identified policy and to pay the determined Benefit amount, if any; Preauthorization
       - A request to an Insurer to adjudicate the supplied proposed future charges for
       health care goods and services under the identified policy and to approve the services
       and provide the expected benefit amounts and potentially to reserve funds to pay
       the benefits when Claims for the indicated services are later submitted; or, Pre-determinatio
      n - A request to an Insurer to adjudicate the supplied 'what if' charges for health
       care goods and services under the identified policy and report back what the Benefit
       payable would be had the services actually been provided."/> 
      <requirements value="This element is required to understand the nature of the request for adjudication."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Use"/>         </extension>         <strength value="required"/>         <description value="The purpose of the Claim: predetermination, preauthorization, claim."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="Claim.subject">      <path value="Claim.subject"/>       <short value="The recipient(s) of the products and services"/>       <definition value="The party/group to whom the professional services and/or products have been supplied

       or are being considered and for whom actual or forecast reimbursement is sought."/> 
      <requirements value="The patient must be supplied to the insurer so that confirmation of coverage and

       service history may be considered as part of the authorization and/or adjudiction."/> 
      <alias value="patient"/>       <min value="1"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Request.subject"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject"/>       </mapping>     </element>     <element id="Claim.billablePeriod">      <path value="Claim.billablePeriod"/>       <short value="Relevant time frame for the claim"/>       <definition value="The period for which charges are being submitted."/>       <comment value="Typically this would be today or in the past for a claim, and today or in the future

       for preauthorizations and predeterminations. Typically line item dates of service
       should fall within the billing period if one is specified."/> 
      <requirements value="A number jurisdictions required the submission of the billing period when submitting

       claims for example for hospital stays or long-term care."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Period"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.done[x]"/>       </mapping>     </element>     <element id="Claim.created">      <path value="Claim.created"/>       <short value="Resource creation date"/>       <definition value="The date this resource was created."/>       <comment value="This field is independent of the date of creation of the resource as it may reflect

       the creation date of a source document prior to digitization. Typically for claims
       all services must be completed as of this date."/> 
      <requirements value="Need to record a timestamp for use by both the recipient and the issuer."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Request.authoredOn"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>     </element>     <element id="Claim.enterer">      <path value="Claim.enterer"/>       <short value="Author of the claim"/>       <definition value="Individual who created the claim, predetermination or preauthorization."/>       <requirements value="Some jurisdictions require the contact information for personnel completing claims."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.author"/>       </mapping>     </element>     <element id="Claim.insurer">      <path value="Claim.insurer"/>       <short value="Target"/>       <definition value="The Insurer who is target of the request."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Request.performer"/>       </mapping>     </element>     <element id="Claim.provider">      <path value="Claim.provider"/>       <short value="Party responsible for the claim"/>       <definition value="The provider which is responsible for the claim, predetermination or preauthorization."/>       <comment value="Typically this field would be 1..1 where this party is accountable for the data

       content within the claim but is not necessarily the facility, provider group or
       practitioner who provided the products and services listed within this claim resource.
       This field is the Billing Provider, for example, a facility, provider group, lab
       or practitioner."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Request.requester"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.source"/>       </mapping>     </element>     <element id="Claim.priority">      <path value="Claim.priority"/>       <short value="Desired processing urgency"/>       <definition value="The provider-required urgency of processing the request. Typical values include:

       stat, normal, deferred."/> 
      <comment value="If a claim processor is unable to complete the processing as per the priority then

       they should generate an error and not process the request."/> 

      <requirements value="The provider may need to indicate their processing requirements so that the processor
       can indicate if they are unable to comply.
      
      
      
        
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      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.
      
      
      
      
        
      
      
        
          
        
        
          
        
        
        
        
      
    
    
      
        
      
      
      
      Other claims which are related to this claim such as prior submissions or claims for related
       services or for the same event.
      
      For workplace or other accidents it is common to relate separate claims arising from the
       same event.
      
      
      
        
      
    
    
      
      
      
      For workplace or other accidents it is common to relate separate claims arising from the
       same event.
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      An alternate organizational reference to the case or file to which this particular claim
       pertains.
      
      In cases where an event-triggered claim is being submitted to an insurer which requires
       a reference number to be specified on all exchanges.
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
        
        
        
      
    
    
      
      
      Original prescription which has been superseded 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 therefore issues a new prescription
       for an alternate medication which has the same therapeutic intent. The prescription from
       the pharmacy becomes the 'prescription' and that from the physician becomes the 'original
       prescription'.
      Often required when a fulfiller varies what is fulfilled from that authorized on the original
       prescription.
      
      
      
        
        
        
        
      
    
    
      
        
      
      
      
      The party to be reimbursed for cost of the products and services according to the terms
       of the policy.
      Often providers agree to receive the benefits payable to reduce the near-term costs to
       the patient. The insurer may decline to pay the provider and choose to pay the subscriber
       instead.
      The provider needs to specify who they wish to be reimbursed and the claims processor
       needs express who they will reimburse.
      
      
      
        
      
    
    
      
      
      
      Need to know who should receive payment with the most common situations being the Provider
       (assignment of benefits) or the Subscriber.
      
      
      
        
      
      
        
          
        
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
      
        
        
        
        
        
        
      
    
    
      
      
      

       can indicate if they are unable to comply."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProcessPriority"/>         </extension>         <strength value="preferred"/>         <description value="The timeliness with which processing is required: stat, normal, deferred."/>         <valueSet value="http://hl7.org/fhir/ValueSet/process-priority"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Request.priority"/>       </mapping>     </element>     <element id="Claim.fundsReserve">      <path value="Claim.fundsReserve"/>       <short value="For whom to reserve funds"/>       <definition value="A code to indicate whether and for whom funds are to be reserved for future claims."/>       <comment value="This field is only used for preauthorizations."/>       <requirements 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."/> 
      <alias value="Fund pre-allocation"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="FundsReserve"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="preferred"/>         <description value="For whom funds are to be reserved: (Patient, Provider, None)."/>         <valueSet value="http://hl7.org/fhir/ValueSet/fundsreserve"/>       </binding>     </element>     <element id="Claim.related">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="RelatedClaim"/>       </extension>       <path value="Claim.related"/>       <short value="Prior or corollary claims"/>       <definition value="Other claims which are related to this claim such as prior submissions or claims

       for related services or for the same event."/> 
      <comment value="For example,  for the original treatment and follow-up exams."/>       <requirements value="For workplace or other accidents it is common to relate separate claims arising

       from the same event."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.related.claim">      <path value="Claim.related.claim"/>       <short value="Reference to the related claim"/>       <definition value="Reference to a related claim."/>       <requirements value="For workplace or other accidents it is common to relate separate claims arising

       from the same event."/> 
      <min value="0"/>       <max value="1"/>       <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy">          <valueBoolean value="false"/>         </extension>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Claim"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.replaces"/>       </mapping>     </element>     <element id="Claim.related.relationship">      <path value="Claim.related.relationship"/>       <short value="How the reference claim is related"/>       <definition value="A code to convey how the claims are related."/>       <comment value="For example, prior claim or umbrella."/>       <requirements value="Some insurers need a declaration of the type of relationship."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="RelatedClaimRelationship"/>         </extension>         <strength value="example"/>         <description value="Relationship of this claim to a related Claim."/>         <valueSet value="http://hl7.org/fhir/ValueSet/related-claim-relationship"/>       </binding>     </element>     <element id="Claim.related.reference">      <path value="Claim.related.reference"/>       <short value="File or case reference"/>       <definition value="An alternate organizational reference to the case or file to which this particular

       claim pertains."/> 
      <comment value="For example, Property/Casualty insurer claim # or Workers Compensation case # ."/>       <requirements value="In cases where an event-triggered claim is being submitted to an insurer which

       requires a reference number to be specified on all exchanges."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.prescription">      <path value="Claim.prescription"/>       <short value="Prescription authorizing services and products"/>       <definition value="Prescription is the document/authorization given to the claim author for them to

       provide products and services for which consideration (reimbursement) is sought.
       Could be a RX for medications, an 'order' for oxygen or wheelchair or physiotherapy
       treatments."/> 
      <requirements value="Required to authorize the dispensing of controlled substances and devices."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.originalPrescription">      <path value="Claim.originalPrescription"/>       <short value="Original prescription if superseded by fulfiller"/>       <definition value="Original prescription which has been superseded by this prescription to support

       the dispensing of pharmacy services, medications or products."/> 
      <comment value="For example, a physician may prescribe a medication which the pharmacy determines

       is contraindicated, or for which the patient has an intolerance, and therefore
       issues a new prescription for an alternate medication which has the same therapeutic
       intent. The prescription from the pharmacy becomes the 'prescription' and that
       from the physician becomes the 'original prescription'."/> 
      <requirements value="Often required when a fulfiller varies what is fulfilled from that authorized on

       the original prescription."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.payee">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Payee"/>       </extension>       <path value="Claim.payee"/>       <short value="Recipient of benefits payable"/>       <definition value="The party to be reimbursed for cost of the products and services according to the

       terms of the policy."/> 
      <comment value="Often billing providers agree to receive the benefits payable to reduce the near-term

       costs to the patient. The insurer may decline to pay the provider and choose to
       pay the subscriber instead."/> 
      <requirements value="The billing provider needs to specify who they wish to be reimbursed and the claims

       processor needs express who they will reimburse."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.payee.type">      <path value="Claim.payee.type"/>       <short value="Category of recipient"/>       <definition value="Type of Party to be reimbursed: subscriber, provider, other."/>       <requirements value="Need to know who should receive payment with the most common situations being the

       billing Provider (assignment of benefits) or the Subscriber."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="PayeeType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="example"/>         <description value="A code for the party to be reimbursed."/>         <valueSet value="http://hl7.org/fhir/ValueSet/payeetype"/>       </binding>     </element>     <element id="Claim.payee.party">      <path value="Claim.payee.party"/>       <short value="Recipient reference"/>       <definition value="Reference to the individual or organization to whom any payment will be made."/>       <comment value="Not required if the payee is 'subscriber' or 'provider'."/>       <requirements value="Need to provide demographics if the payee is not 'subscriber' nor 'provider'."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.referral">      <path value="Claim.referral"/>       <short value="Treatment referral"/>       <definition value="The referral information received by the claim author, it is not to be used when

       the author generates a referral for a patient. A copy of that referral may be provided
       as supporting information. Some insurers require proof of referral to pay for services
       or to pay specialist rates for services."/> 

      <comment value="The referral resource which lists the date, practitioner, reason and other supporting
       information.
      Some insurers require proof of referral to pay for services or to pay specialist rates
       for services.
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
        
      
      
      
      
      
      
      
      
        
      
    
    
      
      
      
      Necessary to maintain the order of the care team and provide a mechanism to link individuals
       to claim details.
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      When multiple parties are present it is required to distinguish the lead or responsible
       individual.
      
      
      
        
      
    
    
      
      

       information."/> 
      <requirements value="Some insurers require proof of referral to pay for services or to pay specialist

       rates for services."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.cause"/>       </mapping>     </element>     <element id="Claim.encounter">      <path value="Claim.encounter"/>       <short value="Encounters associated with the listed treatments"/>       <definition value="Healthcare encounters related to this claim."/>       <comment value="This will typically be the encounter the event occurred within, but some activities

       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter."/> 
      <requirements value="Used in some jurisdictions to link clinical events to claim items."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.facility">      <path value="Claim.facility"/>       <short value="Servicing facility"/>       <definition value="Facility where the services were provided."/>       <requirements value="Insurance adjudication can be dependant on where services were delivered."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.where[x]"/>       </mapping>     </element>     <element id="Claim.diagnosisRelatedGroup">      <path value="Claim.diagnosisRelatedGroup"/>       <short value="Package billing code"/>       <definition value="A package billing code or bundle code used to group products and services to a

       particular health condition (such as heart attack) which is based on a predetermined
       grouping code system."/> 
      <comment value="For example DRG (Diagnosis Related Group) or a bundled billing code. A patient

       may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would
       be assigned. The Claim item (and possible subsequent claims) would refer to the
       DRG for those line items that were for services related to the heart attack event."/> 
      <requirements value="Required to relate the current diagnosis to a package billing code that is then

       referenced on the individual claim items which are specific to the health condition
       covered by the package code."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DiagnosisRelatedGroup"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"/>       </binding>     </element>     <element id="Claim.event">      <path value="Claim.event"/>       <short value="Event information"/>       <definition value="Information code for an event with a corresponding date or period."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.event.type">      <path value="Claim.event.type"/>       <short value="Specific event"/>       <definition value="A coded event such as when a service is expected or a card printed."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DatesType"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/datestype"/>       </binding>     </element>     <element id="Claim.event.when[x]">      <path value="Claim.event.when[x]"/>       <short value="Occurance date or period"/>       <definition value="A date or period in the past or future indicating when the event occurred or is

       expectd to occur."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="Period"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.careTeam">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="CareTeam"/>       </extension>       <path value="Claim.careTeam"/>       <short value="Members of the care team"/>       <definition value="The members of the team who provided the products and services."/>       <requirements value="Common to identify the responsible and supporting practitioners."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.careTeam.sequence">      <path value="Claim.careTeam.sequence"/>       <short value="Order of care team"/>       <definition value="A number to uniquely identify care team entries."/>       <requirements value="Necessary to maintain the order of the care team and provide a mechanism to link

       individuals to claim details."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.careTeam.provider">      <path value="Claim.careTeam.provider"/>       <short value="Practitioner or organization"/>       <definition value="Member of the team who provided the product or service."/>       <requirements value="Often a regulatory requirement to specify the responsible provider."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.actor"/>       </mapping>     </element>     <element id="Claim.careTeam.role">      <path value="Claim.careTeam.role"/>       <short value="Function within the team"/> 
      <definition value="The lead, assisting or supervising practitioner and their discipline if a multidisciplinary
       team.
      
      When multiple parties are present it is required to distinguish the roles performed by
       each member.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
        
      
      
      
      Additional information codes regarding exceptions, special considerations, the condition,
       situation, prior or concurrent issues.
      
      Typically these information codes are required to support the services rendered or the
       adjudication of the services rendered.
      Attachments
Exception Codes
Occurrence Codes
Value codes
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      Necessary to maintain the order of the supporting information items and provide a mechanism
       to link to claim details.
      
      
      
        
      
    
    
      
      
      The general class of the information supplied: information; exception; accident, employment;
       onset, etc.
      
      Required to group or associate information items with common characteristics. For example:
       admission information or prior treatments.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      System and code pertaining to the specific information regarding special conditions relating
       to the setting, treatment or patient  for which care is sought.
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
      
    
    
      
      
      Additional data or information such as resources, documents, images etc. including references
       to the data or the actual inclusion of the data.
      Could be used to provide references to other resources, document. For example could contain
       a PDF in an Attachment of the Police Report for an Accident.
      To convey the data content to be provided when the information is more than a simple code
       or period.
      
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
        
      
    
    
      
      
      Provides the reason in the situation where a reason code is required in addition to the
       content.
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
        
      
      
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      

       team."/> 
      <comment value="Role might not be required when there is only a single provider listed."/>       <requirements value="When multiple parties are present it is required to distinguish the roles performed

       by each member."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="CareTeamRole"/>         </extension>         <strength value="preferred"/>         <description value="The role codes for the care team members."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-careteamrole"/>       </binding>     </element>     <element id="Claim.careTeam.specialty">      <path value="Claim.careTeam.specialty"/>       <short value="Practitioner or provider specialization"/>       <definition value="The specialization of the practitioner or provider which is applicable for this

       service."/> 
      <requirements value="Need to specify which specialization a practitioner or provider acting under when

       delivering the product or service."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProviderQualification"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/provider-qualification"/>       </binding>     </element>     <element id="Claim.supportingInfo">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="SupportingInformation"/>       </extension>       <path value="Claim.supportingInfo"/>       <short value="Supporting information"/>       <definition value="Additional information codes regarding exceptions, special considerations, the

       condition, situation, prior or concurrent issues."/> 
      <comment value="Often there are multiple jurisdiction specific valuesets which are required."/>       <requirements value="Typically these information codes are required to support the services rendered

       or the adjudication of the services rendered."/> 
      <alias value="Attachments
Exception Codes
Occurrence Codes
Value codes"/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.supportingInfo"/>       </mapping>     </element>     <element id="Claim.supportingInfo.sequence">      <path value="Claim.supportingInfo.sequence"/>       <short value="Information instance identifier"/>       <definition value="A number to uniquely identify supporting information entries."/>       <requirements value="Necessary to maintain the order of the supporting information items and provide

       a mechanism to link to claim details."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.supportingInfo.category">      <path value="Claim.supportingInfo.category"/>       <short value="Classification of the supplied information"/>       <definition value="The general class of the information supplied: information; exception; accident,

       employment; onset, etc."/> 
      <comment value="This may contain a category for the local bill type codes."/>       <requirements value="Required to group or associate information items with common characteristics. For

       example: admission information or prior treatments."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="InformationCategory"/>         </extension>         <strength value="preferred"/>         <description value="The valuset used for additional information category codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-informationcategory"/>       </binding>     </element>     <element id="Claim.supportingInfo.subCategory">      <path value="Claim.supportingInfo.subCategory"/>       <short value="Finer-grained classification of the supplied information"/>       <definition value="A finer classification within the more general category."/>       <requirements value="Required to provide more detailed categorization, for example lab-test grouping:

       blood, tissue etc."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="InformationSubCategory"/>         </extension>         <strength value="example"/>         <description value="The valuset used for additional information subcategory codes."/>       </binding>     </element>     <element id="Claim.supportingInfo.code">      <path value="Claim.supportingInfo.code"/>       <short value="Type of information"/>       <definition value="System and code pertaining to the specific information regarding special conditions

       relating to the setting, treatment or patient  for which care is sought."/> 
      <requirements value="Required to identify the kind of additional information."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="InformationCode"/>         </extension>         <strength value="example"/>         <description value="The valuset used for additional information codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/claim-exception"/>       </binding>     </element>     <element id="Claim.supportingInfo.timing[x]">      <path value="Claim.supportingInfo.timing[x]"/>       <short value="When it occurred"/>       <definition value="The date when or period to which this information refers."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="Period"/>       </type>       <type>         <code value="Timing"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.supportingInfo.value[x]">      <path value="Claim.supportingInfo.value[x]"/>       <short value="Data to be provided"/>       <definition value="Additional data or information such as resources, documents, images etc. including

       references to the data or the actual inclusion of the data."/> 
      <comment value="Could be used to provide references to other resources, document. For example could

       contain a PDF in an Attachment of the Police Report for an Accident."/> 
      <requirements value="To convey the data content to be provided when the information is more than a simple

       code or period."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="base64Binary"/>       </type>       <type>         <code value="boolean"/>       </type>       <type>         <code value="canonical"/>       </type>       <type>         <code value="code"/>       </type>       <type>         <code value="date"/>       </type>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="decimal"/>       </type>       <type>         <code value="id"/>       </type>       <type>         <code value="instant"/>       </type>       <type>         <code value="integer"/>       </type>       <type>         <code value="integer64"/>       </type>       <type>         <code value="markdown"/>       </type>       <type>         <code value="oid"/>       </type>       <type>         <code value="positiveInt"/>       </type>       <type>         <code value="string"/>       </type>       <type>         <code value="time"/>       </type>       <type>         <code value="unsignedInt"/>       </type>       <type>         <code value="uri"/>       </type>       <type>         <code value="url"/>       </type>       <type>         <code value="uuid"/>       </type>       <type>         <code value="Address"/>       </type>       <type>         <code value="Age"/>       </type>       <type>         <code value="Annotation"/>       </type>       <type>         <code value="Attachment"/>       </type>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="CodeableReference"/>       </type>       <type>         <code value="Coding"/>       </type>       <type>         <code value="ContactPoint"/>       </type>       <type>         <code value="Count"/>       </type>       <type>         <code value="Distance"/>       </type>       <type>         <code value="Duration"/>       </type>       <type>         <code value="HumanName"/>       </type>       <type>         <code value="Identifier"/>       </type>       <type>         <code value="Money"/>       </type>       <type>         <code value="Period"/>       </type>       <type>         <code value="Quantity"/>       </type>       <type>         <code value="Range"/>       </type>       <type>         <code value="Ratio"/>       </type>       <type>         <code value="RatioRange"/>       </type>       <type>         <code value="Reference"/>       </type>       <type>         <code value="SampledData"/>       </type>       <type>         <code value="Signature"/>       </type>       <type>         <code value="Timing"/>       </type>       <type>         <code value="ContactDetail"/>       </type>       <type>         <code value="DataRequirement"/>       </type>       <type>         <code value="Expression"/>       </type>       <type>         <code value="ParameterDefinition"/>       </type>       <type>         <code value="RelatedArtifact"/>       </type>       <type>         <code value="TriggerDefinition"/>       </type>       <type>         <code value="UsageContext"/>       </type>       <type>         <code value="Availability"/>       </type>       <type>         <code value="ExtendedContactDetail"/>       </type>       <type>         <code value="VirtualServiceDetail"/>       </type>       <type>         <code value="Dosage"/>       </type>       <type>         <code value="Meta"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.supportingInfo.reason">      <path value="Claim.supportingInfo.reason"/>       <short value="Explanation for the information"/>       <definition value="Provides the reason in the situation where a reason code is required in addition

       to the content."/> 
      <comment value="For example: the reason for the additional stay, or why a tooth is  missing."/>       <requirements value="Needed when the supporting information has both a date and amount/value and requires

       explanation."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MissingReason"/>         </extension>         <strength value="example"/>         <description value="Reason codes for the missing teeth."/>         <valueSet value="http://hl7.org/fhir/ValueSet/missing-tooth-reason"/>       </binding>     </element>     <element id="Claim.diagnosis">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Diagnosis"/>       </extension>       <path value="Claim.diagnosis"/>       <short value="Pertinent diagnosis information"/>       <definition value="Information about diagnoses relevant to the claim items."/>       <requirements value="Required for the adjudication by provided context for the services and product

       listed."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.reasonReference"/>       </mapping>     </element>     <element id="Claim.diagnosis.sequence">      <path value="Claim.diagnosis.sequence"/>       <short value="Diagnosis instance identifier"/>       <definition value="A number to uniquely identify diagnosis entries."/> 
      <comment value="Diagnosis are presented in list order to their expected importance: primary, secondary,
       etc.
      Necessary to maintain the order of the diagnosis items and provide a mechanism to link
       to claim details.
      
      
      
        
      
    
    
      
      
      The nature of illness or problem in a coded form or as a reference to an external defined
       Condition.
      
      
      
      
        
      
      
        
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      Many systems need to understand for adjudication if the diagnosis was present a time of
       admission.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      A package billing code or bundle code used to group products and services to a particular
       health condition (such as heart attack) which is based on a predetermined grouping code
       system.
      For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have
       a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The
       Claim item (and possible subsequent claims) would refer to the DRG for those line items
       that were for services related to the heart attack event.
      Required to relate the current  diagnosis to a package billing code that is then referenced
       on the individual claim items which are specific to the health condition covered by the
       package code.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
        
      
      
      
      
      The specific clinical invention are sometimes required to be provided to justify billing
       a greater than customary amount for a service.
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
      
    
    
      
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
      
    
    
      
      

       etc."/> 
      <requirements value="Necessary to maintain the order of the diagnosis items and provide a mechanism

       to link to claim details."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.diagnosis.diagnosis[x]">      <path value="Claim.diagnosis.diagnosis[x]"/>       <short value="Nature of illness or problem"/>       <definition value="The nature of illness or problem in a coded form or as a reference to an external

       defined Condition."/> 
      <requirements value="Provides health context for the evaluation of the products and/or services."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ICD10"/>         </extension>         <strength value="example"/>         <description value="Example ICD10 Diagnostic codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/icd-10"/>       </binding>     </element>     <element id="Claim.diagnosis.type">      <path value="Claim.diagnosis.type"/>       <short value="Timing or nature of the diagnosis"/>       <definition value="When the condition was observed or the relative ranking."/>       <comment value="For example: admitting, primary, secondary, discharge."/>       <requirements value="Often required to capture a particular diagnosis, for example: primary or discharge."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DiagnosisType"/>         </extension>         <strength value="preferred"/>         <description value="The type of the diagnosis: admitting, principal, discharge."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosistype"/>       </binding>     </element>     <element id="Claim.diagnosis.onAdmission">      <path value="Claim.diagnosis.onAdmission"/>       <short value="Present on admission"/>       <definition value="Indication of whether the diagnosis was present on admission to a facility."/>       <requirements value="Many systems need to understand for adjudication if the diagnosis was present a

       time of admission."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DiagnosisOnAdmission"/>         </extension>         <strength value="preferred"/>         <description value="Present on admission."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"/>       </binding>     </element>     <element id="Claim.procedure">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Procedure"/>       </extension>       <path value="Claim.procedure"/>       <short value="Clinical procedures performed"/>       <definition value="Procedures performed on the patient relevant to the billing items with the claim."/>       <requirements value="The specific clinical invention are sometimes required to be provided to justify

       billing a greater than customary amount for a service."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.procedure.sequence">      <path value="Claim.procedure.sequence"/>       <short value="Procedure instance identifier"/>       <definition value="A number to uniquely identify procedure entries."/>       <requirements value="Necessary to provide a mechanism to link to claim details."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.procedure.type">      <path value="Claim.procedure.type"/>       <short value="Category of Procedure"/>       <definition value="When the condition was observed or the relative ranking."/>       <comment value="For example: primary, secondary."/>       <requirements value="Often required to capture a particular diagnosis, for example: primary or discharge."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProcedureType"/>         </extension>         <strength value="preferred"/>         <description value="Example procedure type codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-procedure-type"/>       </binding>     </element>     <element id="Claim.procedure.date">      <path value="Claim.procedure.date"/>       <short value="When the procedure was performed"/>       <definition value="Date and optionally time the procedure was performed."/>       <requirements value="Required for auditing purposes."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.procedure.procedure[x]">      <path value="Claim.procedure.procedure[x]"/>       <short value="Specific clinical procedure"/> 
      <definition value="The code or reference to a Procedure resource which identifies the clinical intervention
       performed.
      
      
      
      
        
      
      
        
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
    
    
      
        
      
      
      
      Financial instruments for reimbursement for the health care products and services specified
       on the claim.
      All insurance coverages for the patient which may be applicable for reimbursement, of
       the products and services listed in the claim, are typically provided in the claim to
       allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination
       of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the
       adjudication of this claim. Coverages appearing before the focal Coverage in the list,
       and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse
       containing the adjudication results of the prior claim.
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      A number to uniquely identify insurance entries and provide a sequence of coverages to
       convey coordination of benefit order.
      
      
      
      
        
      
      
    
    
      
      
      A flag to indicate that this Coverage is to be used for adjudication of this claim when
       set to true.
      A patient may (will) have multiple insurance policies which provide reimbursement for
       healthcare services and products. For example a person may also be covered by their spouse's
       policy and both appear in the list (and may be from the same insurer). This flag will
       be set to true for only one of the listed policies and that policy will be used for adjudicating
       this claim. Other claims would be created to request adjudication against the other listed
       policies.
      
      
      
      
        
      
      
    
    
      
      
      The business identifier to be used when the claim is sent for adjudication against this
       insurance policy.

       performed."/> 
      <requirements value="This identifies the actual clinical procedure."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ICD10_Procedures"/>         </extension>         <strength value="example"/>         <description value="Example ICD10 Procedure codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/icd-10-procedures"/>       </binding>     </element>     <element id="Claim.procedure.udi">      <path value="Claim.procedure.udi"/>       <short value="Unique device identifier"/>       <definition value="Unique Device Identifiers associated with this line item."/>       <requirements value="The UDI code allows the insurer to obtain device level information on the product

       supplied."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.insurance">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Insurance"/>       </extension>       <path value="Claim.insurance"/>       <short value="Patient insurance information"/>       <definition value="Financial instruments for reimbursement for the health care products and services

       specified on the claim."/> 
      <comment value="All insurance coverages for the patient which may be applicable for reimbursement,

       of the products and services listed in the claim, are typically provided in the
       claim to allow insurers to confirm the ordering of the insurance coverages relative
       to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true'
       is to be used in the adjudication of this claim. Coverages appearing before the
       focal Coverage in the list, and where 'Coverage.subrogation=false', should provide
       a reference to the ClaimResponse containing the adjudication results of the prior
       claim."/> 
      <requirements value="At least one insurer is required for a claim to be a claim."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="Coverage"/>       </mapping>     </element>     <element id="Claim.insurance.sequence">      <path value="Claim.insurance.sequence"/>       <short value="Insurance instance identifier"/>       <definition value="A number to uniquely identify insurance entries and provide a sequence of coverages

       to convey coordination of benefit order."/> 
      <requirements value="To maintain order of the coverages."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.insurance.focal">      <path value="Claim.insurance.focal"/>       <short value="Coverage to be used for adjudication"/>       <definition value="A flag to indicate that this Coverage is to be used for adjudication of this claim

       when set to true."/> 
      <comment value="A patient may (will) have multiple insurance policies which provide reimbursement

       for healthcare services and products. For example a person may also be covered
       by their spouse's policy and both appear in the list (and may be from the same
       insurer). This flag will be set to true for only one of the listed policies and
       that policy will be used for adjudicating this claim. Other claims would be created
       to request adjudication against the other listed policies."/> 
      <requirements value="To identify which coverage in the list is being used to adjudicate this claim."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="boolean"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.insurance.identifier">      <path value="Claim.insurance.identifier"/>       <short value="Pre-assigned Claim number"/>       <definition value="The business identifier to be used when the claim is sent for adjudication against

       this insurance policy."/> 

      <comment value="Only required in jurisdictions where insurers, rather than the provider, are required
       to send claims to  insurers that appear after them in the list. This element is not required
       when 'subrogation=true'.
      This will be the claim number should it be necessary to create this claim in the future.
       This is provided so that payors may forward claims to other payors in the Coordination
       of Benefit for adjudication rather than the provider being required to initiate each adjudication.
      
      
      
        
      
      
        
        
      
      
        
        
      
    
    
      
      

       to send claims to  insurers that appear after them in the list. This element is
       not required when 'subrogation=true'."/> 
      <requirements value="This will be the claim number should it be necessary to create this claim in the

       future. This is provided so that payers may forward claims to other payers in the
       Coordination of Benefit for adjudication rather than the provider being required
       to initiate each adjudication."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>     </element>     <element id="Claim.insurance.coverage">      <path value="Claim.insurance.coverage"/>       <short value="Insurance information"/> 
      <definition value="Reference to the insurance card level information contained in the Coverage resource.
       The coverage issuing insurer will use these details to locate the patient's actual coverage
       within the insurer's information system.
      Required to allow the adjudicator to locate the correct policy and history within their
       information system.
      
      
      
        
        
      
      
    
    
      
      
      A business agreement number established between the provider and the insurer for special
       business processing purposes.
      Providers may have multiple business arrangements with a given insurer and must supply
       the specific contract number for adjudication.
      
      
      
        
      
    
    
      
      
      Reference numbers previously provided by the insurer to the provider to be quoted on subsequent
       claims containing services or products related to the prior authorization.
      This value is an alphanumeric string that may be provided over the phone, via text, via
       paper, or within a ClaimResponse resource and is not a FHIR Identifier.
      Providers must quote previously issued authorization reference numbers in order to obtain
       adjudication as previously advised on the Preauthorization.
      
      
      
        
      
    
    
      
      
      
      

       The coverage issuing insurer will use these details to locate the patient's actual
       coverage within the insurer's information system."/> 
      <requirements value="Required to allow the adjudicator to locate the correct policy and history within

       their information system."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Claim.insurance.businessArrangement">      <path value="Claim.insurance.businessArrangement"/>       <short value="Additional provider contract number"/>       <definition value="A business agreement number established between the provider and the insurer for

       special business processing purposes."/> 
      <requirements value="Providers may have multiple business arrangements with a given insurer and must

       supply the specific contract number for adjudication."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.insurance.preAuthRef">      <path value="Claim.insurance.preAuthRef"/>       <short value="Prior authorization reference number"/>       <definition value="Reference numbers previously provided by the insurer to the provider to be quoted

       on subsequent claims containing services or products related to the prior authorization."/> 
      <comment value="This value is an alphanumeric string that may be provided over the phone, via text,

       via paper, or within a ClaimResponse resource and is not a FHIR Identifier."/> 
      <requirements value="Providers must quote previously issued authorization reference numbers in order

       to obtain adjudication as previously advised on the Preauthorization."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.insurance.claimResponse">      <path value="Claim.insurance.claimResponse"/>       <short value="Adjudication results"/>       <definition value="The result of the adjudication of the line items for the Coverage specified in

       this insurance."/> 
      <comment value="Must not be specified when 'focal=true' for this insurance."/> 
      <requirements value="An insurer need the adjudication results from prior insurers to determine the outstanding
       balance remaining by item for the items in the curent claim.
      
      
      
        
        
      
    
    
      
        
      
      
      
      Details of an accident which resulted in injuries which required the products and services
       listed in the claim.
      When healthcare products and services are accident related, benefits may be payable under
       accident provisions of policies, such as automotive, etc before they are payable under
       normal health insurance.
      
      
      
        
      
    
    
      
      
      
      The date of the accident has to precede the dates of the products and services but within
       a reasonable timeframe.
      
      
      
      
        
      
    
    
      
      
      The type or context of the accident event for the purposes of selection of potential insurance
       coverages and determination of coordination between insurers.
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
        
      
      
      
      A claim line. Either a simple  product or service or a 'group' of details which can each
       be a simple items or groups of sub-details.
      
      
      
      
        
      
    
    
      
      
      
      Necessary to provide a mechanism to link to items from within the claim and within the
       adjudication details of the ClaimResponse.
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
      
    
    
      
      
      
      Need to provide any listed specific procedures to support the product or service being
       claimed.
      
      
      
        
      
    
    
      
      

       balance remaining by item for the items in the curent claim."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.accident">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Accident"/>       </extension>       <path value="Claim.accident"/>       <short value="Details of the event"/>       <definition value="Details of an accident which resulted in injuries which required the products and

       services listed in the claim."/> 
      <requirements value="When healthcare products and services are accident related, benefits may be payable

       under accident provisions of policies, such as automotive, etc before they are
       payable under normal health insurance."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.accident.date">      <path value="Claim.accident.date"/>       <short value="When the incident occurred"/>       <definition value="Date of an accident event  related to the products and services contained in the

       claim."/> 
      <comment value="The date of the accident has to precede the dates of the products and services

       but within a reasonable timeframe."/> 
      <requirements value="Required for audit purposes and adjudication."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="date"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.accident.type">      <path value="Claim.accident.type"/>       <short value="The nature of the accident"/>       <definition value="The type or context of the accident event for the purposes of selection of potential

       insurance coverages and determination of coordination between insurers."/> 
      <requirements value="Coverage may be dependant on the type of accident."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AccidentType"/>         </extension>         <strength value="extensible"/>         <description value="Type of accident: work place, auto, etc."/>         <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"/>       </binding>     </element>     <element id="Claim.accident.location[x]">      <path value="Claim.accident.location[x]"/>       <short value="Where the event occurred"/>       <definition value="The physical location of the accident event."/>       <requirements value="Required for audit purposes and determination of applicable insurance liability."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Address"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.patientPaid">      <path value="Claim.patientPaid"/>       <short value="Paid by the patient"/>       <definition value="The amount paid by the patient, in total at the claim claim level or specifically

       for the item and detail level, to the provider for goods and services."/> 
      <requirements value="Necessary to demonstrate that copayments, co-insurance and similar patient payments

       have been made or accounted for."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Item"/>       </extension>       <path value="Claim.item"/>       <short value="Product or service provided"/>       <definition value="A claim line. Either a simple  product or service or a 'group' of details which

       can each be a simple items or groups of sub-details."/> 
      <requirements value="The items to be processed for adjudication."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.sequence">      <path value="Claim.item.sequence"/>       <short value="Item instance identifier"/>       <definition value="A number to uniquely identify item entries."/>       <requirements value="Necessary to provide a mechanism to link to items from within the claim and within

       the adjudication details of the ClaimResponse."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.traceNumber">      <path value="Claim.item.traceNumber"/>       <short value="Number for tracking"/>       <definition value="Trace number for tracking purposes. May be defined at the jurisdiction level or

       between trading partners."/> 
      <requirements value="Allows partners to uniquely identify components for tracking."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.subject">      <path value="Claim.item.subject"/>       <short value="The recipient of the products and services"/>       <definition value="The party to whom the professional services and/or products have been supplied

       or are being considered and for whom actual for facast reimbursement is sought."/> 
      <comment value="Profilers should consider making this element required when the backbone .subject

       is a group."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.careTeamSequence">      <path value="Claim.item.careTeamSequence"/>       <short value="Applicable careTeam members"/>       <definition value="CareTeam members related to this service or product."/>       <requirements value="Need to identify the individuals and their roles in the provision of the product

       or service."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.diagnosisSequence">      <path value="Claim.item.diagnosisSequence"/>       <short value="Applicable diagnoses"/>       <definition value="Diagnosis applicable for this service or product."/>       <requirements value="Need to related the product or service to the associated diagnoses."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.procedureSequence">      <path value="Claim.item.procedureSequence"/>       <short value="Applicable procedures"/>       <definition value="Procedures applicable for this service or product."/>       <requirements value="Need to provide any listed specific procedures to support the product or service

       being claimed."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.informationSequence">      <path value="Claim.item.informationSequence"/>       <short value="Applicable exception and supporting information"/> 
      <definition value="Exceptions, special conditions and supporting information applicable for this service
       or product.
      Need to reference the supporting information items that relate directly to this product
       or service.
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      Needed in the processing of institutional claims as this allows the insurer to determine
       whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      When the value is a group code then this item collects a set of related claim details,
       otherwise this contains the product, service, drug or other billing code for the item.
      If this is an actual service or product line, i.e. not a Group, then use code to indicate
       the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'.
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical
       whether the treatment was outside the clinic or outside of office hours.
      
      
      
      
        
      
      
        
          
        
        
        Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
         with TMJ, or an appliance was lost or stolen.
        
      
    
    
      
      
      
      
      Commonly used in in the identification of publicly provided program focused on population
       segments or disease classifications.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      Needed to determine whether the  service or product was provided during the term of the
       insurance coverage.
      
      
      
        
      
      
        
      
      
        
        
      
    
    
      
      
      
      The location can alter whether the item was acceptable for insurance purposes or impact
       the determination of the benefit amount.
      
      
      
        
      
      
        
      
      
        
        
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
    
    
      
      

       or product."/> 
      <requirements value="Need to reference the supporting information items that relate directly to this

       product or service."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.revenue">      <path value="Claim.item.revenue"/>       <short value="Revenue or cost center code"/>       <definition value="The type of revenue or cost center providing the product and/or service."/>       <requirements value="Needed in the processing of institutional claims."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="RevenueCenter"/>         </extension>         <strength value="example"/>         <description value="Codes for the revenue or cost centers supplying the service and/or products."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>       </binding>     </element>     <element id="Claim.item.category">      <path value="Claim.item.category"/>       <short value="Benefit classification"/>       <definition value="Code to identify the general type of benefits under which products and services

       are provided."/> 
      <comment value="Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>       <requirements value="Needed in the processing of institutional claims as this allows the insurer to

       determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BenefitCategory"/>         </extension>         <strength value="example"/>         <description value="Benefit categories such as: oral-basic, major, glasses."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-benefitcategory"/>       </binding>     </element>     <element id="Claim.item.productOrService">      <path value="Claim.item.productOrService"/>       <short value="Billing, service, product, or drug code"/>       <definition value="When the value is a group code then this item collects a set of related item details,

       otherwise this contains the product, service, drug or other billing code for the
       item. This element may be the start of a range of .productOrService codes used
       in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceE
      nd is not used."/> 
      <comment value="If this is an actual service or product line, i.e. not a Group, then use code to

       indicate the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'."/> 
      <requirements value="Necessary to state what was provided or done."/>       <alias value="Drug Code"/>       <alias value="Bill Code"/>       <alias value="Service Code"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <description value="Allowable service and product codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.productOrServiceEnd">      <path value="Claim.item.productOrServiceEnd"/>       <short value="End of a range of codes"/>       <definition value="This contains the end of a range of product, service, drug or other billing codes

       for the item. This element is not used when the .productOrService is a group code.
       This value may only be present when a .productOfService code has been provided
       to convey the start of the range. Typically this value may be used only with preauthorization
      s and not with claims."/> 
      <alias value="End of a range of Drug Code; Bill Code; Service Code"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.request">      <path value="Claim.item.request"/>       <short value="Request or Referral for Service"/>       <definition value="Request or Referral for Goods or Service to be rendered."/>       <requirements value="May identify the service to be provided or provider authorization for the service."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.modifier">      <path value="Claim.item.modifier"/>       <short value="Product or service billing modifiers"/>       <definition value="Item typification or modifiers codes to convey additional context for the product

       or service."/> 
      <comment value="For example in Oral whether the treatment is cosmetic or associated with TMJ, or

       for Medical whether the treatment was outside the clinic or outside of office hours."/> 
      <requirements value="To support inclusion of the item for adjudication or to charge an elevated fee."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Modifiers"/>         </extension>         <strength value="example"/>         <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or

         associated with TMJ, or an appliance was lost or stolen."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>       </binding>     </element>     <element id="Claim.item.programCode">      <path value="Claim.item.programCode"/>       <short value="Program the product or service is provided under"/>       <definition value="Identifies the program under which this may be recovered."/>       <comment value="For example: Neonatal program, child dental program or drug users recovery program."/>       <requirements value="Commonly used in in the identification of publicly provided program focused on

       population segments or disease classifications."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProgramCode"/>         </extension>         <strength value="example"/>         <description value="Program specific reason codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-program-code"/>       </binding>     </element>     <element id="Claim.item.serviced[x]">      <path value="Claim.item.serviced[x]"/>       <short value="Date or dates of service or product delivery"/>       <definition value="The date or dates when the service or product was supplied, performed or completed."/>       <requirements value="Needed to determine whether the  service or product was provided during the term

       of the insurance coverage."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="date"/>       </type>       <type>         <code value="Period"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.done[x]"/>       </mapping>     </element>     <element id="Claim.item.location[x]">      <path value="Claim.item.location[x]"/>       <short value="Place of service or where product was supplied"/>       <definition value="Where the product or service was provided."/>       <requirements value="The location can alter whether the item was acceptable for insurance purposes or

       impact the determination of the benefit amount."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Address"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServicePlace"/>         </extension>         <strength value="example"/>         <description value="Place of service: pharmacy, school, prison, etc."/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-place"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.where[x]"/>       </mapping>     </element>     <element id="Claim.item.patientPaid">      <path value="Claim.item.patientPaid"/>       <short value="Paid by the patient"/>       <definition value="The amount paid by the patient, in total at the claim claim level or specifically

       for the item and detail level, to the provider for goods and services."/> 
      <requirements value="Necessary to demonstrate that copayments, co-insurance and similar patient payments

       have been made or accounted for."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.quantity">      <path value="Claim.item.quantity"/>       <short value="Count of products or services"/>       <definition value="The number of repetitions of a service or product."/>       <requirements value="Required when the product or service code does not convey the quantity provided."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Quantity"/>         <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.unitPrice">      <path value="Claim.item.unitPrice"/>       <short value="Fee, charge or cost per item"/> 
      <definition value="If the item is not a group then this is the fee for the product or service, otherwise
       this is the total of the fees for the details of the group.
      
      
      
      
        
      
    
    
      
      
      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.
      
      When discounts are provided to a patient (example: Senior's discount) then this must be
       documented for adjudication.
      
      
      
        
      
    
    
      
      
      
      For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are
       assumed to be 1 if not supplied.
      
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
        
      
    
    
      
      
      

       this is the total of the fees for the details of the group."/> 
      <requirements value="The amount charged to the patient by the provider for a single unit."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.factor">      <path value="Claim.item.factor"/>       <short value="Price scaling factor"/>       <definition value="A real number that represents a multiplier used in determining the overall value

       of services delivered and/or goods received. The concept of a Factor allows for
       a discount or surcharge multiplier to be applied to a monetary amount."/> 
      <comment value="To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>       <requirements value="When discounts are provided to a patient (example: Senior's discount) then this

       must be documented for adjudication."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="decimal"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.tax">      <path value="Claim.item.tax"/>       <short value="Total tax"/>       <definition value="The total of taxes applicable for this product or service."/>       <requirements value="Required when taxes are not embedded in the unit price or provided as a separate

       service."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.net">      <path value="Claim.item.net"/>       <short value="Total item cost"/>       <definition value="The total amount claimed for the group (if a grouper) or the line item. Net = unit

       price * quantity * factor."/> 
      <comment value="For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor

       are assumed to be 1 if not supplied."/> 
      <requirements value="Provides the total amount claimed  for the group (if a grouper) or the line item."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.udi">      <path value="Claim.item.udi"/>       <short value="Unique device identifier"/>       <definition value="Unique Device Identifiers associated with this line item."/>       <requirements value="The UDI code allows the insurer to obtain device level information on the product

       supplied."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.bodySite">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="BodySite"/>       </extension>       <path value="Claim.item.bodySite"/>       <short value="Anatomical location"/>       <definition value="Physical location where the service is performed or applies."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.bodySite.site">      <path value="Claim.item.bodySite.site"/>       <short value="Location"/>       <definition value="Physical service site on the patient (limb, tooth, etc.)."/> 
      <comment value="For example: Providing a tooth code, allows an insurer to identify a provider performing
       a filling on a tooth that was previously removed.
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      The Encounters during which this Claim was created or to which the creation of this record
       is tightly associated.
      This will typically be the encounter the event occurred within, but some activities may
       be initiated prior to or after the official completion of an encounter but still be tied
       to the context of the encounter.
      
      
      
      
        
        
      
      
        
        
      
    
    
      
        
      
      
      

       a filling on a tooth that was previously removed."/> 
      <requirements value="Allows insurer to validate specific procedures."/>       <min value="1"/>       <max value="*"/>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="OralSites"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/tooth"/>       </binding>     </element>     <element id="Claim.item.bodySite.subSite">      <path value="Claim.item.bodySite.subSite"/>       <short value="Sub-location"/>       <definition value="A region or surface of the bodySite, e.g. limb region or tooth surface(s)."/>       <requirements value="Allows insurer to validate specific procedures."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Surface"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/surface"/>       </binding>     </element>     <element id="Claim.item.encounter">      <path value="Claim.item.encounter"/>       <short value="Encounters associated with the listed treatments"/>       <definition value="Healthcare encounters related to this claim."/>       <comment value="This will typically be the encounter the event occurred within, but some activities

       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter."/> 
      <requirements value="Used in some jurisdictions to link clinical events to claim items."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Request.context"/>       </mapping>     </element>     <element id="Claim.item.detail">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="Detail"/>       </extension>       <path value="Claim.item.detail"/>       <short value="Product or service provided"/> 
      <definition value="A claim detail line. Either a simple (a product or service) or a 'group' of sub-details
       which are simple items.
      
      
      
      
        
      
    
    
      
      
      
      Necessary to provide a mechanism to link to items from within the claim and within the
       adjudication details of the ClaimResponse.
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      Needed in the processing of institutional claims as this allows the insurer to determine
       whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      When the value is a group code then this item collects a set of related claim details,
       otherwise this contains the product, service, drug or other billing code for the item.
      If this is an actual service or product line, i.e. not a Group, then use code to indicate
       the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'.
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      For example in 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.
      
      
      
      
        
      
      
        
          
        
        
        Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
         with TMJ, or an appliance was lost or stolen.
        
      
    
    
      
      
      
      
      Commonly used in in the identification of publicly provided program focused on population
       segments or disease classifications.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
    
    
      
      

       which are simple items."/> 
      <requirements value="The items to be processed for adjudication."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.sequence">      <path value="Claim.item.detail.sequence"/>       <short value="Item instance identifier"/>       <definition value="A number to uniquely identify item entries."/>       <requirements value="Necessary to provide a mechanism to link to items from within the claim and within

       the adjudication details of the ClaimResponse."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.traceNumber">      <path value="Claim.item.detail.traceNumber"/>       <short value="Number for tracking"/>       <definition value="Trace number for tracking purposes. May be defined at the jurisdiction level or

       between trading partners."/> 
      <requirements value="Allows partners to uniquely identify components for tracking."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.revenue">      <path value="Claim.item.detail.revenue"/>       <short value="Revenue or cost center code"/>       <definition value="The type of revenue or cost center providing the product and/or service."/>       <requirements value="Needed in the processing of institutional claims."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="RevenueCenter"/>         </extension>         <strength value="example"/>         <description value="Codes for the revenue or cost centers supplying the service and/or products."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>       </binding>     </element>     <element id="Claim.item.detail.category">      <path value="Claim.item.detail.category"/>       <short value="Benefit classification"/>       <definition value="Code to identify the general type of benefits under which products and services

       are provided."/> 
      <comment value="Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>       <requirements value="Needed in the processing of institutional claims as this allows the insurer to

       determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BenefitCategory"/>         </extension>         <strength value="example"/>         <description value="Benefit categories such as: oral-basic, major, glasses."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-benefitcategory"/>       </binding>     </element>     <element id="Claim.item.detail.productOrService">      <path value="Claim.item.detail.productOrService"/>       <short value="Billing, service, product, or drug code"/>       <definition value="When the value is a group code then this item collects a set of related item details,

       otherwise this contains the product, service, drug or other billing code for the
       item. This element may be the start of a range of .productOrService codes used
       in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceE
      nd is not used."/> 
      <comment value="If this is an actual service or product line, i.e. not a Group, then use code to

       indicate the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'."/> 
      <requirements value="Necessary to state what was provided or done."/>       <alias value="Drug Code"/>       <alias value="Bill Code"/>       <alias value="Service Code"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <description value="Allowable service and product codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.detail.productOrServiceEnd">      <path value="Claim.item.detail.productOrServiceEnd"/>       <short value="End of a range of codes"/>       <definition value="This contains the end of a range of product, service, drug or other billing codes

       for the item. This element is not used when the .productOrService is a group code.
       This value may only be present when a .productOfService code has been provided
       to convey the start of the range. Typically this value may be used only with preauthorization
      s and not with claims."/> 
      <alias value="End of a range of Drug Code; Bill Code; Service Code"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.detail.modifier">      <path value="Claim.item.detail.modifier"/>       <short value="Service/Product billing modifiers"/>       <definition value="Item typification or modifiers codes to convey additional context for the product

       or service."/> 
      <comment value="For example in 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."/> 
      <requirements value="To support inclusion of the item for adjudication or to charge an elevated fee."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Modifiers"/>         </extension>         <strength value="example"/>         <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or

         associated with TMJ, or an appliance was lost or stolen."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>       </binding>     </element>     <element id="Claim.item.detail.programCode">      <path value="Claim.item.detail.programCode"/>       <short value="Program the product or service is provided under"/>       <definition value="Identifies the program under which this may be recovered."/>       <comment value="For example: Neonatal program, child dental program or drug users recovery program."/>       <requirements value="Commonly used in in the identification of publicly provided program focused on

       population segments or disease classifications."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProgramCode"/>         </extension>         <strength value="example"/>         <description value="Program specific reason codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-program-code"/>       </binding>     </element>     <element id="Claim.item.detail.patientPaid">      <path value="Claim.item.detail.patientPaid"/>       <short value="Paid by the patient"/>       <definition value="The amount paid by the patient, in total at the claim claim level or specifically

       for the item and detail level, to the provider for goods and services."/> 
      <requirements value="Necessary to demonstrate that copayments, co-insurance and similar patient payments

       have been made or accounted for."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.quantity">      <path value="Claim.item.detail.quantity"/>       <short value="Count of products or services"/>       <definition value="The number of repetitions of a service or product."/>       <requirements value="Required when the product or service code does not convey the quantity provided."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Quantity"/>         <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.unitPrice">      <path value="Claim.item.detail.unitPrice"/>       <short value="Fee, charge or cost per item"/> 
      <definition value="If the item is not a group then this is the fee for the product or service, otherwise
       this is the total of the fees for the details of the group.
      
      
      
      
        
      
    
    
      
      
      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.
      
      When discounts are provided to a patient (example: Senior's discount) then this must be
       documented for adjudication.
      
      
      
        
      
    
    
      
      
      
      For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are
       assumed to be 1 if not supplied.
      
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
        
      
    
    
      
        
      
      
      

       this is the total of the fees for the details of the group."/> 
      <requirements value="The amount charged to the patient by the provider for a single unit."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.factor">      <path value="Claim.item.detail.factor"/>       <short value="Price scaling factor"/>       <definition value="A real number that represents a multiplier used in determining the overall value

       of services delivered and/or goods received. The concept of a Factor allows for
       a discount or surcharge multiplier to be applied to a monetary amount."/> 
      <comment value="To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>       <requirements value="When discounts are provided to a patient (example: Senior's discount) then this

       must be documented for adjudication."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="decimal"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.tax">      <path value="Claim.item.detail.tax"/>       <short value="Total tax"/>       <definition value="The total of taxes applicable for this product or service."/>       <requirements value="Required when taxes are not embedded in the unit price or provided as a separate

       service."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.net">      <path value="Claim.item.detail.net"/>       <short value="Total item cost"/>       <definition value="The total amount claimed for the group (if a grouper) or the line item.detail.

       Net = unit price * quantity * factor."/> 
      <comment value="For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor

       are assumed to be 1 if not supplied."/> 
      <requirements value="Provides the total amount claimed  for the group (if a grouper) or the line item."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.udi">      <path value="Claim.item.detail.udi"/>       <short value="Unique device identifier"/>       <definition value="Unique Device Identifiers associated with this line item."/>       <requirements value="The UDI code allows the insurer to obtain device level information on the product

       supplied."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">        <valueString value="SubDetail"/>       </extension>       <path value="Claim.item.detail.subDetail"/>       <short value="Product or service provided"/> 
      <definition value="A claim detail line. Either a simple (a product or service) or a 'group' of sub-details
       which are simple items.
      
      
      
      
        
      
    
    
      
      
      
      Necessary to provide a mechanism to link to items from within the claim and within the
       adjudication details of the ClaimResponse.
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      Needed in the processing of institutional claims as this allows the insurer to determine
       whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      When the value is a group code then this item collects a set of related claim details,
       otherwise this contains the product, service, drug or other billing code for the item.
      If this is an actual service or product line, i.e. not a Group, then use code to indicate
       the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'.
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      For example in 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.
      
      
      
      
        
      
      
        
          
        
        
        Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated
         with TMJ, or an appliance was lost or stolen.
        
      
    
    
      
      
      
      
      Commonly used in in the identification of publicly provided program focused on population
       segments or disease classifications.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
    
    
      
      

       which are simple items."/> 
      <requirements value="The items to be processed for adjudication."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.sequence">      <path value="Claim.item.detail.subDetail.sequence"/>       <short value="Item instance identifier"/>       <definition value="A number to uniquely identify item entries."/>       <requirements value="Necessary to provide a mechanism to link to items from within the claim and within

       the adjudication details of the ClaimResponse."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="positiveInt"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.traceNumber">      <path value="Claim.item.detail.subDetail.traceNumber"/>       <short value="Number for tracking"/>       <definition value="Trace number for tracking purposes. May be defined at the jurisdiction level or

       between trading partners."/> 
      <requirements value="Allows partners to uniquely identify components for tracking."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.revenue">      <path value="Claim.item.detail.subDetail.revenue"/>       <short value="Revenue or cost center code"/>       <definition value="The type of revenue or cost center providing the product and/or service."/>       <requirements value="Needed in the processing of institutional claims."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="RevenueCenter"/>         </extension>         <strength value="example"/>         <description value="Codes for the revenue or cost centers supplying the service and/or products."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-revenue-center"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.category">      <path value="Claim.item.detail.subDetail.category"/>       <short value="Benefit classification"/>       <definition value="Code to identify the general type of benefits under which products and services

       are provided."/> 
      <comment value="Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."/>       <requirements value="Needed in the processing of institutional claims as this allows the insurer to

       determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BenefitCategory"/>         </extension>         <strength value="example"/>         <description value="Benefit categories such as: oral-basic, major, glasses."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-benefitcategory"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.productOrService">      <path value="Claim.item.detail.subDetail.productOrService"/>       <short value="Billing, service, product, or drug code"/>       <definition value="When the value is a group code then this item collects a set of related item details,

       otherwise this contains the product, service, drug or other billing code for the
       item. This element may be the start of a range of .productOrService codes used
       in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceE
      nd is not used."/> 
      <comment value="If this is an actual service or product line, i.e. not a Group, then use code to

       indicate the Professional Service or Product supplied (e.g. 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 e.g. 'glasses' or 'compound'."/> 
      <requirements value="Necessary to state what was provided or done."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <description value="Allowable service and product codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.productOrServiceEnd">      <path value="Claim.item.detail.subDetail.productOrServiceEnd"/>       <short value="End of a range of codes"/>       <definition value="This contains the end of a range of product, service, drug or other billing codes

       for the item. This element is not used when the .productOrService is a group code.
       This value may only be present when a .productOfService code has been provided
       to convey the start of the range. Typically this value may be used only with preauthorization
      s and not with claims."/> 
      <alias value="End of a range of Drug Code; Bill Code; Service Code"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ServiceProduct"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.modifier">      <path value="Claim.item.detail.subDetail.modifier"/>       <short value="Service/Product billing modifiers"/>       <definition value="Item typification or modifiers codes to convey additional context for the product

       or service."/> 
      <comment value="For example in 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."/> 
      <requirements value="To support inclusion of the item for adjudication or to charge an elevated fee."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Modifiers"/>         </extension>         <strength value="example"/>         <description value="Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or

         associated with TMJ, or an appliance was lost or stolen."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.programCode">      <path value="Claim.item.detail.subDetail.programCode"/>       <short value="Program the product or service is provided under"/>       <definition value="Identifies the program under which this may be recovered."/>       <comment value="For example: Neonatal program, child dental program or drug users recovery program."/>       <requirements value="Commonly used in in the identification of publicly provided program focused on

       population segments or disease classifications."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ProgramCode"/>         </extension>         <strength value="example"/>         <description value="Program specific reason codes."/>         <valueSet value="http://hl7.org/fhir/ValueSet/ex-program-code"/>       </binding>     </element>     <element id="Claim.item.detail.subDetail.patientPaid">      <path value="Claim.item.detail.subDetail.patientPaid"/>       <short value="Paid by the patient"/>       <definition value="The amount paid by the patient, in total at the claim claim level or specifically

       for the item and detail level, to the provider for goods and services."/> 
      <requirements value="Necessary to demonstrate that copayments, co-insurance and similar patient payments

       have been made or accounted for."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.quantity">      <path value="Claim.item.detail.subDetail.quantity"/>       <short value="Count of products or services"/>       <definition value="The number of repetitions of a service or product."/>       <requirements value="Required when the product or service code does not convey the quantity provided."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Quantity"/>         <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.unitPrice">      <path value="Claim.item.detail.subDetail.unitPrice"/>       <short value="Fee, charge or cost per item"/> 
      <definition value="If the item is not a group then this is the fee for the product or service, otherwise
       this is the total of the fees for the details of the group.
      
      
      
      
        
      
    
    
      
      
      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.
      
      When discounts are provided to a patient (example: Senior's discount) then this must be
       documented for adjudication.
      
      
      
        
      
    
    
      
      
      
      For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are
       assumed to be 1 if not supplied.
      
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
    
  

       this is the total of the fees for the details of the group."/> 
      <requirements value="The amount charged to the patient by the provider for a single unit."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.factor">      <path value="Claim.item.detail.subDetail.factor"/>       <short value="Price scaling factor"/>       <definition value="A real number that represents a multiplier used in determining the overall value

       of services delivered and/or goods received. The concept of a Factor allows for
       a discount or surcharge multiplier to be applied to a monetary amount."/> 
      <comment value="To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)."/>       <requirements value="When discounts are provided to a patient (example: Senior's discount) then this

       must be documented for adjudication."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="decimal"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.tax">      <path value="Claim.item.detail.subDetail.tax"/>       <short value="Total tax"/>       <definition value="The total of taxes applicable for this product or service."/>       <requirements value="Required when taxes are not embedded in the unit price or provided as a separate

       service."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.net">      <path value="Claim.item.detail.subDetail.net"/>       <short value="Total item cost"/>       <definition value="The total amount claimed for line item.detail.subDetail. Net = unit price * quantity

       * factor."/> 
      <comment value="For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor

       are assumed to be 1 if not supplied."/> 
      <requirements value="Provides the total amount claimed  for the group (if a grouper) or the line item."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.item.detail.subDetail.udi">      <path value="Claim.item.detail.subDetail.udi"/>       <short value="Unique device identifier"/>       <definition value="Unique Device Identifiers associated with this line item."/>       <requirements value="The UDI code allows the insurer to obtain device level information on the product

       supplied."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="Claim.total">      <path value="Claim.total"/>       <short value="Total claim cost"/>       <definition value="The total value of the all the items in the claim."/>       <requirements value="Used for  control total purposes."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Money"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>   </differential> 


</

StructureDefinition

>



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