openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build
openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions
Official URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-claim | Version: 1.0.0 | |||
Active as of 2022-05-31 | Responsible: openIMIS Initiative | Computable Name: OpenIMISClaim |
Defines a Claim for openIMIS which maps to a Claim.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Claim
Summary
Mandatory: 19 elements (3 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 42 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
This structure is derived from Claim
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Claim | Claim, Pre-determination or Pre-authorization | |
![]() ![]() ![]() | 0..1 | string | Claim UUID | |
![]() ![]() ![]() | S | 1..2 | Identifier | Business Identifier for claim Slice: Unordered, Closed by value:type.coding.code |
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Description of identifier | |
![]() ![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | code | Symbol in syntax defined by the system Binding: openIMIS Identifiers Value Set (required) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | The value that is unique | |
![]() ![]() ![]() ![]() | S | 1..1 | Identifier | Business Identifier for claim |
![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Claim openIMIS Code Required Pattern: Code | |
![]() ![]() ![]() ![]() | 0..1 | Identifier | Business Identifier for claim | |
![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Claim openIMIS UUID Required Pattern: UUID | |
![]() ![]() ![]() | 1..1 | code | FHIR Claim Status Required Pattern: active | |
![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() | 0..* | Coding | Visit type Binding: Visit Type Codes (Claim) (required) | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | code | Claim Type Required Pattern: claim | |
![]() ![]() ![]() | 1..1 | Reference(openIMIS Patient) | The recipient of the products and services | |
![]() ![]() ![]() | 1..1 | Period | Relevant time frame for the claim | |
![]() ![]() ![]() ![]() | 1..1 | dateTime | Start date | |
![]() ![]() ![]() ![]() | 0..1 | dateTime | End date | |
![]() ![]() ![]() | 1..1 | dateTime | Claimed date | |
![]() ![]() ![]() | 1..1 | Reference(openIMIS Claim Administrator Practitioner) | Author of the claim | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | Reference(openIMIS Health Facility Organization) | Health Facility | |
![]() ![]() ![]() | 1..1 | CodeableConcept | Desired processing ugency Required Pattern: At least the following | |
![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/processpriority | |
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: normal | |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: Normal | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..* | BackboneElement | Supporting information Slice: Unordered, Closed by value:category.coding.code | |
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Binding: Category of the supporting info (Claim) (required) | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | boolean, string, Quantity, Attachment, Reference(Resource) | Data to be provided | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | Explanation | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-supporting-info-category | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: explanation | |
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Data to be provided | |
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | Guarantee | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-supporting-info-category | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: guarantee | |
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Data to be provided | |
![]() ![]() ![]() ![]() | 0..* | BackboneElement | Attachment | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-supporting-info-category | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: attachment | |
![]() ![]() ![]() ![]() ![]() | 0..1 | Attachment | Data to be provided | |
![]() ![]() ![]() | 1..5 | BackboneElement | Diagnosis | |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Nature of illness or problem Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Nature of illness or problem Binding: ICD 10 Level 1 diagnosis (example) | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | BackboneElement | Patient insurance information | |
![]() ![]() ![]() ![]() | 1..1 | boolean | Coverage to be used for adjudication Required Pattern: true | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 1..1 | Reference(openIMIS Coverage) | Coverage | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..* | BackboneElement | Product or service provided | |
![]() ![]() ![]() ![]() | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() | 1..1 | Reference(openIMIS Medication | openIMIS ActivityDefinition) | Item Reference URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Category Binding: Category of the item (Claim) (required) | |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Item Code | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Item/Service Code | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 1..1 | SimpleQuantity | Count of products or services | |
![]() ![]() ![]() ![]() ![]() | 1..1 | decimal | Numerical value (with implicit precision) | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 1..1 | Money | Fee, charge or cost per item | |
![]() ![]() ![]() ![]() ![]() | 1..1 | decimal | Numerical value (with implicit precision) | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | Money | Total claim cost | |
![]() ![]() ![]() ![]() | 1..1 | decimal | Numerical value (with implicit precision) | |
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | Claim | Claim, Pre-determination or Pre-authorization | |||||
![]() ![]() ![]() | Σ | 0..1 | string | Claim UUID | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | S | 1..2 | Identifier | Business Identifier for claim Slice: Unordered, Closed by value:type.coding.code | ||||
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | code | Symbol in syntax defined by the system Binding: openIMIS Identifiers Value Set (required) | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
![]() ![]() ![]() ![]() | S | 1..1 | Identifier | Business Identifier for claim | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Claim openIMIS Code Required Pattern: Code | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
![]() ![]() ![]() ![]() | 0..1 | Identifier | Business Identifier for claim | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Claim openIMIS UUID Required Pattern: UUID | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
![]() ![]() ![]() | ?!Σ | 1..1 | code | FHIR Claim Status Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Required Pattern: active | ||||
![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Category or discipline Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim. | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Visit type Binding: Visit Type Codes (Claim) (required) | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() | Σ | 1..1 | code | Claim Type Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: claim | ||||
![]() ![]() ![]() | Σ | 1..1 | Reference(openIMIS Patient) | The recipient of the products and services | ||||
![]() ![]() ![]() | Σ | 1..1 | Period | Relevant time frame for the claim | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | ΣI | 1..1 | dateTime | Start date | ||||
![]() ![]() ![]() ![]() | ΣI | 0..1 | dateTime | End date | ||||
![]() ![]() ![]() | Σ | 1..1 | dateTime | Claimed date | ||||
![]() ![]() ![]() | 1..1 | Reference(openIMIS Claim Administrator Practitioner) | Author of the claim | |||||
![]() ![]() ![]() | Σ | 1..1 | Reference(openIMIS Health Facility Organization) | Health Facility | ||||
![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred. Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/processpriority | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: normal | |||||
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: Normal | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() | 0..* | BackboneElement | Supporting information Slice: Unordered, Closed by value:category.coding.code | |||||
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | positiveInt | Information instance identifier | |||||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Binding: Category of the supporting info (Claim) (required) | |||||
![]() ![]() ![]() ![]() ![]() | 1..1 | Data to be provided | ||||||
![]() ![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | string | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Quantity | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Attachment | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Reference(Resource) | |||||||
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | Explanation | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | positiveInt | Information instance identifier | |||||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-supporting-info-category | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: explanation | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes. | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | When it occurred | ||||||
![]() ![]() ![]() ![]() ![]() ![]() | date | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Data to be provided | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth. | |||||
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | Guarantee | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | positiveInt | Information instance identifier | |||||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-supporting-info-category | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: guarantee | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes. | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | When it occurred | ||||||
![]() ![]() ![]() ![]() ![]() ![]() | date | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Data to be provided | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth. | |||||
![]() ![]() ![]() ![]() | 0..* | BackboneElement | Attachment | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | positiveInt | Information instance identifier | |||||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-supporting-info-category | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: attachment | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes. | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | When it occurred | ||||||
![]() ![]() ![]() ![]() ![]() ![]() | date | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | Attachment | Data to be provided | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth. | |||||
![]() ![]() ![]() | 1..5 | BackboneElement | Diagnosis | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 1..1 | positiveInt | Diagnosis instance identifier | |||||
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Nature of illness or problem Slice: Unordered, Closed by type:$this Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes. | |||||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Nature of illness or problem Binding: ICD 10 Level 1 diagnosis (example) | |||||
![]() ![]() ![]() | Σ | 1..1 | BackboneElement | Patient insurance information | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | positiveInt | Insurance instance identifier | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | boolean | Coverage to be used for adjudication Required Pattern: true | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Reference(openIMIS Coverage) | Coverage | ||||
![]() ![]() ![]() | 1..* | BackboneElement | Product or service provided | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | 1..1 | Reference(openIMIS Medication | openIMIS ActivityDefinition) | Item Reference URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 1..1 | positiveInt | Item instance identifier | |||||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Category Binding: Category of the item (Claim) (required) | |||||
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Item Code Binding: USCLSCodes (example): Allowable service and product codes. | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | string | Item/Service Code | ||||
![]() ![]() ![]() ![]() | 1..1 | SimpleQuantity | Count of products or services | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
![]() ![]() ![]() ![]() | 1..1 | Money | Fee, charge or cost per item | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | code | ISO 4217 Currency Code Binding: Currencies (required): A code indicating the currency, taken from ISO 4217. | ||||
![]() ![]() ![]() | 1..1 | Money | Total claim cost | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | code | ISO 4217 Currency Code Binding: Currencies (required): A code indicating the currency, taken from ISO 4217. | ||||
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Claim | Claim, Pre-determination or Pre-authorization | |
![]() ![]() ![]() | 1..2 | Identifier | Business Identifier for claim Slice: Unordered, Closed by value:type.coding.code | |
![]() ![]() ![]() ![]() | 1..1 | Identifier | Business Identifier for claim | |
![]() |
This structure is derived from Claim
Summary
Mandatory: 19 elements (3 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 42 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Claim
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Claim | Claim, Pre-determination or Pre-authorization | |
![]() ![]() ![]() | 0..1 | string | Claim UUID | |
![]() ![]() ![]() | S | 1..2 | Identifier | Business Identifier for claim Slice: Unordered, Closed by value:type.coding.code |
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Description of identifier | |
![]() ![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | code | Symbol in syntax defined by the system Binding: openIMIS Identifiers Value Set (required) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | The value that is unique | |
![]() ![]() ![]() ![]() | S | 1..1 | Identifier | Business Identifier for claim |
![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Claim openIMIS Code Required Pattern: Code | |
![]() ![]() ![]() ![]() | 0..1 | Identifier | Business Identifier for claim | |
![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Claim openIMIS UUID Required Pattern: UUID | |
![]() ![]() ![]() | 1..1 | code | FHIR Claim Status Required Pattern: active | |
![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() | 0..* | Coding | Visit type Binding: Visit Type Codes (Claim) (required) | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | code | Claim Type Required Pattern: claim | |
![]() ![]() ![]() | 1..1 | Reference(openIMIS Patient) | The recipient of the products and services | |
![]() ![]() ![]() | 1..1 | Period | Relevant time frame for the claim | |
![]() ![]() ![]() ![]() | 1..1 | dateTime | Start date | |
![]() ![]() ![]() ![]() | 0..1 | dateTime | End date | |
![]() ![]() ![]() | 1..1 | dateTime | Claimed date | |
![]() ![]() ![]() | 1..1 | Reference(openIMIS Claim Administrator Practitioner) | Author of the claim | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | Reference(openIMIS Health Facility Organization) | Health Facility | |
![]() ![]() ![]() | 1..1 | CodeableConcept | Desired processing ugency Required Pattern: At least the following | |
![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/processpriority | |
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: normal | |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: Normal | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..* | BackboneElement | Supporting information Slice: Unordered, Closed by value:category.coding.code | |
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Binding: Category of the supporting info (Claim) (required) | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | boolean, string, Quantity, Attachment, Reference(Resource) | Data to be provided | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | Explanation | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-supporting-info-category | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: explanation | |
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Data to be provided | |
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | Guarantee | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-supporting-info-category | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: guarantee | |
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Data to be provided | |
![]() ![]() ![]() ![]() | 0..* | BackboneElement | Attachment | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Classification of the supplied information Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-supporting-info-category | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: attachment | |
![]() ![]() ![]() ![]() ![]() | 0..1 | Attachment | Data to be provided | |
![]() ![]() ![]() | 1..5 | BackboneElement | Diagnosis | |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Nature of illness or problem Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Nature of illness or problem Binding: ICD 10 Level 1 diagnosis (example) | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | BackboneElement | Patient insurance information | |
![]() ![]() ![]() ![]() | 1..1 | boolean | Coverage to be used for adjudication Required Pattern: true | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 1..1 | Reference(openIMIS Coverage) | Coverage | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..* | BackboneElement | Product or service provided | |
![]() ![]() ![]() ![]() | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() | 1..1 | Reference(openIMIS Medication | openIMIS ActivityDefinition) | Item Reference URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Category Binding: Category of the item (Claim) (required) | |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Item Code | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Item/Service Code | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 1..1 | SimpleQuantity | Count of products or services | |
![]() ![]() ![]() ![]() ![]() | 1..1 | decimal | Numerical value (with implicit precision) | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 1..1 | Money | Fee, charge or cost per item | |
![]() ![]() ![]() ![]() ![]() | 1..1 | decimal | Numerical value (with implicit precision) | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | Money | Total claim cost | |
![]() ![]() ![]() ![]() | 1..1 | decimal | Numerical value (with implicit precision) | |
![]() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | Claim | Claim, Pre-determination or Pre-authorization | |||||
![]() ![]() ![]() | Σ | 0..1 | string | Claim UUID | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | S | 1..2 | Identifier | Business Identifier for claim Slice: Unordered, Closed by value:type.coding.code | ||||
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | code | Symbol in syntax defined by the system Binding: openIMIS Identifiers Value Set (required) | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
![]() ![]() ![]() ![]() | S | 1..1 | Identifier | Business Identifier for claim | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 1..1 | code | Claim openIMIS Code Required Pattern: Code | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
![]() ![]() ![]() ![]() | 0..1 | Identifier | Business Identifier for claim | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |