### ----------------------------------------------------
### -- FHIR
### -- Licenses: Artistic-2.0
### -- Authors: Hugh Simpson
### -- File: t/resources/structureDefinition/Claim.json
### ----------------------------------------------------
### -- Chunk 26 of 31
hir/ValueSet/claim-informationcategory"
      }
    },
    {
      "id" : "Claim.supportingInfo.code",
      "path" : "Claim.supportingInfo.code",
      "short" : "Type of information",
      "definition" : "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought.",
      "requirements" : "Required to identify the kind of additional information.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.supportingInfo.code",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "InformationCode"
        }],
        "strength" : "example",
        "description" : "The valuset used for additional information codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-exception"
      }
    },
    {
      "id" : "Claim.supportingInfo.timing[x]",
      "path" : "Claim.supportingInfo.timing[x]",
      "short" : "When it occurred",
      "definition" : "The date when or period to which this information refers.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.supportingInfo.timing[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      },
      {
        "code" : "Period"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Claim.supportingInfo.value[x]",
      "path" : "Claim.supportingInfo.value[x]",
      "short" : "Data to be provided",
      "definition" : "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.",
      "comment" : "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" : "To convey the data content to be provided when the information is more than a simple code or period.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.supportingInfo.value[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      },
      {
        "code" : "string"
      },
      {
        "code" : "Quantity"
      },
      {
        "code" : "Attachment"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Claim.supportingInfo.reason",
      "path" : "Claim.supportingInfo.reason",
      "short" : "Explanation for the information",
      "definition" : "Provides the reason in the situation where a reason code is required in addition to the content.",
      "comment" : "For example: the reason for the additional stay, or why a tooth is  missing.",
      "requirements" : "Needed when the supporting information has both a date and amount/value and requires explanation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.supportingInfo.reason",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MissingReason"
        }],
        "strength" : "example",
        "description" : "Reason codes for the missing teeth.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/missing-tooth-reason"
      }
    },
    {
      "id" : "Claim.diagnosis",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Diagnosis"
      }],
      "path" : "Claim.diagnosis",
      "short" : "Pertinent diagnosis information",
      "definition" : "Information about diagnoses relevant to the claim items.",
      "requirements" : "Required for the adjudication by provided context for the services and product listed.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Claim.diagnosis",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.reasonReference"
      }]
    },
    {
      "id" : "Claim.diagnosis.id",
      "path" : "Claim.diagnosis.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Claim.diagnosis.extension",
      "path" : "Claim.diagnosis.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "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.",
      "comment" : "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" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Claim.diagnosis.modifierExtension",
      "path" : "Claim.diagnosis.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "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" : "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" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Claim.diagnosis.sequence",
      "path" : "Claim.diagnosis.sequence",
      "short" : "Diagnosis instance identifier",
      "definition" : "A number to uniquely identify diagnosis entries.",
      "comment" : "Diagnosis are presented in list order to their expected importance: primary, secondary, etc.",
      "requirements" : "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Claim.diagnosis.sequence",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Claim.diagnosis.diagnosis[x]",
      "path" : "Claim.diagnosis.diagnosis[x]",
      "short" : "Nature of illness or problem",
      "definition" : "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
      "requirements" : "Provides health context for the evaluation of the products and/or services.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Claim.diagnosis.diagnosis[x]",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ICD10"
        }],
        "strength" : "example",
        "description" : "Example ICD10 Diagnostic codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
      }
    },
    {
      "id" : "Claim.diagnosis.type",
      "path" : "Claim.diagnosis.type",
      "short" : "Timing or nature of the diagnosis",
      "definition" : "When the condition was observed or the relative ranking.",
      "comment" : "For example: admitting, primary, secondary, discharge.",
      "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Claim.diagnosis.type",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DiagnosisType"
        }],
        "strength" : "example",
        "description" : "The type of the diagnosis: admitting, principal, discharge.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosistype"
      }
    },
    {
      "id" : "Claim.diagnosis.onAdmission",
      "path" : "Claim.diagnosis.onAdmission",
      "short" : "Present on admission",
      "definition" : "Indication of whether the diagnosis was present on admission to a facility.",
      "requirements" : "Many systems need to understand for adjudication if the diagnosis was present a time of admission.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.diagnosis.onAdmission",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DiagnosisOnAdmission"
        }],
        "strength" : "example",
        "description" : "Present on admission.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"
      }
    },
    {
      "id" : "Claim.diagnosis.packageCode",
      "path" : "Claim.diagnosis.packageCode",
      "short" : "Package billing code",
      "definition" : "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" : "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" : "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" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.diagnosis.packageCode",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DiagnosisRelatedGroup"
        }],
        "strength" : "example",
        "description" : "The DRG codes associated with the diagnosis.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"
      }
    },
    {
      "id" : "Claim.procedure",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Procedure"
      }],
      "path" : "Claim.procedure",
      "short" : "Clinical procedures performed",
      "definition" : "Procedures performed on the patient relevant to the billing items with the claim.",
      "requirements" : "The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Claim.procedure",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Claim.procedure.id",
      "path" : "Claim.procedure.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Claim.procedure.extension",
      "path" : "Claim.procedure.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "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.",
      "comment" : "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" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Claim.procedure.modifierExtension",
      "path" : "Claim.procedure.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "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" : "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" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Claim.procedure.sequence",
      "path" : "Claim.procedure.sequence",
      "short" : "Procedure instance identifier",
      "definition" : "A number to uniquely identify procedure entries.",
      "requirements" : "Necessary to provide a mechanism to link to claim details.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Claim.procedure.sequence",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Claim.procedure.type",
      "path" : "Claim.procedure.type",
      "short" : "Category of Procedure",
      "definition" : "When the condition was observed or the relative ranking.",
      "comment" : "For example: primary, secondary.",
      "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Claim.procedure.type",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureType"
        }],
        "strength" : "example",
        "description" : "Example procedure type codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/ex-procedure-type"
      }
    },
    {
      "id" : "Claim.procedure.date",
      "path" : "Claim.procedure.date",
      "short" : "When the procedure was performed",
      "definition" : "Date and optionally time the procedure was performed.",
      "requirements" : "Required for auditing purposes.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.procedure.date",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Claim.procedure.procedure[x]",
      "path" : "Claim.procedure.procedure[x]",
      "short" : "Specific clinical procedure",
      "definition" : "The code or reference to a Procedure resource which identifies the clinical intervention performed.",
      "requirements" : "This identifies the actual clinical procedure.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Claim.procedure.procedure[x]",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ICD10_Procedures"
        }],
        "strength" : "example",
        "description" : "Example ICD10 Procedure codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10-procedures"
      }
    },
    {
      "id" : "Claim.procedure.udi",
      "path" : "Claim.procedure.udi",
      "short" : "Unique device identifier",
      "definition" : "Unique Device Identifiers associated with this line item.",
      "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Claim.procedure.udi",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Claim.insurance",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Insurance"
      }],
      "path" : "Claim.insurance",
      "short" : "Patient insurance information",
      "definition" : "Financial instruments for reimbursement for the health care products and services specified on the claim.",
      "comment" : "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" : "At least one insurer is required for a claim to be a claim.",
      "min" : 1,
      "max" : "*",
      "base" : {
        "path" : "Claim.insurance",
        "min" : 1,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Coverage"
      }]
    },
    {
      "id" : "Claim.insurance.id",
      "path" : "Claim.insurance.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Claim.insurance.extension",
      "path" : "Claim.insurance.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "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.",
      "comment" : "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" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Claim.insurance.modifierExtension",
      "path" : "Claim.insurance.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "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" : "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" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Claim.insurance.sequence",
      "path" : "Claim.insurance.sequence",
      "short" : "Insurance instance identifier",
      "definition" : "A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.",
      "requirements" : "To maintain order of the coverages.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Claim.insurance.sequence",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "positiveInt"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Claim.insurance.focal",
      "path" : "Claim.insurance.focal",
      "short" : "Coverage to be used for adjudication",
      "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
      "comment" : "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" : "To identify which coverage in the list is being used to adjudicate this claim.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Claim.insurance.focal",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Claim.insurance.identifier",
      "path" : "Claim.insurance.identifier",
      "short" : "Pre-assigned Claim number",
      "definition" : "The business identifier to be used when the claim is sent for adjudication against this insurance policy.",
      "comment" : "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'.",
      "requirements" : "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.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.insurance.identifier",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      }]
    },
    {
      "id" : "Claim.insurance.coverage",
      "path" : "Claim.insurance.coverage",
      "short" : "Insurance information",
      "definition" : "Reference to the insurance card level