### ----------------------------------------------------
### -- FHIR
### -- Licenses: Artistic-2.0
### -- Authors: Hugh Simpson
### -- File: t/resources/structureDefinition/Claim.json
### ----------------------------------------------------
### -- Chunk 29 of 31
if a grouper) or the line item.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.item.detail.subDetail.net",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Claim.item.detail.subDetail.udi",
      "path" : "Claim.item.detail.subDetail.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.item.detail.subDetail.udi",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "Claim.total",
      "path" : "Claim.total",
      "short" : "Total claim cost",
      "definition" : "The total value of the all the items in the claim.",
      "requirements" : "Used for  control total purposes.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Claim.total",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Money"
      }],
      "isModifier" : false,
      "isSummary" : false
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "Claim",
      "path" : "Claim",
      "short" : "Claim, Pre-determination or Pre-authorization",
      "definition" : "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.",
      "comment" : "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.",
      "alias" : ["Adjudication Request",
      "Preauthorization Request",
      "Predetermination Request"],
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request"
      }]
    },
    {
      "id" : "Claim.identifier",
      "path" : "Claim.identifier",
      "short" : "Business Identifier for claim",
      "definition" : "A unique identifier assigned to this claim.",
      "requirements" : "Allows claims to be distinguished and referenced.",
      "alias" : ["Claim Number"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      }]
    },
    {
      "id" : "Claim.status",
      "path" : "Claim.status",
      "short" : "active | cancelled | draft | entered-in-error",
      "definition" : "The status of the resource instance.",
      "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "requirements" : "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" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "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" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClaimStatus"
        }],
        "strength" : "required",
        "description" : "A code specifying the state of the resource instance.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      }]
    },
    {
      "id" : "Claim.type",
      "path" : "Claim.type",
      "short" : "Category or discipline",
      "definition" : "The category of claim, e.g. oral, pharmacy, vision, institutional, professional.",
      "comment" : "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.",
      "requirements" : "Claim type determine the general sets of business rules applied for information requirements and adjudication.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClaimType"
        }],
        "strength" : "extensible",
        "description" : "The type or discipline-style of the claim.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-type"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "Claim.subType",
      "path" : "Claim.subType",
      "short" : "More granular claim type",
      "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
      "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
      "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ClaimSubType"
        }],
        "strength" : "example",
        "description" : "A more granular claim typecode.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-subtype"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "Claim.use",
      "path" : "Claim.use",
      "short" : "claim | preauthorization | predetermination",
      "definition" : "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.",
      "requirements" : "This element is required to understand the nature of the request for adjudication.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Use"
        }],
        "strength" : "required",
        "description" : "The purpose of the Claim: predetermination, preauthorization, claim.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-use|4.0.0"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "Claim.patient",
      "path" : "Claim.patient",
      "short" : "The recipient of the products and services",
      "definition" : "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.",
      "requirements" : "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.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "Claim.billablePeriod",
      "path" : "Claim.billablePeriod",
      "short" : "Relevant time frame for the claim",
      "definition" : "The period for which charges are being submitted.",
      "comment" : "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" : "A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Period"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      }]
    },
    {
      "id" : "Claim.created",
      "path" : "Claim.created",
      "short" : "Resource creation date",
      "definition" : "The date this resource was created.",
      "comment" : "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" : "Need to record a timestamp for use by both the recipient and the issuer.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.authoredOn"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      }]
    },
    {
      "id" : "Claim.enterer",
      "path" : "Claim.enterer",
      "short" : "Author of the claim",
      "definition" : "Individual who created the claim, predetermination or preauthorization.",
      "requirements" : "Some jurisdictions require the contact information for personnel completing claims.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.author"
      }]
    },
    {
      "id" : "Claim.insurer",
      "path" : "Claim.insurer",
      "short" : "Target",
      "definition" : "The Insurer who is target of the request.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.performer"
      }]
    },
    {
      "id" : "Claim.provider",
      "path" : "Claim.provider",
      "short" : "Party responsible for the claim",
      "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
      "comment" : "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.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.requester"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.source"
      }]
    },
    {
      "id" : "Claim.priority",
      "path" : "Claim.priority",
      "short" : "Desired processing ugency",
      "definition" : "The provider-required urgency of processing the request. Typical values include: stat, routine deferred.",
      "comment" : "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.",
      "requirements" : "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcessPriority"
        }],
        "strength" : "example",
        "description" : "The timeliness with which processing is required: stat, normal, deferred.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/process-priority"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.priority"
      }]
    },
    {
      "id" : "Claim.fundsReserve",
      "path" : "Claim.fundsReserve",
      "short" : "For whom to reserve funds",
      "definition" : "A code to indicate whether and for whom funds are to be reserved for future claims.",
      "comment" : "This field is only used for preauthorizations.",
      "requirements" : "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" : ["Fund pre-allocation"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "FundsReserve"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
      }
    },
    {
      "id" : "Claim.related",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "RelatedClaim"
      }],
      "path" : "Claim.related",
      "short" : "Prior or corollary claims",
      "definition" : "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.",
      "comment" : "For example,  for the original treatment and follow-up exams.",
      "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Claim.related.claim",
      "path" : "Claim.related.claim",
      "short" : "Reference to the related claim",
      "definition" : "Reference to a related claim.",
      "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.replaces"
      }]
    },
    {
      "id" : "Claim.related.relationship",
      "path" : "Claim.related.relationship",
      "short" : "How the reference claim is related",
      "definition" : "A code to convey how the claims are related.",
      "comment" : "For example, prior claim or umbrella.",
      "requirements" : "Some insurers need a declaration of the type of relationship.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "RelatedClaimRelationship"
        }],
        "strength" : "example",
        "description" : "Relationship of this claim to a related Claim.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/related-claim-relationship"
      }
    },
    {
      "id" : "Claim.related.reference",
      "path" : "Claim.related.reference",
      "short" : "File or case reference",
      "definition" : "An alternate organizational reference to the case or file to which this particular claim pertains.",
      "comment" : "For example, Property/Casualty insurer claim # or Workers Compensation case # .",
      "requirements" : "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" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier"
      }]
    },
    {
      "id" : "Claim.prescription",
      "path" : "Claim.prescription",
      "short" : "Prescription authorizing services and products",
      "definition" : "Prescription to support the dispensing of pharmacy, device or vision products.",
      "requirements" : "Required to authorize the dispensing of controlled substances and devices.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceRequest",
        "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
      }]
    },
    {
      "id" : "Claim.originalPrescription",
      "path" : "Claim.originalPrescription",
      "short" : "Original prescription if superseded by fulfiller",
      "definition" : "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.",
      "comment" : "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" : "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceRequest",
        "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
      }]
    },
    {
      "id" : "Claim.payee",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Payee"
      }],
      "path" : "Claim.payee",
      "short" : "Recipient of benefits payable",
      "definition" : "The party to be reimbursed for cost of the products and services according to the terms of the policy.",
      "comment" : "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.",
      "requirements" : "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Claim.payee.type",
      "path" : "Claim.payee.type",
      "short" : "Category of recipient",
      "definition" : "Type of Party to be reimbursed: subscriber, provider, other.",
      "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PayeeType"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "A code for the party to be reimbursed.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
      }
    },
    {
      "id" : "Claim.payee.party",
      "path" : "Claim.payee.party",
      "short" : "Recipient reference",
      "definition" : "Reference to the individual or organization to whom any payment will be made.",
      "comment" : "Not required if the payee is 'subscriber' or 'provider'.",
      "requirements" : "Need to provide demographics if the payee is not 'subscriber' nor 'provider'.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }]
    },
    {
      "id" : "Claim.referral",
      "path" : "Claim.referral",
      "short" : "Treatment referral",
      "definition" : "A reference to a referral resource.",
      "comment" : "The referral resource which lists the date, practitioner, reason and other supporting information.",
      "requirements" : "Some insurers require proof of referral to pay for services or to pay specialist rates for services.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.cause"
      }]
    },
    {
      "id" : "Claim.facility",
      "path" : "Claim.facility",
      "short" : "Servicing facility",
      "definition" : "Facility where the services were provided.",
      "requirements" : "Insurance adjudication can be dependant on where services were delivered.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.where[x]"
      }]
    },
    {
      "id" : "Claim.careTeam",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "CareTeam"
      }],
      "path" : "Claim.careTeam",
      "short" : "Members of the care team",
      "definition" : "The members of the team who provided the products and services.",
      "requirements" : "Common to identify the responsible and supporting practitioners.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Claim.careTeam.sequence",
      "path" : "Claim.careTeam.sequence",
      "short" : "Order of care team",
      "definition" : "A number to uniquely identify care team entries.",
      "requirements" : "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "Claim.careTeam.provider",
      "path" : "Claim.careTeam.provider",
      "short" : "Practitioner or organization",
      "definition" : "Member of the team who provided the product or service.",
      "requirements" : "Often a regulatory requirement to specify the responsible provider.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.actor"
      }]
    },
    {
      "id" : "Claim.careTeam.responsible",
      "path" : "Claim.careTeam.responsible",
      "short" : "Indicator of the lead practitioner",
      "definition" : "The party who is billing and/or responsible for the claimed products or services.",
      "comment" : "Responsible might not be required when there is only a single provider listed.",
      "requirements" : "When multiple parties are present it is required to distinguish the lead or responsible individual.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "Claim.careTeam.role",
      "path" : "Claim.careTeam.role",
      "short" : "Function within the team",
      "definition" : "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.",
      "comment" : "Role might not be required when there is only a single provider listed.",
      "requirements" : "When multiple parties are present it is required to distinguish the roles performed by each member.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CareTeamRole"
        }],
        "strength" : "example",
        "description" : "The role codes for the care team members.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-careteamrole"
      }
    },
    {
      "id" : "Claim.careTeam.qualification",
      "path" : "Claim.careTeam.qualification",
      "short" : "Practitioner credential or specialization",
      "definition" : "The qualification of the practitioner which is applicable for this service.",
      "requirements" : "Need to specify which qualification a provider is delivering the product or service under.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProviderQualification"
        }],
        "strength" : "example",
        "description" : "Provider professional qualifications.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/provider-qualification"
      }
    },
    {
      "id" : "Claim.supportingInfo",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "SupportingInformation"
      }],
      "path" : "Claim.supportingInfo",
      "short" : "Supporting information",
      "definition" : "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.",
      "comment" : "Often there are multiple jurisdiction specific valuesets which are required.",
      "requirements" : "Typically these information codes are required to support the services rendered or the adjudication of the services rendered.",
      "alias" : ["Attachments\nException Codes\nOccurrence Codes\nValue codes"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.supportingInfo"
      }]
    },
    {
      "id" : "Claim.supportingInfo.sequence",
      "path" : "Claim.supportingInfo.sequence",
      "short" : "Information instance identifier",
      "definition" : "A number to uniquely identify supporting information entries.",
      "requirements" : "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "Claim.supportingInfo.category",
      "path" : "Claim.supportingInfo.category",
      "short" : "Classification of the supplied information",
      "definition" : "The general class of the information supplied: information; exception; accident, employment; onset, etc.",
      "comment" : "This may contain a category for the local bill type codes.",
      "requirements" : "Required to group or associate information items with common characteristics. For example: admission information or prior treatments.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "InformationCategory"
        }],
        "strength" : "example",
        "description" : "The valuset used for additional information category codes.",
        "valueSet" : "http://hl7.org/fhir/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",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "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",
      "type" : [{
        "code" : "date"
      },
      {
        "code" : "Period"
      }]
    },
    {
      "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",
      "type" : [{
        "code" : "boolean"
      },
      {
        "code" : "string"
      },
      {
        "code" : "Quantity"
      },
      {
        "code" : "Attachment"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }]
    },
    {
      "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