Claim

Claim

draftFHIR R3 package : Core3.0.2resource16 key elements

Base StructureDefinition for Claim Resource

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/StructureDefinition/Claim
ID
Claim
Type
Claim
Base Definition
DomainResource
Derivation
specialization
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
payee.type1..1
CodeableConcept
1+
Type of party: Subscriber, Provider, other
careTeam.sequence1..1
positiveInt
1+
Number to covey order of careTeam
careTeam.provider1..1
ReferenceReference
1+
Provider individual or organization
information.sequence1..1
positiveInt
1+
Information instance identifier
information.category1..1
CodeableConcept
1+
General class of information
diagnosis.sequence1..1
positiveInt
1+
Number to covey order of diagnosis
diagnosis.diagnosis[x]1..1
CodeableConceptReference
1+
Patient's diagnosis
procedure.sequence1..1
positiveInt
1+
Procedure sequence for reference
procedure.procedure[x]1..1
CodeableConceptReference
1+
Patient's list of procedures performed
insurance.sequence1..1
positiveInt
1+
Service instance identifier
insurance.focal1..1
boolean
1+
Is the focal Coverage
insurance.coverage1..1
Reference
1+
Insurance information
accident.date1..1
date
1+
When the accident occurred see information codes see information codes
item.sequence1..1
positiveInt
1+
Service instance
item.detail.sequence1..1
positiveInt
1+
Service instance
item.detail.subDetail.sequence1..1
positiveInt
1+
Service instance