@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:StructureDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "claim-base"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "

Generated Narrative: StructureDefinition claim-base

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Name	Flags	Card.	Type	Description & Constraints $\"doco\"$
$\".\"$ $\".\"$ Claim		0..*	Claim	This is an abstract profile. Child profiles: NphiesInstitutionalClaim, NphiesOralClaim, NphiesPharmacyClaim, NphiesProfessionalClaim, NphiesVisionClaim Claim, Pre-determination or Pre-authorization
$\".\"$ $\".\"$ $\".\"$ id		1..1	id	Logical id of this artifact Max Length:64
$\".\"$ $\".\"$ $\".\"$ meta		1..1	Meta	Metadata about the resource
$\".\"$ $\".\"$ $\".\"$ $\".\"$ profile		1..*	DP_canonical(StructureDefinition)	Profiles this resource claims to conform to
$\".\"$ $\".\"$ $\".\"$ Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:batch-identifier	S	0..1	DP_Identifier_A	Claim Batch Identifier URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-batch-identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:batch-number	S	0..1	DP_positiveInt	Claim Batch Number URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-batch-number
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:batch-period	S	0..1	DP_Period_2	Claim Batch Period URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-batch-period
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:eligibilityResponse	S	0..1	DP_Reference_3a(Nphies CoverageEligibilityResponse)	Eligibility Response URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-response
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:eligibilityOffLine	S	0..1	DP_string	Eligibility Offline Reference URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-offline-reference
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:eligibilityOffLineDate	S	0..1	DP_dateTime	Eligibility Offline Date URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-offline-date
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:authorizationOffLineDate	S	0..1	DP_dateTime	Authorization Offline Date URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-authorization-offline-date
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:priorauthResponse	S	0..1	DP_Reference_3a()	Prior Authorization Response URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-priorauthresponse
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:newborn	S	0..1	boolean	Newborn URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-newborn
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:episode	S	1..1	DP_Identifier_A	Episode URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-episode
$\".\"$ $\".\"$ $\".\"$ identifier		1..1	DP_Identifier_A	Business Identifier for claim
$\".\"$ $\".\"$ $\".\"$ status		1..1	DP_code	active \| cancelled \| draft \| entered-in-error Required Pattern: active
$\".\"$ $\".\"$ $\".\"$ type		1..1	DP_CodeableConcept	Category or discipline Binding: Claim Type Codes (required)
$\".\"$ $\".\"$ $\".\"$ subType		1..1	DP_CodeableConcept	More granular claim type Binding: Claim SubType (required)
$\".\"$ $\".\"$ $\".\"$ use		1..1	DP_code	claim \| preauthorization \| predetermination Required Pattern: claim
$\".\"$ $\".\"$ $\".\"$ patient		1..1	DP_Reference_1or2a(Nphies Patient)	The recipient of the products and services
$\".\"$ $\".\"$ $\".\"$ $\".\"$ identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ type		1..1	DP_CodeableConcept	Description of identifier Binding: Patient Identifier Type (required)
$\".\"$ $\".\"$ $\".\"$ created		1..1	DP_dateTime	Resource creation date
$\".\"$ $\".\"$ $\".\"$ insurer		1..1	DP_Reference_1or2a(Nphies Insurer Organization)	Target
$\".\"$ $\".\"$ $\".\"$ $\".\"$ identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ type		1..1	DP_CodeableConcept	Description of identifier Required Pattern: At least the following
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ code		1..1	code	Symbol in syntax defined by the system Fixed Value: NII
$\".\"$ $\".\"$ $\".\"$ provider		1..1	DP_Reference_1or2a(Nphies Provider Organization)	Party responsible for the claim
$\".\"$ $\".\"$ $\".\"$ $\".\"$ identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ type		1..1	DP_CodeableConcept	Description of identifier Required Pattern: At least the following
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
$\".\"$ $\".\"$ $\".\"$ priority		1..1	DP_CodeableConcept	Desired processing ugency Binding: ProcessPriorityCodes (required)
$\".\"$ $\".\"$ $\".\"$ related	S	0..*	BackboneElement	Prior or corollary claims
$\".\"$ $\".\"$ $\".\"$ $\".\"$ claim		1..1	DP_Reference_1or3a(Nphies Claim (base))	Reference to the related claim
$\".\"$ $\".\"$ $\".\"$ $\".\"$ relationship		1..1	DP_CodeableConcept	How the reference claim is related Binding: Related Claim Relationship (required)
$\".\"$ $\".\"$ $\".\"$ payee		1..1	BackboneElement	Recipient of benefits payable
$\".\"$ $\".\"$ $\".\"$ $\".\"$ type		1..1	DP_CodeableConcept	Category of recipient Binding: Claim Payee Type Codes (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ party	S	0..1	DP_Reference_1or2b(Nphies Organization \| Nphies Patient)	Recipient reference
$\".\"$ $\".\"$ $\".\"$ referral	S	0..1	DP_Reference_3a(ServiceRequest)	Treatment referral
$\".\"$ $\".\"$ $\".\"$ facility	S	0..1	DP_Reference_1(Nphies Location)	Servicing facility
$\".\"$ $\".\"$ $\".\"$ careTeam
$\".\"$ $\".\"$ $\".\"$ $\".\"$ sequence		1..1	DP_positiveInt	Order of care team
$\".\"$ $\".\"$ $\".\"$ $\".\"$ provider		1..1	Reference(Nphies Practitioner)	Practitioner or organization
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ type		0..1	CodeableConcept	Description of identifier Binding: Practitioner Identifier (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ role		1..1	DP_CodeableConcept	Function within the team Binding: ClaimCareTeamRoleCodes (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ qualification		1..1	DP_CodeableConcept	Practitioner credential or specialization Binding: Practice Codes (required)
$\".\"$ $\".\"$ $\".\"$ supportingInfo	S	0..*	BackboneElement	Supporting information
$\".\"$ $\".\"$ $\".\"$ $\".\"$ sequence		1..1	DP_positiveInt	Information instance identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ category		1..1	DP_CodeableConcept	Classification of the supplied information Binding: Claim Information Category (required)
$\".\"$ $\".\"$ $\".\"$ diagnosis		1..*	BackboneElement	Pertinent diagnosis information
$\".\"$ $\".\"$ $\".\"$ $\".\"$ sequence		1..1	DP_positiveInt	Diagnosis instance identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ Slices for diagnosis[x]		1..1	CodeableConcept	Nature of illness or problem Slice: Unordered, Open by type:$this
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ diagnosis[x]:diagnosisCodeableConcept		1..1	DP_CodeableConcept	Nature of illness or problem Binding: ICD-10-AM (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ type		1..1	DP_CodeableConcept	Timing or nature of the diagnosis Binding: Diagnosis Type (required)
$\".\"$ $\".\"$ $\".\"$ insurance
$\".\"$ $\".\"$ $\".\"$ $\".\"$ sequence		1..1	DP_positiveInt	Insurance instance identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ coverage		1..1	DP_Reference_1(Nphies Coverage)	Insurance information
$\".\"$ $\".\"$ $\".\"$ $\".\"$ preAuthRef	S	0..*	string	Prior authorization reference number
$\".\"$ $\".\"$ $\".\"$ $\".\"$ claimResponse	S	0..1	DP_Reference_1or3a(Nphies Claim Response)	Adjudication results
$\".\"$ $\".\"$ $\".\"$ accident	S	0..1	BackboneElement	Details of the event
$\".\"$ $\".\"$ $\".\"$ $\".\"$ date		1..1	DP_date	When the incident occurred
$\".\"$ $\".\"$ $\".\"$ $\".\"$ type		1..1	DP_CodeableConcept	The nature of the accident Binding: ActIncidentCode (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ Slices for location[x]		0..1	Address, Reference(Location)	Where the event occurred Slice: Unordered, Open by type:$this
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ location[x]:locationAddress	S	0..1	DP_Address	Where the event occurred
$\".\"$ $\".\"$ $\".\"$ item		1..*	BackboneElement	Product or service provided
$\".\"$ $\".\"$ $\".\"$ $\".\"$ Slices for extension	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:package	S	0..1	boolean	Package Code URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-package
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:tax	S	0..1	DP_Money_SAR	Tax URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-tax
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:patientShare		1..1	DP_Money_SAR	Patient Share URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patient-share
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:payerShare	S	0..1	DP_Money_SAR	Payer Share URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-payer-share
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:patientInvoice		1..1	DP_Identifier_A	Patient Invoice URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patientInvoice
$\".\"$ $\".\"$ $\".\"$ $\".\"$ sequence		1..1	DP_positiveInt	Item instance identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ diagnosisSequence	S	0..*	DP_positiveInt	Applicable diagnoses
$\".\"$ $\".\"$ $\".\"$ $\".\"$ informationSequence	S	0..*	DP_positiveInt	Applicable exception and supporting information
$\".\"$ $\".\"$ $\".\"$ $\".\"$ productOrService		1..1	DP_CodeableConcept_2	Billing, service, product, or drug code
$\".\"$ $\".\"$ $\".\"$ $\".\"$ Slices for serviced[x]		1..1	date, Period	Date or dates of service or product delivery Slice: Unordered, Open by type:$this
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ serviced[x]:servicedDate	S	0..1	DP_date	Date or dates of service or product delivery
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ serviced[x]:servicedPeriod	S	0..1	DP_Period_2	Date or dates of service or product delivery
$\".\"$ $\".\"$ $\".\"$ $\".\"$ quantity		1..1	DP_SimpleQuantity_1	Count of products or services
$\".\"$ $\".\"$ $\".\"$ $\".\"$ unitPrice		1..1	DP_Money_SAR	Fee, charge or cost per item
$\".\"$ $\".\"$ $\".\"$ $\".\"$ factor	S	0..1	DP_decimal	Price scaling factor
$\".\"$ $\".\"$ $\".\"$ $\".\"$ net		1..1	DP_Money_SAR	Total item cost
$\".\"$ $\".\"$ $\".\"$ $\".\"$ udi	S	0..*	DP_Reference_1or3a(Device)	Unique device identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ bodySite	S	0..1	DP_CodeableConcept	Anatomical location
$\".\"$ $\".\"$ $\".\"$ $\".\"$ subSite	S	0..1	DP_CodeableConcept	Anatomical sub-location
$\".\"$ $\".\"$ $\".\"$ $\".\"$ detail	S	0..*	BackboneElement	Product or service provided
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:tax	S	0..1	DP_Money_SAR	Tax URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-tax
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ sequence		1..1	DP_positiveInt	Item instance identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ productOrService		1..1	DP_CodeableConcept_2	Billing, service, product, or drug code
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ quantity		1..1	DP_SimpleQuantity_1	Count of products or services
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ unitPrice		1..1	DP_Money_SAR	Fee, charge or cost per item
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ factor	S	0..1	DP_decimal	Price scaling factor
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ net		1..1	DP_Money_SAR	Total item cost
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ udi	S	0..*	DP_Reference_1or3a(Device)	Unique device identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ subDetail	S	0..*	BackboneElement	Product or service provided
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:tax	S	0..1	DP_Money_SAR	Tax URL: http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-tax
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ sequence		1..1	DP_positiveInt	Item instance identifier
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ productOrService		1..1	DP_CodeableConcept_2	Billing, service, product, or drug code
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ quantity		1..1	DP_SimpleQuantity_1	Count of products or services
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ unitPrice		1..1	DP_Money_SAR	Fee, charge or cost per item
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ factor	S	0..1	DP_decimal	Price scaling factor
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ net		1..1	DP_Money_SAR	Total item cost
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ udi	S	0..*	DP_Reference_1or3a(Device)	Unique device identifier
$\".\"$ $\".\"$ $\".\"$ total		1..1	DP_Money_SAR	Total claim cost
$\"doco\"$ Documentation for this format

"^^rdf:XMLLiteral ] ; # fhir:url [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/claim-base"^^xsd:anyURI] ; # fhir:version [ fhir:v "0.3.0"] ; # fhir:name [ fhir:v "NphiesClaimBase"] ; # fhir:title [ fhir:v "Nphies Claim (base)"] ; # fhir:status [ fhir:v "draft"] ; # fhir:date [ fhir:v "2025-06-23T22:09:21+03:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "HL7 Saudi Arabia"] ; # fhir:contact ( [ fhir:name [ fhir:v "HL7 Saudi Arabia" ] ; fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://test-project.org/test-publisher" ] ] ) ] ) ; # fhir:description [ fhir:v "Nphies Claim (base) Profile"] ; # fhir:jurisdiction ( [ fhir:coding ( [ fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ; fhir:code [ fhir:v "SA" ] ; fhir:display [ fhir:v "Saudi Arabia" ] ] ) ] ) ; # fhir:copyright [ fhir:v "Used by permission of HL7 International, all rights reserved Creative Commons License"] ; # fhir:fhirVersion [ fhir:v "4.0.1"] ; # fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:uri [ fhir:v "http://hl7.org/fhir/workflow"^^xsd:anyURI ] ; fhir:name [ fhir:v "Workflow Pattern" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:uri [ fhir:v "http://hl7.org/fhir/fivews"^^xsd:anyURI ] ; fhir:name [ fhir:v "FiveWs Pattern Mapping" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:uri [ fhir:v "http://hl7.org/v3"^^xsd:anyURI ] ; fhir:name [ fhir:v "RIM Mapping" ] ] ) ; # fhir:kind [ fhir:v "resource"] ; # fhir:abstract [ fhir:v true] ; # fhir:type [ fhir:v "Claim"^^xsd:anyURI] ; # fhir:baseDefinition [ fhir:v "http://hl7.org/fhir/StructureDefinition/Claim"^^xsd:anyURI ; fhir:link ] ; # fhir:derivation [ fhir:v "constraint"] ; # fhir:snapshot [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "4.0.1" ] ] ) ; fhir:element ( [ fhir:id [ fhir:v "Claim" ] ; fhir:path [ fhir:v "Claim" ] ; fhir:short [ fhir:v "Claim, Pre-determination or Pre-authorization" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "Adjudication Request" ] [ fhir:v "Preauthorization Request" ] [ fhir:v "Predetermination Request" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:constraint ( [ fhir:key [ fhir:v "dom-2" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ; fhir:expression [ fhir:v "contained.contained.empty()" ] ; fhir:xpath [ fhir:v "not(parent::f:contained and f:contained)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "dom-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ] ; fhir:expression [ fhir:v "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ; fhir:xpath [ fhir:v "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "dom-4" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ; fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "dom-5" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ; fhir:expression [ fhir:v "contained.meta.security.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:security))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"^^xsd:anyURI ] ; fhir:value [ a fhir:markdown ; fhir:v "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ] ) ; fhir:key [ fhir:v "dom-6" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "A resource should have narrative for robust management" ] ; fhir:expression [ fhir:v "text.`div`.exists()" ] ; fhir:xpath [ fhir:v "exists(f:text/h:div)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Entity. Role, or Act" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request" ] ] ) ] [ fhir:id [ fhir:v "Claim.id" ] ; fhir:path [ fhir:v "Claim.id" ] ; fhir:short [ fhir:v "Logical id of this artifact" ] ; fhir:definition [ fhir:v "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ; fhir:comment [ fhir:v "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "id"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:maxLength [ fhir:v 64 ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.meta" ] ; fhir:path [ fhir:v "Claim.meta" ] ; fhir:short [ fhir:v "Metadata about the resource" ] ; fhir:definition [ fhir:v "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.meta" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Meta"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.meta.id" ] ; fhir:path [ fhir:v "Claim.meta.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.meta.extension" ] ; fhir:path [ fhir:v "Claim.meta.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.meta.versionId" ] ; fhir:path [ fhir:v "Claim.meta.versionId" ] ; fhir:short [ fhir:v "Version specific identifier" ] ; fhir:definition [ fhir:v "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted." ] ; fhir:comment [ fhir:v "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.versionId" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "id"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.meta.lastUpdated" ] ; fhir:path [ fhir:v "Claim.meta.lastUpdated" ] ; fhir:short [ fhir:v "When the resource version last changed" ] ; fhir:definition [ fhir:v "When the resource last changed - e.g. when the version changed." ] ; fhir:comment [ fhir:v "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.lastUpdated" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "instant"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.meta.source" ] ; fhir:path [ fhir:v "Claim.meta.source" ] ; fhir:short [ fhir:v "Identifies where the resource comes from" ] ; fhir:definition [ fhir:v "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc." ] ; fhir:comment [ fhir:v "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.source" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.meta.profile" ] ; fhir:path [ fhir:v "Claim.meta.profile" ] ; fhir:short [ fhir:v "Profiles this resource claims to conform to" ] ; fhir:definition [ fhir:v "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)." ] ; fhir:comment [ fhir:v "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.profile" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "canonical"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-canonical"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/StructureDefinition"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.meta.security" ] ; fhir:path [ fhir:v "Claim.meta.security" ] ; fhir:short [ fhir:v "Security Labels applied to this resource" ] ; fhir:definition [ fhir:v "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." ] ; fhir:comment [ fhir:v "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.security" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "SecurityLabels" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Security Labels from the Healthcare Privacy and Security Classification System." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/security-labels"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.meta.tag" ] ; fhir:path [ fhir:v "Claim.meta.tag" ] ; fhir:short [ fhir:v "Tags applied to this resource" ] ; fhir:definition [ fhir:v "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." ] ; fhir:comment [ fhir:v "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.tag" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "Tags" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/common-tags"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.implicitRules" ] ; fhir:path [ fhir:v "Claim.implicitRules" ] ; fhir:short [ fhir:v "A set of rules under which this content was created" ] ; fhir:definition [ fhir:v "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ] ; fhir:comment [ fhir:v "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.implicitRules" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.language" ] ; fhir:path [ fhir:v "Claim.language" ] ; fhir:short [ fhir:v "Language of the resource content" ] ; fhir:definition [ fhir:v "The base language in which the resource is written." ] ; fhir:comment [ fhir:v "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.language" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ] ; fhir:value [ a fhir:canonical ; fhir:v "http://hl7.org/fhir/ValueSet/all-languages"^^xsd:anyURI ; fhir:link ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "Language" ] ] ) ; fhir:strength [ fhir:v "preferred" ] ; fhir:description [ fhir:v "A human language." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/languages"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.text" ] ; fhir:path [ fhir:v "Claim.text" ] ; fhir:short [ fhir:v "Text summary of the resource, for human interpretation" ] ; fhir:definition [ fhir:v "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ] ; fhir:comment [ fhir:v "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ; fhir:alias ( [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.text" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Narrative"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Act.text?" ] ] ) ] [ fhir:id [ fhir:v "Claim.contained" ] ; fhir:path [ fhir:v "Claim.contained" ] ; fhir:short [ fhir:v "Contained, inline Resources" ] ; fhir:definition [ fhir:v "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ] ; fhir:comment [ fhir:v "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ] ; fhir:alias ( [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.contained" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Resource"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.extension" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:ordered [ fhir:v false ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:batch-identifier" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "batch-identifier" ] ; fhir:short [ fhir:v "Claim Batch Identifier" ] ; fhir:definition [ fhir:v "A provider supplied id for the Batch. Each Batch must have a unique Batch Id for the issuing provider." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-batch-identifier"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:batch-number" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "batch-number" ] ; fhir:short [ fhir:v "Claim Batch Number" ] ; fhir:definition [ fhir:v "A provider supplied unique number for each claim within a batch." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-batch-number"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:batch-period" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "batch-period" ] ; fhir:short [ fhir:v "Claim Batch Period" ] ; fhir:definition [ fhir:v "The creation period associated with the claims in the batch." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-batch-period"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:eligibilityResponse" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "eligibilityResponse" ] ; fhir:short [ fhir:v "Eligibility Response" ] ; fhir:definition [ fhir:v "A reference to the CoverageEligibilityResponse previously returned by the insurer." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-response"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:eligibilityOffLine" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "eligibilityOffLine" ] ; fhir:short [ fhir:v "Eligibility Offline Reference" ] ; fhir:definition [ fhir:v "An eligibility string to reference supplied by the insurer when the online services were not available." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-offline-reference"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:eligibilityOffLineDate" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "eligibilityOffLineDate" ] ; fhir:short [ fhir:v "Eligibility Offline Date" ] ; fhir:definition [ fhir:v "The date when the insurer provided the eligibility string to reference supplied by the insurer when the online services were not available." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-eligibility-offline-date"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:authorizationOffLineDate" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "authorizationOffLineDate" ] ; fhir:short [ fhir:v "Authorization Offline Date" ] ; fhir:definition [ fhir:v "Date when the offline authorization was obtained." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-authorization-offline-date"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:priorauthResponse" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "priorauthResponse" ] ; fhir:short [ fhir:v "Prior Authorization Response" ] ; fhir:definition [ fhir:v "Reference to priorauthorization response ID." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-priorauthresponse"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:newborn" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "newborn" ] ; fhir:short [ fhir:v "Newborn" ] ; fhir:definition [ fhir:v "Flag to identify that this request is for a newborn." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-newborn"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.extension:episode" ] ; fhir:path [ fhir:v "Claim.extension" ] ; fhir:sliceName [ fhir:v "episode" ] ; fhir:short [ fhir:v "Episode" ] ; fhir:definition [ fhir:v "Provider issued episode identifier." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-episode"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.modifierExtension" ] ; fhir:path [ fhir:v "Claim.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.identifier" ] ; fhir:path [ fhir:v "Claim.identifier" ] ; fhir:short [ fhir:v "Business Identifier for claim" ] ; fhir:definition [ fhir:v "A unique identifier assigned to this claim." ] ; fhir:requirements [ fhir:v "Allows claims to be distinguished and referenced." ] ; fhir:alias ( [ fhir:v "Claim Number" ] ) ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Identifier-A"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.identifier" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.identifier" ] ] ) ] [ fhir:id [ fhir:v "Claim.status" ] ; fhir:path [ fhir:v "Claim.status" ] ; fhir:short [ fhir:v "active | cancelled | draft | entered-in-error" ] ; fhir:definition [ fhir:v "The status of the resource instance." ] ; fhir:comment [ fhir:v "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ; fhir:requirements [ fhir:v "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'." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.status" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-code"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:pattern [ a fhir:code ; fhir:v "active" ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "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" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "ClaimStatus" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "A code specifying the state of the resource instance." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/fm-status|4.0.1"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.status" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.status" ] ] ) ] [ fhir:id [ fhir:v "Claim.type" ] ; fhir:path [ fhir:v "Claim.type" ] ; fhir:short [ fhir:v "Category or discipline" ] ; fhir:definition [ fhir:v "The category of claim, e.g. oral, pharmacy, vision, institutional, professional." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "Claim type determine the general sets of business rules applied for information requirements and adjudication." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.type" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://nphies.sa/terminology/ValueSet/claim-type"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.class" ] ] ) ] [ fhir:id [ fhir:v "Claim.subType" ] ; fhir:path [ fhir:v "Claim.subType" ] ; fhir:short [ fhir:v "More granular claim type" ] ; fhir:definition [ fhir:v "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service." ] ; fhir:comment [ fhir:v "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type." ] ; fhir:requirements [ fhir:v "Some jurisdictions need a finer grained claim type for routing and adjudication." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.subType" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://nphies.sa/terminology/ValueSet/claim-subtype"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.class" ] ] ) ] [ fhir:id [ fhir:v "Claim.use" ] ; fhir:path [ fhir:v "Claim.use" ] ; fhir:short [ fhir:v "claim | preauthorization | predetermination" ] ; fhir:definition [ fhir:v "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." ] ; fhir:requirements [ fhir:v "This element is required to understand the nature of the request for adjudication." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.use" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-code"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:pattern [ a fhir:code ; fhir:v "claim" ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "Use" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "The purpose of the Claim: predetermination, preauthorization, claim." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/claim-use|4.0.1"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.class" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient" ] ; fhir:path [ fhir:v "Claim.patient" ] ; fhir:short [ fhir:v "The recipient of the products and services" ] ; fhir:definition [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.patient" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-1or2a"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.subject" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.subject[x]" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.subject" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.id" ] ; fhir:path [ fhir:v "Claim.patient.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.extension" ] ; fhir:path [ fhir:v "Claim.patient.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.reference" ] ; fhir:path [ fhir:v "Claim.patient.reference" ] ; fhir:short [ fhir:v "Literal reference, Relative, internal or absolute URL" ] ; fhir:definition [ fhir:v "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ; fhir:comment [ fhir:v "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.reference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:maxLength [ fhir:v 250 ] ; fhir:condition ( [ fhir:v "ref-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.type" ] ; fhir:path [ fhir:v "Claim.patient.type" ] ; fhir:short [ fhir:v "Type the reference refers to (e.g. \"Patient\")" ] ; fhir:definition [ fhir:v "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ; fhir:comment [ fhir:v "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "FHIRResourceTypeExt" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Aa resource (or, for logical models, the URI of the logical model)." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/resource-types"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.identifier" ] ; fhir:path [ fhir:v "Claim.patient.identifier" ] ; fhir:short [ fhir:v "Logical reference, when literal reference is not known" ] ; fhir:definition [ fhir:v "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ; fhir:comment [ fhir:v "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".identifier" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.identifier.id" ] ; fhir:path [ fhir:v "Claim.patient.identifier.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.identifier.extension" ] ; fhir:path [ fhir:v "Claim.patient.identifier.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.identifier.use" ] ; fhir:path [ fhir:v "Claim.patient.identifier.use" ] ; fhir:short [ fhir:v "usual | official | temp | secondary | old (If known)" ] ; fhir:definition [ fhir:v "The purpose of this identifier." ] ; fhir:comment [ fhir:v "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." ] ; fhir:requirements [ fhir:v "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.use" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one." ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "IdentifierUse" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "Identifies the purpose for this identifier, if known ." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.identifier.type" ] ; fhir:path [ fhir:v "Claim.patient.identifier.type" ] ; fhir:short [ fhir:v "Description of identifier" ] ; fhir:definition [ fhir:v "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." ] ; fhir:comment [ fhir:v "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." ] ; fhir:requirements [ fhir:v "Allows users to make use of identifiers when the identifier system is not known." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://nphies.sa/terminology/ValueSet/patient-identifier-type"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.5" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.identifier.system" ] ; fhir:path [ fhir:v "Claim.patient.identifier.system" ] ; fhir:short [ fhir:v "The namespace for the identifier value" ] ; fhir:definition [ fhir:v "Establishes the namespace for the value - that is, a URL that describes a set values that are unique." ] ; fhir:comment [ fhir:v "Identifier.system is always case sensitive." ] ; fhir:requirements [ fhir:v "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-uri"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:example ( [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:uri ; fhir:v "http://www.acme.com/identifiers/patient"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / EI-2-4" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.root or Role.id.root" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierType" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.identifier.value" ] ; fhir:path [ fhir:v "Claim.patient.identifier.value" ] ; fhir:short [ fhir:v "The value that is unique" ] ; fhir:definition [ fhir:v "The portion of the identifier typically relevant to the user and which is unique within the context of the system." ] ; fhir:comment [ fhir:v "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:example ( [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:string ; fhir:v "123456" ] ] ) ; fhir:maxLength [ fhir:v 50 ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.1 / EI.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./Value" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.identifier.period" ] ; fhir:path [ fhir:v "Claim.patient.identifier.period" ] ; fhir:short [ fhir:v "Time period when id is/was valid for use" ] ; fhir:definition [ fhir:v "Time period during which identifier is/was valid for use." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.period" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.7 + CX.8" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.effectiveTime or implied by context" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./StartDate and ./EndDate" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.identifier.assigner" ] ; fhir:path [ fhir:v "Claim.patient.identifier.assigner" ] ; fhir:short [ fhir:v "Organization that issued id (may be just text)" ] ; fhir:definition [ fhir:v "Organization that issued/manages the identifier." ] ; fhir:comment [ fhir:v "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.assigner" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / (CX.4,CX.9,CX.10)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierIssuingAuthority" ] ] ) ] [ fhir:id [ fhir:v "Claim.patient.display" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Claim.patient.display" ] ; fhir:short [ fhir:v "Text alternative for the resource" ] ; fhir:definition [ fhir:v "Plain text narrative that identifies the resource in addition to the resource reference." ] ; fhir:comment [ fhir:v "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:maxLength [ fhir:v 200 ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.billablePeriod" ] ; fhir:path [ fhir:v "Claim.billablePeriod" ] ; fhir:short [ fhir:v "Relevant time frame for the claim" ] ; fhir:definition [ fhir:v "The period for which charges are being submitted." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.billablePeriod" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.done[x]" ] ] ) ] [ fhir:id [ fhir:v "Claim.created" ] ; fhir:path [ fhir:v "Claim.created" ] ; fhir:short [ fhir:v "Resource creation date" ] ; fhir:definition [ fhir:v "The date this resource was created." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "Need to record a timestamp for use by both the recipient and the issuer." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.created" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-dateTime"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.authoredOn" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.recorded" ] ] ) ] [ fhir:id [ fhir:v "Claim.enterer" ] ; fhir:path [ fhir:v "Claim.enterer" ] ; fhir:short [ fhir:v "Author of the claim" ] ; fhir:definition [ fhir:v "Individual who created the claim, predetermination or preauthorization." ] ; fhir:requirements [ fhir:v "Some jurisdictions require the contact information for personnel completing claims." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.enterer" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner"^^xsd:anyURI ; fhir:link ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.author" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer" ] ; fhir:path [ fhir:v "Claim.insurer" ] ; fhir:short [ fhir:v "Target" ] ; fhir:definition [ fhir:v "The Insurer who is target of the request." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.insurer" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-1or2a"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/insurer-organization"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.performer" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.id" ] ; fhir:path [ fhir:v "Claim.insurer.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.extension" ] ; fhir:path [ fhir:v "Claim.insurer.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.reference" ] ; fhir:path [ fhir:v "Claim.insurer.reference" ] ; fhir:short [ fhir:v "Literal reference, Relative, internal or absolute URL" ] ; fhir:definition [ fhir:v "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ; fhir:comment [ fhir:v "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.reference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:maxLength [ fhir:v 250 ] ; fhir:condition ( [ fhir:v "ref-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.type" ] ; fhir:path [ fhir:v "Claim.insurer.type" ] ; fhir:short [ fhir:v "Type the reference refers to (e.g. \"Patient\")" ] ; fhir:definition [ fhir:v "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ; fhir:comment [ fhir:v "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "FHIRResourceTypeExt" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Aa resource (or, for logical models, the URI of the logical model)." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/resource-types"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.identifier" ] ; fhir:path [ fhir:v "Claim.insurer.identifier" ] ; fhir:short [ fhir:v "Logical reference, when literal reference is not known" ] ; fhir:definition [ fhir:v "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ; fhir:comment [ fhir:v "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".identifier" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.identifier.id" ] ; fhir:path [ fhir:v "Claim.insurer.identifier.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.identifier.extension" ] ; fhir:path [ fhir:v "Claim.insurer.identifier.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.identifier.use" ] ; fhir:path [ fhir:v "Claim.insurer.identifier.use" ] ; fhir:short [ fhir:v "usual | official | temp | secondary | old (If known)" ] ; fhir:definition [ fhir:v "The purpose of this identifier." ] ; fhir:comment [ fhir:v "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." ] ; fhir:requirements [ fhir:v "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.use" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one." ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "IdentifierUse" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "Identifies the purpose for this identifier, if known ." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.identifier.type" ] ; fhir:path [ fhir:v "Claim.insurer.identifier.type" ] ; fhir:short [ fhir:v "Description of identifier" ] ; fhir:definition [ fhir:v "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." ] ; fhir:comment [ fhir:v "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." ] ; fhir:requirements [ fhir:v "Allows users to make use of identifiers when the identifier system is not known." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:pattern [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "NII" ] ] ) ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "IdentifierType" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/identifier-type"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.5" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.identifier.system" ] ; fhir:path [ fhir:v "Claim.insurer.identifier.system" ] ; fhir:short [ fhir:v "The namespace for the identifier value" ] ; fhir:definition [ fhir:v "Establishes the namespace for the value - that is, a URL that describes a set values that are unique." ] ; fhir:comment [ fhir:v "Identifier.system is always case sensitive." ] ; fhir:requirements [ fhir:v "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-uri"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:example ( [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:uri ; fhir:v "http://www.acme.com/identifiers/patient"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / EI-2-4" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.root or Role.id.root" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierType" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.identifier.value" ] ; fhir:path [ fhir:v "Claim.insurer.identifier.value" ] ; fhir:short [ fhir:v "The value that is unique" ] ; fhir:definition [ fhir:v "The portion of the identifier typically relevant to the user and which is unique within the context of the system." ] ; fhir:comment [ fhir:v "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:example ( [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:string ; fhir:v "123456" ] ] ) ; fhir:maxLength [ fhir:v 50 ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.1 / EI.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./Value" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.identifier.period" ] ; fhir:path [ fhir:v "Claim.insurer.identifier.period" ] ; fhir:short [ fhir:v "Time period when id is/was valid for use" ] ; fhir:definition [ fhir:v "Time period during which identifier is/was valid for use." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.period" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.7 + CX.8" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.effectiveTime or implied by context" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./StartDate and ./EndDate" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.identifier.assigner" ] ; fhir:path [ fhir:v "Claim.insurer.identifier.assigner" ] ; fhir:short [ fhir:v "Organization that issued id (may be just text)" ] ; fhir:definition [ fhir:v "Organization that issued/manages the identifier." ] ; fhir:comment [ fhir:v "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.assigner" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / (CX.4,CX.9,CX.10)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierIssuingAuthority" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurer.display" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Claim.insurer.display" ] ; fhir:short [ fhir:v "Text alternative for the resource" ] ; fhir:definition [ fhir:v "Plain text narrative that identifies the resource in addition to the resource reference." ] ; fhir:comment [ fhir:v "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:maxLength [ fhir:v 200 ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider" ] ; fhir:path [ fhir:v "Claim.provider" ] ; fhir:short [ fhir:v "Party responsible for the claim" ] ; fhir:definition [ fhir:v "The provider which is responsible for the claim, predetermination or preauthorization." ] ; fhir:comment [ fhir:v "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." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.provider" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-1or2a"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/provider-organization"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.requester" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.source" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.id" ] ; fhir:path [ fhir:v "Claim.provider.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.extension" ] ; fhir:path [ fhir:v "Claim.provider.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.reference" ] ; fhir:path [ fhir:v "Claim.provider.reference" ] ; fhir:short [ fhir:v "Literal reference, Relative, internal or absolute URL" ] ; fhir:definition [ fhir:v "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ; fhir:comment [ fhir:v "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.reference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:maxLength [ fhir:v 250 ] ; fhir:condition ( [ fhir:v "ref-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.type" ] ; fhir:path [ fhir:v "Claim.provider.type" ] ; fhir:short [ fhir:v "Type the reference refers to (e.g. \"Patient\")" ] ; fhir:definition [ fhir:v "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ; fhir:comment [ fhir:v "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "FHIRResourceTypeExt" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Aa resource (or, for logical models, the URI of the logical model)." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/resource-types"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.identifier" ] ; fhir:path [ fhir:v "Claim.provider.identifier" ] ; fhir:short [ fhir:v "Logical reference, when literal reference is not known" ] ; fhir:definition [ fhir:v "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ; fhir:comment [ fhir:v "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".identifier" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.identifier.id" ] ; fhir:path [ fhir:v "Claim.provider.identifier.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.identifier.extension" ] ; fhir:path [ fhir:v "Claim.provider.identifier.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.identifier.use" ] ; fhir:path [ fhir:v "Claim.provider.identifier.use" ] ; fhir:short [ fhir:v "usual | official | temp | secondary | old (If known)" ] ; fhir:definition [ fhir:v "The purpose of this identifier." ] ; fhir:comment [ fhir:v "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." ] ; fhir:requirements [ fhir:v "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.use" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one." ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "IdentifierUse" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "Identifies the purpose for this identifier, if known ." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.identifier.type" ] ; fhir:path [ fhir:v "Claim.provider.identifier.type" ] ; fhir:short [ fhir:v "Description of identifier" ] ; fhir:definition [ fhir:v "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." ] ; fhir:comment [ fhir:v "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." ] ; fhir:requirements [ fhir:v "Allows users to make use of identifiers when the identifier system is not known." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:pattern [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "PRN" ] ] ) ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "IdentifierType" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/identifier-type"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.5" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.identifier.system" ] ; fhir:path [ fhir:v "Claim.provider.identifier.system" ] ; fhir:short [ fhir:v "The namespace for the identifier value" ] ; fhir:definition [ fhir:v "Establishes the namespace for the value - that is, a URL that describes a set values that are unique." ] ; fhir:comment [ fhir:v "Identifier.system is always case sensitive." ] ; fhir:requirements [ fhir:v "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-uri"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:example ( [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:uri ; fhir:v "http://www.acme.com/identifiers/patient"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / EI-2-4" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.root or Role.id.root" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierType" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.identifier.value" ] ; fhir:path [ fhir:v "Claim.provider.identifier.value" ] ; fhir:short [ fhir:v "The value that is unique" ] ; fhir:definition [ fhir:v "The portion of the identifier typically relevant to the user and which is unique within the context of the system." ] ; fhir:comment [ fhir:v "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:example ( [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:string ; fhir:v "123456" ] ] ) ; fhir:maxLength [ fhir:v 50 ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.1 / EI.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./Value" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.identifier.period" ] ; fhir:path [ fhir:v "Claim.provider.identifier.period" ] ; fhir:short [ fhir:v "Time period when id is/was valid for use" ] ; fhir:definition [ fhir:v "Time period during which identifier is/was valid for use." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.period" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.7 + CX.8" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.effectiveTime or implied by context" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./StartDate and ./EndDate" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.identifier.assigner" ] ; fhir:path [ fhir:v "Claim.provider.identifier.assigner" ] ; fhir:short [ fhir:v "Organization that issued id (may be just text)" ] ; fhir:definition [ fhir:v "Organization that issued/manages the identifier." ] ; fhir:comment [ fhir:v "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.assigner" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / (CX.4,CX.9,CX.10)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierIssuingAuthority" ] ] ) ] [ fhir:id [ fhir:v "Claim.provider.display" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Claim.provider.display" ] ; fhir:short [ fhir:v "Text alternative for the resource" ] ; fhir:definition [ fhir:v "Plain text narrative that identifies the resource in addition to the resource reference." ] ; fhir:comment [ fhir:v "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:maxLength [ fhir:v 200 ] ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.priority" ] ; fhir:path [ fhir:v "Claim.priority" ] ; fhir:short [ fhir:v "Desired processing ugency" ] ; fhir:definition [ fhir:v "The provider-required urgency of processing the request. Typical values include: stat, routine deferred." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.priority" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/process-priority"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.priority" ] ] ) ] [ fhir:id [ fhir:v "Claim.fundsReserve" ] ; fhir:path [ fhir:v "Claim.fundsReserve" ] ; fhir:short [ fhir:v "For whom to reserve funds" ] ; fhir:definition [ fhir:v "A code to indicate whether and for whom funds are to be reserved for future claims." ] ; fhir:comment [ fhir:v "This field is only used for preauthorizations." ] ; fhir:requirements [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "Fund pre-allocation" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.fundsReserve" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "FundsReserve" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "For whom funds are to be reserved: (Patient, Provider, None)." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/fundsreserve"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.related" ] ; fhir:path [ fhir:v "Claim.related" ] ; fhir:short [ fhir:v "Prior or corollary claims" ] ; fhir:definition [ fhir:v "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event." ] ; fhir:comment [ fhir:v "For example, for the original treatment and follow-up exams." ] ; fhir:requirements [ fhir:v "For workplace or other accidents it is common to relate separate claims arising from the same event." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.related" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.related.id" ] ; fhir:path [ fhir:v "Claim.related.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.related.extension" ] ; fhir:path [ fhir:v "Claim.related.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.related.modifierExtension" ] ; fhir:path [ fhir:v "Claim.related.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.related.claim" ] ; fhir:path [ fhir:v "Claim.related.claim" ] ; fhir:short [ fhir:v "Reference to the related claim" ] ; fhir:definition [ fhir:v "Reference to a related claim." ] ; fhir:requirements [ fhir:v "For workplace or other accidents it is common to relate separate claims arising from the same event." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.related.claim" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-1or3a"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/claim-base"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.replaces" ] ] ) ] [ fhir:id [ fhir:v "Claim.related.relationship" ] ; fhir:path [ fhir:v "Claim.related.relationship" ] ; fhir:short [ fhir:v "How the reference claim is related" ] ; fhir:definition [ fhir:v "A code to convey how the claims are related." ] ; fhir:comment [ fhir:v "For example, prior claim or umbrella." ] ; fhir:requirements [ fhir:v "Some insurers need a declaration of the type of relationship." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.related.relationship" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://nphies.sa/terminology/ValueSet/related-claim-relationship"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.related.reference" ] ; fhir:path [ fhir:v "Claim.related.reference" ] ; fhir:short [ fhir:v "File or case reference" ] ; fhir:definition [ fhir:v "An alternate organizational reference to the case or file to which this particular claim pertains." ] ; fhir:comment [ fhir:v "For example, Property/Casualty insurer claim # or Workers Compensation case # ." ] ; fhir:requirements [ fhir:v "In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.related.reference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.prescription" ] ; fhir:path [ fhir:v "Claim.prescription" ] ; fhir:short [ fhir:v "Prescription authorizing services and products" ] ; fhir:definition [ fhir:v "Prescription to support the dispensing of pharmacy, device or vision products." ] ; fhir:requirements [ fhir:v "Required to authorize the dispensing of controlled substances and devices." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.prescription" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/DeviceRequest"^^xsd:anyURI ; fhir:link ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationRequest"^^xsd:anyURI ; fhir:link ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/VisionPrescription"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.originalPrescription" ] ; fhir:path [ fhir:v "Claim.originalPrescription" ] ; fhir:short [ fhir:v "Original prescription if superseded by fulfiller" ] ; fhir:definition [ fhir:v "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products." ] ; fhir:comment [ fhir:v "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'." ] ; fhir:requirements [ fhir:v "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.originalPrescription" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/DeviceRequest"^^xsd:anyURI ; fhir:link ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationRequest"^^xsd:anyURI ; fhir:link ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/VisionPrescription"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.payee" ] ; fhir:path [ fhir:v "Claim.payee" ] ; fhir:short [ fhir:v "Recipient of benefits payable" ] ; fhir:definition [ fhir:v "The party to be reimbursed for cost of the products and services according to the terms of the policy." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.payee" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.payee.id" ] ; fhir:path [ fhir:v "Claim.payee.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.payee.extension" ] ; fhir:path [ fhir:v "Claim.payee.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.payee.modifierExtension" ] ; fhir:path [ fhir:v "Claim.payee.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.payee.type" ] ; fhir:path [ fhir:v "Claim.payee.type" ] ; fhir:short [ fhir:v "Category of recipient" ] ; fhir:definition [ fhir:v "Type of Party to be reimbursed: subscriber, provider, other." ] ; fhir:requirements [ fhir:v "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.payee.type" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/payeetype"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.payee.party" ] ; fhir:path [ fhir:v "Claim.payee.party" ] ; fhir:short [ fhir:v "Recipient reference" ] ; fhir:definition [ fhir:v "Reference to the individual or organization to whom any payment will be made." ] ; fhir:comment [ fhir:v "Not required if the payee is 'subscriber' or 'provider'." ] ; fhir:requirements [ fhir:v "Need to provide demographics if the payee is not 'subscriber' nor 'provider'." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.payee.party" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-1or2b"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/organization"^^xsd:anyURI ; fhir:link ] [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/patient"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.referral" ] ; fhir:path [ fhir:v "Claim.referral" ] ; fhir:short [ fhir:v "Treatment referral" ] ; fhir:definition [ fhir:v "A reference to a referral resource." ] ; fhir:comment [ fhir:v "The referral resource which lists the date, practitioner, reason and other supporting information." ] ; fhir:requirements [ fhir:v "Some insurers require proof of referral to pay for services or to pay specialist rates for services." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.referral" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-3a"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/ServiceRequest"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.cause" ] ] ) ] [ fhir:id [ fhir:v "Claim.facility" ] ; fhir:path [ fhir:v "Claim.facility" ] ; fhir:short [ fhir:v "Servicing facility" ] ; fhir:definition [ fhir:v "Facility where the services were provided." ] ; fhir:requirements [ fhir:v "Insurance adjudication can be dependant on where services were delivered." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.facility" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-1"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/location"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.where[x]" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam" ] ; fhir:path [ fhir:v "Claim.careTeam" ] ; fhir:short [ fhir:v "Members of the care team" ] ; fhir:definition [ fhir:v "The members of the team who provided the products and services." ] ; fhir:requirements [ fhir:v "Common to identify the responsible and supporting practitioners." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.careTeam" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.careTeam.id" ] ; fhir:path [ fhir:v "Claim.careTeam.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.extension" ] ; fhir:path [ fhir:v "Claim.careTeam.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.modifierExtension" ] ; fhir:path [ fhir:v "Claim.careTeam.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.sequence" ] ; fhir:path [ fhir:v "Claim.careTeam.sequence" ] ; fhir:short [ fhir:v "Order of care team" ] ; fhir:definition [ fhir:v "A number to uniquely identify care team entries." ] ; fhir:requirements [ fhir:v "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.careTeam.sequence" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-positiveInt"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.careTeam.provider" ] ; fhir:path [ fhir:v "Claim.careTeam.provider" ] ; fhir:short [ fhir:v "Practitioner or organization" ] ; fhir:definition [ fhir:v "Member of the team who provided the product or service." ] ; fhir:requirements [ fhir:v "Often a regulatory requirement to specify the responsible provider." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.careTeam.provider" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/practitioner"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.actor" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.id" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.extension" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.reference" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.reference" ] ; fhir:short [ fhir:v "Literal reference, Relative, internal or absolute URL" ] ; fhir:definition [ fhir:v "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ; fhir:comment [ fhir:v "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.reference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:condition ( [ fhir:v "ref-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.type" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.type" ] ; fhir:short [ fhir:v "Type the reference refers to (e.g. \"Patient\")" ] ; fhir:definition [ fhir:v "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ; fhir:comment [ fhir:v "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "FHIRResourceTypeExt" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Aa resource (or, for logical models, the URI of the logical model)." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/resource-types"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.identifier" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.identifier" ] ; fhir:short [ fhir:v "Logical reference, when literal reference is not known" ] ; fhir:definition [ fhir:v "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ; fhir:comment [ fhir:v "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".identifier" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.identifier.id" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.identifier.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.identifier.extension" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.identifier.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.identifier.use" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.identifier.use" ] ; fhir:short [ fhir:v "usual | official | temp | secondary | old (If known)" ] ; fhir:definition [ fhir:v "The purpose of this identifier." ] ; fhir:comment [ fhir:v "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." ] ; fhir:requirements [ fhir:v "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.use" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one." ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "IdentifierUse" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "Identifies the purpose for this identifier, if known ." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.identifier.type" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.identifier.type" ] ; fhir:short [ fhir:v "Description of identifier" ] ; fhir:definition [ fhir:v "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." ] ; fhir:comment [ fhir:v "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." ] ; fhir:requirements [ fhir:v "Allows users to make use of identifiers when the identifier system is not known." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://nphies.sa/terminology/ValueSet/practitioner-identifier-type"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.5" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.identifier.system" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.identifier.system" ] ; fhir:short [ fhir:v "The namespace for the identifier value" ] ; fhir:definition [ fhir:v "Establishes the namespace for the value - that is, a URL that describes a set values that are unique." ] ; fhir:comment [ fhir:v "Identifier.system is always case sensitive." ] ; fhir:requirements [ fhir:v "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:example ( [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:uri ; fhir:v "http://www.acme.com/identifiers/patient"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / EI-2-4" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.root or Role.id.root" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierType" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.identifier.value" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.identifier.value" ] ; fhir:short [ fhir:v "The value that is unique" ] ; fhir:definition [ fhir:v "The portion of the identifier typically relevant to the user and which is unique within the context of the system." ] ; fhir:comment [ fhir:v "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:example ( [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:string ; fhir:v "123456" ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.1 / EI.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./Value" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.identifier.period" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.identifier.period" ] ; fhir:short [ fhir:v "Time period when id is/was valid for use" ] ; fhir:definition [ fhir:v "Time period during which identifier is/was valid for use." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.period" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.7 + CX.8" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.effectiveTime or implied by context" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./StartDate and ./EndDate" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.identifier.assigner" ] ; fhir:path [ fhir:v "Claim.careTeam.provider.identifier.assigner" ] ; fhir:short [ fhir:v "Organization that issued id (may be just text)" ] ; fhir:definition [ fhir:v "Organization that issued/manages the identifier." ] ; fhir:comment [ fhir:v "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.assigner" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / (CX.4,CX.9,CX.10)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierIssuingAuthority" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.provider.display" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Claim.careTeam.provider.display" ] ; fhir:short [ fhir:v "Text alternative for the resource" ] ; fhir:definition [ fhir:v "Plain text narrative that identifies the resource in addition to the resource reference." ] ; fhir:comment [ fhir:v "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.careTeam.responsible" ] ; fhir:path [ fhir:v "Claim.careTeam.responsible" ] ; fhir:short [ fhir:v "Indicator of the lead practitioner" ] ; fhir:definition [ fhir:v "The party who is billing and/or responsible for the claimed products or services." ] ; fhir:comment [ fhir:v "Responsible might not be required when there is only a single provider listed." ] ; fhir:requirements [ fhir:v "When multiple parties are present it is required to distinguish the lead or responsible individual." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.careTeam.responsible" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.careTeam.role" ] ; fhir:path [ fhir:v "Claim.careTeam.role" ] ; fhir:short [ fhir:v "Function within the team" ] ; fhir:definition [ fhir:v "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team." ] ; fhir:comment [ fhir:v "Role might not be required when there is only a single provider listed." ] ; fhir:requirements [ fhir:v "When multiple parties are present it is required to distinguish the roles performed by each member." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.careTeam.role" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/claim-careteamrole"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.careTeam.qualification" ] ; fhir:path [ fhir:v "Claim.careTeam.qualification" ] ; fhir:short [ fhir:v "Practitioner credential or specialization" ] ; fhir:definition [ fhir:v "The qualification of the practitioner which is applicable for this service." ] ; fhir:requirements [ fhir:v "Need to specify which qualification a provider is delivering the product or service under." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.careTeam.qualification" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://nphies.sa/terminology/ValueSet/practice-codes"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.supportingInfo" ] ; fhir:path [ fhir:v "Claim.supportingInfo" ] ; fhir:short [ fhir:v "Supporting information" ] ; fhir:definition [ fhir:v "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ] ; fhir:comment [ fhir:v "Often there are multiple jurisdiction specific valuesets which are required." ] ; fhir:requirements [ fhir:v "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ] ; fhir:alias ( [ fhir:v "Attachments\nException Codes\nOccurrence Codes\nValue codes" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.supportingInfo" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.supportingInfo" ] ] ) ] [ fhir:id [ fhir:v "Claim.supportingInfo.id" ] ; fhir:path [ fhir:v "Claim.supportingInfo.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.supportingInfo.extension" ] ; fhir:path [ fhir:v "Claim.supportingInfo.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.supportingInfo.modifierExtension" ] ; fhir:path [ fhir:v "Claim.supportingInfo.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.supportingInfo.sequence" ] ; fhir:path [ fhir:v "Claim.supportingInfo.sequence" ] ; fhir:short [ fhir:v "Information instance identifier" ] ; fhir:definition [ fhir:v "A number to uniquely identify supporting information entries." ] ; fhir:requirements [ fhir:v "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.supportingInfo.sequence" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-positiveInt"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.supportingInfo.category" ] ; fhir:path [ fhir:v "Claim.supportingInfo.category" ] ; fhir:short [ fhir:v "Classification of the supplied information" ] ; fhir:definition [ fhir:v "The general class of the information supplied: information; exception; accident, employment; onset, etc." ] ; fhir:comment [ fhir:v "This may contain a category for the local bill type codes." ] ; fhir:requirements [ fhir:v "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.supportingInfo.category" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://nphies.sa/terminology/ValueSet/claim-information-category"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.supportingInfo.code" ] ; fhir:path [ fhir:v "Claim.supportingInfo.code" ] ; fhir:short [ fhir:v "Type of information" ] ; fhir:definition [ fhir:v "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ] ; fhir:requirements [ fhir:v "Required to identify the kind of additional information." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.supportingInfo.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "InformationCode" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "The valuset used for additional information codes." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/claim-exception"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.supportingInfo.timing[x]" ] ; fhir:path [ fhir:v "Claim.supportingInfo.timing[x]" ] ; fhir:short [ fhir:v "When it occurred" ] ; fhir:definition [ fhir:v "The date when or period to which this information refers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.supportingInfo.timing[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.supportingInfo.value[x]" ] ; fhir:path [ fhir:v "Claim.supportingInfo.value[x]" ] ; fhir:short [ fhir:v "Data to be provided" ] ; fhir:definition [ fhir:v "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "To convey the data content to be provided when the information is more than a simple code or period." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.supportingInfo.value[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Attachment"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.supportingInfo.reason" ] ; fhir:path [ fhir:v "Claim.supportingInfo.reason" ] ; fhir:short [ fhir:v "Explanation for the information" ] ; fhir:definition [ fhir:v "Provides the reason in the situation where a reason code is required in addition to the content." ] ; fhir:comment [ fhir:v "For example: the reason for the additional stay, or why a tooth is missing." ] ; fhir:requirements [ fhir:v "Needed when the supporting information has both a date and amount/value and requires explanation." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.supportingInfo.reason" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MissingReason" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Reason codes for the missing teeth." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/missing-tooth-reason"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.diagnosis" ] ; fhir:path [ fhir:v "Claim.diagnosis" ] ; fhir:short [ fhir:v "Pertinent diagnosis information" ] ; fhir:definition [ fhir:v "Information about diagnoses relevant to the claim items." ] ; fhir:requirements [ fhir:v "Required for the adjudication by provided context for the services and product listed." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.diagnosis" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.reasonReference" ] ] ) ] [ fhir:id [ fhir:v "Claim.diagnosis.id" ] ; fhir:path [ fhir:v "Claim.diagnosis.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.diagnosis.extension" ] ; fhir:path [ fhir:v "Claim.diagnosis.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.diagnosis.modifierExtension" ] ; fhir:path [ fhir:v "Claim.diagnosis.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.diagnosis.sequence" ] ; fhir:path [ fhir:v "Claim.diagnosis.sequence" ] ; fhir:short [ fhir:v "Diagnosis instance identifier" ] ; fhir:definition [ fhir:v "A number to uniquely identify diagnosis entries." ] ; fhir:comment [ fhir:v "Diagnosis are presented in list order to their expected importance: primary, secondary, etc." ] ; fhir:requirements [ fhir:v "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.diagnosis.sequence" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-positiveInt"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.diagnosis.diagnosis[x]" ] ; fhir:path [ fhir:v "Claim.diagnosis.diagnosis[x]" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "type" ] ; fhir:path [ fhir:v "$this" ] ] ) ; fhir:ordered [ fhir:v false ] ; fhir:rules [ fhir:v "closed" ] ] ; fhir:short [ fhir:v "Nature of illness or problem" ] ; fhir:definition [ fhir:v "The nature of illness or problem in a coded form or as a reference to an external defined Condition." ] ; fhir:requirements [ fhir:v "Provides health context for the evaluation of the products and/or services." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.diagnosis.diagnosis[x]" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "ICD10" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Example ICD10 Diagnostic codes." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/icd-10"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept" ] ; fhir:path [ fhir:v "Claim.diagnosis.diagnosis[x]" ] ; fhir:sliceName [ fhir:v "diagnosisCodeableConcept" ] ; fhir:short [ fhir:v "Nature of illness or problem" ] ; fhir:definition [ fhir:v "The nature of illness or problem in a coded form or as a reference to an external defined Condition." ] ; fhir:requirements [ fhir:v "Provides health context for the evaluation of the products and/or services." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.diagnosis.diagnosis[x]" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://nphies.sa/terminology/ValueSet/diagnosis-icd-10-am"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.diagnosis.type" ] ; fhir:path [ fhir:v "Claim.diagnosis.type" ] ; fhir:short [ fhir:v "Timing or nature of the diagnosis" ] ; fhir:definition [ fhir:v "When the condition was observed or the relative ranking." ] ; fhir:comment [ fhir:v "For example: admitting, primary, secondary, discharge." ] ; fhir:requirements [ fhir:v "Often required to capture a particular diagnosis, for example: primary or discharge." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.diagnosis.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://nphies.sa/terminology/ValueSet/diagnosis-type"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.diagnosis.onAdmission" ] ; fhir:path [ fhir:v "Claim.diagnosis.onAdmission" ] ; fhir:short [ fhir:v "Present on admission" ] ; fhir:definition [ fhir:v "Indication of whether the diagnosis was present on admission to a facility." ] ; fhir:requirements [ fhir:v "Many systems need to understand for adjudication if the diagnosis was present a time of admission." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.diagnosis.onAdmission" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "DiagnosisOnAdmission" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Present on admission." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.diagnosis.packageCode" ] ; fhir:path [ fhir:v "Claim.diagnosis.packageCode" ] ; fhir:short [ fhir:v "Package billing code" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.diagnosis.packageCode" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "DiagnosisRelatedGroup" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "The DRG codes associated with the diagnosis." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.procedure" ] ; fhir:path [ fhir:v "Claim.procedure" ] ; fhir:short [ fhir:v "Clinical procedures performed" ] ; fhir:definition [ fhir:v "Procedures performed on the patient relevant to the billing items with the claim." ] ; fhir:requirements [ fhir:v "The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.procedure" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.procedure.id" ] ; fhir:path [ fhir:v "Claim.procedure.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.procedure.extension" ] ; fhir:path [ fhir:v "Claim.procedure.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.procedure.modifierExtension" ] ; fhir:path [ fhir:v "Claim.procedure.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.procedure.sequence" ] ; fhir:path [ fhir:v "Claim.procedure.sequence" ] ; fhir:short [ fhir:v "Procedure instance identifier" ] ; fhir:definition [ fhir:v "A number to uniquely identify procedure entries." ] ; fhir:requirements [ fhir:v "Necessary to provide a mechanism to link to claim details." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.procedure.sequence" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.procedure.type" ] ; fhir:path [ fhir:v "Claim.procedure.type" ] ; fhir:short [ fhir:v "Category of Procedure" ] ; fhir:definition [ fhir:v "When the condition was observed or the relative ranking." ] ; fhir:comment [ fhir:v "For example: primary, secondary." ] ; fhir:requirements [ fhir:v "Often required to capture a particular diagnosis, for example: primary or discharge." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.procedure.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "ProcedureType" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Example procedure type codes." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/ex-procedure-type"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.procedure.date" ] ; fhir:path [ fhir:v "Claim.procedure.date" ] ; fhir:short [ fhir:v "When the procedure was performed" ] ; fhir:definition [ fhir:v "Date and optionally time the procedure was performed." ] ; fhir:requirements [ fhir:v "Required for auditing purposes." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.procedure.date" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.procedure.procedure[x]" ] ; fhir:path [ fhir:v "Claim.procedure.procedure[x]" ] ; fhir:short [ fhir:v "Specific clinical procedure" ] ; fhir:definition [ fhir:v "The code or reference to a Procedure resource which identifies the clinical intervention performed." ] ; fhir:requirements [ fhir:v "This identifies the actual clinical procedure." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.procedure.procedure[x]" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "ICD10_Procedures" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Example ICD10 Procedure codes." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/icd-10-procedures"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.procedure.udi" ] ; fhir:path [ fhir:v "Claim.procedure.udi" ] ; fhir:short [ fhir:v "Unique device identifier" ] ; fhir:definition [ fhir:v "Unique Device Identifiers associated with this line item." ] ; fhir:requirements [ fhir:v "The UDI code allows the insurer to obtain device level information on the product supplied." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.procedure.udi" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.insurance" ] ; fhir:path [ fhir:v "Claim.insurance" ] ; fhir:short [ fhir:v "Patient insurance information" ] ; fhir:definition [ fhir:v "Financial instruments for reimbursement for the health care products and services specified on the claim." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "At least one insurer is required for a claim to be a claim." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.insurance" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Coverage" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurance.id" ] ; fhir:path [ fhir:v "Claim.insurance.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurance.extension" ] ; fhir:path [ fhir:v "Claim.insurance.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurance.modifierExtension" ] ; fhir:path [ fhir:v "Claim.insurance.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurance.sequence" ] ; fhir:path [ fhir:v "Claim.insurance.sequence" ] ; fhir:short [ fhir:v "Insurance instance identifier" ] ; fhir:definition [ fhir:v "A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order." ] ; fhir:requirements [ fhir:v "To maintain order of the coverages." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.insurance.sequence" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-positiveInt"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.insurance.focal" ] ; fhir:path [ fhir:v "Claim.insurance.focal" ] ; fhir:short [ fhir:v "Coverage to be used for adjudication" ] ; fhir:definition [ fhir:v "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "To identify which coverage in the list is being used to adjudicate this claim." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.insurance.focal" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.insurance.identifier" ] ; fhir:path [ fhir:v "Claim.insurance.identifier" ] ; fhir:short [ fhir:v "Pre-assigned Claim number" ] ; fhir:definition [ fhir:v "The business identifier to be used when the claim is sent for adjudication against this insurance policy." ] ; fhir:comment [ fhir:v "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'." ] ; fhir:requirements [ fhir:v "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." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.insurance.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.identifier" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.identifier" ] ] ) ] [ fhir:id [ fhir:v "Claim.insurance.coverage" ] ; fhir:path [ fhir:v "Claim.insurance.coverage" ] ; fhir:short [ fhir:v "Insurance information" ] ; fhir:definition [ fhir:v "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system." ] ; fhir:requirements [ fhir:v "Required to allow the adjudicator to locate the correct policy and history within their information system." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.insurance.coverage" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-1"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Claim.insurance.businessArrangement" ] ; fhir:path [ fhir:v "Claim.insurance.businessArrangement" ] ; fhir:short [ fhir:v "Additional provider contract number" ] ; fhir:definition [ fhir:v "A business agreement number established between the provider and the insurer for special business processing purposes." ] ; fhir:requirements [ fhir:v "Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.insurance.businessArrangement" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.insurance.preAuthRef" ] ; fhir:path [ fhir:v "Claim.insurance.preAuthRef" ] ; fhir:short [ fhir:v "Prior authorization reference number" ] ; fhir:definition [ fhir:v "Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization." ] ; fhir:comment [ fhir:v "This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier." ] ; fhir:requirements [ fhir:v "Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.insurance.preAuthRef" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.insurance.claimResponse" ] ; fhir:path [ fhir:v "Claim.insurance.claimResponse" ] ; fhir:short [ fhir:v "Adjudication results" ] ; fhir:definition [ fhir:v "The result of the adjudication of the line items for the Coverage specified in this insurance." ] ; fhir:comment [ fhir:v "Must not be specified when 'focal=true' for this insurance." ] ; fhir:requirements [ fhir:v "An insurer need the adjudication results from prior insurers to determine the outstanding balance remaining by item for the items in the curent claim." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.insurance.claimResponse" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-1or3a"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/claim-response"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.accident" ] ; fhir:path [ fhir:v "Claim.accident" ] ; fhir:short [ fhir:v "Details of the event" ] ; fhir:definition [ fhir:v "Details of an accident which resulted in injuries which required the products and services listed in the claim." ] ; fhir:requirements [ fhir:v "When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.accident" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.accident.id" ] ; fhir:path [ fhir:v "Claim.accident.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.accident.extension" ] ; fhir:path [ fhir:v "Claim.accident.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.accident.modifierExtension" ] ; fhir:path [ fhir:v "Claim.accident.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.accident.date" ] ; fhir:path [ fhir:v "Claim.accident.date" ] ; fhir:short [ fhir:v "When the incident occurred" ] ; fhir:definition [ fhir:v "Date of an accident event related to the products and services contained in the claim." ] ; fhir:comment [ fhir:v "The date of the accident has to precede the dates of the products and services but within a reasonable timeframe." ] ; fhir:requirements [ fhir:v "Required for audit purposes and adjudication." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.accident.date" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-date"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.accident.type" ] ; fhir:path [ fhir:v "Claim.accident.type" ] ; fhir:short [ fhir:v "The nature of the accident" ] ; fhir:definition [ fhir:v "The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers." ] ; fhir:requirements [ fhir:v "Coverage may be dependant on the type of accident." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.accident.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.accident.location[x]" ] ; fhir:path [ fhir:v "Claim.accident.location[x]" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "type" ] ; fhir:path [ fhir:v "$this" ] ] ) ; fhir:ordered [ fhir:v false ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Where the event occurred" ] ; fhir:definition [ fhir:v "The physical location of the accident event." ] ; fhir:requirements [ fhir:v "Required for audit purposes and determination of applicable insurance liability." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.accident.location[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Address"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Location"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.accident.location[x]:locationAddress" ] ; fhir:path [ fhir:v "Claim.accident.location[x]" ] ; fhir:sliceName [ fhir:v "locationAddress" ] ; fhir:short [ fhir:v "Where the event occurred" ] ; fhir:definition [ fhir:v "The physical location of the accident event." ] ; fhir:requirements [ fhir:v "Required for audit purposes and determination of applicable insurance liability." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.accident.location[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Address"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Address"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item" ] ; fhir:path [ fhir:v "Claim.item" ] ; fhir:short [ fhir:v "Product or service provided" ] ; fhir:definition [ fhir:v "A claim line. Either a simple product or service or a 'group' of details which can each be a simple items or groups of sub-details." ] ; fhir:requirements [ fhir:v "The items to be processed for adjudication." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.id" ] ; fhir:path [ fhir:v "Claim.item.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.item.extension" ] ; fhir:path [ fhir:v "Claim.item.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:ordered [ fhir:v false ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "2"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.extension:package" ] ; fhir:path [ fhir:v "Claim.item.extension" ] ; fhir:sliceName [ fhir:v "package" ] ; fhir:short [ fhir:v "Package Code" ] ; fhir:definition [ fhir:v "A package billing code or bundle code used to group products and services to a particular health condition." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-package"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.extension:tax" ] ; fhir:path [ fhir:v "Claim.item.extension" ] ; fhir:sliceName [ fhir:v "tax" ] ; fhir:short [ fhir:v "Tax" ] ; fhir:definition [ fhir:v "The amount of Tax (VAT) levied on the full cost of this line item." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-tax"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.extension:patientShare" ] ; fhir:path [ fhir:v "Claim.item.extension" ] ; fhir:sliceName [ fhir:v "patientShare" ] ; fhir:short [ fhir:v "Patient Share" ] ; fhir:definition [ fhir:v "The amount due from the Patient." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patient-share"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.extension:payerShare" ] ; fhir:path [ fhir:v "Claim.item.extension" ] ; fhir:sliceName [ fhir:v "payerShare" ] ; fhir:short [ fhir:v "Payer Share" ] ; fhir:definition [ fhir:v "The amount due from the Payer." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-payer-share"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.extension:patientInvoice" ] ; fhir:path [ fhir:v "Claim.item.extension" ] ; fhir:sliceName [ fhir:v "patientInvoice" ] ; fhir:short [ fhir:v "Patient Invoice" ] ; fhir:definition [ fhir:v "The number of the patient invoice on which the service was billed." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-patientInvoice"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.modifierExtension" ] ; fhir:path [ fhir:v "Claim.item.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.item.sequence" ] ; fhir:path [ fhir:v "Claim.item.sequence" ] ; fhir:short [ fhir:v "Item instance identifier" ] ; fhir:definition [ fhir:v "A number to uniquely identify item entries." ] ; fhir:requirements [ fhir:v "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.sequence" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-positiveInt"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.careTeamSequence" ] ; fhir:path [ fhir:v "Claim.item.careTeamSequence" ] ; fhir:short [ fhir:v "Applicable careTeam members" ] ; fhir:definition [ fhir:v "CareTeam members related to this service or product." ] ; fhir:requirements [ fhir:v "Need to identify the individuals and their roles in the provision of the product or service." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.careTeamSequence" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.diagnosisSequence" ] ; fhir:path [ fhir:v "Claim.item.diagnosisSequence" ] ; fhir:short [ fhir:v "Applicable diagnoses" ] ; fhir:definition [ fhir:v "Diagnosis applicable for this service or product." ] ; fhir:requirements [ fhir:v "Need to related the product or service to the associated diagnoses." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.diagnosisSequence" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-positiveInt"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.procedureSequence" ] ; fhir:path [ fhir:v "Claim.item.procedureSequence" ] ; fhir:short [ fhir:v "Applicable procedures" ] ; fhir:definition [ fhir:v "Procedures applicable for this service or product." ] ; fhir:requirements [ fhir:v "Need to provide any listed specific procedures to support the product or service being claimed." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.procedureSequence" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.informationSequence" ] ; fhir:path [ fhir:v "Claim.item.informationSequence" ] ; fhir:short [ fhir:v "Applicable exception and supporting information" ] ; fhir:definition [ fhir:v "Exceptions, special conditions and supporting information applicable for this service or product." ] ; fhir:requirements [ fhir:v "Need to reference the supporting information items that relate directly to this product or service." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.informationSequence" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-positiveInt"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.revenue" ] ; fhir:path [ fhir:v "Claim.item.revenue" ] ; fhir:short [ fhir:v "Revenue or cost center code" ] ; fhir:definition [ fhir:v "The type of revenue or cost center providing the product and/or service." ] ; fhir:requirements [ fhir:v "Needed in the processing of institutional claims." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.revenue" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "RevenueCenter" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Codes for the revenue or cost centers supplying the service and/or products." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/ex-revenue-center"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.category" ] ; fhir:path [ fhir:v "Claim.item.category" ] ; fhir:short [ fhir:v "Benefit classification" ] ; fhir:definition [ fhir:v "Code to identify the general type of benefits under which products and services are provided." ] ; fhir:comment [ fhir:v "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ] ; fhir:requirements [ fhir:v "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.category" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "BenefitCategory" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Benefit categories such as: oral-basic, major, glasses." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/ex-benefitcategory"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.productOrService" ] ; fhir:path [ fhir:v "Claim.item.productOrService" ] ; fhir:short [ fhir:v "Billing, service, product, or drug code" ] ; fhir:definition [ fhir:v "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ] ; fhir:comment [ fhir:v "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ] ; fhir:requirements [ fhir:v "Necessary to state what was provided or done." ] ; fhir:alias ( [ fhir:v "Drug Code" ] [ fhir:v "Bill Code" ] [ fhir:v "Service Code" ] ) ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.productOrService" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept-2"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "ServiceProduct" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Allowable service and product codes." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/service-uscls"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.modifier" ] ; fhir:path [ fhir:v "Claim.item.modifier" ] ; fhir:short [ fhir:v "Product or service billing modifiers" ] ; fhir:definition [ fhir:v "Item typification or modifiers codes to convey additional context for the product or service." ] ; fhir:comment [ fhir:v "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours." ] ; fhir:requirements [ fhir:v "To support inclusion of the item for adjudication or to charge an elevated fee." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.modifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "Modifiers" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/claim-modifiers"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.programCode" ] ; fhir:path [ fhir:v "Claim.item.programCode" ] ; fhir:short [ fhir:v "Program the product or service is provided under" ] ; fhir:definition [ fhir:v "Identifies the program under which this may be recovered." ] ; fhir:comment [ fhir:v "For example: Neonatal program, child dental program or drug users recovery program." ] ; fhir:requirements [ fhir:v "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.programCode" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "ProgramCode" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Program specific reason codes." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/ex-program-code"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.serviced[x]" ] ; fhir:path [ fhir:v "Claim.item.serviced[x]" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "type" ] ; fhir:path [ fhir:v "$this" ] ] ) ; fhir:ordered [ fhir:v false ] ; fhir:rules [ fhir:v "closed" ] ] ; fhir:short [ fhir:v "Date or dates of service or product delivery" ] ; fhir:definition [ fhir:v "The date or dates when the service or product was supplied, performed or completed." ] ; fhir:requirements [ fhir:v "Needed to determine whether the service or product was provided during the term of the insurance coverage." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.serviced[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.done[x]" ] ] ) ] [ fhir:id [ fhir:v "Claim.item.serviced[x]:servicedDate" ] ; fhir:path [ fhir:v "Claim.item.serviced[x]" ] ; fhir:sliceName [ fhir:v "servicedDate" ] ; fhir:short [ fhir:v "Date or dates of service or product delivery" ] ; fhir:definition [ fhir:v "The date or dates when the service or product was supplied, performed or completed." ] ; fhir:requirements [ fhir:v "Needed to determine whether the service or product was provided during the term of the insurance coverage." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.serviced[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-date"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.done[x]" ] ] ) ] [ fhir:id [ fhir:v "Claim.item.serviced[x]:servicedPeriod" ] ; fhir:path [ fhir:v "Claim.item.serviced[x]" ] ; fhir:sliceName [ fhir:v "servicedPeriod" ] ; fhir:short [ fhir:v "Date or dates of service or product delivery" ] ; fhir:definition [ fhir:v "The date or dates when the service or product was supplied, performed or completed." ] ; fhir:requirements [ fhir:v "Needed to determine whether the service or product was provided during the term of the insurance coverage." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.serviced[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Period-2"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.done[x]" ] ] ) ] [ fhir:id [ fhir:v "Claim.item.location[x]" ] ; fhir:path [ fhir:v "Claim.item.location[x]" ] ; fhir:short [ fhir:v "Place of service or where product was supplied" ] ; fhir:definition [ fhir:v "Where the product or service was provided." ] ; fhir:requirements [ fhir:v "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.location[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Address"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Location"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "ServicePlace" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Place of service: pharmacy, school, prison, etc." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/service-place"^^xsd:anyURI ; fhir:link ] ] ; fhir:mapping ( [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.where[x]" ] ] ) ] [ fhir:id [ fhir:v "Claim.item.quantity" ] ; fhir:path [ fhir:v "Claim.item.quantity" ] ; fhir:short [ fhir:v "Count of products or services" ] ; fhir:definition [ fhir:v "The number of repetitions of a service or product." ] ; fhir:requirements [ fhir:v "Required when the product or service code does not convey the quantity provided." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.quantity" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-SimpleQuantity-1"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.unitPrice" ] ; fhir:path [ fhir:v "Claim.item.unitPrice" ] ; fhir:short [ fhir:v "Fee, charge or cost per item" ] ; fhir:definition [ fhir:v "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ] ; fhir:requirements [ fhir:v "The amount charged to the patient by the provider for a single unit." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.unitPrice" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Money"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Money-SAR"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.factor" ] ; fhir:path [ fhir:v "Claim.item.factor" ] ; fhir:short [ fhir:v "Price scaling factor" ] ; fhir:definition [ fhir:v "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ] ; fhir:comment [ fhir:v "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ] ; fhir:requirements [ fhir:v "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.factor" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "decimal"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-decimal"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.net" ] ; fhir:path [ fhir:v "Claim.item.net" ] ; fhir:short [ fhir:v "Total item cost" ] ; fhir:definition [ fhir:v "The quantity times the unit price for an additional service or product or charge." ] ; fhir:comment [ fhir:v "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ] ; fhir:requirements [ fhir:v "Provides the total amount claimed for the group (if a grouper) or the line item." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.net" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Money"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Money-SAR"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.udi" ] ; fhir:path [ fhir:v "Claim.item.udi" ] ; fhir:short [ fhir:v "Unique device identifier" ] ; fhir:definition [ fhir:v "Unique Device Identifiers associated with this line item." ] ; fhir:requirements [ fhir:v "The UDI code allows the insurer to obtain device level information on the product supplied." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.udi" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Reference-1or3a"^^xsd:anyURI ; fhir:link ] ) ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.bodySite" ] ; fhir:path [ fhir:v "Claim.item.bodySite" ] ; fhir:short [ fhir:v "Anatomical location" ] ; fhir:definition [ fhir:v "Physical service site on the patient (limb, tooth, etc.)." ] ; fhir:comment [ fhir:v "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed." ] ; fhir:requirements [ fhir:v "Allows insurer to validate specific procedures." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.bodySite" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "OralSites" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "The code for the teeth, quadrant, sextant and arch." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/tooth"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.subSite" ] ; fhir:path [ fhir:v "Claim.item.subSite" ] ; fhir:short [ fhir:v "Anatomical sub-location" ] ; fhir:definition [ fhir:v "A region or surface of the bodySite, e.g. limb region or tooth surface(s)." ] ; fhir:requirements [ fhir:v "Allows insurer to validate specific procedures." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.subSite" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "Surface" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "The code for the tooth surface and surface combinations." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/surface"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.encounter" ] ; fhir:path [ fhir:v "Claim.item.encounter" ] ; fhir:short [ fhir:v "Encounters related to this billed item" ] ; fhir:definition [ fhir:v "The Encounters during which this Claim was created or to which the creation of this record is tightly associated." ] ; fhir:comment [ fhir:v "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." ] ; fhir:requirements [ fhir:v "Used in some jurisdictions to link clinical events to claim items." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.encounter" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.context" ] ] ) ] [ fhir:id [ fhir:v "Claim.item.detail" ] ; fhir:path [ fhir:v "Claim.item.detail" ] ; fhir:short [ fhir:v "Product or service provided" ] ; fhir:definition [ fhir:v "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items." ] ; fhir:requirements [ fhir:v "The items to be processed for adjudication." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.detail" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.detail.id" ] ; fhir:path [ fhir:v "Claim.item.detail.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Claim.item.detail.extension" ] ; fhir:path [ fhir:v "Claim.item.detail.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:ordered [ fhir:v false ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.detail.extension:tax" ] ; fhir:path [ fhir:v "Claim.item.detail.extension" ] ; fhir:sliceName [ fhir:v "tax" ] ; fhir:short [ fhir:v "Tax" ] ; fhir:definition [ fhir:v "The amount of Tax (VAT) levied on the full cost of this line item." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-tax"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:condition ( [ fhir:v "ele-1" ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.detail.modifierExtension" ] ; fhir:path [ fhir:v "Claim.item.detail.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Claim.item.detail.sequence" ] ; fhir:path [ fhir:v "Claim.item.detail.sequence" ] ; fhir:short [ fhir:v "Item instance identifier" ] ; fhir:definition [ fhir:v "A number to uniquely identify item entries." ] ; fhir:requirements [ fhir:v "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.detail.sequence" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-positiveInt"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.detail.revenue" ] ; fhir:path [ fhir:v "Claim.item.detail.revenue" ] ; fhir:short [ fhir:v "Revenue or cost center code" ] ; fhir:definition [ fhir:v "The type of revenue or cost center providing the product and/or service." ] ; fhir:requirements [ fhir:v "Needed in the processing of institutional claims." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.detail.revenue" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "RevenueCenter" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Codes for the revenue or cost centers supplying the service and/or products." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/ex-revenue-center"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.detail.category" ] ; fhir:path [ fhir:v "Claim.item.detail.category" ] ; fhir:short [ fhir:v "Benefit classification" ] ; fhir:definition [ fhir:v "Code to identify the general type of benefits under which products and services are provided." ] ; fhir:comment [ fhir:v "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ] ; fhir:requirements [ fhir:v "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.detail.category" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "BenefitCategory" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Benefit categories such as: oral-basic, major, glasses." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/ex-benefitcategory"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.detail.productOrService" ] ; fhir:path [ fhir:v "Claim.item.detail.productOrService" ] ; fhir:short [ fhir:v "Billing, service, product, or drug code" ] ; fhir:definition [ fhir:v "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ] ; fhir:comment [ fhir:v "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ] ; fhir:requirements [ fhir:v "Necessary to state what was provided or done." ] ; fhir:alias ( [ fhir:v "Drug Code" ] [ fhir:v "Bill Code" ] [ fhir:v "Service Code" ] ) ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.detail.productOrService" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-CodeableConcept-2"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "ServiceProduct" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Allowable service and product codes." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/service-uscls"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.detail.modifier" ] ; fhir:path [ fhir:v "Claim.item.detail.modifier" ] ; fhir:short [ fhir:v "Service/Product billing modifiers" ] ; fhir:definition [ fhir:v "Item typification or modifiers codes to convey additional context for the product or service." ] ; fhir:comment [ fhir:v "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ] ; fhir:requirements [ fhir:v "To support inclusion of the item for adjudication or to charge an elevated fee." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.detail.modifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "Modifiers" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/claim-modifiers"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.detail.programCode" ] ; fhir:path [ fhir:v "Claim.item.detail.programCode" ] ; fhir:short [ fhir:v "Program the product or service is provided under" ] ; fhir:definition [ fhir:v "Identifies the program under which this may be recovered." ] ; fhir:comment [ fhir:v "For example: Neonatal program, child dental program or drug users recovery program." ] ; fhir:requirements [ fhir:v "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.detail.programCode" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "ProgramCode" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Program specific reason codes." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/ex-program-code"^^xsd:anyURI ; fhir:link ] ] ] [ fhir:id [ fhir:v "Claim.item.detail.quantity" ] ; fhir:path [ fhir:v "Claim.item.detail.quantity" ] ; fhir:short [ fhir:v "Count of products or services" ] ; fhir:definition [ fhir:v "The number of repetitions of a service or product." ] ; fhir:requirements [ fhir:v "Required when the product or service code does not convey the quantity provided." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.detail.quantity" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-SimpleQuantity-1"^^xsd:anyURI ; fhir:link ] ) ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Claim.item.detail.unitPrice" ] ; fhir:path [ fhir:v "Claim.item.detail.unitPrice" ] ; fhir:short [ fhir:v "Fee, charge or cost per item" ] ; fhir:definition [ fhir:v "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ] ; fhir:requirements [ fhir:v "The amount charged to the patient by the provider for a single unit." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Claim.item.detail.unitPrice" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Money"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/DP-Money-SAR"^^xsd:anyURI ; fhir:link