<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="c7a6e6f2-4e97-48b9-9ec2-bd4f220e8a5d" />
  <url value="https://fhir.nhs.uk/StructureDefinition/NHSDigital-Claim" />
  <name value="NHSDigital-Claim" />
  <status value="draft" />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Claim" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Claim" />
  <derivation value="constraint" />
  <differential>
    <element id="Claim.identifier">
      <path value="Claim.identifier" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.status">
      <path value="Claim.status" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.type">
      <path value="Claim.type" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.patient">
      <path value="Claim.patient" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.created">
      <path value="Claim.created" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.provider">
      <path value="Claim.provider" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole" />
        <targetProfile value="https://fhir.nhs.uk/StructureDefinition/NHSDigital-Practitioner" />
        <aggregation value="referenced" />
        <aggregation value="bundled" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Claim.prescription">
      <path value="Claim.prescription" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.prescription.extension">
      <path value="Claim.prescription.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Claim.prescription.extension:groupIdentifier">
      <path value="Claim.prescription.extension" />
      <sliceName value="groupIdentifier" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier" />
      </type>
    </element>
    <element id="Claim.prescription.identifier.system">
      <path value="Claim.prescription.identifier.system" />
      <min value="1" />
      <fixedUri value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
    </element>
    <element id="Claim.prescription.identifier.value">
      <path value="Claim.prescription.identifier.value" />
      <min value="1" />
    </element>
    <element id="Claim.originalPrescription.extension">
      <path value="Claim.originalPrescription.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Claim.originalPrescription.extension:groupIdentifier">
      <path value="Claim.originalPrescription.extension" />
      <sliceName value="groupIdentifier" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/StructureDefinition/Extension-DM-GroupIdentifier" />
      </type>
    </element>
    <element id="Claim.originalPrescription.identifier.system">
      <path value="Claim.originalPrescription.identifier.system" />
      <min value="1" />
    </element>
    <element id="Claim.originalPrescription.identifier.value">
      <path value="Claim.originalPrescription.identifier.value" />
      <min value="1" />
    </element>
    <element id="Claim.payee">
      <path value="Claim.payee" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.payee.party">
      <path value="Claim.payee.party" />
      <min value="1" />
    </element>
    <element id="Claim.payee.party.identifier">
      <path value="Claim.payee.party.identifier" />
      <min value="1" />
    </element>
    <element id="Claim.payee.party.identifier.system">
      <path value="Claim.payee.party.identifier.system" />
      <min value="1" />
    </element>
    <element id="Claim.payee.party.identifier.value">
      <path value="Claim.payee.party.identifier.value" />
      <min value="1" />
    </element>
    <element id="Claim.insurance">
      <path value="Claim.insurance" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.item">
      <path value="Claim.item" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.item.extension">
      <path value="Claim.item.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Claim.item.extension:lineItemIdentifier">
      <path value="Claim.item.extension" />
      <sliceName value="lineItemIdentifier" />
      <short value="UUID for HL7v3 Message" />
      <definition value="SuppliedLineItem.id" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/StructureDefinition/Extension-DM-SuppliedItemIdentifier" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Claim.item.extension:prescriptionStatus">
      <path value="Claim.item.extension" />
      <sliceName value="prescriptionStatus" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatus" />
      </type>
    </element>
    <element id="Claim.item.extension:prescriptionStatusReasson">
      <path value="Claim.item.extension" />
      <sliceName value="prescriptionStatusReasson" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/StructureDefinition/Extension-EPS-TaskBusinessStatusReason" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Claim.item.sequence">
      <path value="Claim.item.sequence" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.item.productOrService">
      <path value="Claim.item.productOrService" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="DMD Medication Code" />
        <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode" />
      </binding>
    </element>
    <element id="Claim.item.modifier">
      <path value="Claim.item.modifier" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="Prescription status" />
        <valueSet value="https://fhir.nhs.uk/ValueSet/DM-medicationdispense-type" />
      </binding>
    </element>
    <element id="Claim.item.programCode">
      <path value="Claim.item.programCode" />
      <short value="PrescriptionChargeExemption" />
      <definition value="Describes possible reasons for someone not having to pay prescription charges." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="Prescription Charge Exemption" />
        <valueSet value="https://fhir.nhs.uk/ValueSet/DM-prescription-charge-exemption" />
      </binding>
    </element>
    <element id="Claim.item.quantity">
      <path value="Claim.item.quantity" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.item.detail">
      <path value="Claim.item.detail" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.item.detail.sequence">
      <path value="Claim.item.detail.sequence" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.item.detail.productOrService">
      <path value="Claim.item.detail.productOrService" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="DMD Medication Code" />
        <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode" />
      </binding>
    </element>
    <element id="Claim.item.detail.programCode">
      <path value="Claim.item.detail.programCode" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="coding.system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <short value="Dispensing Endorsement and Charge Payment" />
      <definition value="Dispensing Endorsement  - Details of the endorsement(s) to support the claim for this medication item. &#xD;&#xA;&#xD;&#xA;Charge Payment - Details on whether a prescription charge was paid for the medication treatment." />
      <mustSupport value="true" />
    </element>
    <element id="Claim.item.detail.programCode:exemptionEvidence">
      <path value="Claim.item.detail.programCode" />
      <sliceName value="exemptionEvidence" />
      <max value="1" />
      <binding>
        <strength value="extensible" />
        <valueSet value="https://fhir.nhs.uk/ValueSet/DM-vs-exemption-evidence" />
      </binding>
    </element>
    <element id="Claim.item.detail.programCode:exemptionEvidence.coding.system">
      <path value="Claim.item.detail.programCode.coding.system" />
      <fixedUri value="https://fhir.nhs.uk/CodeSystem/DM-exemption-evidence" />
    </element>
    <element id="Claim.item.detail.programCode:prescriptionCharge">
      <path value="Claim.item.detail.programCode" />
      <sliceName value="prescriptionCharge" />
      <max value="1" />
      <binding>
        <strength value="extensible" />
        <valueSet value="https://fhir.nhs.uk/ValueSet/DM-vs-prescription-charge" />
      </binding>
    </element>
    <element id="Claim.item.detail.programCode:prescriptionCharge.coding.system">
      <path value="Claim.item.detail.programCode.coding.system" />
      <fixedUri value="https://fhir.nhs.uk/CodeSystem/DM-prescription-charge" />
    </element>
    <element id="Claim.item.detail.programCode:dispensingEndorsement">
      <path value="Claim.item.detail.programCode" />
      <sliceName value="dispensingEndorsement" />
      <max value="1" />
      <binding>
        <strength value="extensible" />
        <description value="Program specific reason codes" />
        <valueSet value="https://fhir.nhs.uk/ValueSet/DM-dispensing-endorsement" />
      </binding>
    </element>
    <element id="Claim.item.detail.programCode:dispensingEndorsement.coding.system">
      <path value="Claim.item.detail.programCode.coding.system" />
      <fixedUri value="https://fhir.nhs.uk/CodeSystem/medicationdispense-endorsement" />
    </element>
    <element id="Claim.item.detail.quantity">
      <path value="Claim.item.detail.quantity" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.item.detail.quantity.extension">
      <path value="Claim.item.detail.quantity.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Claim.item.detail.quantity.extension:runningTotal">
      <path value="Claim.item.detail.quantity.extension" />
      <sliceName value="runningTotal" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/StructureDefinition/Extension-DM-RunningTotal" />
      </type>
    </element>
  </differential>
</StructureDefinition>