<status value="active" /> <date value="2026-03-23" /> <publisher value="Israel Core Team" /> <contact> <telecom> <system value="email" /> <value value="tal.primak@moh.gov.il" /> </telecom> </contact> <description value="Israel Core proposed constraints and extensions on the Claim Resource" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Claim" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Claim" /> <derivation value="constraint" /> <differential> <element id="Claim"> <path value="Claim" /> <short value="ILCore Claim Profile" /> <definition value="Israel Core proposed constraints and extensions on the Claim resource profile." /> </element> <element id="Claim.identifier"> <path value="Claim.identifier" /> <type> <code value="Identifier" /> <profile value="http://fhir.health.gov.il/StructureDefinition/il-core-identifier" /> </type> </element> <element id="Claim.patient"> <path value="Claim.patient" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-patient" /> </type> </element> <element id="Claim.enterer"> <path value="Claim.enterer" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role" /> </type> </element> <element id="Claim.insurer"> <path value="Claim.insurer" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Claim.provider"> <path value="Claim.provider" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Claim.related.claim"> <path value="Claim.related.claim" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-claim" /> </type> </element> <element id="Claim.prescription"> <path value="Claim.prescription" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-device-request" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-medication-request" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription" /> </type> </element> <element id="Claim.originalPrescription"> <path value="Claim.originalPrescription" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-device-request" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-medication-request" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription" /> </type> </element> <element id="Claim.payee.party"> <path value="Claim.payee.party" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-patient" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-related-person" /> </type> </element> <element id="Claim.referral"> <path value="Claim.referral" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-service-request" /> </type> </element> <element id="Claim.facility"> <path value="Claim.facility" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-location" /> </type> </element> <element id="Claim.careTeam.provider"> <path value="Claim.careTeam.provider" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Claim.diagnosis.diagnosis[x]"> <path value="Claim.diagnosis.diagnosis[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Claim.diagnosis.diagnosis[x]:diagnosisReference"> <path value="Claim.diagnosis.diagnosis[x]" /> <sliceName value="diagnosisReference" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-condition" /> </type> </element> <element id="Claim.procedure.procedure[x]"> <path value="Claim.procedure.procedure[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Claim.procedure.procedure[x]:procedureReference"> <path value="Claim.procedure.procedure[x]" /> <sliceName value="procedureReference" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-procedure" /> </type> </element> <element id="Claim.procedure.udi"> <path value="Claim.procedure.udi" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-device" /> </type> </element> <element id="Claim.accident.location[x]"> <path value="Claim.accident.location[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Claim.accident.location[x]:locationReference"> <path value="Claim.accident.location[x]" /> <sliceName value="locationReference" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-location" /> </type> </element> <element id="Claim.item.location[x]"> <path value="Claim.item.location[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Claim.item.location[x]:locationReference"> <path value="Claim.item.location[x]" /> <sliceName value="locationReference" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-location" /> </type> </element> <element id="Claim.item.udi"> <path value="Claim.item.udi" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-device" /> </type> </element> <element id="Claim.item.encounter"> <path value="Claim.item.encounter" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-encounter" /> </type> </element> <element id="Claim.item.detail.udi"> <path value="Claim.item.detail.udi" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-device" /> </type> </element> <element id="Claim.item.detail.subDetail.udi"> <path value="Claim.item.detail.subDetail.udi" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-device" /> </type> </element> </differential> </StructureDefinition>