<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="spark1649" />
  <meta>
    <versionId value="spark2001" />
    <lastUpdated value="2015-11-18T16:38:20.658+00:00" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0" />
  </extension>
  <url value="http://mais.org.ar/fhir/StructureDefinition/ItemFacturacion" />
  <name value="ItemFacturacion" />
  <status value="draft" />
  <date value="2015-09-22T20:02:49+10:00" />
  <description value="Base StructureDefinition for Claim Resource" />
  <fhirVersion value="1.0.1" />
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/w5" />
    <name value="W5 Mapping" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM" />
  </mapping>
  <kind value="resource" />
  <constrainedType value="Claim" />
  <abstract value="false" />
  <base value="http://hl7.org/fhir/StructureDefinition/Claim" />
  <differential>
    <element>
      <path value="Claim" />
      <short value="Claim, Pre-determination or Pre-authorization" />
      <definition value="A provider issued list of services and products provided, or to be provided, to a patient which is provided to an insurer for payment recovery." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Claim" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="w5" />
        <map value="financial.billing" />
      </mapping>
    </element>
    <element>
      <path value="Claim.extension" />
      <slicing>
        <discriminator value="url" />
        <rules value="openAtEnd" />
      </slicing>
    </element>
    <element>
      <path value="Claim.extension" />
      <name value="FlagRefacturacion" />
      <short value="Indica si el item es refacturado u original" />
      <definition value="Indica si el item es refacturado u original" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/FlagRefacturacion" />
      </type>
    </element>
    <element>
      <path value="Claim.extension" />
      <name value="ReferenciaRefacturacion" />
      <short value="Referencia a la factura original" />
      <definition value="Referencia a la factura original, solo si el flag  de refactura es true" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/ReferenciaRefacturacion" />
      </type>
    </element>
    <element>
      <path value="Claim.type" />
      <short value="institutional | oral | pharmacy | professional | vision" />
      <definition value="The category of claim this is." />
      <comments value="Affects which fields and value sets are used." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <fixedCode value="institutional" />
      <isSummary value="true" />
      <binding>
        <strength value="required" />
        <description value="The type or discipline-style of the claim." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-type-link" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.identifier" />
      <slicing>
        <rules value="openAtEnd" />
      </slicing>
      <short value="Claim number" />
      <definition value="The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number." />
      <min value="0" />
      <max value="*" />
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.identifier" />
      <name value="Identificador Item Factura" />
      <short value="Claim number" />
      <definition value="The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Identifier" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.identifier" />
      <name value="Identificador Factura" />
      <short value="Claim number" />
      <definition value="The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Identifier" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.ruleset" />
      <short value="Current specification followed" />
      <definition value="The version of the specification on which this instance relies." />
      <alias value="BusinessVersion" />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="The static and dynamic model to which contents conform, which may be business version or standard/version." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.originalRuleset" />
      <short value="Original specification followed" />
      <definition value="The version of the specification from which the original instance was created." />
      <alias value="OriginalBusinessVersion" />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="The static and dynamic model to which contents conform, which may be business version or standard/version." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.created" />
      <short value="Creation date" />
      <definition value="The date when the enclosed suite of services were performed or completed." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.target" />
      <short value="Insurer" />
      <definition value="Insurer Identifier, typical BIN number (6 digit)." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.provider" />
      <short value="Responsible provider" />
      <definition value="The provider which is responsible for the bill, claim pre-determination, pre-authorization." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/MedicoEfector" />
        <aggregation value="contained" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.organization" />
      <short value="Responsible organization" />
      <definition value="The organization which is responsible for the bill, claim pre-determination, pre-authorization." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/OrganizacionFinanciadora" />
      </type>
      <type>
        <code value="Organization" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.use" />
      <short value="complete | proposed | exploratory | other" />
      <definition value="Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination)." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="code" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="required" />
        <description value="Complete, proposed, exploratory, other." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-use-link" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.priority" />
      <short value="Desired processing priority" />
      <definition value="Immediate (STAT), best effort (NORMAL), deferred (DEFER)." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="The timeliness with which processing is required: STAT, Normal, Deferred." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/process-priority" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.fundsReserve" />
      <short value="Funds requested to be reserved" />
      <definition value="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." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="For whom funds are to be reserved: (Patient, Provider, None)." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fundsreserve" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.enterer" />
      <short value="Author" />
      <definition value="Person who created the invoice/claim/pre-determination or pre-authorization." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.facility" />
      <short value="Servicing Facility" />
      <definition value="Facility where the services were provided." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Location" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.prescription" />
      <short value="Prescription" />
      <definition value="Prescription to support the dispensing of Pharmacy or Vision products." />
      <requirements value="For type=Pharmacy and Vision only." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/MedicationOrder" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.originalPrescription" />
      <short value="Original Prescription" />
      <definition value="Original prescription to support the dispensing of pharmacy services, medications or products." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/MedicationOrder" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Payee" />
      </extension>
      <path value="Claim.payee" />
      <short value="Payee" />
      <definition value="The party to be reimbursed for the services." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.referral" />
      <short value="Treatment Referral" />
      <definition value="The referral resource which lists the date, practitioner, reason and other supporting information." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Diagnosis" />
      </extension>
      <path value="Claim.diagnosis" />
      <short value="Diagnosis" />
      <definition value="Ordered list of patient diagnosis for which care is sought." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.condition" />
      <short value="List of presenting Conditions" />
      <definition value="List of patient conditions for which care is sought." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="Patient conditions and symptoms." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-conditions" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.patient" />
      <short value="The subject of the Products and Services" />
      <definition value="Patient Resource." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/Paciente" />
        <aggregation value="contained" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Coverage" />
      </extension>
      <path value="Claim.coverage" />
      <short value="Insurance or medical plan" />
      <definition value="Financial instrument by which payment information for health care." />
      <requirements value="Health care programs and insurers are significant payors of health service costs." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="Coverage" />
      </mapping>
    </element>
    <element>
      <path value="Claim.coverage.sequence" />
      <short value="Service instance identifier" />
      <definition value="A service line item." />
      <requirements value="To maintain order of the coverages." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="positiveInt" />
      </type>
      <defaultValueInteger value="1" />
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.coverage.coverage.reference" />
      <short value="Relative, internal or absolute URL reference" />
      <definition value="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." />
      <comments value="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 &quot;/[type]/[id]&quot; then it should be assumed that the reference is to a FHIR RESTful server." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="string" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/OrganizacionFinanciadora" />
      </type>
      <condition value="ref-1" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element>
      <path value="Claim.coverage.preAuthRef" />
      <short value="Pre-Authorization/Determination Reference" />
      <definition value="A list of references from the Insurer to which these services pertain." />
      <requirements value="To provide any pre=determination or prior authorization reference." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.coverage.claimResponse" />
      <short value="Adjudication results" />
      <definition value="The Coverages adjudication details." />
      <requirements value="Used by downstream payers to determine what balance remains and the net payable." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/AutorizacionRecibida" />
        <aggregation value="contained" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.coverage.originalRuleset.system" />
      <short value="Identity of the terminology system" />
      <definition value="The identification of the code system that defines the meaning of the symbol in the code." />
      <comments value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." />
      <requirements value="Need to be unambiguous about the source of the definition of the symbol." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="uri" />
      </type>
      <fixedUri value="www.prepaga.com/normas_facturacion" />
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="C*E.3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./codeSystem" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
      </mapping>
    </element>
    <element>
      <path value="Claim.exception" />
      <short value="Eligibility exceptions" />
      <definition value="Factors which may influence the applicability of coverage." />
      <requirements value="To determine extenuating circumstances for coverage." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="The eligibility exception codes." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/claim-exception" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Claim.school" />
      <short value="Name of School" />
      <definition value="Name of school for over-aged dependents." />
      <requirements value="Often required for over-age dependents." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="string" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.accident" />
      <short value="Accident Date" />
      <definition value="Date of an accident which these services are addressing." />
      <requirements value="Coverage may be dependent on accidents." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="date" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.accidentType" />
      <short value="Accident Type" />
      <definition value="Type of accident: work, auto, etc." />
      <requirements value="Coverage may be dependent on the type of accident." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.interventionException" />
      <short value="Intervention and exception code (Pharma)" />
      <definition value="A list of intervention and exception codes which may influence the adjudication of the claim." />
      <requirements value="Coverage may be modified based on exception information provided." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="Intervention and exception codes (Pharm)." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/intervention" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Items" />
      </extension>
      <path value="Claim.item" />
      <short value="Goods and Services" />
      <definition value="First tier of goods and services." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.extension" />
      <slicing>
        <discriminator value="url" />
        <rules value="openAtEnd" />
      </slicing>
    </element>
    <element>
      <path value="Claim.item.extension" />
      <name value="UnidadGasto" />
      <short value="Cantidad de Unidades Gasto" />
      <definition value="Cantidad de Unidades Gasto" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/UnidadGasto" />
      </type>
    </element>
    <element>
      <path value="Claim.item.extension" />
      <name value="UnidadHonorario" />
      <short value="Cantidad de Unidades Honorario" />
      <definition value="Cantidad de Unidades Honorario (decimal)" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/UnidadHonorario" />
      </type>
    </element>
    <element>
      <path value="Claim.item.extension" />
      <name value="ImporteExento" />
      <short value="Importe Exento IVA" />
      <definition value="Importe Exento IVA" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/ImporteExento" />
      </type>
    </element>
    <element>
      <path value="Claim.item.extension" />
      <name value="ImporteGravado" />
      <short value="Importe Gravado IVA" />
      <definition value="Optional Extensions Element - found in all resources." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://mais.org.ar/fhir/StructureDefinition/ImporteGravado" />
      </type>
    </element>
    <element>
      <path value="Claim.item.provider" />
      <short value="Responsible practitioner" />
      <definition value="The practitioner who is responsible for the services rendered to the patient." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.diagnosisLinkId" />
      <short value="Diagnosis Link" />
      <definition value="Diagnosis applicable for this service or product line." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="positiveInt" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.serviceDate" />
      <short value="Date of Service" />
      <definition value="The date when the enclosed suite of services were performed or completed." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="date" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.quantity" />
      <short value="Count of Products or Services" />
      <definition value="The number of repetitions of a service or product." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.unitPrice" />
      <short value="Fee, charge or cost per point" />
      <definition value="If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Money" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.factor" />
      <short value="Price scaling factor" />
      <definition value="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." />
      <requirements value="If a fee is present the associated product/service code must be present." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="decimal" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.points" />
      <short value="Difficulty scaling factor" />
      <definition value="An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the good or service delivered. The concept of Points allows for assignment of point values for services and/or goods, such that a monetary amount can be assigned to each point." />
      <requirements value="If a fee is present the associated product/service code must be present." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="decimal" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.net" />
      <short value="Total item cost" />
      <definition value="The quantity times the unit price for an additional  service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." />
      <requirements value="If a fee is present the associated product/service code must be present." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Money" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.udi" />
      <short value="Unique Device Identifier" />
      <definition value="List of Unique Device Identifiers associated with this line item." />
      <requirements value="The UDI code and issuer if applicable for the supplied product." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.bodySite" />
      <short value="Service Location" />
      <definition value="Physical service site on the patient (limb, tooth, etc.)." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.subSite" />
      <short value="Service Sub-location" />
      <definition value="A region or surface of the site, e.g. limb region or tooth surface(s)." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.modifier" />
      <short value="Service/Product billing modifiers" />
      <definition value="Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." />
      <requirements value="May impact on adjudication." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.detail.quantity" />
      <short value="Count of Products or Services" />
      <definition value="The number of repetitions of a service or product." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.detail.unitPrice" />
      <short value="Fee, charge or cost per point" />
      <definition value="If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." />
      <requirements value="If a fee is present the associated product/service code must be present." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Money" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.detail.factor" />
      <short value="Price scaling factor" />
      <definition value="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." />
      <requirements value="If a fee is present the associated product/service code must be present." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="decimal" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.detail.points" />
      <short value="Difficulty scaling factor" />
      <definition value="An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the good or service delivered. The concept of Points allows for assignment of point values for services and/or goods, such that a monetary amount can be assigned to each point." />
      <requirements value="If a fee is present the associated product/service code must be present." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="decimal" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.detail.net" />
      <short value="Total additional item cost" />
      <definition value="The quantity times the unit price for an additional  service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." />
      <requirements value="If a fee is present the associated product/service code must be present." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Money" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.item.detail.udi" />
      <short value="Unique Device Identifier" />
      <definition value="List of Unique Device Identifiers associated with this line item." />
      <requirements value="The UDI code and issuer if applicable for the supplied product." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="SubDetail" />
      </extension>
      <path value="Claim.item.detail.subDetail" />
      <short value="Additional items" />
      <definition value="Third tier of goods and services." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Prosthesis" />
      </extension>
      <path value="Claim.item.prosthesis" />
      <short value="Prosthetic details" />
      <definition value="The materials and placement date of prior fixed prosthesis." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <path value="Claim.additionalMaterials" />
      <short value="Additional materials, documents, etc." />
      <definition value="Code to indicate that Xrays, images, emails, documents, models or attachments are being sent in support of this submission." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="Code to indicate that Xrays, images, emails, documents, models or attachments are being sent in support of this submission." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/additionalmaterials" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="MissingTeeth" />
      </extension>
      <path value="Claim.missingTeeth" />
      <short value="Only if type = oral" />
      <definition value="A list of teeth which would be expected but are not found due to having been previously  extracted or for other reasons." />
      <requirements value="The list of missing teeth may influence the adjudication of services for example with Bridges." />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
    </element>
  </differential>
</StructureDefinition>