<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="srx-fhir-profile-claim-medical-hum" />
  <meta>
    <lastUpdated value="2018-07-08T18:08:17.962+00:00" />
  </meta>
  <url value="http://fhir-es.transcendinsights.com/stu3/StructureDefinition/srx-fhir-profile-claim-medical-hum" />
  <name value="srx-fhir-profile-claim-medical-hum" />
  <status value="draft" />
  <date value="2018-07-03T18:53:04.038Z" />
  <description value="Profile to record Humana medical claims." />
  <fhirVersion value="3.0.1" />
  <mapping>
    <identity value="MEDICAL-CLAIMS" />
    <name value="Medical Claim" />
  </mapping>
  <mapping>
    <identity value="PATIENT-MED-CLM-CLIN-CODES" />
    <name value="Clinical Codes for Medical Claims" />
  </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">
      <path value="Claim" />
      <definition value="Medical claim submitted for payment" />
    </element>
    <element id="Claim.id">
      <path value="Claim.id" />
      <max value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Claim.meta">
      <path value="Claim.meta" />
      <min value="1" />
    </element>
    <element id="Claim.meta.id">
      <path value="Claim.meta.id" />
      <max value="0" />
    </element>
    <element id="Claim.meta.profile">
      <path value="Claim.meta.profile" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Claim.meta.security">
      <path value="Claim.meta.security" />
      <max value="0" />
    </element>
    <element id="Claim.meta.tag">
      <path value="Claim.meta.tag" />
      <max value="0" />
    </element>
    <element id="Claim.meta.extension">
      <path value="Claim.meta.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Claim.meta.Extension:resource-date-created">
      <path value="Claim.meta.extension" />
      <sliceName value="resource-date-created" />
      <short value="Creation date" />
      <definition value="The date this resource was created (not the latest update)." />
      <min value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://fhir-es.transcendinsights.com/stu3/StructureDefinition/resource-date-created" />
      </type>
    </element>
    <element id="Claim.meta.Extension:data-source-entity">
      <path value="Claim.meta.extension" />
      <sliceName value="data-source-entity" />
      <short value="Source of data" />
      <definition value="The entity producing the data e.g. Humana, Argus, EDW etc." />
      <type>
        <code value="Extension" />
        <profile value="http://fhir-es.transcendinsights.com/stu3/StructureDefinition/data-source-entity" />
      </type>
    </element>
    <element id="Claim.meta.Extension:source-filename">
      <path value="Claim.meta.extension" />
      <sliceName value="source-filename" />
      <short value="Source data file names" />
      <definition value="The name of the files that contain the source data." />
      <type>
        <code value="Extension" />
        <profile value="http://fhir-es.transcendinsights.com/stu3/StructureDefinition/source-filename" />
      </type>
    </element>
    <element id="Claim.implicitRules">
      <path value="Claim.implicitRules" />
      <max value="0" />
    </element>
    <element id="Claim.language">
      <path value="Claim.language" />
      <max value="0" />
    </element>
    <element id="Claim.text">
      <path value="Claim.text" />
      <max value="0" />
    </element>
    <element id="Claim.contained">
      <path value="Claim.contained" />
      <max value="0" />
    </element>
    <element id="Claim.identifier">
      <path value="Claim.identifier" />
      <definition value="The business identifier for the instance: claim number" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="false" />
    </element>
    <element id="Claim.identifier.id">
      <path value="Claim.identifier.id" />
      <max value="0" />
    </element>
    <element id="Claim.identifier.extension">
      <path value="Claim.identifier.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Claim.identifier.extension:claim-id">
      <path value="Claim.identifier.extension" />
      <sliceName value="claim-id" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://fhir-es.transcendinsights.com/stu3/StructureDefinition/claim-id" />
      </type>
    </element>
    <element id="Claim.identifier.extension:claim-line-number">
      <path value="Claim.identifier.extension" />
      <sliceName value="claim-line-number" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://fhir-es.transcendinsights.com/stu3/StructureDefinition/claim-line-number" />
      </type>
    </element>
    <element id="Claim.identifier.use">
      <path value="Claim.identifier.use" />
      <max value="0" />
      <fixedCode value="official" />
    </element>
    <element id="Claim.identifier.type">
      <path value="Claim.identifier.type" />
      <max value="0" />
    </element>
    <element id="Claim.identifier.type.id">
      <path value="Claim.identifier.type.id" />
      <max value="0" />
    </element>
    <element id="Claim.identifier.type.coding.id">
      <path value="Claim.identifier.type.coding.id" />
      <max value="0" />
    </element>
    <element id="Claim.identifier.type.coding.system">
      <path value="Claim.identifier.type.coding.system" />
      <min value="1" />
    </element>
    <element id="Claim.identifier.type.coding.version">
      <path value="Claim.identifier.type.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.identifier.type.coding.code">
      <path value="Claim.identifier.type.coding.code" />
      <min value="1" />
    </element>
    <element id="Claim.identifier.type.coding.userSelected">
      <path value="Claim.identifier.type.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.identifier.system">
      <path value="Claim.identifier.system" />
      <min value="1" />
      <fixedUri value="http://fhir-es.transcendinsights.com/stu3/NamingSystem/humana-claim-identifier" />
    </element>
    <element id="Claim.identifier.value">
      <path value="Claim.identifier.value" />
      <definition value="The Claim identifier." />
      <comment value="Concatenate the Claim id value with the delimiter '-LN-' followed by the Claim line number value." />
      <min value="1" />
      <mapping>
        <identity value="MEDICAL-CLAIMS" />
        <map value="CLAIM_ID concat delimiter -LN- concat CLAIM_LINE_NUMBER" />
        <comment value="Concatenate the Claim id value with '-LN-' followed by the Claim line number value" />
      </mapping>
    </element>
    <element id="Claim.identifier.period">
      <path value="Claim.identifier.period" />
      <max value="0" />
    </element>
    <element id="Claim.identifier.assigner">
      <path value="Claim.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Claim.status">
      <path value="Claim.status" />
      <short value="active | cancelled | draft" />
      <min value="1" />
      <fixedCode value="active" />
      <mustSupport value="false" />
    </element>
    <element id="Claim.type">
      <path value="Claim.type" />
      <max value="0" />
    </element>
    <element id="Claim.type.id">
      <path value="Claim.type.id" />
      <max value="0" />
    </element>
    <element id="Claim.type.coding">
      <path value="Claim.type.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Claim.type.coding.id">
      <path value="Claim.type.coding.id" />
      <max value="0" />
    </element>
    <element id="Claim.type.coding.system">
      <path value="Claim.type.coding.system" />
      <min value="1" />
      <fixedUri value="http://hl7.org/fhir/ex-claimtype" />
    </element>
    <element id="Claim.type.coding.version">
      <path value="Claim.type.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.type.coding.code">
      <path value="Claim.type.coding.code" />
      <short value="Claim type" />
      <definition value="The type of claim e.g. pharmacy, institutional, professional, etc. See possible values defined in http://hl7.org/fhir/ValueSet/claim-type." />
      <min value="1" />
    </element>
    <element id="Claim.type.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.type.coding.display" />
      <max value="0" />
    </element>
    <element id="Claim.type.coding.userSelected">
      <path value="Claim.type.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.type.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.type.text" />
      <max value="0" />
    </element>
    <element id="Claim.subType">
      <path value="Claim.subType" />
      <max value="1" />
    </element>
    <element id="Claim.subType.coding">
      <path value="Claim.subType.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Claim.subType.coding.system">
      <path value="Claim.subType.coding.system" />
      <min value="1" />
      <fixedUri value="http://www.nubc.org/type-of-bill-codes" />
    </element>
    <element id="Claim.subType.coding.version">
      <path value="Claim.subType.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.subType.coding.code">
      <path value="Claim.subType.coding.code" />
      <min value="1" />
      <mapping>
        <identity value="MEDICAL-CLAIMS" />
        <map value="TYPE_OF_BILL" />
      </mapping>
    </element>
    <element id="Claim.subType.coding.userSelected">
      <path value="Claim.subType.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.subType.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.subType.text" />
      <max value="0" />
    </element>
    <element id="Claim.use">
      <path value="Claim.use" />
      <short value="complete | exploratory" />
      <definition value="A claim must have a 'use' value equal to 'complete' or 'exploratory'.  The exploratory status should only be used when the claim is part of the near-real time request or in the Measure Report, but not in the Patient bundle." />
      <min value="1" />
      <mustSupport value="false" />
    </element>
    <element id="Claim.patient">
      <path value="Claim.patient" />
      <short value="The patient that this claim belongs to." />
      <min value="1" />
    </element>
    <element id="Claim.patient.id">
      <path value="Claim.patient.id" />
      <max value="0" />
    </element>
    <element id="Claim.patient.reference">
      <path value="Claim.patient.reference" />
      <short value="A reference to a location at which the patient resource is found." />
      <definition value="It is an internal reference that refers to the patient resource. If the patient resource is a contained resource, then the reference must start with '#'." />
      <min value="1" />
      <example>
        <label value="Reference to a Patient entry in a bundle" />
        <valueString value="&lt;reference value=&quot;urna:oid:2.16.840.1.113883.19.2&quot;/&gt;" />
      </example>
      <mustSupport value="true" />
    </element>
    <element id="Claim.patient.identifier">
      <path value="Claim.patient.identifier" />
      <max value="0" />
    </element>
    <element id="Claim.patient.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.patient.display" />
      <max value="0" />
    </element>
    <element id="Claim.billablePeriod">
      <path value="Claim.billablePeriod" />
      <max value="0" />
    </element>
    <element id="Claim.created">
      <path value="Claim.created" />
      <max value="0" />
    </element>
    <element id="Claim.enterer">
      <path value="Claim.enterer" />
      <max value="0" />
    </element>
    <element id="Claim.insurer">
      <path value="Claim.insurer" />
      <max value="0" />
    </element>
    <element id="Claim.provider">
      <path value="Claim.provider" />
      <max value="0" />
    </element>
    <element id="Claim.organization">
      <path value="Claim.organization" />
      <short value="Responsible organization (pharmacy)" />
      <definition value="The organization responsible e.g. pharmacy for dispensing the medication." />
      <max value="0" />
    </element>
    <element id="Claim.organization.id">
      <path value="Claim.organization.id" />
      <max value="0" />
    </element>
    <element id="Claim.organization.reference">
      <path value="Claim.organization.reference" />
      <short value="Organization reference" />
      <definition value="A reference to the Organization resource." />
      <max value="0" />
    </element>
    <element id="Claim.organization.identifier">
      <path value="Claim.organization.identifier" />
      <max value="0" />
    </element>
    <element id="Claim.organization.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.organization.display" />
      <max value="0" />
    </element>
    <element id="Claim.priority">
      <path value="Claim.priority" />
      <max value="0" />
    </element>
    <element id="Claim.fundsReserve">
      <path value="Claim.fundsReserve" />
      <max value="0" />
    </element>
    <element id="Claim.related">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="RelatedClaim" />
      </extension>
      <path value="Claim.related" />
      <max value="0" />
    </element>
    <element id="Claim.prescription">
      <path value="Claim.prescription" />
      <max value="0" />
    </element>
    <element id="Claim.originalPrescription">
      <path value="Claim.originalPrescription" />
      <max value="0" />
    </element>
    <element id="Claim.payee">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Payee" />
      </extension>
      <path value="Claim.payee" />
      <max value="0" />
    </element>
    <element id="Claim.referral">
      <path value="Claim.referral" />
      <max value="0" />
    </element>
    <element id="Claim.facility">
      <path value="Claim.facility" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="CareTeam" />
      </extension>
      <path value="Claim.careTeam" />
      <mustSupport value="false" />
    </element>
    <element id="Claim.careTeam.id">
      <path value="Claim.careTeam.id" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.sequence">
      <path value="Claim.careTeam.sequence" />
      <mustSupport value="false" />
    </element>
    <element id="Claim.careTeam.provider.id">
      <path value="Claim.careTeam.provider.id" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.provider.reference">
      <path value="Claim.careTeam.provider.reference" />
      <min value="1" />
      <example>
        <label value="Reference to a Practitioner entry in a bundle" />
        <valueString value="&lt;reference value=&quot;urna:oid:2.16.840.1.113883.19.9&quot;/&gt;" />
      </example>
      <mustSupport value="false" />
    </element>
    <element id="Claim.careTeam.provider.identifier">
      <path value="Claim.careTeam.provider.identifier" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.provider.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.careTeam.provider.display" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.responsible">
      <path value="Claim.careTeam.responsible" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.role">
      <path value="Claim.careTeam.role" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.role.id">
      <path value="Claim.careTeam.role.id" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.role.coding.id">
      <path value="Claim.careTeam.role.coding.id" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.role.coding.system">
      <path value="Claim.careTeam.role.coding.system" />
      <min value="1" />
    </element>
    <element id="Claim.careTeam.role.coding.code">
      <path value="Claim.careTeam.role.coding.code" />
      <min value="1" />
    </element>
    <element id="Claim.careTeam.role.coding.userSelected">
      <path value="Claim.careTeam.role.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.role.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.careTeam.role.text" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.qualification">
      <path value="Claim.careTeam.qualification" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.qualification.id">
      <path value="Claim.careTeam.qualification.id" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.qualification.coding.id">
      <path value="Claim.careTeam.qualification.coding.id" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.qualification.coding.system">
      <path value="Claim.careTeam.qualification.coding.system" />
      <min value="1" />
    </element>
    <element id="Claim.careTeam.qualification.coding.code">
      <path value="Claim.careTeam.qualification.coding.code" />
      <min value="1" />
    </element>
    <element id="Claim.careTeam.qualification.coding.userSelected">
      <path value="Claim.careTeam.qualification.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.careTeam.qualification.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.careTeam.qualification.text" />
      <max value="0" />
    </element>
    <element id="Claim.information">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="SpecialCondition" />
      </extension>
      <path value="Claim.information" />
      <definition value="Additional information codes regarding a service in the claim." />
    </element>
    <element id="Claim.information.id">
      <path value="Claim.information.id" />
      <max value="0" />
    </element>
    <element id="Claim.information.sequence">
      <path value="Claim.information.sequence" />
      <short value="Information instance unique identifier" />
      <mustSupport value="false" />
    </element>
    <element id="Claim.information.category">
      <path value="Claim.information.category" />
      <definition value="The general class of the information supplied." />
      <mustSupport value="false" />
    </element>
    <element id="Claim.information.category.id">
      <path value="Claim.information.category.id" />
      <max value="0" />
    </element>
    <element id="Claim.information.category.coding">
      <path value="Claim.information.category.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Claim.information.category.coding.id">
      <path value="Claim.information.category.coding.id" />
      <max value="0" />
    </element>
    <element id="Claim.information.category.coding.system">
      <path value="Claim.information.category.coding.system" />
      <fixedUri value="http://hl7.org/fhir/claiminformationcategory" />
    </element>
    <element id="Claim.information.category.coding.version">
      <path value="Claim.information.category.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.information.category.coding.code">
      <path value="Claim.information.category.coding.code" />
      <fixedCode value="other" />
    </element>
    <element id="Claim.information.category.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.information.category.coding.display" />
      <max value="0" />
    </element>
    <element id="Claim.information.category.coding.userSelected">
      <path value="Claim.information.category.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.information.category.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.information.category.text" />
      <max value="0" />
    </element>
    <element id="Claim.information.code">
      <path value="Claim.information.code" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="text" />
        </discriminator>
        <rules value="closed" />
      </slicing>
    </element>
    <element id="Claim.information.code.id">
      <path value="Claim.information.code.id" />
      <max value="0" />
    </element>
    <element id="Claim.information.code.coding">
      <path value="Claim.information.code.coding" />
      <max value="0" />
    </element>
    <element id="Claim.information.code:ndcCode">
      <path value="Claim.information.code" />
      <sliceName value="ndcCode" />
    </element>
    <element id="Claim.information.code:ndcCode.id">
      <path value="Claim.information.code.id" />
      <max value="0" />
    </element>
    <element id="Claim.information.code:ndcCode.coding">
      <path value="Claim.information.code.coding" />
      <max value="0" />
    </element>
    <element id="Claim.information.code:ndcCode.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.information.code.text" />
      <min value="1" />
      <fixedString value="NDC" />
    </element>
    <element id="Claim.information.code:unitsCode">
      <path value="Claim.information.code" />
      <sliceName value="unitsCode" />
    </element>
    <element id="Claim.information.code:unitsCode.id">
      <path value="Claim.information.code.id" />
      <max value="0" />
    </element>
    <element id="Claim.information.code:unitsCode.coding">
      <path value="Claim.information.code.coding" />
      <max value="0" />
    </element>
    <element id="Claim.information.code:unitsCode.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.information.code.text" />
      <min value="1" />
      <fixedString value="UNITS" />
    </element>
    <element id="Claim.information.code:patientStatusCode">
      <path value="Claim.information.code" />
      <sliceName value="patientStatusCode" />
    </element>
    <element id="Claim.information.code:patientStatusCode.id">
      <path value="Claim.information.code.id" />
      <max value="0" />
    </element>
    <element id="Claim.information.code:patientStatusCode.coding">
      <path value="Claim.information.code.coding" />
      <max value="0" />
    </element>
    <element id="Claim.information.code:patientStatusCode.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.information.code.text" />
      <min value="1" />
      <fixedString value="PATIENT_STATUS_CODE" />
    </element>
    <element id="Claim.information.timing[x]">
      <path value="Claim.information.timing[x]" />
      <max value="0" />
    </element>
    <element id="Claim.information.value[x]:valueString">
      <path value="Claim.information.valueString" />
      <sliceName value="valueString" />
      <definition value="Additional data or information." />
      <type>
        <code value="string" />
      </type>
      <mustSupport value="false" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="NDC" />
        <comment value="Information.code must be equal to NDC.  A link is required from Claim.item." />
      </mapping>
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="UNITS" />
        <comment value="Information.code must be equal to UNITS. A link is required from Claim.item." />
      </mapping>
      <mapping>
        <identity value="MEDICAL-CLAIMS" />
        <map value="PATIENT_STATUS_CODE" />
        <comment value="Information.code must be equal to PATIENT_STATUS_CODE. No link is required from Claim.item." />
      </mapping>
    </element>
    <element id="Claim.information.reason">
      <path value="Claim.information.reason" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.id">
      <path value="Claim.diagnosis.id" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.sequence">
      <path value="Claim.diagnosis.sequence" />
      <short value="unique number to covey order of diagnosis" />
      <definition value="Sequence of diagnosis which serves to provide a link. This in not the claim line number,  but a number that associates a diagnosis to a particular service (procedure)." />
    </element>
    <element id="Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept">
      <path value="Claim.diagnosis.diagnosisCodeableConcept" />
      <sliceName value="diagnosisCodeableConcept" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept.coding">
      <path value="Claim.diagnosis.diagnosisCodeableConcept.coding" />
      <max value="1" />
    </element>
    <element id="Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept.coding.system">
      <path value="Claim.diagnosis.diagnosisCodeableConcept.coding.system" />
      <definition value="For ICD10 Diagnosis codes use: http://hl7.org/fhir/sid/icd-10-cm" />
      <min value="1" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="CLIN_CODE_TYPE_CODE" />
        <comment value="CLIN_CODE_TYPE_CODE must be equal to ICD10-CM or similar ICD10 Diagnosis code" />
      </mapping>
    </element>
    <element id="Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept.coding.version">
      <path value="Claim.diagnosis.diagnosisCodeableConcept.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept.coding.code">
      <path value="Claim.diagnosis.diagnosisCodeableConcept.coding.code" />
      <min value="1" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="CLIN_CODE" />
      </mapping>
    </element>
    <element id="Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept.coding.userSelected">
      <path value="Claim.diagnosis.diagnosisCodeableConcept.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.diagnosis[x]:diagnosisCodeableConcept.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.diagnosis.diagnosisCodeableConcept.text" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.type">
      <path value="Claim.diagnosis.type" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.type.id">
      <path value="Claim.diagnosis.type.id" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.type.coding.id">
      <path value="Claim.diagnosis.type.coding.id" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.type.coding.system">
      <path value="Claim.diagnosis.type.coding.system" />
      <min value="1" />
    </element>
    <element id="Claim.diagnosis.type.coding.code">
      <path value="Claim.diagnosis.type.coding.code" />
      <min value="1" />
    </element>
    <element id="Claim.diagnosis.type.coding.userSelected">
      <path value="Claim.diagnosis.type.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.type.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.diagnosis.type.text" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.packageCode.coding">
      <path value="Claim.diagnosis.packageCode.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Claim.diagnosis.packageCode.coding.system">
      <path value="Claim.diagnosis.packageCode.coding.system" />
      <min value="1" />
      <fixedUri value="https://www.cms.gov/ms-drg" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="CLIN_CODE_TYPE_CODE" />
        <comment value="CLIN_CODE_TYPE_CODE must be equal to MSDRG or similar CMS Diagnosis group code" />
      </mapping>
    </element>
    <element id="Claim.diagnosis.packageCode.coding.version">
      <path value="Claim.diagnosis.packageCode.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.packageCode.coding.code">
      <path value="Claim.diagnosis.packageCode.coding.code" />
      <min value="1" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="MSDRG_CODE" />
      </mapping>
    </element>
    <element id="Claim.diagnosis.packageCode.coding.userSelected">
      <path value="Claim.diagnosis.packageCode.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.diagnosis.packageCode.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.diagnosis.packageCode.text" />
      <max value="0" />
    </element>
    <element id="Claim.procedure">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Procedure" />
      </extension>
      <path value="Claim.procedure" />
      <max value="0" />
    </element>
    <element id="Claim.insurance">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Insurance" />
      </extension>
      <path value="Claim.insurance" />
      <max value="0" />
    </element>
    <element id="Claim.accident">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Accident" />
      </extension>
      <path value="Claim.accident" />
      <max value="0" />
    </element>
    <element id="Claim.employmentImpacted">
      <path value="Claim.employmentImpacted" />
      <max value="0" />
    </element>
    <element id="Claim.hospitalization.start">
      <path value="Claim.hospitalization.start" />
      <mapping>
        <identity value="MEDICAL-CLAIMS" />
        <map value="ADMIT_DATE" />
      </mapping>
    </element>
    <element id="Claim.hospitalization.end">
      <path value="Claim.hospitalization.end" />
      <mapping>
        <identity value="MEDICAL-CLAIMS" />
        <map value="DISCHARGE_DATE" />
      </mapping>
    </element>
    <element id="Claim.item">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Item" />
      </extension>
      <path value="Claim.item" />
      <definition value="The service provided." />
      <min value="1" />
      <mustSupport value="false" />
    </element>
    <element id="Claim.item.id">
      <path value="Claim.item.id" />
      <max value="0" />
    </element>
    <element id="Claim.item.careTeamLinkId">
      <path value="Claim.item.careTeamLinkId" />
      <short value="Link to the careTeam(Practitioner)." />
      <definition value="The link id to the responsible service provider. The careTeamId value must match one of the values in CareTeam.sequence." />
      <mustSupport value="false" />
    </element>
    <element id="Claim.item.diagnosisLinkId">
      <path value="Claim.item.diagnosisLinkId" />
      <mustSupport value="false" />
    </element>
    <element id="Claim.item.procedureLinkId">
      <path value="Claim.item.procedureLinkId" />
      <max value="0" />
    </element>
    <element id="Claim.item.informationLinkId">
      <path value="Claim.item.informationLinkId" />
      <short value="Links to supporting information of this item." />
      <definition value="Link identifiers to supporting information for this medical claim such HCPCS units, NDC and patient status code. The informationLinkId value must match one of the values in Information.sequence." />
      <mustSupport value="false" />
    </element>
    <element id="Claim.item.revenue.coding">
      <path value="Claim.item.revenue.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Claim.item.revenue.coding.system">
      <path value="Claim.item.revenue.coding.system" />
      <min value="1" />
      <fixedUri value="http://www.nubc.org/revenue-codes" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="CLIN_CODE_TYPE_CODE" />
        <comment value="CLIN_CODE_TYPE_CODE must be equal to REVCODE or a similar revenue code type." />
      </mapping>
    </element>
    <element id="Claim.item.revenue.coding.version">
      <path value="Claim.item.revenue.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.item.revenue.coding.code">
      <path value="Claim.item.revenue.coding.code" />
      <short value="Revenue code" />
      <definition value="The revenue code." />
      <min value="1" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="CLIN_CODE" />
        <comment value="CLIN_CODE_TYPE must be equal to REVCODE or a similar revenue code type." />
      </mapping>
    </element>
    <element id="Claim.item.revenue.coding.userSelected">
      <path value="Claim.item.revenue.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.item.revenue.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.item.revenue.text" />
      <max value="0" />
    </element>
    <element id="Claim.item.category">
      <path value="Claim.item.category" />
      <max value="0" />
    </element>
    <element id="Claim.item.service">
      <path value="Claim.item.service" />
      <short value="A service (procedure) that was billed in this claiim." />
      <definition value="A service or procedure billed in this claim." />
      <example>
        <label value="Claim service example" />
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10" />
            <code value="0FB03ZX" />
            <display value="Excision of liver, percutaneous approach" />
          </coding>
        </valueCodeableConcept>
      </example>
      <mustSupport value="false" />
    </element>
    <element id="Claim.item.service.id">
      <path value="Claim.item.service.id" />
      <max value="0" />
    </element>
    <element id="Claim.item.service.coding">
      <path value="Claim.item.service.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Claim.item.service.coding.id">
      <path value="Claim.item.service.coding.id" />
      <max value="0" />
    </element>
    <element id="Claim.item.service.coding.system">
      <path value="Claim.item.service.coding.system" />
      <definition value="The identification of the code system that defines the meaning of the symbol in the code. System values include:  http://www.ama-assn.org/go/cpt for CPT codes, http://www.icd10data.com/icd10pcs for ICD10 Procedure codes, and urn:oid:2.16.840.1.113883.1.11.19394 for HCPCS codes." />
      <min value="1" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="CLIN_CODE_TYPE_CODE" />
        <comment value="CLIN_CODE_TYPE_CODE must be equal CPT, HCPCS, or ICD10 Procedure code." />
      </mapping>
    </element>
    <element id="Claim.item.service.coding.version">
      <path value="Claim.item.service.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.item.service.coding.code">
      <path value="Claim.item.service.coding.code" />
      <short value="Service/Procedure code value." />
      <definition value="A code value within the defined system that identifies the service listed in this claim." />
      <min value="1" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="CLIN_CODE" />
        <comment value="CLIN_CODE_TYPE must be equal to CPT, ICD10PCS, or HCPCS" />
      </mapping>
    </element>
    <element id="Claim.item.service.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.item.service.coding.display" />
      <definition value="A description of the procedure/service provided." />
    </element>
    <element id="Claim.item.service.coding.userSelected">
      <path value="Claim.item.service.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.item.service.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.item.service.text" />
      <max value="0" />
    </element>
    <element id="Claim.item.modifier">
      <path value="Claim.item.modifier" />
      <max value="1" />
    </element>
    <element id="Claim.item.modifier.coding">
      <path value="Claim.item.modifier.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Claim.item.modifier.coding.system">
      <path value="Claim.item.modifier.coding.system" />
      <definition value="For CPT modifiers, the system is: http://www.ama-assn.org/go/cpt" />
      <min value="1" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="CLIN_CODE_TYPE_CODE" />
        <comment value="CLIN_CODE_TYPE_CODE muste be equal to a CPT modifier code" />
      </mapping>
    </element>
    <element id="Claim.item.modifier.coding.version">
      <path value="Claim.item.modifier.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.item.modifier.coding.code">
      <path value="Claim.item.modifier.coding.code" />
      <min value="1" />
      <mapping>
        <identity value="PATIENT-MED-CLM-CLIN-CODES" />
        <map value="CLIN_CODE_TYPE_MODIFIER" />
      </mapping>
    </element>
    <element id="Claim.item.modifier.coding.userSelected">
      <path value="Claim.item.modifier.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.item.modifier.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.item.modifier.text" />
      <max value="0" />
    </element>
    <element id="Claim.item.programCode">
      <path value="Claim.item.programCode" />
      <max value="0" />
    </element>
    <element id="Claim.item.serviced[x]:servicedDate">
      <path value="Claim.item.servicedDate" />
      <sliceName value="servicedDate" />
      <definition value="The date  when the service/procedure was performed." />
      <min value="1" />
      <type>
        <code value="date" />
      </type>
      <mustSupport value="false" />
      <mapping>
        <identity value="MEDICAL-CLAIMS" />
        <map value="SERVICE_DATE" />
      </mapping>
    </element>
    <element id="Claim.item.location[x]:locationCodeableConcept">
      <path value="Claim.item.locationCodeableConcept" />
      <sliceName value="locationCodeableConcept" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="Claim.item.location[x]:locationCodeableConcept.coding">
      <path value="Claim.item.locationCodeableConcept.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Claim.item.location[x]:locationCodeableConcept.coding.system">
      <path value="Claim.item.locationCodeableConcept.coding.system" />
      <min value="1" />
      <fixedUri value="https://www.cms.gov/Medicare/Coding/place-of-service-codes" />
    </element>
    <element id="Claim.item.location[x]:locationCodeableConcept.coding.version">
      <path value="Claim.item.locationCodeableConcept.coding.version" />
      <max value="0" />
    </element>
    <element id="Claim.item.location[x]:locationCodeableConcept.coding.code">
      <path value="Claim.item.locationCodeableConcept.coding.code" />
      <short value="Place of service" />
      <definition value="Place of service code" />
      <min value="1" />
      <mapping>
        <identity value="MEDICAL-CLAIMS" />
        <map value="PLACE_OF_SERVICE_CODE" />
      </mapping>
    </element>
    <element id="Claim.item.location[x]:locationCodeableConcept.coding.userSelected">
      <path value="Claim.item.locationCodeableConcept.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Claim.item.location[x]:locationCodeableConcept.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Claim.item.locationCodeableConcept.text" />
      <max value="0" />
    </element>
    <element id="Claim.item.quantity:quantity">
      <path value="Claim.item.quantity" />
      <sliceName value="quantity" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element id="Claim.item.quantity:quantity.id">
      <path value="Claim.item.quantity.id" />
      <max value="0" />
    </element>
    <element id="Claim.item.quantity:quantity.value">
      <path value="Claim.item.quantity.value" />
      <definition value="The value of  quantity dispensed." />
    </element>
    <element id="Claim.item.quantity:quantity.system">
      <path value="Claim.item.quantity.system" />
      <fixedUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Claim.item.quantity:quantity.code">
      <path value="Claim.item.quantity.code" />
      <definition value="A computer processable form of the unit definied in http://unitsofmeasure.org e.g. TAB" />
    </element>
    <element id="Claim.item.unitPrice">
      <path value="Claim.item.unitPrice" />
      <max value="0" />
    </element>
    <element id="Claim.item.factor">
      <path value="Claim.item.factor" />
      <max value="0" />
    </element>
    <element id="Claim.item.net">
      <path value="Claim.item.net" />
      <max value="0" />
    </element>
    <element id="Claim.item.udi">
      <path value="Claim.item.udi" />
      <max value="0" />
    </element>
    <element id="Claim.item.bodySite">
      <path value="Claim.item.bodySite" />
      <max value="0" />
    </element>
    <element id="Claim.item.subSite">
      <path value="Claim.item.subSite" />
      <max value="0" />
    </element>
    <element id="Claim.item.encounter">
      <path value="Claim.item.encounter" />
      <max value="0" />
    </element>
    <element id="Claim.item.detail">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Detail" />
      </extension>
      <path value="Claim.item.detail" />
      <max value="0" />
    </element>
    <element id="Claim.total">
      <path value="Claim.total" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>